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PERMITTEE NAME/ADDRESSpwt .&F&-*O NwoWL«woe t(Dto6-w j_ <br />NAME <br />ADDRESS <br />ISADE c,U <br />FACILITY "SIDE ?lla?? to ?t SOUTH !'II <br />LOCATION P PALISADE CJ <br />__7,dN L %1DUER, V. P. <br />NATIONAL POLLUTANT DISCHAIIOE ELIMINATION SYSTEM NPDE31 <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO !DAY <br />FROM TO [ -1 9 <br />Form Approved <br />I N OMB No 2040-0004 <br />DUI--•. • <br />DAD:,'! DE r <br /># NO <br />NOTE: Read Instructions before corrinletkla this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FMEOO NCY SAMPLE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT "'ll!h" =',k I't'tl tom. n;pr? il- <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />L Ur PERMIT <br />REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> " <br /> PERMIT <br />REQUIREMENT ;IR'1 R <br />AVG 'yf' ? it MAX <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT i.•?I: ; <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I mrttly under pen• q ° aw that this document and an auachmt,,u were <br />TELEPHONE <br />DAT <br />under m direction or a <br />prepared ) prlslon In accordance with • system designed E <br />to tsare that quaMfied Per,CM-0 properly gather and traluale the Inrormatlon <br />? <br />, <br />- - <br />. <br />. <br />• <br />abmlttrd. Rome! an my Inquiry of the person or pre who manage the systtm, , . <br />or thoar peno,u directly respondW far gathering the Informallon, the Informalhrn - - - '?_ <br />+ <br />submitted la, to the best of my knowledge and hetlrf, true, accuratt, and a psete. - <br />- <br />1 am aware that then am significant penaltla for abmltting foist Information <br />BIONATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />Including the Paalblllty of fine and Imprisonment for knowing rlaladorm OFFICER OR AUTHORIZED AOENT CAE NUMBER YEAR MO DAY <br />GUMM[fv I J Pkrifv, 9ArL-Ann t wn ..? .... r . rv?n r tvrta trtsrsirencs sn srrscnmenrs nerol TOTAL SUSPENDED <br />OTAL IRON AND/f <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used