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PERMITTEE NAME/ADDRESSpn.Alyf«+boN..?L---(fD(&-) <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOES) <br />DISCHARGE MONITORING REPORT WMR) <br />PERMIT NUMBER DISCHAAOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 20404=4 <br />NOTE: Reed kietructlone before etienpletlnp thle form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER i "may under Pena ty o la. that this doeumem and all luachnutnts were TELEPHONE DATE <br />prepared order my direction or superelslon In a"ordanre with a system deslgned <br />to a ou" th 11 qualified personnel property gather and e•oluale the Information <br />submitted. Based on my Inquiry of the person a persona who manage the systrm. <br />or Thou Pe*tom+directly respornlble for gatkering the Information, the Information <br />submitted 1% to the best of my knowledge and belief, true, a rale, and con"ir. <br />1 am <br />t th <br />si <br />nificant <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />w <br />re th <br />a <br />n <br />ltl <br />f <br />ul,nlldn <br />t <br />Inf <br />f <br />ti <br /> g <br />a <br />a <br />a <br />ere <br />" <br />pe <br />a <br />es <br />or a <br />g <br />a <br />e <br />orma <br />on, AREA <br />TYPED OR PRINTED IncWIng the poulbillty of fine and Impr4onmenl for knowing .ialatkm& OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference aN attachments herd <br />EPA Form 3320-1 (Rev 31") Previous editions may be used This is a 4-part