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PERMITTEE NAME)ADDRESS (7-.6& F°cNyx.,?Lorrlon (/D(aarwu) <br />NAME OiN'V t.. _ . rMh <br />_ AtifY, L. P <br />. <br />ADDRESS <br />? <br />DWYC <br /> <br />FACILITY <br />LOCATION <br /> <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM. JNPOESJ <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MID DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040.0004 <br />NOTE: Read inatructione before completing thls form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t <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 j <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I "A'Iy " ptna 1y ° ¦w that thke document and an aftwhmernts weer TELEPHONE DATE <br />prepared under my dlreetfon or wit-isfen In ¦ ,d- w11h • system designed <br />le aafYle Ih¦I quaafkd pe nr1 proprrly gait- and nahtale the InrMrnalfon <br />wbmlurd. aaaed on my Inquiry d tM penal or penoro no -note tM system <br />or thou peners dfnctly -porulbk fer gathering the lefortnatlot? the Infornnlh n t - <br />` <br />wb rdtled M• to the bog or me knowfedte and braef, true, arrurvie. and rvmpkte. <br />E iL <br />SIGNATURE OF PRINCIPAL EXECtJTR/E ' •= <br /> tam,w¦n that Ihtn are dprnc,nl pen.ltles for wbmlmnt rata Infonnatlon. <br />L [REA <br />TYPED OR PRINTED 1nAudlnt the possibility of ant and imprisonment for knowing efd¦tJo- OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aM attechmant3 hw) <br />Ai: c'i its WC,C <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. This is a 4-part foram. PAGE OF