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PERMITTEE NAME/ADDRESS Jarhale FarPhry Nmtc.'Locwt,,n i% LJlnercnn NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS AQC I ri-) CANYON <br />WEST Z'1A I N S TR F . PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY N I DAD MONITORING PERIOD <br />rNt:: 1"j CANYON r' YEAR MO DAY YEAR MO DAY <br />LOCATION TON FROM TO <br />r%iAI 1"i c?: T`Hn p-" <br />Form Approved. <br />OMB No. 2040-0004 <br />NAL LATIAS , <br />111 TRIB OF PURGATORIE RV <br />k <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 9. W ; -.. , <br />J i`• I REQUIREMENT "1r X t ll• <br />C)r, SAMPLE <br />r ENDr MEASUREMENT <br /> PERMIT <br />I- i= LL'EN i ti RF":'? 3 VALU• REQUIREMENT ri`?'G) l L Y i <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT FT t_; F l'r ;Fir=i: <br />r F! Uf'_PJ' ;F{OSS `JAL REQUIREMENT <br /> SAMPLE <br />'c:h1''1 L.LY DI?IJ MEASUREMENT <br />C ,D PERMIT ;:; i #!f #: ;s a.. t-:._,; it R:I <br /> <br />i r ";RPC,S VAL-U; REQUIREMENT <br />_ <br />i : SAMPLE <br /> MEASUREMENT <br /> PERMIT h Std it## iFt> 3i nr i :. :r t „x j 0 4N o;RfiB <br /> <br /> <br />-. r <br />T7 1 ! <br />F <br />lii?i "' 1r3S 'i <br /> <br /> <br />EQUIREMENT <br /> <br /> <br />fVsT MAX <br /> <br />T <br />[;17 SAMPLE ####st ii <br />Tier PLAW MEASUREMENT <br /> PERMIT cr T r: OP'! <br />S VAL..U,- REQUIREMENT <br />L. l. T SAMPLE r it r at s. a s x <br /> MEASUREMENT <br /> PERMIT . R`.F 71 7 E`•= 1 ###### tt# #IE###'? W I'. T!7-:.;AL <br /> REQUIREMENT r ; , X = <br />NA E,?ITLE PRINCIPAL,f?(ECUTIVE OFFICER I c-ifi under penallyof law that this document and all attachments were TELEPHONE DATE <br /> prepared under m) direruon or,upentsum to accordar•ce with a system designed ! <br />d ? <br />A/, <br />/ to assure that yuahficd personnel propcrh gather and ctaluate the information <br />f <br />h <br />h <br />th <br />b <br />d <br />B <br />d of ,/ <br /> e swan, <br />on my myuuv o <br />t <br />e peron or per ms w <br />o manage <br />su <br />mitte <br />. <br />ase <br />or those persons d•rcetty resjxnsible for gathering the information. the information <br /> <br />7 <br />C and complete <br />to the best of my knowled <br />e and belief <br />true <br />accurate <br />,ubmitad i 9 <br />. . <br />, <br />. <br />s, <br />g <br />, <br />i <br />l <br />i <br />f <br />l <br />f <br />r <br />f <br />f <br />i SIGNATURE OF PRINCIPAL XECUTIVE <br /> <br />TYPED OR PRINTED or subm <br />tu <br />se in <br />I am aware that there are s <br />gni <br />icant pena <br />ties <br />gz <br />a <br />ormat <br />on, <br />rx9uding the possibility of fate and tmprisonnumt for knowing ca.lations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMEN15 ANU LXFLANAI IUN UI- ANY VIULAI IUNZO Irreverence do dndcnrnenw nere) <br />-'RFCIP EVENT SL)B_JFC.T TO SUftDFN OF FROM: R-'.! !IIREII!FNT„ TN <br />?- THE °i1VISi <br />EPA Form 3320-1 (Rev. 3/39) Previous editions may be used. ?S• 4flfill PAGE OF