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PERMITTEE NAME/ADDRESS Include fa,i ih Numcylawabna i/ I iffe-rou) <br />NAME <br />ADDRESS <br />I: t -,j ; <br />PAONI _Q <br />FACILITY .- <br />LOCATION . <br />=T1 CAC. <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (DMR) ?.. .y <br />PERMIT NUMBER DISCHARGE NUMBER OELTp <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Instructions before comDletinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT w I t:.;`. % ;i' <br /> REQUIREMENT = f'IIt?llrlUr9 - ;^r„•: r:- <br /> SAMPLE - a -0 ? t t <br />-, <br /> MEASUREMENT - <br /> PERMIT r t - <br />t REQUIREMENT <br /> SAMPLE ? ... n <br /> MEASUREMENT <br /> PERMIT REPORT >. ..... <br /> REQUIREMENT :;i0>iA AV T <br /> SAMPLE <br /> MEASUREMENT <br />E• PERMIT fi;-;•:" aa*f;t fi:, h#:E#?# TTiY ,R <br /> REQUIREMENT I Y <br />Cli'?IL'rU i i SAMPLE i - _- . 9 b y <br />:. - i ! NT MEASUREMENT <br /> PERMIT ,F°OR C Hr',.}=? :??.ii+ tt > 'ti!'_i•i -i:.`.., <br /> REQUIREMENT *j!i A\/tr i.:,"•,: c ? ), <br /> SAMPLE s ,... 94 7 _ ..,. . <br /> MEASUREMENT <br /> PERMIT x:c FZI=F('.F F Ec .{ r #Xr I-. -d nJ) :"?! ?). <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER 11-11111, nndrr I,•nau) 41.. thin Ihi, d-re, nl and all atLrdlmrm..,r 1-r <br />d <br />d <br />di <br />- 1 <br />.. ^ TELEPHONE DATE <br />/??//f t'} r i" - 1 % , •?` . er nu <br />pupa- <br />un <br />rrct <br />n - 1111-kill" in +r,..rdunlr enh a ,,arm dr.iym•d <br />to :...url 0w ynal;Grd Illru.nnvl yrnlx•li, 2alhrr and r, uluulr Ihr'of..rmabnn .. / <br /> whm wA. R.-I u.n n1, inylin .d Ihl' pl'(u.rl nl' IMf. m „hn rrt.lnaLl• Ihr -1-. <br />/ <br /> of Ih.w' IM'r.nn, dlrrl'II1 rl,Iw,n.ihlr fnr l'ul hrrin? it,, in(nr muli..n, Ih, W,.-tAw. <br />". _I . <br />/ <br />.ul.mithA n• 1,. Ihr I-t or m, Ln-kdgr and Ix'lief. Inge. :Itt'urule. and rumLkle. <br />I um -tre that there arr.iLmr-ul <br />lenulf- Inr almituin <br />fulx infnrnlulinn <br />-? <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />_ <br /> <br />"7 <br />TYPED OR PRINTED I <br />g <br />. <br />InI I..l: th, Ihilin ..f r and im rri...nlmm fnr Lm.win;;,ialulinm, <br />1 OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />I-VIVIMCIV I,5 ANU CA r•LANA I IVIV Ur ANT VIVLAI IVIVJ (rfererence an aaacnmenrs nere) <br /> PErIP [V1-i:T I;OR )::., .. ; I nc- '; )= PP710F REGUIREME-NTS IN <br /> To <br />EPA Form 3320-1 (Rev 3 y.•. PrB•anus u7rt;ens may be used ." <br />PAGE 1OF <br />Thi9;1V ti 4?-paTC;lgfill.