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PERMITTEE NAME/ADDRESS pweiArs raNyNa-WL ealraw(1D(dF*u) <br />NAME <br />ADDRESS vi. <br />BOX <br />;CIA Ct <br />FACILITY <br />I E 1,,L, :•I r <br />LOCATION VIA f <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM /NPOES) <br />DISCHARGE MONITORING REPORT IDMRJ <br />PERMIT NUMBER DISCHARGE NUMBER <br />42 MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />(SUER MH ) <br />F - FINAL <br />SR) DEER TRL DTC OR IINM <br />NOTE: Read Irwtrucdorw b*foro complotln9 th{B form. <br /> NO UENCY <br />FREQ SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . of <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT gt" X !'f]F(T iAi <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <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 />AL EXECUTIVE OFFICER I cen,y Under pen. y o In- that this doroment and an .aachmenU were TELEPHONE <br />I DATE <br />P <br />prepared under my dlnrciton or mpt. on In accordance with a system deigned <br />NAME/T1TLE PRINC <br />to assure Choi quatlnrd personnel Property gather and evaluate the Information <br />ntbmilled. Based on my Inqulrr of the preson or person who manage the system <br />ibl <br />f <br />th <br />i <br />ti <br />ti <br />l <br />th <br />i <br />f <br />th <br />I <br />f <br />orma <br />on. <br />e <br />n <br />orma <br />on <br />y Respons <br />or ga <br />er <br />ng <br />e <br />n <br />or those perser? direct <br />e <br />submitted Is, to the best of my knowkdpl and belief, trne, aminte, and complete. <br />RE OF ?RINCNAL EXECUTIVE <br />I <br />NAT _ <br />- ?" <br />- I am.-.n that there am atgnincant Penalties for mbmltting false Information, S <br />G <br />U AREA <br />NUMBER YEAR M DAY <br />TYPED OR PRINTED Including the Possibility of fine and Imprisonment for knowing .leiauacr. OFFICER OR AUTHORIZED AGENT CODE O <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Re/aronco a# sttechments here/ <br />-!!: Pc?f f"'( r_;I?hJT IS 1-LAIMIED 7r C-LATtl APPROVED RY WOM <br />it <br />J This is a 4-part form. PAGE _oF <br />I EPA Form 3320-1 (Rev 3199) Previous eddions may be used