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PERMITTEE NAME ADDRESS <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />F-- I <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />xnt, Niprovec <br />MB No. 2040- <br />KinTC- 0.,n.i L.et-.. ...t:....., t... t..... .. ?i..u.... N,io t...... <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;r t -0. . <br />f i REQUIREMENT <br /> SAMPLE <br />F _ MEASUREMENT <br /> PERMIT <br /> REQUIREMENT l4'•i G <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t F its' JI 7 i <br />t REQUIREMENT <br /> SAMPLE <br />c - r MEASUREMENT <br /> PERMIT REf":F?7 F,. <br /> REQUIREMENT 3'1pF; .' ;1(_•, <br /> SAMPLE <br />1 H ? . MEASUREMENT <br /> PERMIT r. Rr-'pviiT !-i 1:F't:}K 1 <br /> REQUIREMENT -Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -. , „- <br /> REQUIREMENT f' L .' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 ccm(y under tanalty of Iaw that this document and all attachments wcrv TELEPHONE DATE <br /> preparal under my direction or supcn tslon m accordmac with a system desicntid <br /> to assure that qualified personnel properly gather and esaluate the information <br />h <br />i <br />d <br />B <br />d <br />i <br />y <br />h <br />' <br />r <br />? <br /> su <br />m <br />no <br />- <br />ase <br />on my <br />nquir <br />of t <br />e pers. n or persons who manage the -fern. ?,r•' <br />_'? <br />- or those persons directly responsible for gathenng the information. the information <br />" . uhnin d i... u, the best of my knowledge and belief. true. accurate, and complete <br />1 <br />h <br />i <br />f SIGNATURE OF PRINCIPAL EXECUTIVE /i" :. % L•? <br /> am -,%-, ilim t <br />ere arc s <br />gni <br />icant penalties for submitting false information. <br /> <br />TYPED bR PRINTED <br />:r:: i,•a,r the Ixsstb,hr% of fine and imprisonment for knowing violanons. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />r^A\I\\C?rrn •un rvnr •uw?.?u r.r .uv .•a.. •?.....n ..._•_.._ __ _ ... .. CODE <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />()40.-?" _ ;.This s;a.4-pars form.