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PERMITTEE NAMEIADDRESS ilnOwleFarilin A'ume,Li ammifDife nil <br />NAME <br />ADDRESS <br />'Y <br />FACILITY <br />LOCATION ELY <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br /> <br />FINAL F <br />3-_' SLDi STiIRAGE TO FtL-_n V)AccH <br />X: .,. <br />KWITC- 0-A I ,e?.., tsss 6ss4 . , t. its.. ?laic ?...... <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO• FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ZAB <br />J REQUIREMENT <br /> SAMPLE <br />-P''j •: i' MEASUREMENT <br /> PERMIT ;' 0 t•rr <br />.. i tt:L t REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Cr- <br />t REQUIREMENT rii , , ; - '- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?. ; F'• A , <br />- ° REQUIREMENT Ifi X ""• G ` .' " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />lr- ' REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r. r. REf:r(_IPT <br /> REQUIREMENT <br />NAMEiTITLE PRINCIPAL EXECUTIVE OFFICER I certm under penalty of taw that this document and all attachments were TELEPHONE DATE <br /> <br />- prepared under my direction ur supenision in accordance with a system dedgncd <br /> to assure that qualified personnel properly gather and evaluate the information - / <br />. <br />submitted, Rased on my inquiry of the person or persons who manage the system. - <br />A <br /> or (hose persons directly responsible for gathering the information, the information <br />1 <br />" : s <br />bm <br />tt <br />s <br />t <br />the best of m <br />kn <br />led <br />d b <br />d <br />l <br />f <br />t <br />t <br />d <br />l <br />! u <br />i <br />e <br />i <br />, <br />o <br />y <br />ow <br />ie <br />. <br />rue. accurd <br />ge an <br />e <br />u, an <br />comp <br />ete <br />I <br />• <br />i <br />b <br />h <br />h <br />f <br />l <br />f SIGNATURE OF PRINCIPAL EXECUTIVE - <br /> <br />TYPED 00PRINTED ?m a <br />sare t <br />gni <br />icant pena <br />at t <br />ere are s <br />ties <br />or su <br />mitting false mtirmation. <br />: <br />d <br />h <br />ibiht <br />f ti <br />d <br />f <br />k <br />i <br />l OFFICER OR AUTHORIZED AGENT AREA <br /> e rxoss <br />mc <br />r; <br />uig t <br />y o <br />ne an <br />impnsonmcnl <br />or <br />n,,% <br />ng vio <br />ations' CODE NUMBER YEAR MO DAY <br />fR PRI <br />EPA Form 3320.1 (Rev. 3/99) Previous editiorts may be used. <br />PG. 3 FOR R1 <br />1 y , This is,a 4-part fonn. <br />