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rr.11TTEE:!An,1cFaciim,NameLocationrfr)rffernfl <br />)RESS rNr <br />E1.-Y <br />i-ACILITY .7 <br />LOCATION <br />.. <br />o Ell <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 />VMo No. [U tU-UUU4 <br />P'I I NOR <br />(SUBR DW ) <br />F - FINAL R13L <br />NOTE: Read InstrilntlnnG hafnra rmm?latinn Chic fnrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> > <br />< OF <br /> EX A <br />A TYPE <br /> - AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS N <br />LYSIS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ? s a :r'.: Y: ; r F?.;- <br />- = :. REQUIREMENT -; . i . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />Ui °d'? \•; REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r - <br />1 1_1* REQUIREMENT <br />I- <br />h ?! <br /> SAMPLE <br />L ti MEASUREMENT <br />i c: PERMIT `?LP^c T of-'i7"< cr `. <br />= s L t%::': - = REQUIREMENT <br /> SAMPLE <br />_ _ • MEASUREMENT <br /> PERMIT r. '4 t r;:_ marls? f Flr't-'P <br />- REQUIREMENT <br /> <br /> SAMPLE <br />t ! F ?- MEASUREMENT <br /> PERMIT -- : S_ -'T <br />- ?t <br /> REQUIREMENT <br />_ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify under rwnaln of law that this document and all auachmcnty were TELEPHONE DATE <br /> prepared under my diroction or surtcn'ision to accordance with a ?}•.0em desl <br />ped <br /> _ <br />to assure that qualified persrnmcl prupcrly gather and evaluate the minrmauon - <br />? <br /> suhmmcd. Based on my mquiry of the peram or person wlx) manage the system. <br />- -- <br />- or those persons directly respunsiblc for gathering the information, the intorTnatilm <br />i ,' <br />: . ,: - 1J mlu •d I. to the h-I ut my kn, vl dev and belief- tote accurate- and compictc. <br />I <br />- <br />d <br />- SIGNATURE OF PRINCIPAL EXECUTIVE '? ?: ? ,?• y 2.- .` <br />• '.? ?, " '? <br />_ rl <br />r <br />;,rr me :n <br />I I n !t I•a sibmuung false information, . <br />_ TYPED OR PRINTED r.:::: m In "I!.- ,. r nn cot for known violation. <br />r OFFICER OR AUTHORIZED AGENT AREA <br />cooE NUMBER <br />YEAR <br />MO <br />DAY <br />(:r1MMFNTC AAIn FYDI AAIATIf11J f)G A/JV vini nnnatc rc?r?..,....., .,u ..as?..s,..,....•., 16-- - v <br /> <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. TNs is a 4-part form.