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PERMITTEE NAMEIADDRESS t7.A k F rdky N..?Lee«mw vD(#Wv ) <br />NAME <br />ADDRESS <br />BUY, i i54 <br />IA CG <br />FACILITY t NO. ,{ H I NE <br />LOCATION .RFET C7 <br />!lr-1 l^ nc, Am OUL•GT TICY:T <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER DISCHARGE NVMDER <br />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 Gt`i?I <br />I'i Tn F-.j FI= r~l iM1Jft) I S^;?i <br />NOTE: Rend h+r,tructions Wore compi.tlnp thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOVENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE - MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :: .. ,. <br /> REQUIREMENT ; iA X I Mkil`1 <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT DAJ LY <br /> SAMPLE <br />_ MEASUREMENT <br /> PERMIT - # s tf s?3f ' # ti >? i <br /> REQUIREMENT i Y i?Olb i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT +A k i T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Y <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?. <br /> REQUIREMENT i mi, <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I fe^'tf ° r pens ly o haw that thh dorurnent and all anachmsnts were TELEPHONE <br />prepared under my dlreellon or uper0sicm In a rdance with a system designed DATE <br />to a surs that qua8flel personnel properly Sather and eyahaste the Information <br />submitted. Based on my Inquiry of the person or persons who manage the system, - - -• <br />er those persons directly responsible for gathering the Information, the Inform sfl n <br />- <br />submitted b, to the bet of m y knowletite and bebef, true, accursle, and complete. <br />OF PRINCIPAL EXECUTNE , <br />J, I I am aware that there are slSn/flcunt penalties for submitting false Information, SIGNATURE AREA <br />TYPED OR PRINTED Including the possibility of flee and Imprisonment for knowing violations. OFFICER OR ALITHORIZED AGENT CODE NUMI ER YEAR MO DAY <br />COMMENTS AND EXPLANATION UP, AMT VIVLA I IVN5 IKVr*r@nCf M •rracnmirrrra narral , <br />ERAGE IS HIGHEST MONTHLY AVERAGE DURING PERIOD REPORTED. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This is a 4-part