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PERMITTEE NAMEiADDRESS Ibtcludc I-ilc•dirl Aarm 1-. .un,n v /),ffe •nh NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME AL DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS i I '-ANY; <br />WEST MAIN PERMIT NUMBER DISCHARGE NUMBER <br />I DAD MONITORING PERIOD <br />FACILITY rJCI TO CANYON YEAR MO DAY YEAR MO DAY <br />LOCATION -rON FROM TO <br />at n Ti-4fiMPf;f <br /> <br />F - FINAL <br />TO ;.1NI'lilD T R T CS OF F <br />n <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREDUENCY <br />OF SAMPLE <br /> TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT , < i i ri I ; ?4Sf'I <br />i <br /> <br /> SAMPLE <br />f <br /> MEASUREMENT <br />i C <br />? PERMIT #arc:r ?. r ;:### =(} i i rFt <br />, <br />53C ! <br />? r LL1rN s Gi?u REQUIREMENT :3GDA iG <br /> SAMPLE 1 Vt <br /> MEASUREMENT .J <br /> PERMIT * s <br />RG `3 ctl(.j REQUIREMENT <br /> SAMPLE <br /> <br />r u i 1=iv i t r SLY it I S?r.i_V_ MEASUREMENT <br />i .?^ i % 7 PERMIT -h -;, o •. ?EPORi- F <br />N i iR"9c, VAL <br />Iv 1: <br />- REQUIREMENT =1 DA AVGi L1:=. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 4?- 4 f #,r i #h-14 I r•i = ii NL1 <br /> <br />tv ` i REQUIREMENT <br /> SAMPLE <br />-i PLAN MEASUREMENT <br /> PERMIT - <<+ "CNTI CFI-,'D <br />f`JT V i ." REQUIREMENT UEi;.:.: <br />t SAMPLE <br /> MEASUREMENT <br /> PERMIT ta' = l t a tsl + # # A . 1 ':•! I i? <br /> REQUIREMENT 1_e <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I tcrtity under penalty of law that thi% document and all attachments wore TELEPHONE DATE <br />prepared under mi, direction or upon-ision in accordance ulth a sst m desicneJ <br />t u- -sure that quahried perwnnel properly gather and evaluate the information <br />j/? (? ?^? './ ;.•?.. 1 submitted 13ased em my mquu. of the person ar persons who manage the St4tern. <br />or those pera its dlrttay responsible for gathering the information. the ndormanon <br /> [f <br />_ submitted is. io the best of my kmm ledge and helief. true, aeeuratC, and co mplete. <br />l <br />f <br />k <br />i <br />lo <br />h <br />b SIGNATURE OF PRINCIPAL EXECUTIVE <br />rrnan,?n. <br />ties for w <br />mnttng <br />a <br />e <br />n <br />1 am auure that t <br />ere are significant pena <br />l <br />l <br />i <br />fo <br />k <br />n <br />TED <br />l <br />h <br />b <br />f <br />i <br />d OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />nowing sto <br />ou. <br />ulling t <br />e poser <br />ne an <br />unpr <br />solnnent <br />r <br />a <br />rn <br />i <br />ity o <br />l <br />TYPED OR PRIN CODE <br />uUMMCri1zl Arm u CAp Lmrimiiuri Ur mvsI VIULJ11mill a tnuluturil u all allat:llillalIca Iourul <br />?TR F''JtNT cf.1P.-i ,^T Til ri_!PrFN OF FRIFICF (?c,?I IPF!`+-„ram IN <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This, is a 4-part-, form. PAGE OF