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PERMITTEENAME ADDRESS rlneludeFaedin.\rme,Llnatrunl/DiJJt ?rv <br />NAME <br />ADDRESS.` <br />FACILITY <br />LOCATION <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 I 4- <br />Form Approved. <br />OMB No. 2440-0004 <br />Y <br />NOTE: Read Instructions before cmmnletinn this fnrm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> EX OF TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t .,- <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />`-t ' REQUIREMENT <br />I iv, t - SAMPLE <br />FREATi MEASUREMENT <br /> PERMIT <br />L.i;E:(J i t?k71 REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT h - r .. ,.. V - - -.. t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I celnh under penalty of law that this document and all attachments were TELEPHONE DATE <br /> prepared under ms direction or supeniston in accordance Hvh a system designed <br /> <br />Richard A <br />Mu to .tssurc that qualified perumnct properly gather and esaluate the intommtion <br />. <br />nson submitted. Based on m.% inyulrn .>fthe person r.r persons who manage the systt•m. <br />• <br />i <br />id <br />P <br />t or those persons directly respc+rdble tc.r gathering the information. the mh?nmwon <br />nf <br />ation , O <br />, <br /> <br />. <br />ce <br />res <br />en <br />.,thmmed is. to the belt o(tuy knorvlcdCr and belief. . true. <br />m <br />c. end cam Ietc <br />P <br />- <br />SIG <br />•7 r <br />' ?'.? ^'? ?? _7 <br />7 r <br />1j <br />0-, <br /> un aware that there are stgnifcaw penaine, !or submitting talse mformaron NATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />nc!udmg the Ir+.elhdit) of tiny :m.: !!upn,ar.mem fr+r know ng s iolationi. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> CODE <br />l..VtYIMILl?IJ NIYIJ Gnr LMnMllW- yr -11 <br />Inwitri CI/t:C all altatillifictIIJ Irtflul <br />EPA Form 3320-1 (Rev. 3•+99) Previous editions may be used. This is a 4-part fomi.