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PERIMME NAME/ADDRESSpwoYiiartkry;V..Wt-siiowtlDO6 wr) <br />NAME <br />ADDRESS <br />FACILITY OWYO s•I T NE-- <br />LOCATION ? .KER C U 6 <br />•.LL_Y C SANDER`?;, Vc' OF OP <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 I I d TO L_ J_ I <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: Read Inatructions befwa completing this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0, <br /> <br />EX FREOUfENCY <br />o SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT F, , <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />r <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT O T- R;A <br /> REQUIREMENT Y ( <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAMErnTLE PRINCIPAL EXECUTIVE OFFICER t cerbq ° r pens Ty o law that th <br />. <br />dares lion or fUn.. <br />pRpat.d under m h document and aB eltachmenti were <br /> <br />• •W On In aKOfdan[e with a l/ftenl detlgned <br /> <br />TELEPHONE <br /> <br />DATE <br /> y <br />to It - that quaNlled petwnrwl property gather and e..fuate the InrorwuII m <br />? <br />// <br />' <br /> wnbmilted. lizard on my Inquiry *(the pawn w pera n e who manage the fntetn <br />or thou prnom directly mpuodble for gathering the Inf em tlow, The Information ? ? <br />? <br />t. <br />7. 7 <br />- ? <br />I <br />- fubmllled h <br />to the best of mv knowledge and belkf <br />Irve <br />.retnnte <br />and com <br />lete z <br />5 <br />- <br /> , <br />, <br />, <br />, <br />p <br />. <br />fi SIGNATURE OF PRINCIPAL EXECUTIVE <br /> I am.w.re that them are signi <br />cant penalnea for fYbMttirtg fair Inforngtlon. AEA <br />TYPED OR PRINTED iwrLding the pozdbiuly of fine end Imprtsowment for knowing 0alatiom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Roforonce aN attachments here/ J o ,- r t t n? <br />R RcC. P 7 E T c <br />I-- n <br />IF CLAIM APPR`'3VF0 r ,?, <br />BY Ffe? Dj <br /> <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used Tl13 IS 8 4'-p0tt fOFlll. PAGE OF