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PERMITTEE NAMEJADDRESS Unt•lude Fa•ilin \auif bir utinn 11 Ni/Jrrenti <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />443 I X11 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />TO <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Instrurtinnc hafnro <br />Form Approved. <br />OMB No. 2040-0004 <br />thie fnrm <br />PARAMETER <br />[>< QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br /> <br />OF SAMPL <br />E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br />MEASUREMENT _ <br /> t`} <br /> PERMIT <br />REQUIREMENT r. <br />". .. _ _ <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />A' <br />MD"q T; i 7777 <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT 7 <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT 7-77 7 - <br />•.1.-;.; 7; i ar <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT ., . <br />NAMEMTLE PRINCIPAL EXECUTIVE,OFFICER I crrGr, under penalit aria that Ihi, d-urnrol and au attach-win were <br />prepared under rut dirrYfion or .upenbiun in accordance with a -lrm deigned <br />?- TELEPHONE DATE <br />I,. <br />'. to n urr that qualified I-nnel proWdi "thrr •and r, alwie the information <br />submim-d. na ed - nit inquire of the pennn ar pr-ty, who manage the %V+fem. <br />or Ihr t person dirrclf% recp-ime for gathering the information. the infonuatlon ''-? <br /> <br /> <br /> <br />• <br /> <br />%uhmilted is, to the he+t of mi knowledge <br />and Wier. true. <br />accutruir. and ca <br />o <br />1 am <br />ware that Ih <br />r <br />l <br />if <br /> <br /> <br />IGNATURE OF PRINCIPAL EXEC <br />V <br />C <br />?1v <br />? : ?J + <br /> l fi <br />l <br />ti <br />n. <br />a <br />e err s <br />r <br />Kn <br />iamt penahie. for cuhmittingng falee information. UTI <br />E <br />TYPED OR PRINTED <br /> <br /> <br />COMMFNTS AND FYPI eNeTInN OF ANV Vlnl including the I-ehili1% or nor and impri,onmenl for knowing ciolatiom. <br /> <br /> <br />ATInNC /Onlnrne .rt » . . ?___t OFFICER OR AUTHORIZED AGENT A <br /> <br />REA NUMBER <br />COVE <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may be used.