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PERMITTEE NAMEIADDRESS tlnrludr. Fm din Name l.r alien r(Di/jennfl <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 <br />PARAMETER QUANTITY OR LOADING QUALITY OR CON <br />CONCENTRATION <br />Np, FREQUENCY SAM <br /> <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT r. - . <br /> SAMPLE <br />1. MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?. . <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />I <br />REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I cernl? under penalty of laa tlvrt this d,cutnem and all attachment, were TELEPHONE DATE <br /> Prepared under my dire:non or super r ion in accordance w nh a s%item demened <br /> to assure that yuahfrcd Per tnncl Props-rIN gather and c.aluate the information - <br /> ubminrd Bairn on nw myuiry of the prison or prrmi who manage the sc..tan. <br /> or those Persons dncztl•: resp.:nsiblc for gathering the infbrmanon. the mfonnanon <br />_ submuted rs. to the best of m} kno, lcdge and bcltet. true. accurate. and contttalc. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />?( J ti ' ; <br /> <br />PLE <br />'f <br />TYPED 9R PRINTED mcludmg he Ixssthiltty ai tine anti ,mpnnunm ent tie knowing etolannns. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />tF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. <br />OFFICER OR AUTHORIZED AGENT I CODE I NUMBER I YEAR I MO I DAY <br />. This 13 a 4-part font. PAGE OF <br /> Form Approveo. <br />RECEIVED OMB Nt, 2C»-,-HA;-1 <br />APR i 2009 <br />Divlslult ,,..,Qmation, <br />Mining and Safety _k" <br />NOTE: Read Instructions before completing this form. <br /> <br /> EX OF TYPE <br />