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PERMITTEE NAME/ADDRESS rlndnd, F.,thn- Name'Lo -anon JDiflermi <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 />NOTE: Read Instructions before completing <br />PARAMETER QUANTITY OR LOADING <br />CONCENTRATION NO, FREQUENCY SA <br />QUALITY OR CON <br /> <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />"t MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t <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 /> REQUIREMENT <br />NAME,MTL.E PRINCIPAL EXECUTIVE OFFICER I Certtl) under penalty of la" that this document and all attachment, were <br />d <br />di <br />d <br />d <br />d <br />h <br />d TELEPHONE DATE <br />prepare <br />un <br />er m} <br />recm.n w snr,emsion in accor <br />ance Hn <br />a system <br />esitine <br />to assure thin quafitied pcnomt I pr perk gather and eealuatc the information <br />-. <br />suhmlti v1 Based on nn rngwn of the person or pcrwns •A hi, manage the sl•stent. - _ - / <br />sl ? L&/a -e . <br />J <br />I <br />or those persons drreetly resjamsifil f r gathering the mfomiannn he informanon <br />- <br />f r' i. suhmuted is to thr heel of me l.ni teledt and h,-hrf Inrr at-cia-aw and e-njelr <br />I /.. <br /> <br />MPLE <br />i <br />I .in, .. l.- Ms; thcrc -% - cl,-,n! p :.:Inc, [;a :nnhnl; false rnfin <br />TYPED OR PRINTED +i..u..lioc th, 1*0-th:hr: •1 !1111 in., nrq r,..m n nt i.^r i:r„ v,ng rrolanc <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be uses <br />OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />This is :3 d-part form. PAGE OF <br />EX OF TYPE