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PERMITTEE NAME/ADDRESS r/nei' h• F'arthn Nanw-L ar-ation iJUrrkrrrru <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 />Form Approved. <br />OMB No. 2040-0004 <br />Y <br />NOTE: Read Instructions before completinq this form. ->< PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREDDUf NCY SA <br /> <br /> E <br /> <br />AVERAGE MAXIMUM <br />UNITS <br />MINIMUM AVERAGE <br />MAXIMUM <br />UNITS X ANALYSIS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r " <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT G <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?ITLE PRINCIPAL EXECUTIVE OFFICER I ?-rut: under penalty of law that this documrnt .and all etlachrrknts were TELEPHONE DATE <br /> prepared antler my direeoon or supenisitm in accordance %ith a s}stem designed <br />J ,., to ;resure that yuahfiLd personnel pooped} gather and evaluate the information <br /> _ <br />submitted Based on uty- myutn of the person or persons who manage the system, <br />i <br /> or Chow person, directly respcrosible for gathering the infornruum. the information <br /> uhmitted is, to the be t of my kn»wiedee and hchet. we ai urate and cotnpl`tc SIGNATURE OF PRINCIPAL EXECUTIVE <br />th <br />t th <br />1 <br />f <br />l <br /> <br /> <br />TYPED OR PRINTED am await <br />a <br />en are swn <br />icant pena <br />ties for suhmiumL false information. OFFICER OR AUTHORIZED AGENT A <br />in REA <br />cluding the possibility of fine and unprisottmcnl for knowing siolanons <br />rr%nc NUMBER YEAR MA <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. W99) Previous editions may be used. <br />This i.4 a 47part f6mi. PAGE <br />MPLE <br />TYPE <br />SAY