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PERMITTEE NAMEIADDRESS tlndade Fardit.0amellnrahnn if lhfferentl <br />NAME <br />ADDRESS <br />E440C)L) w 3V i <br />FACILITY M I I,.E_ <br />LOCATION :. ; ,_ U 604E <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />I <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAV TO YEAR MO DAY <br />Form Approved. <br />OMB No. 2040-0004 <br />ROUTT <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE / <br />4 <br />35 <br /> <br />?( <br /> <br />h l <br /> <br />)N ?.I T•? <br /> MEASUREMENT - <br /> PERMIT t - r. r ti <br /> REQUIREMENT <br /> SAMPLE r <br />F <br />?? <br /> MEASUREMENT - r . <br />?• <br /> PERMIT r f :: <br /> REQUIREMENT +``• ?`+' <br /> SAMPLE <br />M <br />R <br /> EASU <br />EMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br />! <br /> MEASUREMENT - <br /> PERMIT - II: V <br /> REQUIREMENT :DFi I L_ <br /> <br />" SAMPLE <br /> MEASUREMENT -- -• <br /> PERMIT <br /> REQUIREMENT ; . _'r' <br /> SAMPLE <br />J <br />fl <br />IA <br />rl 1A <br /> MEASUREMENT l <br /> PERMIT _ <br /> REQUIREMENT = r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT { :, ;: :. • _ <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I crrtiry under lenahy rA her that this d-ument aral all juachmeni, were <br />rvi <br />+i^n in accordance with a . <br />re <br />ared under m <br />tiou or - <br />etrm de,i <br />wd <br />di i <br />- TELEPHONE DATE <br />_ <br />` r . <br />p <br />p <br />) <br />W <br />i <br />V <br />m <br />to A-re that r uulirred nonnel r r1- gather and esaluutr the information <br /> <br />' - +uhmitted. Ruled on m, myuin of the tervm or prrvm+ who manage the +a4m. <br /> or tho+r pcnon+ dirmde rc?p,nsilde for gathering the information, the information <br /> whmitled i, to the lash ..t nn kno%ldge and h slier, toe, accurate. and compkl,. <br /> <br />! <br />/? 1 <br /> <br />C \ <br />U <br />J <br />- enaltia, for suhmittm <br />rats information <br />I ant aware that th <br />iricant <br />+i SIGNATURE OF PRINCIPAL EXECUTIVE - - - ' - <br />TYPED OR PRINTED P <br />g <br />. <br />em an <br />gn <br />inchtdingthe hxsihility,,l ineandimpriconmentfor ktewing+iolutions. OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may De used _ This. -fi, i 4-part farm.