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NAME PEAWME NAME/ADDRESSpweir&FecOryNe..'L aeol l/D(e,wo) D <br /> <br />?VE <br />E <br /> G <br />QE <br />ADDRESS <br /> 5 2009 <br /> JAN Z <br />matiCn, <br />FACILITY <br />LOCATION ec?a <br />1 sateky <br />and <br />An <br />u'v <br /> in9 <br />P <br /> <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM [/NPOESI <br />DISCHARGE MONITORING REPORT WWI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />Ones No 2040-0004 <br />NOTE: Read I tetructlone before completing thle fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <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 /> s. <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />MTLE PRINCIPAL EXECUTIVE OFFICER t rer,tty " of pens'. o taw Thal thh document end aiI t 11KAIlwriU were TELEPHONE DATE <br />prepared under my dinclton or ruprrrhlor In a rdsnee with • ryatem designed <br />NAMF <br />to wore that qualtnw personnel prnpertr rather and rraluale the Information <br />vubmtted. Saaed on my Inquiry of the person a persom who manage the system. <br />- <br />or thaw perttom directly respordble for gathering the Informatlaw, the information <br />- <br />submitted Is, to the berg of my knowledge and better, 1mv, Krunte. and rompkge. - <br />SIGNATURE OF PRINCWAL EXECUTIVE - - <br /> I am aware that there are sIgNnont penalties for vubrdlting War Inforwuidon. AREA <br />TYPED OR PRINTED Induding the posribiuty or nne and Imprhonment IK knowing rlolauacm OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRoforence aN •ffachments here/ <br />AGE IS HIGHEST MONTHLY AVERAGE DURING PERIOD REPORTED. <br />EPA Form 3320.1 (Rev- 3199) Previous editions may be used DOGE- This is a 4-part form. PAGE OF