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PERMITTEE NAME/ADDRESS 4nrludr Facility %aow,l rratian iJUi/Ji•rrrtrt <br />NAME <br />ADDRESS <br />31^ ER US <br />;i <br />FACILITY <br />LOCATION c3P; R'i 1c?, <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUFA13ER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Instructions before con <br />Form Appruaed <br />OMB No 2040 <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT a <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> 1 i <br /> PERMIT r. <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1 J <br /> REQUIREMENT <br /> SAMPLE I <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I rend, undo lx•nalh .,r Lrw Ihul Ihi, d. unu•nt .uul all ullorhmvnt+ were <br />TELEPHONE <br />DATE <br /> prepared nndrr nn dir <br />ection ur wla•n i,inn in accordance with +.? ca•m dr.iprud ' <br />• <br />,? 4. ? - i i ( " ,? 1 (?1 J <br />I lu ae,ure Ilwl yualifinl prnonnrl pn,prrl+ either :md e+alunn• tMmrorm:diun <br />• +uhm it led. Isi-d ,n n. mrpun of the I-n-r p•r?..n 1 m naL th,- <br /> ,,r Ih,„e Iwnun, dire,d, n+pnn.rblr fur 2,11 lhu in! rm.rl n. Ihl u r r nulinn ' ^-- -- _ -_ _ - .•? <br />I I <br /> ,uhmrurd i.. to ih, 1-1 of m+ kuomledgr and ln•hcf, trur r to. n 1 mplclr' <br />I am awan• that lh <br />r <br />+r <br />nif <br />• <br />anl <br />,alhe <br />f <br />r <br />uhmul <br />h <br />G <br />SIGNATURE OF PRINCIPAL EXECUTIVE - : I <br />- L <br />, 1 LJ G 4 <br />TYPED OR PRINTED ? <br />ern <br />a <br />e <br />ic <br />jm <br />, <br />o <br />, <br />l <br />c m di.,., <br />mL <br />includlrix the p,-hilil, of fine end i i,rTOn w,ii far k, o g --la mm, OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />r^nAAAACkITC Akin CVI]I Ak1AYIrthl ^C AkIV %11^1 AT.^.1[, COD <br />,-Er1L.EABLE 2,i3L_:t :CIE <br />1='ART Y. 3. b ANY AI.-;, TO <br />EPA Form 3320-1 (Rev 199) Previous editions may be used This 19=8 4-paft form. PAGE OF