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PERMITTEE NAMElADDRESS,/nrludr Farilin VamOliorarran of Diffrrrnt, <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />Form Approved <br />OMB No. 2040-0W <br />NhTF- Rnorl Inotr.?r H., r. r• r..,f ..............t..r;.... rt,l.- t...... <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <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 /> <br /> SAMPLE \ I i <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER lcerhfh nndrrprnab..rl;,..Ih:nlhi+d.,nmemaudAl auaehmenh`a`'? <br />d <br />d TELEPHONE DATE <br /> <br />' <br />? <br />- prepare <br />un <br />er ms dinltion ur alwrl j-,n in avcordance with it -trm deaigr" <br />In a++urr Ihat <br />n <br />uxtifi <br />l <br />. n <br />l <br />r <br />-h <br />lh <br />d <br />l <br />t <br />fo <br />i <br />' <br />(,,, ; ,, ?,? <br />- . <br />_ .. y <br />o <br />n <br />I <br />ne <br />p <br />nlxe <br />ga <br />rr an <br />ea a <br />ua <br />c <br />r <br />nfurmrtion <br /> +obmillad. Rand nn m. myuit+ of the pa•n..n ur (x•r.uM w h.. mm?agc the +-Urm. <br /> or lhn:c pavcnn+ direc11, nvp.m+ildr for gathering Ihr information. Iba infornna4m <br />r <br />.L'1t <br /> submit led i>. m the b-1 tit m+ knnwlydge and Ixlief. Iruc. aea orate. :old anmplelc. <br />I mo i.ti--that there ire +i <br />nifi <br />altia <br />fu <br />ni <br />.I <br />ilin <br />f <br />l <br />f <br />li <br />i <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- `.; 9 / ' `f r <br />TYPED OR PRINTED <br />.......?..? .... ?.,... ....?. ... ...., ..... g <br />ca <br />pon <br />, <br />r <br />r <br />g <br />a <br />y <br />n <br />orma <br />un. <br />incb;ding the p.n.ibilua of fine :md imprisonment fur kn . ing %wiuhun.. <br />- - _ OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br />..........?..... . ?... -.. ..... ... .-.... .... c....v.. l..c. c. c. n.c an ouoa.rn ncnra ncrcl <br />is IF <br />7J0 <br />EPA Form 3320-1 (Rev. 3/991 Previous editions may be used ? This iS a