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PERMITTEE NAME.rADDRESS,lnrlude F'driliry \iunr/Ukdlino I/hiije"al) <br />NAME <br />ADDRESS :1-NE <br />NO. 41:; 4 <br />FACILITY <br />LOCATION <br />I tta T'TA C,",' S 1. 42 <br />r ?n nN?n <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOES) OMB NO ?U40-0004 <br />DISCHARGE MONITORING REPORT (D R) <br />l„ p <br />PERMIT NUMBER DISCHARGE NUMBER t- It SAL INNTRE <br />MONITORING PERIOD - " <br />YEAR MO DAY YEAR ?MDAAYY <br />FROM TO -.i_. J.? <br />NnTF Road Instructions before Eotnpleting this form. <br /> NO FREQUENCY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . <br />EX OF <br />ANALYSIS <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE = <br /> <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 'l' T flit <br />;-I T <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> :- <br />- <br /> PERMIT + .?i <br />... <br />s <br />t ti• T <br /> REQUIREMENT ' ? <br /> <br /> SAMPLE <br /> MEASUREMENT <br />i <br /> ..::.. <br />i 1 v? . <br /> PERMIT s .. I ` <br /> REQUIREMENT <br /> SAMPLE k* s ?. <br /> MEASUREMENT <br /> w <br /> PERMIT is : t ... .. <br /> REQUIREMENT <br />„ <br /> SAMPLE . - _ -, <br /> <br />- MEASUREMENT <br /> I <br />`f <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE a ,:._.ti = tr+r . <br /> <br /> MEASUREMENT <br /> z; .. ;. G r <br /> PERMIT <br /> REQUIREMENT ?' ' • <br /> <br /> SAMPLE <br />T x ;• , ?:,. f: ,. r <br />MEASUREMEN _ <br />?`_ : .. _ <br />PERMIT <-:. <br />. <br />REQUIREMENT _ <br />ALEXECUTIVEOFFICER ."...... ''n'I''il',tt-r`h„r`•„t+, r` TELEPHONE <br />I DATE <br /> <br /> <br />i <br />o .? td anad <br />P <br />NAMEITITLEPRINC <br />prepared ondot nn direelinn nr .ulx'r. i+i?a, in :fc. •a dnnae "Ili' <br />_ , w x+wnr Ih:d yu.ddnd j-nnd p-Ict- l+ v.Ahrr and a+ .h W, Ih. inl,•rm:dinn ?i ./ r._? <br /> <br />/ <br />-Ins uh„ manatte the -1-t. <br />r <br />h <br />??. <br />1 <br />e Imn,n n <br />+uhmilitd- RA-1 M1 inyuirn ,d t <br />the ntfnrtnaNi?n <br />inln <br />maUun <br />Ih <br />, <br />r <br />r <br />ut thn.r I"'nun. dirrcfly rc.p„n+ihlc I- CulhennG <br />1"•u ,d m. An„wh-duo and brlia4. true.:uv urdv, and..unplot,. <br />it. <br />d i <br />I <br />REOF`PRINCIPAL EXECUTIVE <br />NAT <br />.t-•.. I .. <br />" <br />, <br />whmilte <br />I am d,+an• that th.n >tm +ienificam p.•n.dtir. hrc +uhmiLLnty: lobe inf,?rnu,ti•n'- <br />i SIG <br />U <br />OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />DE YEAR MO DAY <br />TYPED OR PRINTED ,at+. <br />mcludin_ the p,•+-ihdih nl Gnr :uu1 impr....nmeni Im Anm,in ,iulat <br />r.OMMENTS AND EXPLANAIIUN Ur mtvf viva-M1rv,w L,?. ••-? -•• -••------ - -- <br />r-i <br />Form 3320-1 Rev Pfe';t J' -J'tinrlc may be used <br />!.IB,-t= T TO BljPnEht 0 PROC