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PERMITTEE NAMEM <br />NAME <br />l? ZE <br />ADDRESS ',rARM <br />P. 9! <br />rx <br />1DDRESS (Include Facility, Name/Location ifDifjerent) <br />`S.= lJ {'?: ?_. tie `JY?x: Y,Ix v •r? <br />DUN <br />i? r r F' <br />FACILITY t o QR y CO <br />LOCATION Ht RR' a u T l'I <br />y1 A" %Y-1 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) r7 Q + OMB No. 2040-0004 <br />(S)U01i J!, <br />PERMIT NUMBER DISCHARGE NUMBER <br />i" .t1_ it Vii' <br />MONITORING PERIOD 71 Cit!J ice,:' TR I J .7P. C ! N f?, VTR, <br />YEAR MO DAY YEAR MO DAY <br />FROM ?: 5.?. 7=3 't TO y .rr I, r; g: c^ _ y <br />? _I, r i ; , ? ? ? .? r," - - .-. ..... „ . 3 v ..l ? o., :., l"1 fi i : ±-- ?.' <br />M. ,NGR_ NOTE: Read Instructions bef • <br />f .._..-..) ;:.: •fi <br />ore com <br />letin <br />this form <br /> p <br />g <br />. <br /> PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0. FREQUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS TYPE <br /> PH <br /> SAMPLE <br />MEASUREMENT ;. :sr;:• ?i_.;::.4.-:? .° f fii%• 12) <br /> ti <br />? :1 PE ' <br /> <br />? <br />? <br />E Ff M-'r,i M r -,L 33 4DE?.'- I FI <br />r RMIT <br /> <br />REQUIREMENT <br />• <br />i••.....r:? :, <br />? <br />; °?•zK,h <br />.rJ <br /> p®1 i?b'a E"':WMr; SAMPLE <br />MEASUREMENT i_?::?#x: <br /> C' a Y <br />PE <br /> <br />EFF•a UFN 0RQG Vp,,;.es <br />Iv1x1 RMIT <br />REQUIREMENT f••k ... i., a f ,.. .. . <br /> __ SAMPLE <br />MEASUREMENT <br /> t335 <br />c r <br />0 PER <br />I <br /> r <br />. <br />EFFL <br />'X-.M = Ll VALI:. M <br />T <br />REQUIREME .. r. t 1 <br /> <br />? <br /> <br /> <br />"? •r <br /> F I..0vfe _.` ??s)r T 1;31'-'. <br />THRU Y(?kr ie ?g FL!-W! SAMPLE <br />MEASUREMENT ,??• //??, ? <br />6 V.i'e.Y+ r H• T. .: ':I' .: ' M .t x .y w"rI'ii' .a' •?^ n .?i' .'?".'t' <br /> ?2 <br />t ? PERMIT <br /> 1rst <br />? <br />EFF"_U .E I 6'RME 3 VALL1• <br />REQUIREMENT - <br />t i <br />JC" <br />E _:tr?? <br /> 01L. lvRt; i Yt ' ?{ . <br /> <br />V % S4JAL SAMPLE <br /> <br />MEASUREMENT >i fi .: w ix 94 <br />) <br />? .i 3 ° a 4# <br />u ?k 3r + <br /> 5 1 S? <br />81-06 <br />• <br />' PE : <br />' <br /> 4 <br />; <br />F•?1.11?9 . '(i°? µ l0`?I l's: <br />RMIT <br />REQUIREMENT <br />.. <br />s:•:q k <br />- <br />i <br />?? ?: <br />?`?`a""? r a <br />... ... .::*• <br />_ <br />... ... -, .. <br /> <br />- <br />h <br /> <br /> <br />s <br />tt , <br /> <br />t <br />.:.,.., <br /> SAMPLE <br /> MEASUREMENT <br /> PERM <br /> IT <br /> REQUIREMENT <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> PER <br /> MIT <br /> REQUIREMENT <br />. NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of taw that this document and all attachments were TELEPHONE DATE <br />prepared under my direction or supervision in accordance with a system designed <br />Richard As Munson to assure that qualified personnel properly gather and evaluate the information <br />Vice 1Qr3idQnt submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information 970 7 -4338 09 07 08 <br />submitted is, to the best of my knowledge and belief; true, accurate, and complete. GNATURE OF PRIN IPAL EXECUTIVE L7 <br />I am aware that there are significant penalties for submitting false information, - <br />. TYPED OR PRINTED including the possibility of fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AODE <br />REA NUMBER YEAR MO DAY <br />C <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETT' s::A;_E '-N 11;.r.'?k'S '-.r'?, :1 :FUIRi I?3...'yx; 2i?vl 7--CIP TNE""Nr SU3J>.C-f 713 D A.-;"" 1`a OF PRO0y <br />PAR 1 E. ANY L??:'?? ?J ?. :.7??S`,t.? ?C'j 1'L?J e]? 1r ? ,_ _ ?' ??.??_?n'T_:..i• TO • _ _,%.. .i`. 3 i .a.. ,+? < .!'i ?,,. ? C3E?t c ?. ? t'-1 x 2E1 `:•i? i-i?i t:.^. <br />x <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. y?, y n ,, ,e,1]}.S;kss& 4?3ai t,6rn1. PAGE OF