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PERMITTEE NAME// <br />NAME <br />sir?^"T <br />ADDRESS t?Yvt <br />P. <br />1DDRESS (Include Facility Name/Location if Dii fe, ent) <br />FACILITY F UZ-371, EN'F cc E1226 <br />2? <br />LOCATION 19AR.Fs MME <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD F1..'ND r=/ .; s% <br />YEAR MO DAY YEAR MO DAY <br />Form Approved. <br />OMB No. 2040-0004 <br />;a CANe'01AN RIVER <br /> P?s°' T3e ?i <br />PiA t0 60480 FROM !I? TO 7?V r'z :?7 i? <br />i `Vi=i ? O*j NOTE: Read Instructions before co l ....-_,. <br />mpleting this form. <br /> PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQOUF NCY SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> PH S " <br />" <br /> AMPLE <br />MEASUREMENT r <br />. P?:•k c <br />Es c;: 3 1:?c t r ( ILI) <br /> PERM <br />T <br /> VagL.e." <br />7O <br />w <br />'r`' I <br />REQUIREMENT <br /> _ <br />t 1 <br />?_.' SAMPLE <br /> <br />MEASUREMENT <br />dv . }. , ". x5 <br />3 A <br /> ,,??°°??{{••?? PERMIT <br /> <br /> <br />I <br />%= a ?)t9 7'; "'t_ ij <br />OIL A <br />Y <br />t <br />REQUIREMENT -: •+.. .•r.: .. 'r .. .. i`.•: '?: :a'" .. 3t'.4: •... ?.q Pt rq 7 °.7 <br /> <br />. <br />. <br />e <br />i. Vii; 'r"S <br />- <br />r l <br />. SAMPLE <br />MEASUREMENT s <br />? <br /> CA <br />,? C% PERM <br /> s <br />g ° G N 4. `+i S e)I1 <br />0-i! IT <br />REQUIREMENT ja. :. <br />? - <br />F M N - <br />S :0 <br /> <br />L lr <br /> <br /> <br />; R .•'L <br />t T , } I <br />P. , €s <br /> FLOW, ON' <br />T;iR'Ll -j"RM l !11 EN T SAMPLE <br />MEASUREMENT { ?? ;F'? :s«rt k K .. <br /> 50-0`1 <br />C PE <br /> • <br />VALUE RMIT <br />, REQUIREMENT ? ? ?? . ? L a s <br /> Q <br />V % SC)AL SAMPLE <br />MEASUREMENT y ?w2 7 g r f <br /> 134cc <br />G <br /> .s <br />+ <br />" Cj E; ' <br />? ''A'LRJ - PERMIT <br /> <br /> <br />REQUIREMENT „ .? , . .. <br />r <br />> <br />'f " ''.? ?" p <br /> <br /> <br />?'„'?= ? '..., .. ? 7' =5• k <br /> <br /> <br />? •` <br /> <br /> <br />F•- ?' <br /> <br /> <br />'` :? _, . <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br />MEASUREMENT <br />I <br /> <br /> PERMIT <br />REQUIREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE O FFICER I certif und <br />lt <br />f l <br />h <br />h i <br />d <br /> y <br />er pena <br />y o <br />aw t <br />at t <br />s <br />ocument and all attachments were <br /> <br />y,,,,, <br />prepared under my direction or supervision in accordance with a system designed TELEPHON E DA TE <br /> , <br />Rich= d A. Munson <br />Vice president to assure that qualified personnel properly gather and evaluate the information <br />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 <br />^, _ p (40 ail <br /> <br />r?o <br /> <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />S NATURE OF PRINCIP L EX ? <br />/ ?2?338 0? 07 08 <br /> TYPED OR PRINTED I am aware that there are significant penalties for submitting false information, ECUTIVE <br /> <br /> <br />COM FONTS AND EXPLANATION OF ANY VIOL O <br />including the possibility of fine and imprisonment for knowing violations. FFICER OR AUTHORIZED AGENT <br />ATIONS (Reference all attachments here) EA <br />AR CO DE NUMBER <br />YEAR MO DAY <br />?• r ` ! ' 4 ;.! 1• - ` ? ., ;.' . ?{l?> R ` I P "{ t t t "' TO S th p s t t <br />'; t? O t .£?7 •,+i.._ _. t ?,ll a. ..` ^3 t`?l. Va.. M) se` C "" l.t\ 1 til'i W P V' i ...lJE0 I TL.l Y tit.'?u E?.•.. L": O P ,~?I..-07 <br />t AV 6. ?1! e t il?r!s,.?Lf742,l.y? r?rt?t?f`. tom: !" . '1= E' fir? F t ! !,fiYTH1'N1 4-0 <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 1 ??„?; PAGE OF