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"CIRMITTIE NAME/ADDRESSpneM4F?+bryAh..?te<.new?/ntQGe..t) <br />NAME <br />ADDRESS <br />STAT <br />'?'EC??Efi ? <br />FACILITY ?Wl'j-1 i'ISIVC <br />LOCATION =,ER C 1 El <br />IV D. SANDERS, VP OF Dr <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I/NPDES/ <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO; YEAR MO DAY <br />FROM OAY TO <br />?:- <<i q <br />MINOR <br />(SI BIR JC 1 <br />F - FINAL <br />TF. FF T ER G <br />Form Approved <br />OM9 No 2040-0004 <br />NOTE: Read irwrivetiorw before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCr <br />OF <br />SIS SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALY <br /> <br /> <br />- <br />SAMPLE <br />MEASUREMENT <br />-L 1 <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />NAMEmnE PRINCIPAL EXECUTIVE OFFICER <br /> <br /> <br /> <br />• ) that Ihh dna„mrnl and all 811-11menb were <br />prapared under my direction or mper+rtelan In anordame with • synem deolgned <br />to acorn that auafified perwn-I Prvyerl7 tattler and evaluate the Informaton <br />fubmttied. Bred on mr Irpulr7 of the pane" w reo"s who manse tM rysterrti <br />er chow perm dI-rtlf mP0n$`b4 fw gathering he Inforwutlon. the Information <br /> <br />. TELEPHONE DATE <br /> <br />' mbmltted is, 1. the best -(-Y Ynewtedle and belief, tree, accurate, and complete. <br />I <br />V -? I am aw- u+at there arc 119rdlkaM panaltim fnr mbrrdltint false Information, VE <br />SIGNATURE OF ?RINCWAL EXECUT AKA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED InciWinr the pow1bluty or fine and ImpAsonrneni rw knowing violatlae>. OFFICER OR AUTHORIZED AGENT CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /HSFermca an arFacnmsnrs n.rei ' 4H-R P REC I P EV I- JT IS CLAIMED. IF CLAIM APPROVED 51Y WIJIL.O • <br />L• UREMENT = 1. A, - - --, :,• 1?,-TF't l C- 10 <br />Sr AMP L <br />- - <br />This is a 4-part ;c,rin "AGE OF <br />=orm 3320-1 (Rev 3199) Previous editions may be used