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PERMITTEENAMEJADDRESS 0-64Fw0"1Af"-WL r "o" <br />NAME P. <br /> <br />ADDRESS <br /> <br />KER G <br />FACILITY ' OWYO M rJE <br />LOCATION 'EEKER co <br />1_L 1' O. SANDERS, vF OF C <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (DMRJ <br />PERMIT NUMBER ascHARa( NUMEER <br />MONITORING PERIOD <br />FROM YEA MO DAY TO YEAR MO D <br />Form Approved <br />NOF OMB No 2040-0004 <br />**-0- P.i r_'• D I S HA R O E X. <br />NOTE: Road kwtrucdone before completing this, form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOLIFNCY SAMPLE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />`-V <br />4H REQUIREMENT AX IMVM ,. " <br />- .. <br />- SAMPLE -- <br />J -aP ENOni. MEASUREMENT <br />10530 <br /> PERMIT <br />FFLUEP4 T <br />j.- TT 6 <br />F <br />-* <br />"- <br />14 1 <br />, REQUIREMENT -:iUf`Pi FiVv L'-AILY M <br />- <br />. <br />. <br />- <br />- SAMPLE ---- <br /> MEASUREMENT <br /> <br /> PERMIT <br /> <br />"' <br />REQUIREMENT L Y 1;. <br />- <br /> <br />' SAMPLE <br />RECOVER AI <br />IL, MEASUREMENT <br /> <br /> PERMIT <br />1!:.P4T GF?[)..='?; ' WO . REQUIREMENT <br />- SAMPLE <br /> MEASUREMENT <br /> <br />Ui Psi C:kl:1S5 _ <br />: <br />" PERMIT IhMAX <br />_ <br />jtj I- :, REQUIREMENT <br /> <br />7 k #.:1 <br /> SAMPLE <br />!' la TR EA '. MEASUREMENT <br /> -- <br />L.UENT PERMIT <br />REQUIREMENT <br />y? <br /> <br />- J <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCI AL EXE IJME OFFICER 1 "".1y ° r pe"' q ° Ia. thn is d°r°'"`"t'"dall '°ia`h-nt' were TELEPHONE DATE <br /> prepared under my dirsetlon or wpenhlon in aseordanee with a fystern designed <br /> <br />T ! ?I to Faun thin quNlfted personnel property [elher and eeNuate the Information <br />- <br />I ft <br />• ? wrbmltted. Eased on my Inquiry of the Person oe Persons who mu.nage the fystem, <br />nr those Persons dlr tly responslble for fathering the information. the Information - - <br />F - t- <br />- <br />/ <br />- submitted b, to the bet of my kn°w4dge and beater. trove, aavmie• and complete. <br />I! 1 am ¦... that there are signlfiram penaitka for sstb"Itin <br />raise Information 61ONATURE OF PRINCIPAL EXECi]" <br />TYPED OR PRINTED g <br />, <br />fewluding Ihr possibility of fine and Imprisonmenf for knowing HolaUmu. OFFICER OR AUTHORIZED AGENT CAREA OOS NUL46ER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference eat errechmenrs here) <br />'R PF2EC-I (-I.-AI M ED. 7 F t LA I M Rf ji tt'% fl. <br />t.p EV>=1'1"i <br />This is a 4- n form. AGE OF <br />EPA Form 3320-7 (Rev. 3/99) Previews editions may be used ?