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PERMITTEE NAME/ADDRESS(7-6-&F-'*t NwrarL W't ((D(b%-') <br />NAME <br />ADDRESS <br />HIGHWAY 13 <br />c Cj .!64 <br />FACILITY iv' i f+;L <br />LOCATION !J E3164 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPOES) <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMs No 2040-0004 <br />t ?.- -'?4• ?? /: i ???,, ?>Tr ?7? ?!', ': ?,? tip <br />NOTE: Reed kwtructions be/ore completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT ? t <br /> PERMIT <br /> REQUIREMENT • • T <br /> SAMPLE 7 ?1 1 ! ?, i ?'? J <br /> MEASUREMENT <br /> PERMIT 1 } <br /> REQUIREMENT - i I <br /> <br /> SAMPLE <? <br /> MEASUREMENT <br /> PERMIT _ a ; E,-I r• - <br /> REQUIREMENT ?I,I ^ <br />l i T L Y <br /> SAMPLE ?/I <br />J J ? <br /> <br />MEASUREMENT - <br /> PERMIT <br /> REQUIREMENT ;, • *' N <br /> SAMPLE <br />V <br /> MEASUREMENT / <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> <br />MEASUREMENT <br /> <br />J fS c? <br /> <br />!' f-? -" ' <br /> <br />?,- <br />i _ <br /> PERMIT rr- 7? + _xLc <br /> REQUIREMENT i1C <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXEC ME OFFICER t mr+'ty u r penalty arr.- that thb document and all .11whme tts were TELEPHONE <br />prepared under my direction or wprr islon In accordance with a system designed DATE <br />to mum that qualified personnel properly Father and e•atuate the Information <br />submitted. Based on my inquiry of the person or perso at who manage the system. -! : / <br />' <br />' <br />- <br />or those pe sone directly resporelbk for gathering the Information. the Informatbn t11: -t <br />.',.. I 7 I- 7 <br />/•'`f^? rl??? ?? wbmhted ff, to the best of my knowkdge and belief, true. amtrate. and complete. <br />-;/ L / > ir? <br />/ <br />INCIPAL EXEC <br />9 1 am aware that there are sitnineant penNHes for submitting titer Information. SIONATURE OF PR A <br />ER <br />TYPED OR PRINTED Including the podbtuty or fine and Imprisonment for knowing rlertatioem OFFICER OR AUTHORIZED AGENT ODE NVMB <br />c YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference &7 •rrecnmenrs nertrr <br />:.CIP T_-t'_n!T Tc C1 1,7MED. ?'- CLAW; spol~?t,; r 16;?rr, <br />JP.Ehi[ 2, <br />-- ? -•. r Y , J' ; ;?'.: 771 - PAGE OF <br />EPA'Fofm 3320=1 (Rev 3199) Previous editions may be used This IS ,I- 4-art, Lorin <br />00 l6C