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fo,"AL - <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />FINAL <br />N(lTF- Flaarl Incfrrrntinnc hn}nrn nmm?lntinn }hie }nrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ;- <br /> SAMPLE <br />- ,. r• : _ MEASUREMENT <br /> PERMIT I- <br />I. REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ; t.. r ;, <br />'a' REQUIREMENT wTt' <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT r. ; i f," <br /> REQUIREMENT r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r, • IT T ?. 3`•' <br />r REQUIREMENT L:,: i <br /> SAMPLE <br />! MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT = c r r- <br />I REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty o1 law that this document and all atta hntcnis were TELEPHONE DATE <br />_ prepared under m} dirccuou or supervision in accordance with a svstern designed <br /> <br />- do assure that quaGticd personnel properly gather and evaluate the mformanon / <br /> submitted Rased on my inquiry of the person or persons who manage the .vstcm- <br />' <br /> or these persona ducctiy responsible for gathenne the information. the inforrm ion - v <br /> ubnitt,,,l i, <br />to the best of my knowledge and belief <br />true <br />accurate <br />and complete <br /> , <br />. <br />, <br />, <br />- <br />t th <br />1 <br />h <br />i <br />if <br />b <br />• <br />lu <br />f <br />l <br />i SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED ,ii :I <br />.c.rc t <br />a <br />ere are s <br />gn <br />ic. <br />mt pena <br />cs for su <br />mitting <br />a <br />se <br />ntomiation. <br />t , i„e,? e !tic possibilm of tint and umpnscmmem for knowing vwWwrs OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 0012, - This is a 4-part form.