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PERMITTEE NAME;ADDRESS rlnrluk Fardin 1'ameLocation iJln# wnn NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME F Rv\'. I' DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS „.-.1 JUNCTION MI.-' <br />'. .}ACKSBORO H T C PERMIT NUMBER DISCHARGE NUMBER <br />H I T A FALLS MONITORING PERIOD <br />FACILITY arp,4 JIJI\IC T I ON 1-11 YEAR MO DAY YEAR MO DAY <br />LOCATION .'iI OID FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />F - FINAL <br />SERI PiJND TO Ci4R1301q J <br />X <br />NOTE: Read Instructions before'compietinq this form. <br />LTA <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - <br /> MEASUREMENT <br />- PERMIT W - <br /> REQUIREMENT i-•I/,-. X 7 I'•ii <br />` SAMPLE ?- ; <br /> MEASUREMENT <br /> PERMIT 4. 44 (i: :>F'AH <br />I- I IjL_r' : c%5 V1 AL REQUIREMENT A JG i i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT tr r :: r r <br />\ <br />t . I <br />5 lAt- REQUIREMENT ??• -?;: ??? '• - <br /> SAMPLE ?t .. ; <br /> MEASUREMENT <br />r PERMIT ar 6 r:. Y, px y. qtr i 'RALT <br />-!S VALI! REQUIREMENT O <br />.'U17 OF: SAMPLE <br />?' <br />( <br />ir"iEA i :-IEFJT PLANt <br />MEASUREMENT <br />J <br /> PERMIT I'- ,--r r,.: r<: \ r. iii <br />U ; R <br />?F - -qS .. REQUIREMENT <br /> <br />_ SAMPLE <br />j <br />- MEASUREMENT <br /> PERMIT .:: .. ?,... ?. ^ + i REPORT F?AB <br />l F N7 REQUIREMENT DAILY <br /> SAMPLE _ x##•t>?? <br />V 1 MEASUREMENT <br /> PERMIT .: .. n>_°r4' - ._ L R# ##ii#r W ? <br /> REQUIREMENT P <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of mµ that this dvtiumrnt anti all luachnienL aerc TELEPHONE DATE <br /> prepares! under my direction or superttsion in accordance u tth a system d.,ignni <br />to aswre that yuahl5cd personnel properly gather and evaluate the infami:won <br />1 <br /> submitted. Based on ms tnymry of the person .-r Persons who manage the, -it,". <br /> or those Persons directly responstble for gathering the information, the mt, miauon <br />?? to the hen of my kno ah tee and h list <br />accurate <br />and. ?Irpicte <br />tram <br />submitted is L <br />C <br /> . <br />, <br />, <br />. <br />I am au are that there are srgmiti i r <uhmtrnng false informs .m SI NATUR F PRINCIP <br />UTIVE <br />EXE <br /> <br />TYPED OR PRINTED • <br />n: Lul t:e the possibdiq of fine fur knowing vkdauon` OFFICER OR AUTHOR ED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all atfacrtments here) <br />"cC!P EVENT SUB•_.IECT TO BURDEN OF PROOF REQUIREI <br />:?1< i _ - ?Y r ?.:! _I fC TH}: DIVISION WITHIN 48 HOURS. <br />EPA Form 3320.1 (Rev. 3199) Previous editions may oe used. s a 4 rt (Orlll. <br />?040_ _, ruils i