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RMITTEE NAME/ADDRESS,Iurlude Fmilin ?„m,,l ,r,n.,u iJ!)iJjrn•urr <br />-Y, rdE -- <br />0AL <br />%CJLITY <br />.. -.?..,ATION <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 />NOTE: Read Instructions before completinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT ` <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br /> <br />PERMIT `..i <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I tvrlir> 'Inder pl•n:dl) 131IA% lhat lhi+d-ment And All all-hint-111% rrv <br />d <br />d <br />d <br />" TELEPHONE DATE <br /> Ilrrparr <br />l,n <br />rr nl) <br />l rati Ilan nr +IIpFI <br />\ hlnll ,11 AvemilA In r %ilh A, -tem dl igm-d <br /> <br />,. b. A++urr Thal.1-hrtmf Il ...... wl p-1-1, _alhrr and r,Ah tr Ihr mform:di,m <br />- .ubmiurd. I{AV,J un rm mjow. of the I.,+o,l rrr prnom wha manar;r Ihr ...Irm, _ <br /> .n Ih- lnr+.ql+di-th ,a?IMm+ihlr far y,Alhrring Ihr ml--i m , lhv mlornlntian - - <br /> .nlnnnlyd i+• to Ihr f-I 4m, Auaw kd¢c Aml In li.•f. Iruc, Arrur ula•. :uld.o... plait. <br /> un a.wrc that Ihrrr <br />u'r •I> <br />1 <br />wfia :ml <br />r,lullir, fa <br />-I <br />ollin <br />NW- inh SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED <br /> <br />r+Il\AAf1CAITC A\111 CVM. A\IATI/1AI AC AAIV IfIeNt . <br />. <br />: <br />p <br />r <br />s <br />?rmau„11• <br />q <br />1,1.Indine Ihr pa++Ihilin ..I tint amt impn+onm I I.., Lo...+ilig .inlao <br />AT,/1?IC OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO <br />OAY <br />JE-r_ <br />PART <br />EPA Form 3320.1 (Rev. 3,W) Previous editions may be used. "??9