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PERMITTEE NAME/ADDRESS pith 4 ForikgNo.?L«stton tfD(Qirwu) <br />NAME <br />ADDRESS <br /> <br /> ru?p 1 <br />FACILITY <br /> <br />LOCATION <br /> E'KEN _ i7 r3 ] <br /> ,..,p n 11P5 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOE31 <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHARGE NUMeea <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040.0004 <br />Pf I NOR <br />F - FINAL MI[ <br />j1.91! ,C.ao? {2'n•?l? I?ILSlY?1 _ i'. r:=l{ <br />NOTE. Read Inattuctlone before completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />[ <br />< <br />EX OF <br /> > ANALYSES TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />' <br />t ' <br /> <br />__ <br />tw 1 <br />1.1 N, MAY rML;;l <br />I I)? SAMPLE _, . <br /> MEASUREMENT <br /> <br /> <br />() E'; <br />Q PERMIT <br />is• ?t ii •? -" ., <br />;t :' ? r: <br />, ?. : <br />it # •3f• # n :,I- <br />:j?i <br />70 <br />' I r <br /> REQUIREMENT <br /> SAMPLE . . <br />> <br /> MEASUREMENT t <br />. <br /> PERMIT ,y?.t•a.;t r ..o' #rt#x+ REPORT R>PGRT NICE./ =RAB <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />- <br /> <br />` PERMIT -0 ?.- :.. G REPOF r r.rUl=/ i <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />` PERMIT <br />10 <br /> REQUIREMENT T <br />I 51 <br />In A X, <br />rJhlt tt , SAMPLE <br />.f:? <br /> MEASUREMENT <br /> <br />- <br />H TREAT',-, <br />t PERMIT F. OF, ;it P' i = :•.4 fiat##'? st ?t#=k#t # :. . <br /> REQUIREMENT <br />i G <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAME E PRINCIPAL EXECUTNE OFFICER 1 nrury a er penalty o law that Uh dorumrnt and afl atachmenta -r' <br />' <br />TELEPHONE <br />DATE <br /> hlon . fyatem ,- <br />Prepared order my dfrellon wroper In acoMa- with deoltned <br />' _- <br />-_ <br />?•] ,Vt- ? / / <br />/ to mature that qua <br />fted personnel Property gather and e•ahrae the Inrn tlon - <br />? i <br />?- <br /> sabl,911M sawed on me Inquiry of the pre w pereoru who -at, the tytlrm. <br />,r, r or thoat pencm dlr tlr -pnrrdble fro tathertnt the Info-11", the Inforrrrtk n <br /> wbmllle4 b, to the belt of my Lnowladte and belief, Irm, a mte. and ev-Plrlr. <br />I am aware Iha ther <br />are tl <br />,lfkanl <br />rnaun nor <br />bmdtu <br />rmati <br />rah. I <br />f <br />n <br />SIGNATURE OF FRINCWAL EXECUTIVE <br /> p <br />p <br />e <br />w <br />nt <br />n <br />o <br />o <br />. AIEA <br />TYPED OR PRINTED Irrtudlnt the poodbutty of fine and ImpAsonmem fro lnowlnt vWauor OFFICER OR AUTHORIZEO AGENT J ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments hare) <br />EPA Fofm 33M1 (Rev 31W Previous eftoris may be used Ais' i5 a 4-pert Form PAGE OF