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PERMITTEE NAMElADDRESS(bar,64FerAy)V--'Lxaite.r(/D(06ew.1) <br />NAME <br />ADDRESS <br />I :i i ?•i T ? H 1 {y F'E tai r, 1/ 1 <br />tr=!_KER C0 E3I <br />FACILITY MilliE <br />LOCATION F.:;R cc, 81 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESJ <br />DISCHARGE MONITORING REPORT (DMRJ <br />PERMIT NUMBER DISC,,QE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO- DAY <br />FROM TO <br />Form Approvrid <br />I~ I / OMB No 2040-0004 <br />Sulli r' <br />;- 1111 Fi l_ tie, <br />pR05PrC'? 5??:? ?-'U;'GUQ?` :;:?F:lr•!? ?;? <br />NOTE: Read Irntrucdone before completing this lam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <br />SAMPLE 7 <br /> MEASUREMENT <br /> PERMIT <br />L- REQUIREMENT .!A:A T Ml <br /> SAMPLE <br /> MEASUREMENT ? <br /> PERMIT <br /> REQUIREMENT :; •? C DA 1 l-.',' <br /> SAMPLE <br /> MEASUREMENT <br /> <br />i PERMIT <br />REQUIREMENT <br />`iX <br />?iDf? l _ <br /> SAMPLE <br />f <br />) ` <br />? <br />) <br /> MEASUREMENT •. <br />_ V ?C <br />t.- '?: <br /> PERMIT - <br /> REQUIREMENT h QNT, <br /> SAMPLE :/ J O <br /> MEASUREMENT <br /> PERMIT ,. .. <br /> REQUIREMENT ?IrPiT <br /> SAMPLE <br />/ <br />/? <br />i <br />i ! MEASUREMENT ?:' • - <br /> PERMIT <br />REQUIREMENT <br /> <br />_ <br />s <br />ttiJ?•; <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />t rerirty u rr pen. ly o law that this davnrn/ and all attachments were - TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER DATE <br />pmPared under my dtr-11- or srrPer•Ifon In ¦rrerdance rllh ¦ system designee <br />to a'ure th qu¦nned per ,,.4 Property Nether and e.¦lume the Inrnem¦Ilon <br />.obmltted. lord an m <br />ulry of the person a pereom whn m¦n. <br />Ir <br />e the r <br />l <br />t <br />p <br />ys <br />y <br />rm, <br />Of Moat, Peres directly mportsibte for gathering the Information, the Infnrm¦tbn <br />t fubmilled b, to the beef of my knowiedgr and belief, ime• accurate. ¦rd complete. <br />?- r f { t ¦m ¦r..- that th <br />rabr, inf¦rmall <br />enalties f <br />r <br />¦rbrrrlUr <br />SIONATURE OF PRINCIPAL EXECUTWE <br />rdn <br />nl <br />r <br />o <br /> <br />• <br /> q <br />em aft <br />r <br />ca <br />p <br />o <br />t <br />o <br />t• <br />I AREA <br />TYPED OR PRINTED nchrding the Possibility of fine and Imprisonment foe knowing .fofnUotm OFFICER OR AUTHORIZED AGENT NUMIKR CODE YEAR MO DAY <br />COMMENTS AND EXPLANA I ILJN yr AN r e ova r? r rvrea IrrerNence an errecnmvrlra nvrwr <br />'R PRFC I P t `:TENT 1S CL.A I MED. IF CL.A I it APPROVcL' BY WGC D. <br />12 Ids <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used form. PAGE OF