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PERMITTEE NAWADDRESS(r.drfr F.rWry N?.?Lerwerr %D?irwrq <br />NAME <br />ADDRESS <br />C0 E <br />FACILITY f 1 1 NF' <br />LOCATION `? ( 0 E- <br />LY SANDERS, , r 0 OF <br />NATIONAL POLLUTANT 04SCHAAGE ELIMINATION SYSTEM (MPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MID. DAY <br />FROM TO <br />Form Approoed <br />OMB No 2040-000 <br />NOTE: Rood Irwtructlone before, comploth+y thle form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No. FREOUENCY SAMPLE <br /> <br />EX OF <br /> ANAlrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE } <br /> <br />MEASUREMENT (? i I <br /> <br /> PERMIT <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />I <br />REQUIREMENT I <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I ""a; V ;R7, P.. it, ° law thel thh dorumenl and all att.rhmenb Ovem, TELEPHONE <br />-- - -- -GATE <br />pmpomd under my dlrertlon or mpenision In accordance with . system designed - - <br /> <br />to a - that qu.Bned pereonnel p?i7 g.th and eralu.tr the Inrn Ikm -->/ - - <br />7 f- <br />- -r7 !- <br />I <br />- !,.--- <br />- <br />_ <br />sobmittrd. Based on mr Inquiry or the permwi or per who manage the system. :. <br />` <br />y ' <br />Ih <br />bl <br />n <br />l <br />a <br />f <br />h <br />i <br />• , or <br />o.e prraore e <br />rer <br />y resporM <br />e <br />or g.t <br />r"reg the Inrorenauon, t <br />e <br />nrornutMm <br />t or m <br />knewkd <br />L s <br />bmitted 1 <br />to the D <br />and Dep <br />t <br />te <br />and <br />o <br />r <br />l <br />6-1 <br />u <br />% <br />en <br />y <br />ge <br />rue, atevn <br />, <br />r <br />mpk <br />e <br />, <br />e. <br />I am ..are u.l them m signlnunt pen.hfes for mbmltrin <br />SIGNATURE Of PRINCIPAL EXECUTIVE <br />rat: lnro~11on <br /> g <br />. 7AE <br />TYPED OR PRINTED including the ptaiblutr of nrw and impr++onmeot rer knowing iolriuoret. OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO pAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rd/nronc• sN •ttechmonts herd) <br />F.)ENT IS CLAIIIIEr, IF CLAIM APFI'''., <br />i N <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used ] ig4S a 4-peY( form. PAGE OF