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PERMtTTEE NAME/ADORE SS (7ae41rirFarlhryA'sw?Lorart?+, L/D(/i, rwaQ <br />NAME <br />ADDRESS <br />:. EKED C 8!641 <br />FACILITY ;_ORt ?' jv t <br />LOCATION 7VIEP C03 &41641 <br />i 7-LLY D. SIGiNDF- :- OF OPS <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOES) <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER ascr+ARGE NuMeER <br />MONITORING PERIOD <br />YEAR MO DAY YE R DAY <br />FROM TO - <br />Approved <br />M I F: VS No 2040-0004 <br />(SUNK Jc > <br />L. rAYL OR "U ND TO TAY_i-R =R _f:K <br />NOTE: Reed Instructlom before comoletMO this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. NCY <br />PREDO SAMPLE <br /> ` <br /> EX ANALYSTS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />"t... SAMPLE ,- <br />r? MEASUREMENT <br /> PERMIT ic5? <br />7-7 <br /> <br />V <br />r FL!,IE N REQUIREMENT I N_:m;? i'IA,,, ? I`tL'NTS <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 /> <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I mmly a er pena y o tar Ihel IhN donrment and NI tllnchmems were TELEPHONE <br />i DATE <br />prepared under my direct <br />on or fupervlyon In orcord?- Ilh • syctem designed <br /> In anon that quoMOed personnel PraWtll gather and e.oluue Ow Infonrytlon <br /> fobmilled. Bawd on me inquiry of Ow person or persons rho nrn.Zv IM rnlrm, _ ?? <br /> <br />at thow person dlrerllr -pondble W gathering the Informollnw, the Informatlon - <br />C <br />/L <br />?, (' L ! . - / '. `• _ ?! <br />C - mbmlued is, to the beat of me Ynowlad(e and belle(. Irv,. is c nle. and complete. <br />. I om aon that then an stgnlBUnt penaltlea for rabmlttlnt fob, Information, EIONATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRWTED Including the ponlbluy of Am and Imptyonmrnt for tno,wIn( vWauorm OFFICER OR AUTHORIZEO AGENT CAREAl OQ NUMBER YEAR MO <br />I <br />DAY <br />...,.............,. _...._.L I L_.:MIT A: .? _._.Ni Y. _..__....._..._.._._, „}HR PPE: TP EVENT IS CLAIMrV IF CLAIM APPROVED By G.IeCP. <br />PAGE OF <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used : TNS;:i3 3 4-pan form, <br />i