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PERM ITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME <br />ADDRESS tit MN OUL_Ci-i L.i..i i-t <br /> <br /> cf- <br />FACILITY <br />LOCATION <br /> <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 MID DAY <br />FROM k,-fj . .. t t U .L TO k.: `•: , I.f.41 11. <br />Form Approved. % <br />OMB No. 2040-000 <br />NOTE: Read Instructions before' completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />t., AF :D ... ?l+'.. SAMPLE <br /> MEASUREMENT <br />3 1.k . t •'? PERMIT . _ ., ,... ??:? ?::. e `. ?? `. ;r iz .. .. ... ?: .. ..... _ ,.:?•-: ? _ ;? <br />?3= ^ E.' f+ FyPU'if't V I. ` -. 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 /> REQUIREMENT <br />NAMEYTITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHON E DATE <br /> prepared under my direction or supervision in accordance with a system designed <br /> to assure that qualified personnel properly gather and evaluate the information <br />ersons who manage the system <br />submitted <br />Based on m <br />in <br />of the <br />uir <br />erson or <br />f <br /> , <br />. <br />q <br />y <br />p <br />p <br />y <br />the information <br />or those persons directly responsible for gathering the information ) <br /> , <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />false information <br />I am aware that there are si <br />nificant <br />enalti <br />s for submittin <br />SIG RE OF PRINCIPAL EXECUTIVE !/? ) <br />ltad <br />@t <br /> <br />TYPED OR PRINTED , <br />g <br />p <br />g <br />e <br />including the possibility of fine and imprisonment for knowing violations. OR AUTHORIZED AGENT <br />OFFICER AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attacriments here) <br />J1 3t:7? !• C t t?'; s y .1 P? Y"?{. R r: _ ?, <br />-i=O:_r t <br />i D i ? ! ?-!I-• ?? r .Yl ' ' s '? 'r I !' <br />3 t>+ ra _ ..11H _ ti) (, is ? _•l ?. -. <br />PAR "t, 3:. '. jr. ?`t+"iy ? I u 11 E i! ? :. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. (?t;`;3 ;T f (,; 15°l $ 3L EDrM. PAGE 2 OF