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PERMITTEE NAME/ADDRESS (Include Faciliq•Name/Location ifDierent)
<br />NAME _ . r
<br />ADDRESS C.AN906j •vllJ\?C" TLi. 3 ii)")A0Z
<br />WICHITA FALLS TX 76301
<br />FACILITY C; "Il F3GH e3t.3l1;E= Y $ (".1)'."s 17'1 z. ESE
<br />LOCATION DURANGO Co Blziol
<br />1
<br />Form Approved.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />OMB No. . 2040-0004
<br />DISCHARGE MONITORING REPORT (DMR)
<br />PERMIT NUMBER DISCHARGE NUMBER F• ti I IMA LPL T A
<br />MONITORING PERIOD S E POND TO
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 04y 30 Q11 TO Lr 3s. #t;# O O j:l St7}?4 r I ke> kr
<br />NOTE: Read Instructions befor XCORpleting this form.
<br />?9 ! It?F:iri "'}«elt3 d..+'?.,l b' :`• P Yrb
<br />PARAMETER ? a ?k:..l6 u fy`i S.YtS {
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />
<br />EX
<br />FREQUENCY
<br />OF
<br />ANALYSIS
<br />SAMPLE
<br />
<br />TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />i . t
<br />SAMPLE
<br />MEASUREMENT
<br />31 r3 -.43i i
<br />is :9 y ?:T al
<br />S i ?'r ?)Faf
<br />u, }
<br />
<br />)0CC1 {t
<br />.F': q_U!ENT GRUBS VUL
<br />C tr TOTAL PERMIT
<br />. REQUIREMENT
<br />SAMPLE ,, r.. r f 34 „ . a .' !f 1$ r t
<br />?t?
<br />19 ' w
<br /> MEASUREMENT
<br />SUSPENDED
<br />01 CeI_70 x .0 Cf
<br />EFFLUENT GRG'?ts
<br />SOLIDS, SETTt_Edr ZLE PERMIT
<br />REQUIREMENT
<br />SAMPLE
<br />too,
<br />"s , f. L V
<br />
<br />w }
<br />
<br />'
<br /> MEASUREMENT
<br />
<br />00 ;x-13 i 0 C
<br />p,, t
<br />EFFLUENT GROSS V p D!I... AND GREASE PERMIT
<br />REQUIREMENT
<br />SAMPLE
<br /> MEASUREMENT
<br />
<br />S^t {,s ^
<br />
<br />EFFLUENT GROSS VALLM
<br />Y' 1 #, GF ;'i::t:J 13R PERMIT
<br />
<br />REQUIREMENT
<br />SAMPLE
<br />MEASUREMENT
<br />
<br />
<br />0:3}
<br />
<br />r7o,f'
<br />t
<br />THRU TRF TMEN T P LAN i 1
<br />' y
<br />1
<br />I
<br />
<br />p?e: 3 c r
<br />EFFLUENT GRQ=,,,3 .aP F ,,,?,,L.Ug
<br />SUL,}:)3S, T r,T(r)!-
<br />PERMIT
<br />REQUIREMENT
<br />SAMPLE
<br />t T
<br />wKw?;iS •^.4 '3
<br />it ?1 s° • 3t
<br />? r il` o}•
<br />tL c•s
<br />?
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<br />)?t?tj ?
<br />?a.,?•.'i _. ;-..
<br />v
<br />s?'lr# i3t r
<br />a,..t••..F
<br />£•• , :. : v
<br />.: n?,. ?s•:.
<br />•T•vqs
<br />?•;F?
<br />€ } r } . 1
<br />:
<br />.7
<br />!
<br />:c %r-` Dr;
<br />,rI
<br /> MEASUREMENT
<br />DISSOLVED '
<br />! _ w?` C'71 5
<br />0
<br />111
<br />EFFLUENT GROSS V^aLU4:
<br />ML_ AND :REYi= .:r K:
<br />PERMIT
<br />
<br />REQUIREMENT
<br />SAMPLE
<br />?•
<br />sc rid
<br />
<br />fi'..zl
<br />94)
<br />
<br />
<br />
<br />
<br />i#vri?? # # ;°
<br />R? FO
<br />
<br />t}win f
<br />
<br /># st ? see ! #
<br />1 . ?
<br />
<br />?? ?1`;°
<br />
<br />fir rSF Lyi'?«?
<br />
<br />
<br />"!'f
<br />..
<br />_
<br />
<br />'41k
<br /> MEASUREMENT
<br />V % Sl )AL
<br />
<br />). .0 `) PERMIT
<br />e4066
<br />t
<br />EFFLUENT GROSS REQUIREMENT
<br />CIPAL EXECUTIVE OFFICER I certif
<br />
<br />3.; .. ;c
<br />
<br />
<br />y under penalty of law that
<br />
<br />s'u> P'2'i ,F,S=1
<br />f i ` •"'. N0=0
<br />
<br />this document and all attachments were
<br />
<br />?z #3r.?? s n1 #? i$,'
<br />
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<br />
<br />fizr?4i
<br />
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<br />ATE
<br />NAME/TITLE PRIN re
<br />are direction or sup
<br />d under m ervision in accordance with a system desig ned
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<br />vi y ?y7 ? Td"C"
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<br />to assu
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<br />re that qualified personnel p
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<br />i roperly gather and evaluate the information
<br />the person or persons who manage the syst
<br />the inform
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<br />A <_x' ?/?[ 1(t or thos
<br />submit rectly respons
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<br />or gat
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<br />wledge and belief, true, accurate, and comp
<br />lete.
<br />SIGNATURE OF PRI 'PAL
<br />EXECUTIVE •??
<br />? '
<br />? ?
<br />??C ?
<br />y (?
<br />IV , 1
<br />1
<br />,
<br />r Nom" ?` I am a ware that there are significa nt penalties for submitting false information , OFFICER OR AUT ORIZE D AGENT ARE A
<br />DAY
<br />TYPED OR PRINTED includi ng the possibility of fine an d imprisonment for knowing violations. COD E NUMBE R YEAR MO
<br />COMMENTS AND EAFLANAI Ivry Ur ANT VIVLF111VIr 0 t1ICICI CIIVO au mwl nn.cnw uc. `r
<br />t+3A4:VZD FiCil 10-YR, '4 HR i= R-_CSV FVENT, S-'JBJECT TO ):'id..t:;l}ECN OF PR00 RECUMEE' ENTS XN
<br />PART X.3.6, '*1KY 1A,,] 1X.!'XQNM1 1_. BE a'.,PPLYED I,y Tt M 1dzTHIN "^ HOURS,
<br />* r i3 19$ ?- 211sf ITri. PAGE. OF
<br />UgcaarUSr?v., :_-.;?_;,•__, i
<br />EPA Form 3320-1(Rev.3/99)Previous editions may be used.
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