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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME <br />ADDRESS t='i` ,tr?, f' <br />r .r <br />FACILITY <br />LOCATION,-.. t : £ •P ' ''. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)• Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) 11 N OMB No. 2040-0004 <br />PERMIT NUMBER DISCHARGE NUMBER F F' f NAL, ft" _ A <br />MONITORING PERIOD <br />YEAR MO. DAY YEAR MO DAY <br />.. _ _. _. ,.., ,. 1. , <br />FROM TO _ . ` . <br /> <br />PARAMETER <br />QUANTITY OR LOADING nv I G. nvau utstruunons Dero <br />QUALITY OR CONCENTRATION re co <br />NO. mpleTmg mI <br />FREQUENCY <br />OF S Torm. <br />SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS TYPE <br /> <br /> <br />x - <br />-: i SAMPLE <br />MEASUREMENT <br /> <br />r <br />F C.."' PERMIT <br />REQUIREMENT <br />L , <br /> <br /> SAMPLE <br />MEASUREMENT <br />x= <br /> # v i <br /> PERMIT <br />REQUIREMENT _ ! i0 NTH <br /> <br /> SAMPLE <br />MEASUREMENT <br /> x ti 1 <br />a <br /> <br />y _.. , ,... <br /> <br />.. PERMIT <br />REQUIREMENT . . 9 r Y r•: x <br /> <br /> <br />4 <br /> <br />j ? f <br />t. <br /> SAMPLE <br />MEASUREMENT r t c._ <br /> r <br /> <br /> <br />1 PERMIT <br /> <br />REQUIREMENT ." + <br /> <br />?r ry r 3? t zt <br />-TX <br /> <br />M ON <br /> # t <br />"; :'=,'.. `:•':' ,. ,` SAMPLE <br />MEASUREMENT <br /> _ <• <br /> PERMIT <br />REQUIREMENT - t4 <br />;. <br />,. <br />;?'-- <br />SAMPLE <br />MEASUREMENT <br />-` <br />t .,. <br />_.._ ... <br /> = a 3 r x cwt: x••s -- <br />- <br />- <br />` - <br />P <br /> PERMIT <br />REQUIREMENT <br />A <br /> <br />- . ;....;_ <br />r. 7 <br />E <br />77 <br />< -.. 3 <br />7F-1 <br />M <br />M r 1 r"€ <br />+ <br />!_5 = ' : l:r•" 4: S <br />MPLE <br />MEASUREMENT . ?. <br /> s t sz xc <br /> PERMIT REQUIREMENT e i <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty-, of law that this document and all attachments were , <br />T <br />ELEPHON <br />E <br /> <br />prepared under my direction or supervision in accordance with a system designed DA TE <br />} <br /> <br /> <br />_ <br />r <br />R to assure that qualifiedpersonnel properly gather and evaluate the information <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information <br />i j <br />, ! , i t <br />, ,r I submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />SIGNATURE OF PRINCIPAL EXECUTIV <br />t <br /> <br />TYPED OR PRINTED I am aware that there are significant penalties for submitting false information, - <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOL including the possibility of fine and imprisonment for knowing violations. <br />ATIONS /Rpiaranr_ia ?u nlinnhmnnfc hnrol OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />} i T dsiSh 43ditform. PAGE h OF ?.-)