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PERMITTEE NAME/ADDRESS (Include Facility Name/LocationifDierent) <br />NAME <br />HAYDEN Gt. i-J.'H TERIM I NAI- ii INC. <br />ADDRESS HAYDKN MULCH LCADOU'll' <br />STEAP IPI'DUNS T SPRINGS Cc! <br />E <br />FACILITY HAYDEN 9ULCH ; L.'i`1' PQkJT <br />LOCATION HAYDEN C 0 <br />t"•s?•=3_ 1C1ifid?3 i$T" 7:'ttvlal+]. f'9r+? I; ?`w i <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />` "t f MONITORING PERIOD <br />2163c/ FROM U TO 1 x t a -1. U 1r1I NOR <br />YEAR MO DAY YEAR MO DAY <br /> <br />Form Approved. <br />OMB No. 2040-0004 <br />(SUBR JC) 1 <br />F - FINAL ROWT'T <br />v k; fi NO DISCHARGE i s?} t yzfi ??' <br />NATF- Read Inctriin innc ha_fnro emmnlatinn thic fnrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />OIL. AND GRFAGf: SAMPLE 94) <br />V I SUAL.. MEASUREMENT <br />3 C' 1 0 0 PERMIT REE'OF`tT Era= x 3Fit cE3t# #f ?'F? ???f st rte### ?3i?3# 4JTCE? ? SifAL <br />EFFLUENT GROSS VALU . REQUIREMENT Jr.lr T MAX NO-0 x It # ? <br />l <br />MONTH <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 />---- <br /> R <br />EQUIREMENT J I <br />7 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHONE 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 /> 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 /> submitted is <br />to the best of my knowledge and belief <br />true <br />accurate <br />and com <br />lete 10 <br /> , <br />, <br />, <br />, <br />p <br />. <br />1 <br />h <br />h <br />if SIGN URE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED am aware t <br />at t <br />ere are sign <br />icant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. OF CER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> CODE <br />vv1111 r1I w L-LIv ri.. r.-...r..v.v• ?.. •IVrrLI Ivlv t1 cIGL GLLYC OII aILPNI1111GIILJ IIGI C? <br />r SETTLEABLE. SOL10S k_:3:1` I TS WAIVED FOR I0-YR, 24 HR 12RECIP EVENT SI,.)(;-JECT ","Q BURDEN OF PROOF REQUIREMENTS IN <br />PART I. E. 6. ANY ADDITIONAL DATA SHALL., BE SUPPLIED To THE DIVISION WITHIN 48 HOURS. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used..????/(?t3tt h?1.4?ar>I dorm PAGE -OF