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PERMITTEE NAME/ADDRESS (Include Facility Name/Location ifDierent) <br />NAME id :q I i r4• l,.,l.}.'y{ ., ' C. ORP <br />ADDRESS <br />E3 .. GAT <br />FACILITY 1•.;- , <br />X. t <br />LOCATIONS et§ <br />r, CID <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No.Approved. <br />OMB ,2040-0004 <br />DISCHARGE MONITORING REPORT (DMR) M I NOR <br />PERMIT NUMBER DISCHARGE NUMBER ;' _. F I P',IAL. MESA <br />MONITORING PERIOD POST TI I ii• T DS C-11 IG TO L._tiMISDEN ':R <br />" <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ?F :u i ta`W3 I3 EuC1-(^tFR' GE 1AI ### <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> ? TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />',:YAN!: k.. 's.. X. SAMPLE <br />y <br />ISSOC1 ADLE MEASUREMENT <br />' 17 1 C-11 <br />- ' <br />PERMIT <br />FFLI ENT CRCIES VPLIJI! REQUIREMENT r ;: s 30DA AVG DAILY MX MG1'L_. MONTH <br /> SAMPLE ###ifi rs c <br />131a ` MEASUREMENT <br />101 PERMIT #t: r'#•Lc kr## c? '## 4 / ) i? .... <br />EFFLI,.IENi %:.( 035 V0,L °JL- REQUIREMENT `### 30DA AV DAILY IBEX kiG."L.. MONTH <br /> SAMPLE <br />A _s B } MEASUREMENT <br />I a •; ;. PERMIT A.?:## i.u.py.fi k iE## # / <br />L?FL L..t1 I F`;ti4 VAL-UL:: REQUIREMENT 0Dl? A`'G DAILY "1X MG/ L. MONTH <br /> SAMPLE <br />•T0TA .k'.F £sGVERAL'L..E MEASUREMENT m <br /> PERMIT # k ## l # # n # r # ' ## # # :Jff. -O NCE/ 3 r <br />EFFLLIEENT ''.h'Or-55 VAWE REQUIREMENT r.: z#> 30DA- AVG DAILY MX UQ' L.. MONTH <br />%-E22 SAMPLE it### t.- t # > # A # u e <br />TOTAL R f 1"EL':? L?L MEASUREMENT <br /> PERMIT <br />### <br />#r 4fi# # <br />### <br />#>~##r:# <br /> <br />-RT <br /> <br /> <br />td <br />F FLL' rT= L 's ; 3 3 Vr1 ?I REQUIREMENT 30DA AV'G , DA I L..Y MX Uv r'.. I )QLSfT?'i <br />?' <br />?•i. <br />SAMPLE x ##fieit # iz= ## # rF# > tt L L <br />ERA3LF MEASUREMENT <br />3 Ie=a PERMIT ##k#iE# # #3-#ii ( ii## dl C. <br />F'FLt,'L~':+T CRO59 VALUE REQUIREMENT `" ^ k '30DA" AVG DAILY MX U /L MONTH <br />.L-il•-'? SAMPLE <br />TOTAL RE ;ii`JERA LE MEASUREMENT <br />D42 S: M PERMIT #? ?`#3r# #^ # 1 # # 3 ## i 011 1 <br />l <br />1 <br />1 <br />EFT'•LLiENT -.F, 53 VA._U11" REQUIREMENT ^# # 30DA"AVQ DAILY MX U G /L MONTH <br />NAME/TITILE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHONE DATE <br />.? <br />4 prepared under my direction or supervision in accordance with a system designed <br />ro <br />ather and evaluate the information <br />to assure that <br />u <br />lified <br />ersonnel <br />erl <br />?? <br />I C Pf*,4,F^l q <br />a <br />p <br />p <br />p <br />y g <br />d , <br /> on my inquiry of the person or persons who manage the system <br />submitted. Base <br />th <br />i <br />f <br />ti <br />th <br />i <br />f <br />ti <br />h <br />o <br />di <br />l <br />ibl <br />f <br />th <br />i - f <br />??.. <br />l7' L)?/'j C y respons <br />ng <br />orma <br />on, <br />e <br />n <br />orma <br />on <br />or t <br />ose pers <br />ns <br />rect <br />e <br />or ga <br />er <br />e <br />n <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />ifi <br />f <br />l <br />i <br />f <br />ti <br />I <br />m <br />h <br />h <br />i <br />l <br />i <br />f <br />b <br />i <br />i <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />?Ll ?L?O n/ <br />V ?) <br />L/ ?/ <br />1Y <br /> <br />TYPED OR PRINTED a <br />n <br />orma <br />on, <br />a <br />aware t <br />at t <br />ere are s <br />gn <br />cant pena <br />t <br />es <br />or su <br />m <br />tt <br />ng <br />se <br />including the possibility of fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATIUN VF ANY VIULAI IVN5 (Hererence all arracnmenrs nere) <br />f <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. IJ0037 / 0 :L'd 944-4zpW9form PAGE ? OF