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PERMITTEE NAME/ADDRESS (Include Facility Name/Location i(Different) <br />NAME <br />ADDRESSI'':HIRLWIND FF:O_E-C <br /> <br />FACILITY {-d>? A t.._•. i5 t _ _. _ <br />LOCATIONG,- ; <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 MO, DAY <br />FROM. _ .\. TO , ° <br />I1:[ NOR <br />F -- FINAL <br />Form Approved. <br />OMB No. 2040-0004 <br />MXESA <br />l-I R J IN .t ,.: WET 1 A.. 5 a 1 3 N is FOR t-01 1 `= <br />n ',c •."".' iglu DI95-C 'fAsita'E ly i .# <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQOF NCY SAMPLE <br /> EX TYPE <br /> >< _ ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVEFIAGE MAXIMUM UNITS <br /> <br />£ L F'°. . F P ?. .:,: c <br />SAMPLE 14 A -24- il I- <br />C HR C R r Cl . AP1 IN £ A MEASUREMENT <br /> PERMIT <br />5EE t G'""s.•: .1?': BEI_ DAt REQUIREMENT x##n INGSAM CENT <br />.olr'.. _.(. .?.. r ...>,. t L. _ier5 Y <br />SAMPLE F i'1"'.## .."X':1•'* :.1'Yk #..A,. i _'-... <br /> <br />. # 7jt'Ft "R• S) <br /> yr <br />Hft CEaI+'_L tPt;;'It; MEASUREMENT <br />TC - : PERMIT r # ER"" <br />1 <br />SEE CO-Ji,iEtj": I;ELf ail REQUIREMENT st:iA hiCsf Vr?E_[) E: <br />' <br />CENT <br />J?,'?' SAMPLE 'fit###il d sF3l•-.."S ?.# st <br />CH R MEASUREMENT <br /> <br />PERMIT ##3f## # {## ## UK I :#st ?tyrasr = ER- <br />EE v. O i,r _,v 3 TS BEt--'D rl REQUIREMENT ,- t si S I NG-SAM C: ENT <br />F"E IF i.. ?rl; <br />tv, SAMPLE ## 3E # ::### ## y # x R R c ) <br />CHR laIME:.;IHALE 3 MEASUREMENT <br />TC ?" :; <br />PERMIT <br /> <br />?t ?t # # # <br /> <br />?t # # # <br /> <br />3t <br /> <br /># ?# 3r <br /> <br />r <br /> <br />E R - <br /> <br />t mt. <br />EE 1:02'-1 i;::JBELOo3 REQUIREMENT fi #g P4[1 VALUE CELT` <br />TIP T SAMPLE ; :? ### v; :f## 3t # N ? 3t• • <br />1 <br />efur <br />ER 1 OEAP T- N I A C t i R O.N I C MEASUREMENT v <br />`s1 ?c v r. C) PERMIT # ###i1 tt 1M±?ESt# l' 2F# ## fi •l It HR ONC <br />EE "GiNit"TENTS BELOW REQUIREMENT ?### "31NG5AMP TOnC Y <br />T0 ;QIC"C:`'t`• SAMPLE ;?#### '.-E :t.3ti # #3t?iz4# ? et?3 <br />ERI01-:?^'H7*4IA CI'iRt,.NIC MEASUREMENT <br />c"; Ci r PERMIT #' a #it# ## tt 't it## ## # ?[ FHfRZ 0NC <br />Mt- - <br />EE REI_.OW REQUIREMENT MN VALUE XCT <br />r1f,)x ; ,.i".. SAMPLE . I#:.* 'a ;-; c <br />IMEPFIf+i_ES-3 CHRONIC MEASUREMENT wr <br /> PERMIT 9F###it# #### ititi! at### ar HROFiC t Y urtr - <br />SEE l.S'lir `'krS BELL; N REQUIREMENT G??## SINGSF+MP I TOXCT ? <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER r 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 />4-7t /? <br />P to assure that qualified personnel properly gather and evaluate the information - <br />?y <br />/ submitted. Baked on my inquiry of the person or persons who manage the system, t t <br /> the information <br />ersons directly responsible for gathering the information <br />or those r /) <br />i <br />_ / , <br />p <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />P INCIPAL EXECUTIVE <br />SIGNATURE <br />OF ..??? <br />% -/ i , <br />!`!/ r? (. <br /> <br />TYPED OR PRINTED I am aware that there are fine and penalties for submittingfalse information, <br />including the possibility of fine d imprisonment for knowing violations. , AUTHORIZED AGENT <br />OFFICER OR AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />, EE PAR' A . --t IFOR I OF -TEST PROCEDURE. IF THERE IS A STMT D I F'F RPT RESULTS ON THIS OUTFAL_L. IF <br />NOT, RPT I'NO DI'SKHARGE" C:(:1MPLETE OUTFAIA.. 0C)IX. RPT LOWEST ;a AT WHICH STATISTICALLY SIGNIF RIFF BTG,IN <br />RPT ;;•Z!S t,I,SjUa ^s`nl= „p>' on% ATTACH ('i-fRnN Tnx TEST RPT TO DMR <br />EPA Form 3320-1 (Rev.. 3/99) Previous editions may be used. 1 0265, 07biBZITI-4.37PPI?16)?m• PAGE OF <br />c, <br />ssi <br />