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PERMITTEE NAME/ADDRESS (include Facility Name/Location iifDifferent) <br />NAME <br />ADDRESS S OUTHF I E 4..D LOADisU7 <br />FACILITY i L Ft i?3L E ;.%t 61:::26 <br />LOCATION iL3l,,}T -IFI l :L D MINE 0AL L 0 !`,D0LI T <br />FLORENCE 8 13 1 C-2'2 <br />147 rhl- tyr-i-lpi-:F' ?J r`?.6'3•.].•7".`-3*yt"?h=, t ??3?I #*tlt_t* <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 I o 3. x'. W ' <br />Form Approved. <br />OMB No. 2040-0004 <br />M I lv1019 <br />F - 7^.L4tlAt... F3'KIIN i <br />t="0i,4 ? lt`•GHF Gi TO CHANDLER CIR"K <br />NOTE: Read Instructions be re comoletina this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PH SAMPLE ?F 4# ?E ? z€ ?t :K ? t ?h r =i ?• # ? ? ? ? f i2) <br /> MEASUREMENT <br /> PERMIT sr sF 3# 2F: si i ?! a 3l # i. ?i n 9# ii C?. 0 1- W I Cr' xF AR <br />GROSS VALUE REQUIREMENT _4t #t3 is1 I`?' }d 3°i T V. iE # "ssi i 4: f`?4 i {_s <br />ti:,0 1 :fie FI..E1.W 4. SAMPLE i• #?1•xsi# ? f isF E7{ ? rz#:4a i 2 55 <br /> MEASUREMENT <br />0cs t'. } PERMIT 3k 3# i %isF•?? #?-t si#3F •#.r#.ts ;i 3' '331 4 O. C f -F:rhB <br />EFFLUENT GROSS VALUE REQUIREMENT s'r #.K.ss. 30 DA tw DAILY M 4; <br />k.., b L_ AND R F.;=9SE SAMPLE Ar yi st 3#sa•3€ sF? ii ?? ? ? ? sE C 3 ?f i <br /> MEASUREMENT <br />C+25 6 2 f. o '•) PERMIT #sf # 3?: X n I a•°? #u ? '# # ?=: i ti ??i? r#3# ? ? "?ta??4? ??P?U <br />EFFLUENT' GROSS VALUE REQUIREMENT n ? sl ;.:F(, <br />{T'L_Y 3 <br />:'4._ <br />taF.?1 r <br />?,•HR'' r IN CONDUIT iit SAMPLE 03 ). # 3f •• F #:g sf tk £#3# 3i tid <br />T Ht?t TREATMENT PL_ AN i MEASUREMENT <br />! ' i t,A t A PERMIT REPORT RT. P OR <br />EFFLUENT GROSS VALUE REQUIREMENT 30F't`A A`a%G DAIL.'?' MX f"li:: L? i 3t r (•?Ci?1 <br />OIL„. Al,D C4RF-A.- -= SAMPLE f ? # I st ? t ?'4 ? st iI 3# 51 'x?F ? ? ,?'# ?• 3e3S••s? si «i <br />VISUAL MEASUREMENT <br />2, 4 r,•. 6L, a, i} C; PERMIT #4 tat f 1 ? 4?EP'?t?_ ? ES=''1 #K!.3? sl3{••? ??#:i?-?, st. y ? # L°4s C Ef Yt1?P{ <br />EFFLUENT ROSS V} ._t:` REQUIREMENT i NSF K *4 X <br />I <br />I5i 13 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT I <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of taw that this document and all attachments were T ELEPHONE DATE <br /> <br />U prepared under my direction or supervision is 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 />lam- t / submitted is <br />to the best of m knowledge and belief <br />true <br />accurate <br />and complete ?rJ <br /> <br />I I , <br />, <br />, <br />, <br />. <br />w <br />re that there ar <br />i <br />nifi <br />I <br />t <br />lti <br />f <br />b <br />itti <br />f <br />l <br />i <br />f <br />ti <br />GNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED g <br />am a <br />a <br />e s <br />can <br />pena <br />es <br />or su <br />m <br />ng <br />a <br />se <br />n <br />orma <br />on, <br />including the possibility of fine and imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MQ DAY <br /> . <br />L,vivi1VIG1Y 1 o mw Li GArL mvjmt 1VIY Vr mim T YtVL.Fit ivrma tnuict CLl4C all aLLOWillfullLJ l?C!C/ <br />'S'ET`3 L.IW:IL_E f:OL.ID'E') L..?;M' WAIVED FOR I0°-YR, 24--HR PRECIP EVENT SUB,,-:E2'"f ` O BURDEN OF PROOF REQUIREMENT S IN <br />PART I. B. 6, ANY ADDITIONAL. DA:A SHALL. BE °=1UPPLIE'! TO 4; E Di` IEa`C)N WITHIEN 48 4-4O'URS <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. j 70/0& 8,? 4?IQrITI PAGE OF <br />its i I.