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d <br />PERMITTEE NAME/ADDRESS (IncludeFacililyName/Location l(Different) <br />NAME <br />_a ..1 _.. .. _. _. "i t .... tr. ?r. V '_JL <br />ADDRESS W'';-( 1 R LW 1 t ,.D FR C7,.)Et;'C <br />FACILITY <br />LOCATIONC-A1 i C ,', <br />_. : I <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />"'.'.000-77- .?-3c'. l.) Y <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 TO <br />Form Approved. <br />t-1 I NOR OMB No. 2040-0004 ? <br />a <br />(SU13R rW) r <br />- FINAL. MESA <br />!-HR'CiNIC WET TESTING F'OR 001A <br />NO DISCHARGE NnTF• Roar) InStrnrtinnc hnf- n nlnfinr. ?hi? f..r <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYSIS TYPE <br />I ux "_' .T. SAMPLE # s iT ?r 1## ;.. #x x: <br />Ii"1EPHAi ES r-H ON MEASUREMENT <br />?1r_S <br /> <br />PERMIT li AFa: i 'k #i #x. ;:. r# k '#it <br />.. <br /> <br />NRCJNC <br /> <br />7 <br />It t?-mss <br />EE JwSMi` EIN f S L ,Ei,-C;v REQUIREMENT n x # MW VAL-LI TGXCT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT y <br /> REQUIREMENT <br /> SAMPLE <br />- MEASUREMENT <br /> PERMIT ' <br /> REQUIREMENT i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE _ <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT t <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were / TELEPHON E DA TE <br /> prepared under my direction or supervision in accordance with a system designed <br />c f4 tLo C <br />4 to assure that qualified personnel properly gather and evaluate the information G <br />, submitted. Based on m inquiry iry of the person or persons who manage the system, <br /> <br />? <br />? <br />? or those persons directly responsible for gathering the information, the information <br />? <br />.. <br />( I A/ t" submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br /> <br />I <br />h IGNATUR O RI IPAL EXECUTIVE { / 2 v f r 60 <br />r <br /> am aware that t <br />ere are significant penalties for submitting false information, <br /> <br />TYPED OR PRINTED <br />including the possibility of fine. and imprisonment for knowing violations. FF OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />CI)MMFNTS AND EXPLANATION AF ANV Vlnl ATlntJQ /Onfnrnnr n -u ?ss?..a......s r. r CODE <br />SEE- Ri'R i I. A 3 FOF: l;a ,it.-S OF TEST PROCEDUi F:. IF' THERE IS A S.1AT' DIF-F W :T RESULTS ON THIS OUTFAL,f_. IF <br />NOT, FPT 'PLO DISCHARGE" & COi PLETF 001X. RPT LOWEST l AT' WHICH STATISTICALLY 'S)TGNIF DIF"F BTWN <br />:-t : :.,i °t';..tia:• s lit-, -, W.? C,b"'t:rF Itpt, Tt'i,3.,„. <br />1 f"iC?'r <br />AT-T`ArH i'3-TF7itt{+l •i-•i"3X TES r RP T Ti-i MR <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. {'j i,2,703 O j&rg-4-jParA TIYl PAGE j OF <br />: <br />• Ff <br />01