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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME "R, `T )..UE-f.-3 RE OURC''ES .;LIAR. <br />Fkl <br />ADDRESS bdJ-J.I RI-W 1. ND PROJECT <br />JEUi L..f; .9 1s 24 <br />FACILITY <br />WI-If <br />LOCATION <br />C=rA TE W, % V Q S s '5 2 2 <br />ATTN: C;Ti Iy; i 34 Ct,.:-J"Y"rSti?l:i'sr. FXF% VPf,^3710 <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. 0,11 -2,0 <br />Form Approved. <br />OMB No. 2040-0004 <br />MINO <br />£7;..t;Jk StPJ <br />11 ai <br />F FINAL MESA <br />rJn,`.; r . RVINF D1 3CH Tr-t I_t1MSDF`# ` Ci-.p <br /># r° # 1':t0 is I SCHAFC1 1 I ## 4 <br />NOTE: Read Instructions before'cdmpleting 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 /> SAMPLE #>s ### #t s t lfii. :??# ## t; 12) <br /> MEASUREMENT <br />0400 1 L) ) PERMIT # #3£ ##?F if IE ## t# # # ## <br />E s# #3t # C1: 0 EEKLY • R AI; <br />FFLUENT GRt3S VALUE: REQUIREMENT ? # # IN I MU "f MAXIMUM S <br />OLIDSt TO-F'AI_. SAMPLE #7t##it# l1 ?t###3E 3s###sf?t t I97 <br />USPENDED MEASUREMENT <br />0530 1 0 0 PERMIT #1E#### iE##iF#ii 3E 3f fb# ###IER' It 20 30 EEKL.Y 'C?4" POI:a <br />FF UENT GR05S VALUE REQUIREMENT IF 3E3 ZODA ri4•G NX -/D AV; ,10, rI_ <br />ELEWIUM, TOTAL REC SAMPLE #k:#### i##3t>r# ###### ( ?,? <br />ERABLE MEASUREMENT <br />0961 1 t.; ! PERMIT ie#i #DEIi #ir#IE it# # t ie # 3F #t 0 REPORT b J EKLY °L7J1r~G.3 <br />FFLUI?',NT i?RSiS VALUE REQUIREMENT I;### 30DA ?I?VG DAILY MX UOdL_ <br />FtSE9`t11 C: AL SAMPLE #•h x ### # ?t••ss•-yi•#->' #3E••1a •z:•#•st- ( r F3 3 <br />C r'45 ,a S) MEASUREMENT <br />10012 t ) o PERMIT #1F31### ###Yr # 3E ii ii ##iE### 100 REPORT EEKL Y C1P POP <br />F FLUFN1- ^ROSS VALUE REQUIREMENT # Ef# t?OA r yVG DAILY MX l l[?f 3... <br />II'J?: SAMPLE #•::•#•Iti •IF# ####-!?# #ic••si•#•3t•# ( 28 # <br />OTAL RECOVERABLE MEASUREMENT <br />1094 !. t `;? PERMIT #ti k: ii 3t ih ## iE##ii # #iE ### f # k Soo 1000 ? ???Lli CJ! IPC1S <br />FFLUENT GROSS VALUE REQUIREMENT #?l It CJC1A ntIVO DAILY MX UCH; L <br />ADM I OM SAMPLE ?t#dt•## #•x•#•?••I; •?• ###•Ik••tt• # C ?E3 ? <br />OTAL RECOVERABLE - MEASUREMENT <br />1113 ?. C ;) PERMIT ##?### ###Ii#iE # #iS #iF#3EiF3c IC) REPORT JE1 ICat`1PS?:l <br />rFLUEN T GR05S VALUE: REQUIREMENT #. ## 30I?A ,CVO MX <br />DAILY UCH: L <br />IL AND CREF;`E: SAMPLE #•?•?t••### . ii••?--?••?•#•li^ -tf-:?r####E Ir##•-.=°3E•# - ? 29t <br /> MEASUREMENT <br />4 <br />3582 1 C ?.1 PERMIT )f#'n#tl# #?*#Yrtk# i4 #ii iti?##iS# ?«F###'^$F 1C) l3J?17IN <br />T RAB <br />FFLUENT GROSS VALEIE REQUIREMENT TfdS`f NIt?X 3{GF L O ? <br />NAMEfnTLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penalty of law that this document and an attachments were <br />d <br />d <br />di <br />i <br />i <br />i TELEPHON E DATE <br /> <br /> <br />17[- <br />? prepare <br />un <br />er my <br />rect <br />on or superv <br />s <br />on in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information <br />Q-S J <br />I-i 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 />` AI <br />Fir . ? submitted is, to the best of my knowledge and belief, true, accurate, and complete. r?l'? <br />5 <br />! -? ? <br />V, <br />• 1 am aware that there are significant penalties for submitting false information SI ATURE OF RINEIPAL ECU IVE ( ### ! <br />7 1 <br /> <br />TYPED OR PRINTED , <br />including the possibility of fine and imprisonment for knowing violations. <br />OFFICER AUTHORIZED AGENT <br />CO AREA <br />DE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />LVIVIIYILIYIJ I?I?? I..nr ?e+I?rIIIVI? VI •1 vIVLNIIVIYJ Ir1CIVIVIO4C a/1 aLlaW1111C111 , IIC1Hj _ <br />QUARTERLY c'^AMPL.,.ING & REPORTING INSTRUCTION' -., SEE I. C. 9, IMAGE `i. OIL. AND GREASE - SEE T. C. 15. <br />4, EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ,?QQgUy ©? A pCm PAGE IOF