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PERMITTEE NAME/ADDRESS (Include Facility Name/Location iilDifferInt) <br />NAME .3t l C R- <br />ADDRESS'WHrF{LWIN0 PF.JJFC'T <br />I _5 <br />: • . j ..,. <br />FACILITY <br />j; <br />LOCATION1r:r*A-E-0A'Y I S22- <br />'k-4.T 1 P' ."_ i"f -".E •!. -.Y€1 T..?..ts }t•,y'i }'. ?.?u ?JI'? ; i?l?!7 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />;.?.) i .3 rem <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO„ DAY <br />FROM i s 1 i TQ u r 1 <br />MINOR <br />( ?aUBR Div 1 <br />I+ _. FINAL <br />POST TRMNT DSCHG <br />Form Approved. <br />OMB No. 2040-0004 i <br />i <br />TO LUMSDEN R <br />*** NO DISCHARGE 1.?_ j *## <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />YAr I DE SAMPLE # :. ## 3E # ! x #3E K 1# 1{ 3t ! >s i? ?c 4 <br />I SSGC: I AL .-F MEASUREMENT <br />00'7'8 ( +-, PERMIT ]r# #l # #t #irC # !t## k # i <br />FFLUE1",V OROSS VALUE REQUIREMENT 30DA tAVC DAILY MX MONTH <br />I3ERY_Lt_1i: SAMPLE #t:>i k# ?##i #3t#ce#R <br /> <br />mot", <br />% <br />i AS 111) MEASUREMENT <br />71*O1°? t ..% PERMIT #iF?i ## # #!;## # iF## _ <br />FFLVEN! : R-55 Vj;LUE REQUIREMENT ^ ^ 30DA AVG DAILY MX U-- L ht[7NT- <br />f# a ?r SAMPLE #*?### =i #w k #L`# 4 <br />AS B) MEASUREMENT <br />1'?3c %z C_' 0 PERMIT #?6 k #iz # k # iE## st 3c, i <br />FFL.d, EPN'T GROSS VA-_J,.)E REQUIREMENT #### 30LIA AVG • DASz. F' M* Mii•i L MONTH <br />NICKEL SAMPLE #•t. ###•# :=#•fi•### •?;•#•?•:: t t.v? <br />TOTAL F EC;OVERABLE MEASUREMENT <br /> PERMIT # # # ' # ' !£ # !E : / <br />EFFLUENT CROSS VALUE REQUIREMENT 3OUA DAILY MX UC/L MONTH <br />AL' SAMPLE #a 3r##;? c ? a#t•# #A f•# t <br />TOTAL Rai G'JERABL E MEASUREMENT <br />01114 }. C PERMIT # . > # # #? ? # ? # ' ## a u <br />EFFLUENT CROSS VALUE REQUIREMENT ##?? 30DA .?VG DAILY MX UG/L MONTH <br />}ANADiUi'}r •i (-ETA-L R E' -... SAMPLE fYL fi i¢## it##)p## #iE trR ti A i ci.S) . <br />ABLE MEASUREMENT - - - <br />R. <br />i ? ?Et i 0 0 PERMIT rl <br />rFLIJENT CRO55 VALUE REQUIREMENT 30DA AVG DAILY MX UG/L:. MONTH <br /> <br />HRCIMt;JRI # 'ALE#L'T <br />" <br />SAMPLE <br />i 433 J <br />TOTAL RECOVERABLE MEASUREMENT <br /> <br />04262 1 0 '') <br />PERMIT <br />?` #### aj? <br />#t <br />f6## <br /> <br />, <br />FFLUr.:i? T Cf4'L3 ^4a VALUE REQUIREMENT # k ## :,?'? DA AVG DAILY MX UG L <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were / TELEPHON E L ATE <br /> <br />^ prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information i <br />•C - <br /> <br />?• t <br />1 Tt / <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 <br />the information ' ?"?J <br /> <br />- <br /> <br />1 <br />A, , <br />knowled <br />e and belief <br />true <br />accurate <br />and complete <br />bmitted i <br />the best of m <br />t 3 / <br />" <br />"Z U r <br />V , , <br />, <br />, <br />. <br />y <br />g <br />su <br />s, <br />o SIGNA r RE OF PRINCIPAL XECUTIVE I <br />1 <br /> <br />TYPED OR. PRINTED I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations O 61CER OR At1TFfORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />i <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />PAGE O <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 90 044/0 XMAAM-41P13&rTn % <br />d_ :.. .... :._. .-.._:..,_ .-???--?,tn ti°•^-". _ ?.....r. .. :r y .. _, ..i.?.n.,yyy ?:a4?,3m ., ...,.n.a .. .,. .- .._ ?... 'I, -.- -. _. ?0:...,:. vbl.. e{ ? •?pun.. -,.- _ ., - <br /> ..... > -