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PARAMETER <br />? I NE Pt S 7, F.!.R ON 1: C <br />F7 E c. Er Pr. ETII E Te, 7.-L.ALM <br />.. <br />SAMPLE <br />MEASUREMENT <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />z <br />FREQUENCY <br />OF <br />ANALYSIS <br />SAMPLE <br />AVERAGE <br />--- ,..?1::-Y.--;::--ii.* <br />MAXIMUM <br />-.*-,-;-:*** <br />UNITS <br />z * * <br />* * <br />:la 74 <br />MINIMUM <br />AVERAGE <br />Tri,. <br />_ <br />MAXIMUM <br />l...:4-..--lt..“1_. <br />*-1...---:,,..- , ,..HRONc <br />UNITS <br />i.s.: .L:" •__Is. <br />.. <br />,,..! <br />TCXCTY <br />1 I.:L_ v i.,.t...wirss <br />-- <br />PERMIT,,•-•:..- <br />REQUIREMENT <br />.:--!-,. -.;-. <br />... <br />-.K.'.--: .:: ,,,.. :,<.- 1: <br />SAMPLE <br />MEASUREMENT <br />...'.-, <br />--.-, <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />.....- <br />, <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />- <br />PERMIT <br />REQUIREMENT <br />- <br />.. <br />SAMPLE <br />MEASUREMENT <br />- <br />.., <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />....i <br />- <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />.... <br />-, <br />. <br />, - - <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were <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 <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 />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that-there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />TELEPHONE <br />DATE '- <br />0' <br />; 7 <br />''",,1 ...9 #,,, I ,e''*., <br />l . P - n f LI <br />I <br />1 / <br />0 7 <br />ii-i <br />.A c Os I O C/ E (2•-> <br />Ade, f AJ eere---- <br />,..._. <br />—.--ps 'L. —'''''''.' —''■ <br />SIGNATURE PRI CIPA EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />CODE AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Diffgent) <br />NAME , <br />ADDRESS F.LA'7 <br />PO <br />NULL <br />maulNui-:cf:LD <br />LOCATIONI;..A vs <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />T.; S22 <br />FXFC YF/C00 <br />FROM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PER NUMBER <br />MONITORING PERIOD <br />PAY <br />= <br />TO <br />LA... <br />DISCHARGE NUMBER <br />YEAR <br />MO <br />DAy <br />OTMOR <br />(SUBR DU) <br />— F <br />C:-IRONIC WET TEETZNO FOR 01.7? <br />:1-* W.1 DT.SCHARc. *** <br />NOTE: Read Instructions before completing this form. <br />00232 /0 TiftigIsza 44.plife form. <br />Form Approved. ,* <br />OMB No. 2040-0004_ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here <br />L L;F FLy1 LS W 7E 7ROCEDUPE RIP 7. AY WAICH STATTSTTCALY <br />7EST CDT U U1K0 'RE'T IC2S WING CODE "P". ATMC:-VCHRON TCX TFST RPT n7 DMR. <br />• <br />PAGE e , OF Cei <br />