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PARAMETER <br />/ <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />Na <br />EX <br />FREQUENCY <br />OF <br />ANALYSIS <br />SAMPLE <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />JEASUREMENT <br />PERMIT <br />REQUIREMENT <br />- -^ - -� — <br />SAMPLE <br />MEASUREMEN'. <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I pertrh under pen.dh of Ian that this document and all attachments acre <br />in ep.u under nip direction or sup •n [von in accordance adh : s+stenm designed <br />to assure that qualified personnel properh gather and es allude the mloi mal[n <br />submitted. Based on ms inquiry of the person or persons a in n, 11 age the system. 01 those persons directh responsible for gathering the intornahr u, the udm 111,111011 <br />-ohnutted is, to the best of nn knowledge and belief, True, ,nun ate, and complete. <br />I am ,1,1 ,11 c that thct e are significant penalties Im submitting lake udm malign. <br />including the possrbdn+ of line and imprisonment for knowing suda11 ° °s <br />TELEPHONE <br />DATE <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />O FFICER OR AUTHORIZED AGENT <br />AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS IInthuh I todrn \tllllr/I moron d Mlle/cot) <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320 - 1 (Rev 3,'99) Previous editions may be used <br />FROM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER <br />YEAR <br />MO <br />MONITORING PERIOD <br />DAY <br />TO <br />YEAR <br />DISCHARGE NUMBER <br />MO <br />DAY <br />This is a 4 -part form. <br />Form Approved <br />OMB No 2040 -0004 <br />NOTE: Read Instructions before completing this form. <br />PAGE OF <br />