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PERMITTEE NAME/ADDRESS(1rteYsLlatillrylVaas?reearlawIJDtpmer) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM [/NPDESI <br />NAME V? DISCHARGE MONITORING REPORT /DMR) <br />ADDRESS <br />?GG? OQ? PERMIT NUMBER DISCHARGE NUMBER <br />I V Q? a% SO MONITORING PERIOD <br />FACILITY R NO <br />??eG\SeR YEAR MO DAY TO YEAR MO DAY <br />LOCATION iER`ET M N`E1_ E. BEAK, PRESIIj,`..: • _..1001\. <br />•?qa <br />Form Approved. <br />l( OMB No 2040-0004 <br />F - FINAL. Utj <br />i= INE DRAIN;=GE TO N FK GihNNISON <br />NOTE: Read Instructions Wow* completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NN 00. FREOUENCV SAMPLE <br /> of <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT i V -- i _ 1,.-. <br />1 <br /> r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT a f---: V.- v. i sr as e:- :. j <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :- <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 nrulr -der pena ty o law that As doevmenl and all attachments were <br />wire-W <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />e <br />prepar <br />d under m dlrerllon or <br />on in accordanR with ¦ gslem dtalgned <br />to asavre that quaened Personnel properly gatker and evaluate Ike Infvemallon <br />sub <br />itt <br />I <br />f th <br />d <br />B <br />d <br />d <br />e <br />. <br />aw <br />on my <br />rpt <br />m <br />ry o <br />e person or prn who manage the system. <br />Ise thaw perm directly mirordble for gathering the Information, the Information <br />submitted b, to the beat of my k mole to and brW. Irve, armmte. and complete. <br />1 am aware that then are stgnifteW peneRks for submitting robe Information <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> , AKA <br />TYPED OR PRINTED lnrhadlng the poselbltity of fine and Imprisonment for knowing rielations. OFFICER OR AUTHORIZED AGENT ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION VP An T V IVLAt I Ivnb (deference M erracnmenrs new <br />GF. Tc t? i-C ?>> T t.sr?ryTI4I '( 4t.•'Ffi :lf`F r)t iR 74d% f'[R 1!11 Fr'L' ?TFr. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This is a 4-part form. PAGE OF