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Home My WebLink AboutWQ0004270_Monitoring - 09-2016_20161010- - - - - - - - - T - - - _- - --t r---.- -- -_ ---- --- ----- - I -- - III IIII - - - --- -. i _ Jill 1111 11 r •• • NMI sa��o�� mos UMM MI • , , �� FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) 11 Certified Laboratories Name: Charles Parker Name: Par Lab Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? compliant ❑Non -Compliant If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Lee Pennington Permittee: Al Abed Certification No.: 987583, 987903 Signing Official: Al Abedi Grade: 2 Phone Number: 704-874-2754 Signing Official's Title: Vice President Has the ORC changed since the previous NDMR? []Yes ENo Phone Number: 704-865-1201 Permit Expiration: March 31,2020 Signature Date Goo4l� Signature Date By this signature, I certify that this report Is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617