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2017-05-02_REPORT - M2013052
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2017-05-02_REPORT - M2013052
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Last modified
12/21/2020 8:43:31 PM
Creation date
5/2/2017 4:16:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013052
IBM Index Class Name
REPORT
Doc Date
5/2/2017
Doc Name
Annual Fee/Report/Map
From
Jean Cowman
To
DRMS
Annual Report Year
2017
Email Name
TC1
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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PKINAW1 TBE NAKWADOWISS(Mduds NATIONAL.POUXTANT DWONARON aL OOdAMN SYWMI 000113) <br /> FadlllyAlmeQ=80onifdMWfwdd) DISCHARGE MONITORING REPORT (DMR) <br /> NAM f (240) (t7-1S) Form Approved. <br /> Minor OMB No.2040.00" <br /> _ I ��� Approval expires 10.3144 <br /> F-Final <br /> �� I1I�, J:g jM50 rIVIA FROM YEAR I No DAY <br /> TQ Y # NO DISCHARGE xar <br /> 21 <br /> NOTH: Reed M ftctloae h in oompleMV this form. <br /> PrAQUENCY <br /> PARAMETER (3 Card Only) QUANTITY OR LOADING (4 C"omw QUALITY OR CONCBNTMTM NO. or SAMPLE <br /> (32-37) 46-61) (414-S1) (311-m (44160 (54.01) EX ANAI-YSIS TYPE <br /> AVERAGE MAXIMUM UNITS IMIMMUM AVLAAM MAXIMUM UNITS P ( (�- <br /> SAMPLE k#k### kk#ii# ##ii## ##ii#k iiiiii <br /> YEASURI<MEIR #itk## i#kki# i#kkkk tj <br /> SAMPLE <br /> MEASUREMENR <br /> - yK+r �-'' tr s 8 •�+. ,t.�9 "_ �'rt; k##i## t+ s �" k�K � -:_9`+ J', . <br /> SAMPLE <br /> MEASUREMENT E <br /> l <br /> r :aj�� �{�i' #ima <br /> � <br /> S,: :A•. \ fin•, + <br /> t#ii#i i#i#i# k#kiii #ii##i ii##kk <br /> SAMIM <br /> �i ,;:�bla'� i�•�i" .' '+,J`0"q� ` F�4 ;';i�h•�-,`�9S ii##ii 4#{'t 3{ K / + y <br /> #,# . <br /> r:-- o- k,��i..�. r .�vn�. #i#i#i i" `v :i;,.y, .,..� Y�,'"' •.:yi, t''.r <br /> SAMPLE <br /> MlAbURE�NT # kiiii# ,�,�y, <br /> �,h a r+jWr` TMM tvs.. K f ik#kii ivi "'. tt f4 t r <br /> SAMPLE <br /> MEASUREMENT it##ii #i#### ikiiii <br /> a s, j YY n t �, •�,,s4` �.�, ` �"m• iikkkl ,�r�. . y 1#`3�,v r .-r. kik4�l�1' '`, , �Y - . <br /> YSAMPLE <br /> v �� s kkitii7 s x,. <br /> MEASUREMENT <br /> r w 5 v° qfi -,� <br /> `��� <br /> NAM!lRiLJt PIIMC�I�PyA�L�EMICUMM OPM= 1 CERTIY UNDER PENALTY OF LW TMT 1 HANG 11111111MONALLY E74 NNW AND TwAr" < DATE <br /> AM FAM LIAR WRH THE INFORMATION aUW1TED NEAR;AND EASED ON NY <br /> INQUIRY OF THOSE INDIVIDUALS IMM ATKY RESPONMELE FOR OGTAIMNO <br /> A THE INFORMATION,I BELIEVE THE St1BMITTED INFORMATION m TRUE,ACCU- <br /> ,{1\ RATE AND COMPLETE. I AM AWARE THAT THERE ARE WQMFlOANY PENALTIES <br /> FOR BUMSTTINO FALSE INFORMATION,=LUDINO THE POSSIBILITY OF FINE <br /> AND IMPRISONMRIff.SEE 1S U.S.C.E 1001 AND 33 U.S.C.11319. <br /> TYPED OR PRINTED l~a&N" Y1dw"a saadn may kxkj*ens'y°a SIP,=end or namum o AU i11CItliED AGENT CODE <br /> MspNronnlanl dtrtNeall a nwntlw and a yaaa) NUMBER YEAR DAY <br /> e <br /> Lenz as u(aywm-/vkf <br /> BPA FORA 33264(M.MW Pmvbw odM mw my be wad 00006l960315.1633 PAGE 2 OF= <br /> (REPLACER EPA FORM T.eO WHICH MAY NOT 1N:UiID) <br />
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