Laserfiche WebLink
Fpm APWaNd. <br />FERM(TTEE NAME/ADDPE55 (I.eVA /rlyXr•Lrrw• y0{EL.vJ 1[Aa1pNAl FOILVTANi OIBCMAIIOE QW WAilp[ SYTIO+ rrNYDESJ OM8 No. 20b~4 <br />NAME OIBCNARGE MONITO/IWO REPORT (DA/R) <br />~ n <br />ADORE46 ._ ~ - <br />. _, ~ 3,~~ ~ PERMIT NUMBER aacw,wx .uwste _ <br />FACUrn <br />LOCATION •_ ~ C,IJ C: <br />.. . a . . , _ <br />MDNITCRRY6 PERICCI <br />YEAR MO_ DAY ~jYEAR MO OAY_ <br />FAOM~ TO <br />NOTE: R..d Yvbuctlarn b.lo[. eeinpMUnp 1MM loan. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX [Atuu[wtr <br />or SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMVM UNYTS MINIMUM AVERAGE MAXIMUM UNfTS AIIMYp71 <br />_ SAMPLE <br />MEASUREMENT ~ ~ - <br />~ v ~/ i <br />~ _ ~ <br />_ <br />_ .. PERMIT <br />REQUIREMENT -. .,.," -.UU.~t <br /> <br />, .. - :.i ~r.dG i <br />i.. '- ~- SAMPLE <br />MEASUREMENT ~ L,/._.. ~rJ <br /> PE~MIT <br />REQUIREMENT <br />_ II <br />J <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REOUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />AEOUIREMEN7 <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REOUIREMENT <br />_... ~ <br /> <br />- <br /> <br />-. <br /> <br />_-_ <br /> SAMPLE <br />MEASUREMENT <br /> FEP.MIT <br />TtE0U1REMENT <br /> <br />__ <br />' <br />i <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />gEOUIREMENT <br />NAME/TITLE PRINCWAL EXECVTiVE OFFfCER •n^••r .. . o•n 7~.1 .: ru w <br />fnp.w ..... N «... n.. r o[. ~M....r«.new.n..n~ <br />r.w~ ,n .r.+.Onnr. .IA ..n .... <br />• .ts.... wnprA ~" TELEPNON E DATE <br /> Nr•AM Tn.b.dl.nwrt KT•1)[rr••'nM ••W..•.Y .wM1n+rLLw <br />wMrnN..~wr. inMn.l P. Nrwwr rrw .b rr.t•Arrl.wn. <br />a IIgN wna~ Mn(IF •r~sw.K Is (Wwr4a/ U. In4rw.Yw., M InpvwMMn ~ <br />_~\.~ <br /> <br />~ '~ <br /> wMInM K b W [•K d n. Ir.1.1[. W Iw•7, lrw. wtvnlr. w0 ww[Y.r. <br />. Ow w.n «. s <br />+M1r«n <br />le <br />1 <br />. <br />+ <br />M <br />M <br />..n <br />.tl <br />1w. r+t <br />.. <br />.o <br />f10NAlL11E O< %[iNClAI EXLCUNVL - <br />TYPED OR /N14lTFD p <br />w <br />• <br />n <br />F <br />r <br />n <br />ne <br />o <br />. <br />.., <br />w <br />. <br />Inr[u.Fwt A.pIM.7Nllr ...I w~nw...+. 4. [wo+{.[•er~ OFTICEII OA AUTNORI;fD AGENT A A MJM6ER YEAR MO DAY <br />COMMCNIS ANV tAitwnw.•v. ~ ••••• ••••.••••••.•o v.+•.• <br />EPAF~ J3Z0-7 IRev. k99! Prnwa.QR+pn may tx ~.~ <br />JCGDUk3.. k£LCAT LCi;;5T L•LiuTlvh ~ _ <br />.UYE 7~LL:"1TY :C:iS Firc?r,I FuAtf 'i • <br />.;.:r;:, i~:;ar;.r:r. race---or <br />