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HYDRO20452
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HYDRO20452
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Last modified
8/24/2016 8:41:46 PM
Creation date
11/20/2007 1:34:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
Hydrology
Doc Date
4/14/1999
Doc Name
FIRST QUARTER 1999 DMRs
From
PICKETWIRE PROCESSING LLC
To
WQCD
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS Ilnclude NATIONAL POLLUTANT OISCHq RGE ELIMINATION SYSTEM (NPUES J <br />Fa <br />r~iE Nzm / n g[ion ll. Ai!(Crel+L1 ,~ K <br />t DISCHARGE MONITORING REPORT r Dh1Rr <br />A O W ~ PG <br />e <br />ADDRESS+'rV ~ <br />,~ _--_ . <br />- <br />----- <br />- (~P i ) v^i I `1 <br />-- - <br />--- 1~ t 1 0 <br />- <br />T <br />~ <br />f <br />' <br />~ <br />_ .~ <br />~JY <br />. <br />WO(/. PERMIT NUMBER olscr.nee wurnaen <br />Y~C9-~*r ~v . ~ c v / 1 l o ~,4 -r1~± _' N 4`I71I <br />------- ------ --- ------ <br />MONITORING <br />PERIOD <br />FAGILITT _ <br />AL <br />iT¢rr <br />a <br />A+l . ---- <br />/ <br />k Y O D Y <br />TO YF~AR MO DAY <br />LOCATION_ <br />, ~ <br />~ . <br />- ~ <br />---- FROM _ 1.1 <br />0.TTF: MRt1Tt .11 ?!! ,. - _+Ti nr_•o~ rm.1n <br />• i <br />( ~'; +L ^- °,) Form Approved. r ' ~ I. `, <br />c _ F T y{ T OMB No. 2040-0004 . <br />•) .~ a Approval expires 10-31-94 <br />L:. 4n 1T j^R17^.. I~~1 rl +Y .. <br />NOTE: Read instructions before completing this form. <br /> ~ (i Card OnIrJ QUANTITY OR LOADI (J Cd rd Onlc) QUALITY OR CONCENTRATION FREOUENCt <br />PARAMETER / (!6 SI) (j.l-All !?S-4J7 (~tAdil (54-AU NO <br />E% OF <br />~ <br />' SAMPLE <br />TYPE <br />(~~ <br />~~) ANAL <br />S <br />S <br />- AVERAGE MAXIMUM TS MINIMUM AVERAGE MAXIMUM UNITS <br />~I!, l'irJ ;'r';qS° - <br />SAMPLE ;: :r, .; .. ,. O ( r ) ;:r:,;:r,,Y;~ '.44'k:ylr-:: n,.~..,;.... <br />O <br />~/7 <br />v~ <br />rci!{L MEASUREMENT <br />•'In., r7 1 Q (/ * ES=1 OR #Rltti '1=a 11}QYf IRr 3l~f,C;k f,:ry t FC ff?.Y TC•!/' <br /> PEP.MIT - <br /> <br />FFC'IL+!T ~'?')J" VAT,n" <br />REQUIREMENT <br />ItST na <br />Q=0 -:. x:; <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ <br /> REQUIREMENT r~'' <br /> . <br /> SAMPLE <br /> MEASUREMENT <br />~ <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 I CERTIFY UNDER PENALTY OF LA\v THAT I RAVE PERGONALLV Ex AMINED TELEPHONE D A T E <br /> ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED F+'EREIN. ANB BASED <br />eA J <br />/""l ~. 1 >~Y~y ON My INQUIRY OF THOSE INONIOUALS IMMEDIATELY RESGONSIBLE FOR <br />OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS ~~ !1 ~ G <br />\ <br />])C/ <br /> <br />11 <br />TRUE. 4000RPTE 4ND COMPLETE 4M PW<RE THAT THERE ARE I <br />\ <br /> <br />'f <br /> <br />4 <br />M SIGNIFICANT PErJ4LTIE5 FOR yUBMITTING FALSE INFORMATION INCLl1DING <br />(` ~f ^ <br />L7~~ 12~ q <br />~ <br />04 ~( <br />Q" <br />Y <br />0.N TPE POSSIBILITY OF FINE AND IMPRISONMENT sEE Ie use 6 1001 AND SI NATURE PRINCIPAL E%ECUT E ! <br /> <br />TYPED OR PRINTED 33 u5c 4 1315 lPrnulur~ unJar d¢u sramrce mm i IuJr Gnn up 1O <br />fIO.OlIn ~W nr ma vmum imPnammrnt n! bnxan A munlh+~JW 5 iors.l <br />OFFICER OR AUTHORIZED AGENT AREA <br />00 <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS lHelrren¢ 51/ JlrJi nmCnlS nrrer <br />., rTr)F Y1L)TTL° )5^.A!r I^ TO"TN4 AN\)1{LIv ..c'fl^~Y '1/19 t'rl/1°7 .. '. r) Vrl r.{T V4 ?vA!! !17/i9 ~I-u -. ' <br />"?. ~'?3-'. ". 1, PP 17-11. CRA9 SA!1PLR 'rf{.LTT75 FJri 0IL ~ G4F=.5' °L';'li°'.^ T.F YISIRLE SHFFV i5 ?a5°4t'^') - <br />• ^;~ )~•~ ~.;~ ~rw oo~r-rrce ec l1IITiTYPr\ ~ I `' S ILBPLY <br />EPA FOIm 3320-1 (RBV. g-BB) P(eVIOUS edlflOrlS may bE USEO~. (REPLACES EPA FORM T~40 WHICH MAY NOT BE USED.1 000 3 i / 950 6 ~ 3-174 3 PAGE ? OF <br />
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