Laserfiche WebLink
PERMITTEE NAME/ADDRESS pwdr4 FsmryNw./laenm dOlp....p <br />NAME ^ c r :.- ... n .. ,. ,~.,. <br />41').. r. ,r. <br />./ n ~. _ u <br />~^ 1 <br />FACam <br />LOCATION <br />NATIONAL POLLUTMT DISCNMOE ELIMINATION SYSTEM /NPDES) <br />DISCHARGE MONITORING REPORT (DMRI <br />7-161 17-191 <br />'n0777I~LL r`17 x <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM `i / "~ I :) TO nr, n ~ ~ti <br />/)!l.)rl IJ)4.41 /JLJ51 /)6-I7! /IB-IBI 13Q3!/ <br />Form Approved. <br />~r••r + r.~-•n r ^.TONJB.No.)20,40-0004: <br />r „ T „ ~, . ~ ApproveL e;tpirae.05-31-98 <br />^ - pe a• ]] <br />'A. . <br />.-NOTE: Rsed Inetruetlgfe bslon colnpbfiny this form. <br />PARAMETER !3 Grd OnlYl QUANTFTY OR LOADING /I Grd OnlYl QUANTITY OR CONCENTRATION N0. FREOUENCr SAMPLE <br /> 1~6-531 15x61 l38d5 ls6-53 15461 <br />EX of <br />TYPE <br />l31-371 MALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs)-sal /64651 !6&701 <br />.-r ~7CT!72."' SAMPLE r,. 4, .~.~ Qi::Rr:r t~'~;c... ,. <br />( ' ,) -~7 <br />~ <br /> MEASUREMENT / ~j - /, <br />:; ti l)9a 1 C ', PERMIT .:.': 4"h ;; r.rt?~xh c, r.,,. ~,..=~.aq rlr~ nN (•nb^' •NU:'t/ `jf RF~•/ 'kdU. <br />.E'FL'JE!fC ' ^;" 'l F. L'!r REQUIREMENT w,•=G# TTne pMr; x~ <br />her1. <br />Y (-N M^SHT? <br />i #G:R;:: G..`-R r, :}>? ~ 't t::t »rt`: // <br />,~,/~~ r 17) ~ JI <br />~ <br /> MEASUREMENT ~I-1 I\,(/lJ . ~ I <br />~ <br />'. l1uUU 1 f' ;' PERMIT. o.::..^O~,»4 ::r4e115F {f~=Y % ;7 r:: ~~,1 <br />~ ~ !t ~°'y>'k'.e'•` '+)~~ ~ ~' I~~ai Y.~~Y eR:~,~• <br />y'LUi:tiT i';1-- y61,p+ <br />- .REQUIREMENT ~ C'.T„`G . <br />- 1I-~I'Ilil~ .aFq li ~I ph.r::~ c1(. ' <br />:JI-I J, T0T•t.L <br />~ <br />- <br />- <br />• SAMPLE <br />MEASUREMENT .;-r; ;:tr: r:GG,n y t,, r. ,,,, ,., ~ <br />J], ~~ ~ ln) ~ /I~ <br />y rr t <br />;J <br />] <br />, r r rl ~ <br />._1'_ ') 0 0 PERMIT »f=^. F'7 r: ;=hh,+M~¢Y,Y q r,., }rj?~;r>•.h QT ;1r~F1'1' p~o(~'m '};fir:/ 'pAF' <br />- CO°°~'.NT$ [f EL^. REQUIREMENT ~ <br />:::. ~ '- 4XtG :: 3RnA ~:~A'r" r'ATI..v ~~4 Y. '"~/L M:}t:T~e <br />;_'L1Di, 'C!)T11L SAMPLE 14kCr.:;: Gr'•G*~ '-r:r.r::•:.. ( 1} _ <br /> <br />F C S( N C `. J <br />MEASUREMENT <br />~ ,( <br />/ <br />/?,~,~~~ <br />:(1;r0 1 !7 U (y PERMIT '~::;Glrs# <br />~ :~~.Ltf:`•^F': f,~ -Any ~C4~%1r~Q'- Tc 7rU ?"F'/ <br />' •«r. p' <br />- <br />.,-r. :Jr•:NT GF'755 I ~' REQUIREMENT . . ;.,r,: 1F ', y.. <br />n <br />-{n F"prly ".t ~"/L ^ <br />oF <br />., L F <br />...iLL';S• seTr~erte F SAMPLE :~':#G.^^•# ':40yF.... ( 7S) ,I N. <br /> MEASUREMENT , <br />1 <br />N NF1 A <br />~ <br />NH <br />., 0`)47 1~ 0 n PERMIT,- <br />.. <br />.C~'"DI'+k .^• <br />..-.- <br />.-'.=f::} % C-'.:: GtctZ. t,;:(..T ArP'yvr ~~~~; ~pgc.,.~ .~,7 T. ~p. <br />,`.-F CO"'"HT° 1,.•1'7•; FEQUIREMENT ~ :•, Y•..R Zp!t A. 4Y': I:t fcILP YY `T./T. '!'1!?'n v: <br />~(1LIDSF _:h:TTt r r = SAMPLE 7G-.: ,7 .. #~7h#d-k b......:.;~; / ~) I <br /> <br />MEASUREMENT <br />O + I IJ <br />I'~ <br />II / <br />1105'15 1 0 PERMIT.. ...^:`n:`K ~ rJIG4x1: '= ;. n, ~- t,p ntsYr ga•pr7 oT p;F"grto^ ,r~,: ;-/ r~~P <br />FFFL'J `- ~~_.. ,/., II' REQUIREMENT ', ~:~:• T74+).. e'{.^. 0"Yiv "':( °' /T <br />y y'?.,.~; <br />r_•7 .,'[' ~° SAMPLE ' .Yt'? ..:r.r, ..a,.. - _ ., ( <br />t ~) <br />p _ •• •, r .. MEASUREMENT u~ ~- <br />71;~~.to '1 Ii ~ PERMIT- ..;=G; ';=r r,=l;; :~'CR~= 9 :"+k -e.~y..;-..... h.. .k f: rj !. i/1 E ~()~ps1~) .^~!: <br />(•b ~i. -J'` 'TIC REQUIREMENT :-ap,. TycT y1Y +,';/1. u'I ^,' <br />NAME/TTTLE PRINCIPAL EXECUTNE OFFICER I cEAn <br />AM FA Fr UNDER PENALT' of <br />MILIM WITH THE INFO uw THAT 1 NAVE PERSONALLr EXAMINED MD <br />RMATION SUBMITTED HEREIN; MO BASED ON TELEPHONE DATE <br /> Mr INOUIIIY OF TNOBE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR - <br />~ <br />t OBTNNINO THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS <br />T T q <br />~ <br />%, <br />/~ <br />Richal^~ G'F)~)S TRUE, ACCUMTE MD COMRETE. I AM AWME THA <br />NERE ME <br />SIONIRCAHT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ ~ ~~ , <br />9 <br />~ /~ <br /> <br />~nvtl-Q'I:rrental i;anaaer , <br />TNEPOSSIBILITrOFRNEMDIMPRISONMENT.SEEIBU.S.C.It001MD7] _ <br /> <br />SIGNATURE OF PRINgPAL EXECUTNE <br />7(1 <br />p70-77 7 <br />b <br />') <br />QQ <br />TYPED OR PRINTED U.S.C. E rata. lnNrle:• uIw ewr mnm....r IncA.dA r..r• w ro ifo,000 <br />.nsnmu:nun lnw/swrlA+ralwrwwnsmareN AM6rAAra/ OFFICER OR AUTHORIZED AGENT C UE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF Anr vIOLA {IONS lrrerersncs sn erraenmenrs nsrel <br />-S. 'ri. 'r j,z•T p- c' ~ _ .,, 4.'L c~LT ~- (L'7C F-7F) ?^D Lv .:IY ~ /v -rr +•I_vr. P' -r~~ r~ <br />F <br />~a.tI7c, F.~ rr•.. ~A. ~-.~ ~, 1'rF v'1P ,~(pn;..., nr pa~~^ T.':'~)Ta;.'•r 1~..e~ nrI c rrq :r-.- .~...), r/F ~~ <br />EPA Fwm 3320-1 108-951 Previous editiane mey be used. (REPLACER EPA FORM T-0ll WHICH MAY NOT BE USED.) ,~ 1 ~ :; 7^ ;, ~ II .t ~ - i „ T ~ PAGE : OF <br />