Laserfiche WebLink
FERMRTEE NAME/ADDRESS pdd £rYryNr'I~•r1..V~101.w4 <br />NAME <br />rf .. ~. .'Y;i~L'.. ,:Vr.L i;O r15'ff biY <br />ADDRESS ; i.. 1 :; .. L C k !: ;, iti 1 y @: <br />FACnrrv <br />LOCATRMI.I 6 :, 4- ;t ;::. i;. L U tl it a , 7 <br />.~~. .~t': d~fi'.. ~S1fc 4•~L Mavef: L'M <br />MATId1Al-OLLIRANT de~~,,RR£AO[euwdAnoN SrerEM NPDESI <br />DISCHARGE MONITORING REPORT (DA~RI <br />r PERMIT NUMBER decNrAaERVMeu <br />MONITORING PERIOD <br />EAR MO D Y YEAR MO DAY <br />FROM U1 O1 TG O1 09 30 <br />r, ~y <br />Form Approved. <br />OMB No. 2040-0004 <br />„lt(OF; <br />(StSJE; J(;) <br />' -r'TtIAL <br />IIIFLOi:NT YiGA~l17;1•;Y.F.N'!' <br />NOTE: Mid Inspuedarr bdor~ cempMtMy thb form. <br />n~IC7 <br />PARAMETER pUANTITY OR LOADING OUALI Y OR CONCENTRATION NO• FneOUacr SAMPLE <br /> <br />AVERAGE MAXIMUM UNRS <br />MINI UM AVERAGE 8 MAXIMUM UNITS <br />EX OF <br />ANAlrme <br />TYPE <br />nl :r, ~-,.~i•.i SAMPLE <br />MEASUREMENT [ <br />~' j <br />1 <br />j "1 ( ?~) ' <br />lF~' f'Y~ ', <br />i.')(~i <br />- ( 1`r~ i' <br />j '~!,'. <br />. <br />~ <br />~ ~ ,'7'.: (! • (.) . . <br />, <br />; c.. . <br /> <br /> <br /> ..... <br />:,;!w, Ii, ~':!tID~JC~1' Cik SAMPLE _ <br />~~ <br />. <br />; <br />i ..~ iM <br />(' ~ ~ 03) awaoyp. ~ 'tfaac+ero~ <br />(> {rteRrGS'~C' <br />' /` ~ <br />~j <br />I~ <br /> MEASUREMENT n i. <br />( <br />~ <br />(. _ <br />8 y,E <br />: <br />:i t, ~C P : <br />1. t i <br />r <br />a C <br />. <br />, <br />. <br />, <br />_ <br />. ~ ~ <br />F. i l : <br />R P: r REDUIREMENY <br />: t. #;1 ~. .Y . •;w ~3' " <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> ^'::PERMIT::;:::.:. r '' 'til yH:, <br />'. i " <br /> .., <br /> SAMPLE <br /> MEASUREMENT <br /> ;~. PERMrr.:< <br />~~ <br />~:'~ <br />'~ ~ ~~~ I <br />~ <br />~ <br /> REOUIRENIENY <br />~ . <br />. <br /> ~..1 ::....:.::::.:: ::.. <br />~;;::; :: <br />SAMPLE <br />~ <br /> MEASUREMENT <br /> ' <br /> NEt1UIREtNENT i ,; ~ ' °" <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> 'RECUIREMENt. <br />~~ ~~ <br />~~~~~~~ ~ ", "' ':' <br /> SAMPLE <br /> MEASUREMENT <br /> ' <br /> ':::!'.PERMIT'.;. .' . <br />'..i ~#.a <br /> 1-$tlUIFiEfrI~NT': a r #':h.. <br />EXECV-1VE OFflCEII ~° ~ T -"' £' '~ °i1 u o "'"~ ..nd~w wY.•r ~ TELEPHONE DATE <br />NAMERfTIE PRINCIPAL -n-•M..!° r~ elrrllw. •r.ry.r.elw I. rerY.rR w1u . qAr. Mtwe <br />~ .. <br />• <br />i' lt: '~i j ~ S <br />1 ( ~f (i brwu•14r 7..~~P~M-r•-•rb Fae•r•Y nMr•IH <br />r -r.w.tes w <br />t•MINd e~4wrTln~ulrTra. p.w.. M bfwerllr <br />/ ,' hr ~ <br />w.{•U•Rmn4 ~ <br />~ <br />/ <br />, <br />. <br />°.n.•r°.r.a1~n~,.F«rwr..vu.nRwl.w...w <br />:~ <br />! .: <br />/ i <br />~n»I.n....n.. ~~0 `610 2~! <br /> <br />' <br /> <br />/ , <br /> <br />' <br /> <br />)/. <br />f iYlf i~, c~/ I"!I <br />Al <br />~U <br />t <br />°etiu.ak role•baaw/a.wrRnr ewef.ln•.mr <br />aw ..~mnpa•. <br />~ ( <br />L: <br />i . <br />, <br />_.I <br />i ~ <br />. 1•r•vnu•l seen nr ~ere°r p•IN MSre.Aleq n eIONATUIIF OF MRYgIAl E71ECUTIVE <br />r dr•ra.ew, NUMBER YEAR MO DAY <br />TYPED OR PREYTED I.auelet le.-relulT ae,r.ea l.rye.w..lNeus.lq . lM.uwa OFFICER OR AUMORQEO AGENT COp <br />COMMENTS AND EXPLANATION OF ANY vroLAnvNS lRa~ane- a nrxnmmra nmF <br />.•1' :.•.i~~~l.r:i nGi'1' i CULLc~Tcl; b' 0.:IALYEli ~1UN':hLY AtIU :icVUit'1'i:ii ,;,UAk'!'ERLY IIEGAiiI:LL'~~S GI' :NF.TL•cii 61: <br />.:r'i.l..:::C lllS~if%~ii4,fi JC~:IR~, fiYliNnL'i.1C CAI'AC:I'CY = U.ill'_~ tlGU; OF.G6NI~ ::APP,CTIY = 31.1 LL+S ti~!G-'>/I?nY. <br />1 ~ ( T}I~i'~Y~)4-gBil fpf711. PAGE OF <br />Foe Fn.m ai20.1 IRAV 3!991 Previous editions mar be used. f1 i 1 ~ % ! ! (I , 7 <br />