Laserfiche WebLink
~`{A~_ <br />iF11MITTEE NAME/AppRE44 p.... /rFgNr'I.nrrw /DIObw•p \J ' "•'~ <br />NAME . <br />ADORE33 . ~ - .. <br />::OJr+I'Y n'vkb oS <br />..i.Y ~II o141+i <br />FAaLm n~~ EIHE <br />LOGTKMI ~ •. LT C.J ~1 U4t <br />~ .i_ NTi i tu7.. }tl.V k: RAtiILGk <br />MAT~OMAt IO[IUTAMT °44C,NM°i AIMWATI°M SV><TQI //N~ESI OM6>•b. 2a/OCDDI <br />DISCHARGE MONRORWO REPORT fOAIRI <br />`~ <br />PERMIT NUMBER as:wAw°[uUMItA - Fi ItAL R8 <br />MONITORWG PERIOD T7 `aC:: Z.L.TOr '_,,, <br />YEA MO DAV YEAR MO D Y -~~ <br />FROM TO ~- ~ _ . <br />NOTE: Ro1d IrNtrt+ctlarr yla• eempl.tln0 thM form. <br /> <br />vARAMETER <br />QUANTRY OR LOADING <br />QUALITY OR CONCENTRATION NO, <br />EX ale°~»cr <br />°f SAMPLE <br />TYVE <br /> ANALTSS <br /> AVERAGE MAXIMUM UNfTS MINLMUM AVERAGE MAXfAR1M UNfTS <br />. - . ! SAMPLE - <br />,. .,~ _~ MEASVREMENT <br />~ <br />i PERMIT ,: .:.:~,. ..ca .; _ - ~.~ )Iii/ iu E.n$ <br />;'( _, .. ~ REQUIREMENY 34U1. n :. iy i, <br /> SAMPLE - ~~ <br /> MEASUREMENT <br />• - PERMIT uv ~., . ,. - 1. r ~ ~ ~ . + V ~..~. i. <br />. <br />- pEQU1REMENT r,YKid'J:! ;LA ICIGUX <br />- <br />. - _ ___ ._~. ._ <br />. .. . .,. SAMPLE 1 <br />,,, MEASUREMENT <br />- <br />. - 1 ~- PERMfi _ c. -.: - .. _ B;c66 D 0 ] 7 U . - <br />~ .. <br />rc -.: ~'i ~i.J.~ .. REQUIREMENT "~Gb 1.Y;, ~I ~~} AY Y. <br />. . _ 1 <br />'~ ~ - <br />SAMPLE <br />~ ~ ~ - <br />1 <br />~ly •,~ MEASUREMENT <br />.. Z U PERMIT ,. .. ~"+, e4G~b+F tlcFOr.; .iv •:i •.~.; <br />... rr.Ri ~~N. .- REQUREMENT ,7'S:JI .;4L =.LLY ~;( .. <br />. JI SAMPLE <br />(a;, ,Fl MEASUREMENT <br />1 U .I PERhHT - ~ ~ - . ? • • ~. <br />_-. •. >i;J: :. REOVIREMENT <br />__ <br />-_ <br />--- fuL- l.Y:+ G~:i <br />--_- <br />. <br />- <br />-_-_-_ <br />- __ <br />., n;. .. v. ]L SAMPLE _ ~ _ <br />. <br /> MEASUREMENT <br />'-_- <br />1 ~'i ~ G U PERMIT .. ,' v ..; .- : •. u - L : .. i ;. <br />u:l~G3I ..i~J55 ~: .REOViREMENT <br />-` ;H_;j ~llf ~. <br />___ , <br />_ <br />J.1 VV J t SAMPLE ' -_ <br />.. ,.. '. ~ !;-- MEASUREMENT <br /> <br /> PERMET -. ..l ~ ~ ,., ~ - . b , <br /> REQUIREMENT .. i. ! ` Y - <br />NAMElTTTLE PAfNgPAL EXECVTTVE OFffCER "" "' "'"" ~ ~- u"`~ <br />v,•w,..l ..e..... r,.. ~x., a ..+. `°siew1i° i° ""'""'nb •"' <br />..+~...<...<.~.•n. -i.n ..Inw eri~re TELEPHON E DATE <br /> ro.e"e.• ~.N t,..lnd N'~"^M .np,N, t,n.., .....wd. ia. NAO,n.lb• <br /> aMif~l.d I~JMm.~ydndV. p.nrrp,ne.. •M wrVt, 0..Nllll _ - <br />` <br />~ <br /> e•.Aon• t.•aw. Ar.enf ^ii^'rw Nr tw'w"1 u...i.r.nw. iM MM1•wUw "f <br />- <br />= ~ <br /> mMnM ti r Nr b•M d.n, \.••idte W MIMl, nom. Mivrnr..sJ,pw~,lt - <br /> ~.~r..n~1..Wmm.r6u..w.f•n lr rs..pn <br />nMeNe <br />ruy •gNATlllltf Of nuNCSAI EXECUTIVE - <br /> p <br />n <br />TYPEDORPRINTED '"•+•^'v'ti ~rru,d~s. w..yn...~., I". 1....ai .~d.w.. OiilC~ll (M AUnwaZED ADENT CODE NUMIlER YEAR MO DAY <br />.'lOMMENTS ANO tAYLnnn nw yr n... ..vc,. ~ rvn~ ,noe•nw w •o....,nr.o n..., <br />.- - ._. RnPLIai: IMS?HUCTICKS-3.~.6~ PG 'J. <br />!PA imm J720-I IRer 7.9Yi Pr~bus ea~mm I*IY ~' ~ TI115 14,a,.4.170[t (O-tn PAGE Oi <br />