Laserfiche WebLink
F4RMtTTEf NAME/ADDRESS R.+b/.e~yM.+'[rrr.: yOVI+wN <br />NAME . <br />AGGRESS - ~ . <br />37X 'iy 1 <br />FAgLtiV <br />LOGa710N' 1 +~ <br />f <br />Fpm Apgroystl <br />MATMr1A31OlLVrANT t115G1/11r0E RAMMATIpr ~YRTQI /N-OES/ ~~ ~~ <br />OIBCHAROE MONITORING RElOitT fO Rl <br />PERMIT NUMBER C45!: N+WgE NVMl01 I ~:t A.. "~ <br />~')ltlC itET TH~iIMG FOk OOS11 <br />MONITORING_ PERIOD <br />Y AR 0 DAY vEAA~ MO DAY .in AT c.-uAOa.• 1~1 ASP <br />"~ °A" fROM - ~ TO - <br />Elk J k • F ~ I iE !' R i~ ~ ROTE: R•sd Mtrvcdorr MIw cornpNrkp Il+b form. <br /> r <br />PARAMETER QUANTITY OR LOADING CUALITY OR CO.~iCENTRATiON NO. <br /> <br />EX rReu~Erc <br />or SAMPLE <br /> <br />TYPE <br /> µyypy <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />- r SAMPLE <br />- MEASUREMENT <br />.. .. PERMIT - - ~ - ~i ft !» : ..,. .. - <br />: REQUIREMENT 5'rrLSlt!G <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />_ <br /> SAM-lE <br />MEASUREMENT <br /> --~ PERMIT J <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />-' <br /> <br />PERMIT 1 <br /> REQUIREMENT _ <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br />- --- <br /> <br />---- <br /> <br />----- <br /> SnMPIE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />NAME/TITL.E PRMCWAL EXECUTIVE OFFICER "'^"~ ~ or""' ~~"" ° <br />a...u.+...p <br />r. <br />.l.•..ar. « °6 °""""(a «r«.. <br />+.w,1. «aR4«vr .Itl. aro .a <br />..rM«w de("N TELEPHONE DATE <br /> q <br />t <br />1. e«e !Ir« r.NMJ hnesM I+.P•>' (.:M «n r. W.Ir M Infawulq" <br /> •r•n/nN. t~1 r iw. i.yW.. a! W M^m u prssr.M rer(. W Ivwar <br /> .r Ms Pnsw Nmrnr ~.yarel Mr 6a [«L.ny W :"fe++e.luw ur t«:r1uYm <br /> b fM Mn M nt 1 rvr.bd <br />e «d h•1.1 <br />:ny <br />..6 t~pYY <br /><M«IM 4 <br />.rttir.:r I <br /> ( <br />. <br />. <br />. <br />. iXINATVRE OF MlMfC1IAl fXECVTfVE <br /> 1 ....v. J« IMrt rn 11(NMMI NrIN4f {N Mrl•llM( (.la In(Nw.IMn <br />TYPED ~ PRI!lTE11 I.euebr Is.'«nsalr Ma,r.m i.M.l•~.~.."1w rre.le( •«IN.ur OFFICER 011 AUTMORIZEO AGENT ~ NDMBER YEAR MO DAY <br />COMMENTS ANO EXPLANATION OE ANY VIOLATIONS !RI/NMU MIrhCAMlph Awd <br /> <br /> <br />i ,; . <br /> ~ ;.1 ~ r , % :'{TIIS:EL y 4'-~l:'(OFtn PROF OF <br />E-A Ram 9320.11Rw 199) Prvqus sailan• mar 0• uw0 <br />