Laserfiche WebLink
rtRMTTTEE HAMElADDRESS tTad.r rNr~N~/[.•N.s y[vP..yl <br />NAME <br />ADDRESS ~ ~ - ~ . . ' .. <br />. _: y Co it16J <br />EACILrrv <br />IOCATK)N ~ :~ C;.G b i G <br />.... N 1'I'( 11+.4 14~_ M6 NIL. L <br />Porn Appravr0 <br />NATIONK POLLUTANT dSC11AAOF nIMWATNW 4YITpA (IVPDES) ~II~ Noy j~ <br />D16CHARCE MONITOIUNO REPORT !O Rl o <br />0 <br />PERMIT NUMBER ascNAw[ N4usa+ - I . ,. ~ <br />MONRORINO PERIOD ~ ~ ~ - , <br />YEAR O DAV YEAR MO DAY <br />FROM ~ 70 I ~~y <br />NOTE: Raad klahuotfar bat mpM1Nq MIN Iwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX w1eel:tNCV <br />OF SAMPLE <br /> <br />TYPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS .wAlrSln ~ <br />1. .. ... _ SAMPLE . <br />_ MEASUREMENT <br />...~ _ <br />,r~ PERMIT <br />REQUIREMENT _.. r.~r~E7 t <br />ln:ai 6k - - ~ A..! <br />Y,L!~.; 1; 'i:.~.- <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT --- <br />REQUIREMENT J <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PEfildlT <br />REQUIREMENT ~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICFA "'^'I" F•^•~~ I.. "inu u <br /> <br />Frpu,a ON.r nr dlnc,Ww w nM l~mw,.N and .a .rr. u.. <br /> <br />n'bla.ln N.wONre nm ..n .... <br /> <br />..n,NwdSplel <br />TEIE PHON <br />E I <br />DATE <br /> IO.tlun 11n1 ~uWnM yenMOM Froynl) (NAT.W ...IoNf IY In4.wNIy1 <br />~rNl,.,e rid n.... I.~w...r w y.,.. ~ F...„„ .no.~,.r. u...w... <br />p few K's'. dfr.enr ,nyeo/K (w 1.1.M^[ W Iw/ormNlan ~Y I~Ae.wae. <br />~ <br />_ <br /> <br />I <br />_ <br /> v.1m111 rA b, p rp. Mfl of mJ \s.Ld(. .O! L.XH, lm. N.vMR .b m.gYl. <br />610NATVRE OF ro, <br />[i-AL EXEGtlTN[ <br />- ~~ <br />- I <br />TYPEDORPRWTED INr...N.u.r 1Un..naF.+nr.., Frr~rou ier wNd,dry r.Y w.n.awn. <br />IrbeNa u.r.rlew..r n....d o.sn.eYY.l ra.re.4y Na,dN. N <br />OFfICER OR AUPNORIZFD AUENT CODE NUMBER YEAR MO OAV <br />COMMENTS AND EXPLANATION v. wnr snxnl <br />EPA Fam 3320.1 (Rev. X94) PreMus edAbns may Oe ,.sed <br />nan ra nara. <br />__ _-_ <br />