Laserfiche WebLink
a+, . <br />' PERMITTEE NAME/ADDRESS Rair6FrJrryNaWL•c•ne•gDr06a0 ' <br />NAME YNtK~Y PUcLS hZNIN:. =OMPAHY <br />ADDRESS-rUdlllFLiLU MIKE :7AL LJAUOUT <br />35;I INDIA~rh STI?E!t'', SUI'!E ND) <br />i,iiLLIhS ~D 9uIJ71 <br />FACILITY <br />LocAnaNFL'JnE~CE ~J 81225 <br />ATT:.: ;,t:Dr.~E v. PAT.°F:HiUV, :,EN. r.~R. <br />NATIONK POLLUTANT DISCHMOE ELIMINATON SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT IDMR1 <br />l1-151 I17-191 <br />C)3850005 G02 <br />PERMIT NUMBER DISCHIJIGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Y 7 lU J L TO d 0 1L 3 1 <br />110.111 l11-231 !1415/ 116-77I 118-I91 !30.311 <br />Form Approved. •- <br />POND 2 DSCHRG TO OMB Noe 20Gao-0004 <br />(S U R R S E A Approvd ~3i~ 5 OS-31-98 <br />F - F7:IAL <br />:'~I~nR <br />NOTE: Raed Inetructlaro belwe completlnp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !1 Grd OnlYl QUANTITY OR CONCENTRATION <br />' ND, FREQUENCY SAMPLE <br /> 146-531 154511 l3BJ51 !46-53 1546 <br />/1 EX <br />l31-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />!u-sal ANKY95 <br />!64661 TYPE <br />169-701 <br />H SAMPLE ly}h:thh h04 Rh~y vC;R C: Cr ( 1;) <br /> MEASUREMENT <br />)D'3:IL 1 G i1 PERMIT .. µa4~S4D 4ROCLfi:6 O. L:OO ',.5. KLJL'O >x g,(} 1 .4.~:Y,L;Y. ~d(S~I'i( <br />8FF'LU'oNT ~ 1i :155 VALJE REQUIREAENT 41DhG !1 CNLf:.ti fS HAX I!1U>4 GII <br />iULILis, .,r°TLF.ABLE SAMPLE pi}hhC~y GOVhIY'y OC+C+:r{I>1 :C:F Cry ( ~~~1 <br /> MEASUREMENT - <br />)D:i45 i D ) PERMIT 4V~0 O+M LF. . .: ::OC4pRR ..4 1D ry0 AIR'9tRa'a<F ::: : )D3?QL.a <br />':'i%':.: O;$ C ?ifiF:I $Ai? <br />iFYLUi::+`. ,3)55 YALUS :REQUIREMEN7. ' 4980 ;:::r: . .: <br />Y KX <br />~.. LYA Y:Yi °.L/L KOM!'k <br />L AND vt'. E:ASE SAMPLE KrPh.OG DIy4Rb7 0huV94~ G:r tr rLn ( L')) <br /> MEASUREMENT ' <br />IjS:il 1 'J O ~ PERMIT,. .9'6070A'..~:. .:.CCGiT001 R 9-!I. OU-Xp9r9. ~.Yr09 $ : ~.{}... ., C DNtIN:. :RAR <br />:PFLUdh"? .:P,J55 VALUE .REQUIREMENT 9990 13AILY MX ~~ /L GF.kT' <br />''LUr', IY ,^,DkDUIT DR SAMPLE ( D3~ 4V4 .'9M ::4~'.: ?9 C~ieJLa 1'Y <br />CHRU Th A T"E9T PLANT MEASUREMENT <br />IDDSU 1 D ) PERMIT... lPTI)KAL HEPORI' #Fi..'k4er 3-~vKr ;t 'ktNFys,Y•~ ~_ yC,E'j NSTAN <br />:FFLULtIT ~kD55 YALUf :PEDUIREMENT ;3;DDA. Aiw IIA.ILY +',X ; hGD r'.nkTH . <br />7IL AND ~iL F.A3P. SAMPLE C:00hyCa ( 91) ~y'k~+=;::; '%' ': ;°n . . . . <br />I S U 6 L MEASUREMENT <br />i4Ut,c, 1 7 D PERMIT. CYSRhCP RFp~R.T Y es=1 PGh'hs,ry :::C+ti: ~' it¢:'.^,.:y~-; t. }' <br />.~~:/'1 ~::~D'AL <br />3FFr,uzY"' ;,V)SS VALJE 'pEQU1REMENT INS.T MAX NOs7 . <br />Nr„ <br />I ra . <br />:. <br /> SAMPLE - <br /> MEASUREMENT <br /> ~~ PERMIT ~ ~ <br />~ ~ ~ <br />~ ~ <br />~ ~ ~~~ ~~~~ <br />~ <br /> :REQUIREMENT <br />.. .... ~ ~ ~ ~ <br />. . ~~ <br />~ ~~ <br />~~ ~~~ <br /> <br />:.:. :... <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT : ~ .~ <br /> :REQUIREMENT <br />NAME(TITLE PRINCIPAL EXECUTNE OFFICER I CERT IFY UNDER PENILLTY OF LAW THAT I HAVE PEPSONALIY E%AMINED AND TELEPHONE DATE <br /> AM FA MILIAq*WITH THE INFO RMATION SUBMITTED HEREIN; AND BASED ON <br /> <br />- <br />-. <br />{~ <br />~~~ <br />t <br />U MY INDUIRY OF THOSE INDIVIbUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />I <br />_ <br />, <br />~ <br />, _ i <br />r ~ <br />r.4, , , , '" <br />- <br /> <br />' ^. TRUE, ACCUMTE AND COM0.ETE. 1 AM AWARE THAT TXERE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTING FAISE INFORMATION <br />INCLUDING .~ . <br />.' ~C ' .r <br />- ~ '~"~ 'T'om ~ J' ~l - <br />7r ~ y .- ~ _ f <br /> <br />g j <br />' ~'- <br />r , <br />iNE POSSIBILITY OF RNE AND IMPWSONMENT. SEE fe U.S.C.) 1001 AND ]] <br />i <br /> <br />SIGNATURE OF PRINCIPAL E%ECUTNE <br />~ _ <br />~ ? + <br />' <br />~ / <br /> V.S.C. f 1 ]1i. IPrWtla W,r Orr mwna m•Y <br />rtb!• firer. w ro 510,000 <br />TYPED OR PRINTED •nsnmuYnun inpi>drnnr ofMMwnemNrehs rMb gral OFFlCER OR AUTHORIZED AGENT CODE NUMBER VEAR MO DAY <br />1- <br />~. <br />h> <br />i' <br />COMMEN I J ANU urLANA I wN Ur ArvT vwLn I Iona Inererence sn srracnmenrs natal <br />SL'TiLEASL;; S)LILS i.lM,II IIAIYt:D fU}! 1)-Y:?, 2U-r'i{ PRECIP EVES:' SurJLC'I TD DUSbRN .)F F'p:it' ii=.'UI=i:MF'+TS T.I <br />PAdI 1.:+•1.D, Pte. 5. ST'Jkf1LATEk ',AtiA3°_Mi.NT PLAT DrJE 1-L-913. <br />- EPA Form 3320-1 10~ 961 Prevloue edmonB may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 0 0 2 6 / 9 7 0 31 ~ -1 i 5 d PAGE 1 OF <br />