HYDRO23521

• Permit No: C1981044
• IBM Index Class Name: Hydrology
• Doc Date: 7/28/1999
• Doc Name: 2nd Qtr 1999 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITT~E NAME/ADDRESS (Include Facility Nmne/Locanon i/Diffecem)
NAME
ADDRE E:A:: j, ~, .T.r~ "n~Dr cY
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FACILITY C F A I •' ': ~ g l F 2 5
LOCATION
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NATIONAL POLLUTANT DISCHARGE EUMINATTON SYSTEM (NPDES)
DIBCINA6 GE MONITORING REPORT (OMR;
! 91
•- ~ ~ n, n , n7 -s
PERMIT NUMBER DISCHARGE NUMBER
MONITORING PERIOD
YEAR MO DAY YEAR MO DAY
FROM 99 ph 1j TO 4~ 7F ~^
(2a1TJ (x2-23,1 Q4.2s) (zS2T1 (28291 (30x0
Fomt Approved.
OMB No. 2040-01x)4
~'~ "' I' Approval expires 05-31-9B
(ery'!R r•r.!
C - C. •1T plc'!'
NOTE: Read Instructions befor •Pleting this form.
f3 Card Ony) QUANTITY OR LOADING ) QUANTITY OR CONCENTRATION
(4 CardO NO. fREOUENC SAMPLE
PARAMETER (4B-53) (54-61) ~
J5 46-53) (54-6T EX OF TYPE
(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
(62431 ANU>5/5
(B4-68)
69-70
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MEASUREMENT
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MEASUREMENT
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NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT I HAVE PERSO NALLY FJ(MdINED AND
Y
` TELEPHONE DATE
AM FAMILIAR WITH THE INFORM ATION SUBMITTED HERE IN: AND BASED ON M ~

l Mill
fti
har INQUIRY OF THOSE INDNIDUAL
THE INFORMATION, I BELIEV S IMMEDIATELY RESPON
E THE SUBMITTED IN SIBLE FOR OBTAINING
FORMATION IS TRUE, .~ 3
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s ACCURATE AND COMPLETE. I AM AWARE THAT TH ERE ARE SIGNIFlCANi ^
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Environmental Manager PENALTIES FOR SUBMITTIN G FALSE INFORMATION, INCLUDING THE 9
0- 70-
7
POSSIBILITY OF FlNE AND IMPRI SONMEM. SEE 16 U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE

TYPED OR PgINTED g 1319. (PeneNa, untler Nose spMet mey Inc/utlo lures up b EI0,0(Xl entl a
maximum impdsanment olSOMeen6montlu entl s)eers.) OFFICER OR AITTHORIZED AGENT
NUMBER
YEAR
MO
DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e// atlachmenGS here)
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4
EPA Form 33267 (08-95) Previous editions may not be used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED.) PAGE OF