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HYDRO23521
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HYDRO23521
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Entry Properties
Last modified
8/24/2016 8:44:00 PM
Creation date
11/20/2007 3:53:06 PM
Metadata
Fields
Template:
DRMS Permit Index
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
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~AME/ADDRESS (Include Faciliry Name/Locanon i/Diffe.rrrQ <br />1_'PdUc ,,.F...r., rnpP~'~.T`O': <br />ADDRESS;- ~ ~ L ; ~ ~ r ,~ c ^ r. y r: r cy <br />FACILITY C., ~. L - "p H I r• 7h <br />LOCATION <br /> <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ <br />DISCHARGE MONITORING REPORT (DMR~ <br />(2x61 (t]- 91 <br /> <br /> ^nn9 ]h'14n n1 f <br /> PERMIT NUMBER DISCHARGE NUMBER <br /> MONITORIN ~ ~ RIOD <br /> YEAR MO DAY ~ YEAR MO DAY <br />FROM q'1 '~'; 1 TO ~~ f1F '~ <br />rz62n 122231 rza251 rzs-1 ]I (28-291 (3P3Q <br />Form Approved. <br />OMB No. 2040-0004 <br />T •~ ^" Approval expires 05-31-98 <br />NOTE: Read Instructions beloleting this form. <br /> (3 Card OnN/ QUANTITY OR LO G (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOOENC SAMPLE <br />PARAMETER (45-53) 154-51) (3a-45) (4x-53 (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM NITS MINIMUM AVERAGE MAXIMUM UNITS <br />/ez-~) aNALysls <br />(6468 <br />69-70 <br />"1 SAMPLE .:; r..!:s^ ;tn•: ': r•:c _... .Srt:Y~ ( ]~~ <br /> MEASUREMENT f <br />(1UNU0 1 r) 7 PERMIT 4+74?R# 4QOIP~Ia ;.:.., "' .. ;rh :A !t~ ?~!} ~lrf flAll ,-' <br />i. f't'LJh. ;iT 'Ol ~~ VA LiI' REQUIREMENT <br />" "~ ~ rtr. -n A "' <br />L1 L i L j, S c T T L `• E" f. T' SAMPLE .: r s t '? .. c r. r. <br />a EtIMC^t'r? ( "~ 1 <br /> MEASUREMENT <br />POS'~5 I •' " PERMITS - d#rrk010Ct aaaaQO ;•.~: tv ,- ~O'~IT .~ !tCff 4t~E1~``~ <br />I~F~ L'1 `tT GF'±^° VF f.7+ REQUIR~M~~T- ,-,-. ~ r ~;* n r /T M 4A <br />AIL ''• ~ A5F SAMPLE 't;:wrtr, ..c..... .....- n#r,..,. ~ 1 4) <br /> MEASUREMENT <br />l.~Cl;iSti 1 n PERMIT bi§#„ " ,'..'#.~'*~-«>~ ~::`f• 171G##'}f' ~' :`+ <br />•, ~^;" 01ftTN FAl; ~". <br />!''rf'LUE';T ,^.%'1?' VEI •;R REQUIREMENT ~' ru' <br />;v. '' " ~ ~T Ti"-- <br />F'LUC, Iti ;.~u^I)i' '`~ SAMPLE <br />- { 't7i •~.•'`•. ,', <br />- O##t<n^ <br />- 4C'~''~.•. <br />., <br />1 '. " <br />T it C 13 9' ~ r <br />t ^ " "'!' '- : MEASUREMENT <br />. <br />.. .. <br />::VII`~i 1 ~ ~'. PERMIT F?P'i~IT RP,PDRT r,: RJR#••t 4RC+fI~Or ~Is tk#VX#~I " ;'-,,. !vr. t/ .rfs7A" <br />~:E'"t'L11Lr•T ;R'ISS !RL'7T REQUIREMENT 31~pA ,ti,: O1!iLT h"I °'r " ^#+~^ n <br /> SAMPLE <br /> MEASUREMENT <br /> a : <br /> PERM17~. _ <br /> REQUIREMENT '" <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - ~`- - ~ ~' <br /> REQUIREMENT '+~' +,: - <br /> SAMPLE <br /> MEASUREMENT <br /> ~ - • <br /> PERMIT' - - ~ ~ ~ <br /> REQUIREMENT - - i 3'~'" ~= v°'~' <br />- <br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERS ONALLY E%AMINED AND <br />' TELEPHONE DATE <br /> AM FAMIUM WITH THE INFORM ATION SUBMITTED HER <br />Y RESPON EIN; AND BASED ON MV <br />SIBLE FOR OBTAINING ' <br />/ <br />d hllli <br />Ri <br />h INQUIRY OF THOSE INDNIDUAL <br />I BELIEV <br />THE INFORMATION S IMMEDIATEL <br />E THE SUBMITTED IN FORMATION IS TRUE, !" r)~ <br />s <br />c <br />ar . <br />ACCVRATE AND COMPLETE. I AM AWARE THAT TH ERE ABE SIGNIFICANT ' ~ !,./ ~ ~~ •, /, f/,~1 <br />70-870-2712 <br />7 <br />28 <br />99 <br />Environmental Wlanayer PENALTIES FOR SUBMITTIN G FALSE INFORMATION, INCLUDING rHE ' <br /> POSSIBILITY OF FINE AND IMPR ISONMENT. SEE 78 U.S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 000 entl a <br />Include fines up b 510 <br />§ 1319 <br />P <br />n <br />nder Vase smMes ma <br />ld <br /> , <br />. ( <br />y <br />e <br />e <br />as u OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED maximum ~mpnsanmenl of balxmn 6 mOnlhe end 5 years.) <br />COMMENTS AND EXPLANATION OF ANY VIOLAI IONS (Hefen;nce an ertacnmenrs nere) <br />a~:I'LEP L`' S']L1- Ii°r. ':t,IJP.^ F(14 >I;l '~ p P:, f` c, _cr^ r~ ~] -.r .:r .. •.• tr1 r tih'x`. I', <br />~. .. Y~ Zn9 •F iP ,V 'tT '1 R "t r <br />~Y,ASE ,1?n° ~A'tf'L' EhAf.Y';75 Iip~lt c~ c r t ~}+: Tq ncrnlrn~ ~n+~rv .. •. Tv 'e•n!1 +?nsq_T~ ~ <br />T S v 'i L° `N r r - °I f r, ivy f. , <br />EPA Form 3320-1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) PAGE OF <br />
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