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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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PERMITTEE E/ADDRES$pndude Facility NameiZocaricn iJDi$erenq <br />NAME - t• y ;, r <br />ADDRESS :;A r,c ••rrc ';Tn Pt c•t <br />,n,,-, r^.v .. . <br />FACIUn C~x:s r^ ~~:, ?r, <br />LOCATION <br />nTTI: ,4GFDP^r Va,'~! V. I, <br />NATIONAL POLLUTANT DISCHARGE EUMINATXN4 SYSTEM MPDESI <br />DISOHAB GE MONITORING REPORT (DMR~ ) <br />(11- 9 <br />r,n ~'+:rTN~ nto <br />PERMIT NUMBER DISCHPAGE NUMBER <br />MONITORING PERIOD <br />YFAR MO DAY YEAR MO DAY <br />FROM r; 7 '1 I! " ? TO .. ~ ~ ~ ^ r <br />(1PT1) (2z-231 !za-z51 lZ6-2r1 IPB-28) lJOJt) <br />Form Approved. <br />OMB No. 2040-0004 <br />""'~- Approval expires 05-31-90 <br />^~ ., r, ~~r(,. <br />NOTE: Read Insfructions befor plating this form. <br /> (3 Card Ony) QUANTITY OR LOADING 4G ny) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46~53f (54-61) (3845) (46-53 (54-61) EX OF TYPE <br />(3z-37) AVERAGE MAXIMUM UNITS INIMUM AVERAGE MAXIMUM UNITS <br />(czml avaLYS/s <br />(84.68) <br />69-70 <br />Lrii .4A[~ ~ tt•..-= SAMPLE .~.~r: ~: ~`. ~ 9n~ .r.:r.-.., ... nom...... ~..: <br />Y I~ u A L MEASUREMENT <br />'1UUr: fi 1 r3 '1 PERMIT #AIR O#R ~ ,:• °'=t .. ~,# ###scB rk rc ft +Y4+'Ftp . rrnh 11Cf,~ t~~1f... <br />^FFLIIP';T ~c~:~~ VpT <br />~~ <br />REQUIREMENT <br />- <br />- ~ `' <br />'"'~ <br />~ <br />y~{jn.: <br />} <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -' ~ ' - - x:~,; ~' - <br /> REOUIREMENT I ~2~ -?, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT , ~ "~ ~"' <br /> REQUIREMENT .,.,yt <br />' :+ °, . <br /> , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,~-..: <br />' •~,. <br /> REQUIREMENT ': ;~; <br />,_ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ t}~ :: n:- <br /> SAMPLE <br /> MEASUREMENT <br /> ', PERMIT , <br />~ <br /> REQUIREMENT - ~ :?r• <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT_ .... -,-y, -.,..- <br />REQUIREMENT - _ : - - - ' <br />T ` i - ~- <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MV <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING - ' <br />Richard Mills <br />THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS TRUE, - 9]O~B]O-2]12 <br />Environmental Mana . er ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT ! ~ ~ %, '/ ~ <br />INCLUDING THE <br />TIES FO <br />SUBMTI T <br />NG FALSE INFORMATON <br />E <br />9 <br />~ ] 26 99 <br />, <br />NAL <br />R <br />I <br />P <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. § 1 W1 AND 33 U.S.C. ~ SIGNATURE OF <br />PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED § 1319. (Perratties antler press smn4es may /nclutle lines up b E10.(xp erld a <br />mavmum lmpnsonmenr cl OeAre9n6manihs sno'S years.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAI TUN Uh ANY VIULA I TUNS (h'e/erenCe an aRaCnnlentS here/ <br />S I': 1';'L .4 i?LE :i7L[n'. LI"!'.' LSIVFJ F^G' >Irlvte ~I{i%o ^o F('IO ^V eyn•_~vr ~~~7e pr rqr T•n •. cnl:rgF'(r°~'TC~ nTI <br />r,C Ff.SF (: t!A? 'q•"pL: R•; ~~LY CIS ?F';. •;i ~. ort Tp ~r~^TrgLc ry^rN r~ nn.-p••~r'1. ^rnl,v - ~~"~•~ '. ¢rnn(".T'TS;-I. .°e <br />EPA Form 3320.7 (O$-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br />~~~~,~ Too rail Z-15» <br />
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