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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 MAME/ADDRESS Qndude Facility A'nmelLoco/ion iJDifferenq <br />NAME C} p? ^„nrp"' rna°0~,~"TQe; <br />ADDRESS``~~ + T ~; •~ ~ ~ +e o) e y <br />FACILITY CS?~f., ^~ il~,'S <br />LOCATION <br />'^T`)! iCcr+q^r ~ _ V e Try) V o <br />NATIONAL POLLUTANT DISCHARGE EUMINATION <br />DISCHARGE MONITORING REPORT <br />f2-ffi) <br />^tn r§7t 1n9 f <br />PERMIT NUMBER ~ plsc <br />FROM ~ 9,9 ~ "" U ~ '! 1 ~ TO ~ ~^ I ^ r <br />/a0. 4 /4].931 124-25) l18-2]l Rs-291 <br />(NPDES) Form Approved. <br />OMB No. 2040.0004 <br />" " Approval expires 0531-96 <br />DUMBER .. _ - r .. t .~ § <br />1r1 •;.9Ik T7 YP, '4P1 nT.r a'; <br />DAY ^ l ~ ,,,. ,. <br />(3o-31) NOTE: Read Instructions befo pleting this form. <br /> (3 Cero'Ony) QUANTITY OR LO (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46.53) (sa-Bf) <br />~ (3Ba51 (aB-53) 5a-s1 EX OF TYPE <br />(32.37) AVERAGE MAXIMUM UMITS MINIMUM AVERAGE iMUM UNITS <br />ifi2-eTl ANALYSIS <br />Ba-68) <br />69-70 <br />OIL ANC is `'E§°R SAMPLE ,2 r.°~`n^" ( 1) cr. .'-~ ,.r:, .. ~.. .~~r:~~= <br />Y :' <br />' l'. A L MEASUREMENT <br />. <br />H4 T5b 1 P T PERMIT# C4#49r iL (~"r<' ":_• <br />.. c-.7 ft 4AlEr?41 $~#1u}+sl ~ pd##+7 >!1 -:.+" ,•: 9L'~/ '~ <br /> <br />~' F'' L IJ F t T .: ° .1 s ^ ;• e r .. 1 <br />REQUIREMENT <br />~ <br />... <br />R'1 _ ,) <br />'- <br />'. •";.~ .. `- <br />"' <br />~y n r., . <br />: ~:,.: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ' <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - I <br /> REQUIREMENT , , " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT '" <br /> SAMPLE <br /> MEASUREMENT <br /> - PERMIT _ ~ ~ . °".:,. - ` <br /> REQUIREMENT Vii`""'' '`'" <br /> SAMPLE <br /> MEASUREMENT <br /> " PERMIT • - " <br /> REQUIREMENT " <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT " <br />REQUIREMENT - - - 1 <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EYAMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON A1Y <br />OR <br />TAINING <br />' ~ <br />/ <br />~ <br />OB <br />Richard t•,1i I is INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE F <br />S TR <br />E <br />U <br />THE INFORMATION, 1 BELIEVE THE SUHMITfED INFORMATION L <br />, 1 ~ <br />IC <br />/' <br />~ . <br />/ 70~8]~-Z7I2 <br />~ <br />C <br />A <br />7 ZE 99 <br />" '~ <br />~ <br />TM <br />Environmental MAnager P <br />E N <br />LUOING <br />TI <br />NFORMATION <br />SUBMITTING FALSE <br />C <br />ENAL <br />FOR <br />ES <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.B.C. ~ SIGNATURE OF PRINCIPAL EXECUTIYE <br /> § 1319. (Porietties ands/ Nese shtures mey include lines up ro f10,000 end m OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED merimum impdsprvnem p/benreenemonrns entl5yee,s.) <br />COMMENTS AND IXPLANATION OF ANY VIOLATIONS (Reference an etracnmenrs nere) <br />_.-. TLEAu L}. ^•!r iT'•Tr• ~iIV°'1 P~l~ )17Y",rtLl4o !A •.qrT (` nY c•, w•_.. .-c ale 7e D" 9r c'tn ~t'7'1~gcvcq•wS~ (~T~, <br />.:NFR:iF. ,.:;A'"• -e.':r~ f•:Ri•y"I PF;OTF''t Ir YISTn.c c:^:°'r: f7 (~ naeaovc•n~ .., •.v -. ~T ;•' •,STo'~CT7CiY^.. 7. ~. <br />EP71 Form 3320.1 (OR-95) Previous editions may not be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) PAGE OF <br />r`.P;'7 "~~qn (',131 Z_1~~7 1 <br />
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