Laserfiche WebLink
`~ <br /> <br />PERMITTEE NAME/ADDRESS OkL1. FsWbNeWlamra l/p~,,.,,rj <br />"A~ NA710NAL POLLUTMTDISCHMOE EUMINATON 9VSTEM (NPDESI Form Approved. <br />S E N t C A C:1 A L C O h P 6Y C DISCHARGE MONITORING REPOR{:•:1DMR1 <br />l1-I6'I f <br />7.191 4 <br />TO THIB~ <br />~° <br />A <br />ADDRESS DRAY ER D ., ~ a1-qe <br />F <br />1 s7ge <br /> r ~ <br />pY~ <br />(SUBR <br />its <br />MAIDEN CO 816 39 ERMIT NUMBER, . NMGE NuMem f - f I $ AL <br />FACILITY MO ~ O I G RIOD M I biQH ~ ' <br />LocnnoNtlAT UEY <br />CO f116JJ <br />FR MO DA Y YEAR MO DAV ~', ~ ... <br /> <br />i 2 T L: G. u U U s I .) , •~ ~ G is ~ p- L <br />N A N A G t 9 OM q <br />l~o-s» l2z-131 rs4 gy ;13 3] <br />a !ss•~n ng-T9/ r3o-3J/ i.. ;, Dj~CAAR.68 ~~ <br />I1101 - ~Yi~ld hutmetlan before eom ~ 91t#0 <br />pbOnq'thb form. <br /> PARAMETER ~ !3 Grd On/yl QUANTITY OR LOADING d Ontyl OUANTITY OR CONCE b ~ ~. ~pp; ~ FYIECIUENCY SAMPLE <br /> /3I-371 /4653) /546! ~ lag-0.51 M653/ ~ 15461/ ~ .EX , , , <br />NIQT515 TYPE <br />' AVERAGE MAXIMUM UI{IT~ MINIMUM AVERAGE MAXIMUM 'UNITS jd2.eA1 '1 yg46g1 169-701 <br />Ptl SAMPLE <br />MEASUREMENT *#~ii' ItOS4G4 <br />~~?~ <br />aisr4i i <br />t- ~ 1 <br />~ <br />( i2~. <br />,.Q <br />J <br />~ S <br /> "` . . . <br />U04UU 1 U U <br />EFFLUENT GRU55 YRLO. :KPERMIT.'' . <br />EQUIREMEN.Tr ii#.':;. <br />': .^, ,::..1~~ .. ~~.: :: <br />r~< ~ e^..,~+ >al{A^ <br />~~...- ..::g:, <br />;, „~ •r. :. .:. . <br />::::. <br />,.,, .... <br />~..~._:.. <br />_.- <br />9a3`^! <br />_, . <br />MEASUREMENT <br />SAMPLE <br />:rcnmLl. <br />sREQUIRENI <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br /> <br />.. ...: <br />~ ....::: <br />........::.e:a ;.. ... <br />^.::..........:.. <br />: <br /> <br />~... <br />µ <br /> <br /> <br />::.:.. <br />. <br />. <br />:' <br />:: <br /> <br /> <br /> <br /> <br />.:::.::...... <br />:~ <br /> .. .. . ..........: ..n <br />...... ... .....i:::.' ~R..~ ...... y2 .}.. . <br />..: <br />. <br />: <br />':....:..:.. .:.::.:.:...~~ <br /> <br />... <br />........x....:... <br />~ ::. <br />..y..: ..... ., <br />.::..y ...::... .. <br /> <br /> <br />..:... <br /> <br />' <br /> <br /> <br />rev.;. ...:.[ ... <br /> <br />R. <br /> <br />' .. . <br /> <br /> <br />.:: <br /> <br />.' i-..2n..:.1:`.: .::' <br />.. ":.:: ..: <br />.' '? .. y~ <br /> <br />.. .._ <br />4~Jlk. y:`ins,.' <br /> <br />... <br />: <br />:.~f;<.,I:'c'v'•.~':i <br /> <br /> <br />.:: i <br /> <br /> <br /> <br />:..:... <br /> <br /> <br /> <br /> <br />; .. <br />::'u <br /> <br />.... ~ 7-' <br /> <br /> <br />'ii <br />.; . <br />:+:fi:: <br />a3F' <br /> <br /> <br /> <br />~ ,.. <br />..: j ::..:: .. .. ... ... <br /> <br />ei j6; <br /> <br /> <br /> ~. <br />`~' <br />' <br />~ <br /> ., <br />. <br />. <br />~ <br />~ n ; <br />~... . ::::...:.:::. .:.. .. .. ... :..:... . i ~~. ia~~ai%iG <br /> <br /> <br />..... .. ; <br /> <br />' <br /> <br />: <br />':' <br />': <br />`'~ <br /> <br />t <br />' <br /> <br /> <br />.::: <br />' ::..: <br />.: <br /> <br /> <br />' <br />i' <br />' <br />' <br />' <br /> ^..; n.:.:'r.,;: ;'.' <br />;... . . <br /> <br />~ <br />'. :: ;'.. <br /> <br />.. <br />. <br />. <br />~ :fig ~k~ <br /> <br />. <br />. <br />. <br /> <br />. <br />. <br />. <br />. <br />. <br />'UNDER PENALTY OF tAN! THAT I HAVE PERSONALLY E%AMIN <br />WM WITH THE INFORMATION SUBMITTED HERON: MD BA FD MD <br />SED ON ~ <br />~ ~ TELEPHONE - DATE <br />_ _- _. _ <br /> DeTAINING THE INFORMATION, I.BEUEVE THE SUBMITTED INFORMA <br />TflVE. ACCURATE MD COMPLETE. i AM AWME THAT THE TION IS <br />RE ME ~ <br />~ ~ <br />~ <br /> <br />SIGNINCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INC <br />LUDING __ _ <br />~ <br />r~ <br />ly <br />y <br /> <br />~ <br /> , <br />THE POSSIBRITY OF RNE MD IMPRISONMENT <br />SEE <br />8 <br />S O <br /> . <br />1 <br />U. <br />.C. ! 1001 MD 30 <br /> U.s.C. ! 13tB. IPevr4F vNr rMS mnm. mFy irA.W fvws ra ro P IO,000 SIONATUIIE OF PRI /7PAL EXECUTIVE <br /> TYPED OR PRINTED wu•nn..irm.n hrplvwwNW Mrrwn enorUa Me6Fwa/ OFFlCER OR AUTHORIZED AGENT ~nnG NUMSER~ ' YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erence e// sttschments h.rel <br />TSS 6 IeOli LIMITS PILL UE Y~I1ED AYb SElLLEABLE SOLIDS LIlIZT APPLIED FOA C~l0TR.24tlY PIICCIJ! E~)r~!= S55 E <br />IpUY LI1lIYS YIIYED YOA )l0Ttle20N@ PRECZP EYEYL S08JCC! !0 BORD6M OF PROOF IB I.1.2. OIL i, ra`l~ASt-SE6 <br /> <br />EPA Fwm 3320.1 108-95) Pravloue edlDOne may a used. (REPLACES EPA FORM TaiO WHICH MAV NOT BE USED.1 ~ ~ ~ .PAGE OF <br />_. ... .... _, ._ . _, . .... _..,..r......._ ,_. -.. 000113V9B041R-p,,,.,;.,~ 1. <br />