Laserfiche WebLink
PERYfTTEE NAME/AOORESS f/t.dd. /.6ryNr•[~rrw yh/f..v/ <br />NAME <br />ADDRESS <br />fACRm' <br />IOGT%XI <br />RArtaNDISCNARGE MONRORINO RCpORT DMNIRDES) <br />PERMIT NUMBER tMSGIMOr Rwe[R <br />MONRORRVO pER100 <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Rra~d 4rbucda(w bda~ oompbtMq thb Iwm. <br /> <br />PARAMETER OUANTITV OR IOAOWO <br />QUd11 Cy 61 Concentrate on NO, RteoUCMC~ SAMPLE <br /> Or <br /> EX µ„yYys TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA %IMVM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMR <br /> <br />- - REQUIREMENT <br />-- <br />.._- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />M~_ <br />~_~_- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />-__._ -- --- <br />~_ _._.._. ._.__~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> AEOUIREMENT <br />-' <br />-- <br />--.__-- <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> - ~--~ <br /> SAMPLE <br />MEASUREMENT - - --- --- <br /> PERMIT <br /> <br />- ____.-_ REQUIREMENT <br />__ <br />_ <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL E%ECUT/VE OFFICER t" "" f"' 1! ii aii i~.~an:n.n'r.~. .tT.tn...t...e..... <br />TELEPHONE <br />n <br />M.µr e <br />N <br />W <br />DATE <br />P <br />pn <br />. <br />.nt <br />p 1vpn.typn t. r.orQ.nn .IN • .!.Irm M+(kp <br />t. wn tMt p..~re yrr.nw.l f.aT. A. (r W r .M n W.f. tW twrnnMllM <br />rDM(IM ~..r.l .r .n f•porn nl 1M Y^nn •v prrv+n .M mMN. IL f)•I.w~ <br />m I(wt (.rvt~ Alevll. mp.MI.M Ir (.tMwn( IA. IMetwt.IfK Ilm r.AwtttAe. <br />plntll<H M. N IM bt J m..r•..b(r .M NWG 1M, r.vwt.. W treyY4. <br />1......,. In.l w,.... s(mncnwt pn.lllw a. wtpetifnq :Yr twrm,..a... 610NATimE Of r'RMg7At E%CfYlTTVE <br />TYPED OR PRINTED fwrloOww(wpwwNn!NMM1wyMnnwwl ra rwn.tn(.~.+.1wn. Of iFCER OR AViNOR11fD ADf NT f NUMBER <br />C vEaa MO DAY <br /> OO <br />EPA Fpm a3zaT (Rev 3199) Prev~oa~ editions may Ix uud Tllis is a a-pan form PAGE OF <br />