Laserfiche WebLink
FERMITTEE NAME/ADDRESS R'J`R JnMy Nr'lsnr/+(/ "ryQ1.v+/ <br />NAME <br />ADDRESS <br />FACUm <br />LOGT70N '. <br />wAnoNAt vawrANr dscKARnt nlw.rAnoN rnTw rrAfYpfSl <br />OISCNARGE MONITORM6 REPORT IOAIRI <br />PERMIT NUMBER dscwAlwtNarsa <br />MONRORWG PERIOD <br />YEAH MO f DAY YEAR MO DAV <br />FROM ~ TO ~r _ I I <br />NOTE: R~r,d hwlnxtiarw E{1a{ cempl{LM+p thl~ lam. <br /> QUANTITY OR LOADING <br />OUa~jLy Or Concentration HO. tn[outNCr <br />°t SAMPLE I <br />PARAMETER EX <br />Y <br />I TYPE <br /> AN <br />V <br />y( <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />- <br />--~ <br /> PERMIT - - <br /> REQUIREMENT ~ _._ <br /> SAMPLE <br /> MEASUREMENT __ <br /> PERMIT - - <br /> REOVIRfMENT _, <br />- ~~~~~ ~ .-~ <br />- SAMPLE <br /> MEASUREMENT <br /> - __~~ <br /> PERMIT - • ~ - <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> - ~ - <br /> PERMIT ~ - <br /> REOVIREMENT _ - - <br /> -____-_ -__- _- <br />___ _. --___ SAMPLE <br /> MEASitREMENT <br /> PERMIT ~ - ~~ - - - <br /> AEQUIREMENT <br /> _ <br /> SAMPLE <br /> MEASVREMENT <br /> PERMIT <br /> REQUIREMENT <br />- _ <br />- <br />-- - ~~ - SAMPLE <br /> MEASVREMENT <br />~- <br />- <br />PERMIT -~ -- <br />~ <br />0.EQUiflEMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFN:EA '^'"" r --°"'w>ao,..Knl ar al al.cnl.an...n TELEPHONE <br />.ny..na nnaw M ulmw. a prJn.bl~ In w.o-a.w..l.P • w.vw Anl(rn DATE <br />b wun In.l qua1M{ (nM.frl lua(HAf [MIM .M ..MU4.M Mfnrlry.bw <br />f w <br />M <br />m <br />. <br />- <br />Jnww w p~s.a n. <br />n nxwh <br />.+P•w.<M •wq cw wn <br />pa.) o <br />w.+.r• <br />w tl.rwr Ivrnw nlmlfr mrMW Fr LMnln(M Mnnwu.Mn, W. In/nfMIM <br />wPwl.rA h In IM On. .l m. •~nYd(n M MA. I.y., wwalr. wl..w.y1n4 <br />{IOMATl1RE QF MIN( <br />-SAL EXECL~NE <br />' , <br />TYPED OR PRWTED 1 .w ...n 11t.I IMn Mt Y(MM1Mf ~MIIIw <br />w1 ADw111b( (.fw lu(nrw.flM. <br />Mnlrro-( IM pn«ual. a n.,...ns ldq.+.nw.n..l e« a.,l,.l.,( .I«.un,,. . <br />OIF1cEA OR AUfrgiU2E0 AGENT ~~ NUMMR YCAR MO DAV <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS Mdamcv if •Il.cnm«,ro n..d <br />EPA Fam JT20-1 (Rn~ 319Y) Prc~~o0s editions ma. be uSCd_ Thli tS a i-Mart fOnn PAGE OF <br />