Laserfiche WebLink
PERMITTEE NAME/ADDRESSf/nJli F•eWpA'r'L•rnlae l/Dlpl.wlp <br />NAME ~ngil:A ~OA1. ::Oi:Fti.`~Y <br />ADDRESS P • V • ~1 J % V 10 <br />aAYUF.Y i:J tilb3~ <br />FAaLm <br />NATIONAL pOLLIRMT DI9CHMOE ELIMINATION SY4EE7.1 INPDESI <br />DISCHARGE MONITORING REPORT ID RI I . ~ ~ <br />CIS :I,OC ~ n (°, 1! 1t: Jl.~ <br />PERMIT NUMBER DISCNMOF NUMlET p- p I h A L ItG 3:. <br />MONITORING PERIOD :HAnGi TD HUiibcaSl)h C,CLC:1 ` <br />R MO YEAR MO DAV <br />YEA -- <br />LocA71DNF. 1 u:.?. ~J ~~ibjJ FROM 4 TO U 6 U ~`~ 'i .; DISCHARGE ( <br />( ~ '~• <br />__ <br />n': ;' h : - . ', ::: h I i i' h ;, '+ , , ., f::: n n L ^ A N A ;' c, H .. ~ NOTE: Rud Mtruep,E~L'6don eompbtlDp Ehb form. <br /> <br />PARAMETER QUANTITY OR LOADING ~~~ <br />QUa~lty Or Concentration NO, RgcoUENCr SAMPLE <br /> <br />E <br />X Dp <br /> M'LLTSIB TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />.ILL dt,~ :.1LA..L <br />, ~ I~ n i. SAMPLE <br />MEASUREMENT .: ;<ro;: ;:n ~ ( Y:I) ,-+: Gd4lt ~ .... ~ ,. r;;la: •;: r. / <br />~ <br />l./ G <br />/bT. <br />/ / (~ ( <br />1, ~:Uuu L v U ..::~RERMIT:~ ~~. ~{;: ;..~~.+G%~F i(~#!7.. ~: <br />. ~~:`.`i:N~P'.4~¢~.k: ~~ S <br />. L.~-I :~:¢tTr4?.~. .~,~~. r,~:~ir: ,;.;:' e:: ': '~ arie'~':u:c`:z ..~~:.~ •,.:,:r 19G.f'~/ I~:';liAL <br />~• .. <br /> <br />~:'LUL'::1 ~,:n:S~ YALU: REQUIREMENT <br /> <br />:,::.:::• .::::.::...:.t ..... <br />. .. .... .. <br />.... <br />:';:... ::....:::: . <br />r, <br />.... <br />:2Nw`:T AX <br /> <br />~_., ^: <br />..::`.r~ . <br />; <br />. . <br />. ,r. ;:::.:.: <br /> <br />:'... <br /> <br /> <br />. <br /> <br />Y,U9:?ti <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> ;:";~::.PEHMIT.~ <br />~: <br />~ ~ .. .. <br /> . <br />.. <br />pEQU1REMENT.: ..: ~~... ..: .~.~ :,: :~ ~ ~ ~ ~ ~ ~..' ~~.: <br /> SAMPLE <br /> MEASUREMENT ' <br /> <br /> :REQUIREMENT: :.:':::.:.:... :~...: ::.: ~.~~: <~'.;. <br />:: r. <br />~ <br />~:...:..:: : ;:qc;W <br /> <br />:. z <br />• .'. <br />ai: r: ~t•:::, ~,~~..,;. :~:~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br /> REQUIREMENT' ... ..: ~..: •~..::~. ~ <br />. ~:a.:. <br />:. <br />:,.: , <br /> SAMPLE <br /> MEASUREMENT <br /> :::.: ~;~PERMIT':i;:~:~. .:. ~.:...:~ ....... ... ...: ~.:: ~:..:........ <br />: <br />. <br />~:, <br />: <br />r:::;. <br />, <br />:: ~:: <br />: <br />; .. <br /> <br />::pEQUIHEMENT. <br /> <br />..... ........ <br />::~~ :............ <br />~ <br />.~...:~~:~~: . ......: <br />:...::,, <br />: .. ..: <br />::: ,:. ... .. : <br />.y . <br />. <br />. <br />. <br />... <br />.. <br /><.:: <br />.:.~.....:;..::.:...... <br /> SAMPLE <br /> MEASUREMENT <br /> ....... ~:.~.: .: a.::.~ ~.:: .. ... <br /> :pEgUIRE1JIEN'I': <br />.... . ~::. .. ~:: .~:...:.:: . <br />:. <br /> SAMPLE <br /> MEASUREMENT <br /> :'.:::~: PERMIT:.':...:.. .:..: ...... ..... ... .. <br />~. . <br /> :RE.QUIREMENT. ~ ;::.; ..... :..:: .. ~ ~ ~~ ~. . <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I ttnrry u er pen. q o b. IMl N N duvmenl •ro •N mwhmmu.en <br />\ <br />TELEPHONE <br />DATE <br /> pnpelN uroer ml alrecNen or.upr nl~•n In wmm•m••IlM1 Uptrm ddEnea <br /> Ip mart Ih•I quellMa pnonnd propedl plhn •ro oYuule the Infermn0on <br /> <br />fubllilled. !sa on ml Inqulrl K the prgn or pereene •M1a mn•Ee IM •lflem, 1 <br /> <br />~ <br /> or IM1Ox persm tllreelil rep•MbY Iw E•IAerlnE IM In!•rm•Ilm. IM1e InI•rmllan t <br /> <br />a,bmllled N. w IM1e bvl or ml LnowNafe •ro MINE, Ine. RlLnle, nro nmplele. <br />I em ew.n uel mrn m a <br />Mnunl <br />nnna f <br />b <br />lum <br />nla <br />r <br />lb <br /> <br />610NANRE OF MIINCIMCEXECUTR/E <br />I <br />~I~ <br /> p <br />•. eu <br />m <br />E <br />n <br />nmu <br />n, <br />E <br />TYPED OR PRINTED IMUdInE lM pmlblllll or nn••ro lmprlanmenl rw Ln••InE.ld•u•In OFFICER OR AUTN09~ZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS lRpl~rpnc~ sll ~fhehm~nfa h~r~1 <br />.. ., Ic7ti LI": .., eiLL .•.. :fAIYLU 4 S~TTLtAhL^. -;uLI.., LI".i~' d:7LIl;i, 'Ui t=iUY~t,24ii.: P~?ECIP $VENTp T'::; , <br />1,~h'LI::I':;: AAIV?0 F'i;}. >ICYE,2UHR Prs.Ci}' Fl' ;.T ~11,,7~{'i '1'D ~U~,ii}.h u: I1!OuP I•w I•A•~u OIL b GnE.A:;i - .;Lf. <br />EvA•Fu:~firi'z0-7 (R~3'3/9'9)>SPevious e811'ions m`ay ~e used ~ OU L1 7 /UT~.s,slay~gail~t~m. PAGE of <br />