Laserfiche WebLink
PERMITTEE NAME/AOORE35RM+dr isM'yNmr/Ioenlwe (1Dldi..,vj <br />NAME - . <br />ADDRESS ~ ., _ .. _ + <br />Y. • , <br />n ~ ' <br />FACam - <br />LocArwN ' <br />NATIONK POLLUTANT DISCHMOE BJMINATION SYSTW~ 1Yviucul Form ApprowH I. <br />OISCNARCE MONITORING REPORT DMRJ- _ ,^ ~ , _ : $040-000n <br />z-rel r7a ~MSNp. <br />L. ~ • C AppiovAl irser05-31-98 <br />PERMIT NUMBER DIeCNAROE NUMBFA ~~ , ~ I <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~ -.. TO ... - - ~. , .. ~.. .. ... .- <br />nasrl r12-731 n/-s6i nb~n na-?91 r3o-3rl NOTE: Rnd IneWOtlar bNon'eomPlleOnp~Mle fam.' <br />PARAMETER !3 dN Onryl GUANTITY OR LOADING !/ Grd Onryl QUANTITY OR CONCENTRATION Np, FlIEDUENGI• SAMPL <br /> 4683 6/-61 38.16 !1683 6/-8! EX DP <br />I3I-371 <br />ANALYyTB TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS mren rss-deg r6s7o~ <br />. _ __ <br />F ~ SAMPLE <br />' I ` ~ ~ ' l <br />} ( ' ,,) - ~ ~ <br />! ( a I <br />~ i ' <br />~ <br /> MEASUREMENT ~ , ~ - <br /> <br />. - L PERMIT .. ~.1. ., ,..T~: <br />~ i i. ., .~'.»,9 d. it'-:-'.-v ~ .,;' 1,.. <br />~P. ~ : it.. <br />~ .~~~r ::.~; ~k ~ <br />•.a .~ ...L.::. ,i. <br />~ = • / <br />' (; <br /> 'REQUIREMENT' „qy.a ;/ 3•, ~ <br />It'd;" .;:..F~ xv / -, ~,,, <br /> SAMPLE <br />• MEASUREMENT <br /> . PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> - ~ PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />E PRINCIPAL EXECUTNE OFFICER <br />NAMERITI ~ F ~ <br />wn°~TMN „F <br />H <br />o Y <br />x DI <br />° <br />MA <br />T <br />~ ~ <br />~ ~ TELEPHONE DATE <br />. , f <br />u <br />ilO <br />I IJI <br />ON <br />SVBMITTEO <br />HFRDN <br />ASED Or <br />i <br />n . <br />- <br />~ - <br />+- - + ~ "" i- _!` MY INOUIIrY OF TH09E INOIVIDUAL9 IMMEDIATElY flESf'ONSIBLE FOR <br />OBTNNING THE INFORMATION, I BFIIEVE THE SUBMITTED INFORMATION IS , <br /> <br />~ <br />~ <br /> TRUE, ACCURATE AND COMPLETE. I AM AWME THAT THERE ARE <br />SIGMHCANT PFIULTlE4 FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~' <br />~ <br />i <br />'~ ~ <br /> <br />6 _ ~ ' I ~ ~, riT , <br />THE POS981LITY OF RNE AND IMPNSONMENT. SEE fB U.S.C. / 1001 AND 90 <br />~ ~ ~ <br />SIONANAE OF PR81LY-AL EXEC7TNE <br />rl,~r _ _ <br />~ / <br />- ~ <br />/ <br /> <br />•' <br /> u.s.c. ! t lie. rrww.• I.Iw d... mlua• mFr YckW n.• w ro tro,aoD <br />TYPED OR PRINTED nllamulmun brprwmrlr of Wlr•Nn6merM~rtl6 w-a/ OFFlCER OR AUINORQEO AOEN7 CODE NUMBER YEAR MO DAY <br />h <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRehrsnes d/ sttachmenb hs~a/ <br />r i..~`. , . . • 1. ~ .. ..... ~ ~ ~ ., ~ :. ° ~ ~ -. ,. ~ ~ . <br />EPA Fam 3320-1 108.96) Previous editions mey be used. (REPLACES EPA FORM T40 WNICN MAY N07 BE UBED.) _. ~ PAGE OF <br />