Laserfiche WebLink
Fgim Approasd. <br />FEAMITTEE NAME/Af)CN1E65ptli/w+Mryw.r~tsrrl~(rC(p.~l •twildlK FOI(VTIWT aSCMMOl nMMAT10M f•ISTw N <br />I PD.ESI ~sfe :otaoooa <br />NAME D16CHARfTE MONITORWO REPORT (DA <br />RI <br />I ~ <br />ADOAE55 .. ~ . r.: :. ; L f <br />• ;_ 7:L 1 U / PERMIT NVMRER ax>•.Wf v w~[A ~ - F 1. !. d v .9U i <br />r~ 9 :., !' MONITORING PER100 - . -.:, 1' 7 y'-. `.. , ,. <br />FAC1lfTY <br /> YEAR MO OAY VE AR MO DAV _ <br />LOCATION LJ y ~ ~ c ~: FROM TO ~ <br /> <br />.J:ID;JK P!?I:RS. PiiE;i/i:eh .;Gr NOTE : M.d Mtructlwr b.lw. compNtkp t1+4 fwtn. <br /> ' <br />PARAMETER QUANnTY OR LOADING WALITY OR CONCENTRATION NO. <br />EX ^u OcanH~ SAMPLE <br />TYPE <br /> AMKraa <br /> AVERAGE MAXIMVM UNITS MfNIMVM AVERAGE MAXIMVM VN7TS <br />• SAMPLE 1 <br />- MEASUREMENT <br />i PERMIT - QQ.QGOI ~ - ~Ta1.7 ada <br />., 1 r ~ ~; ; , - REQUIREMENT ~ , .~ <br />-J .Alitc , SAMPLE <br />/ <br />:I A ~ ~ ~ MEASUREMENT <br />~. ~ ., PERMIT ~ - . ..-.-- ~ 4r1. 4,. ~.. .. •• . q;.r ~ .:LI ':I~i: <br /> REQUIREMENT b. i r• . \ <br /> SAMPLE <br />MEASUREMENT <br />~ <br /> <br />-_- <br /> PERMIT <br />REQUIftEMENT r `~ <br />t <br /> SAMPLE <br />MEASUREMENT <br />_ / <br />~ ~~ <br />1 / <br />. <br />i <br /> PERMIT <br />REOUfREMENT <br />_ <br />_~ r ~' <br />` <br />r 'r <br />l/ <br /> <br />- <br /> <br />- <br /> SAMPLE ~ <br />` - <br /> MEASUREMfNT i 11 <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASVREMENT <br /> <br /> <br />-- PERMIT <br />REOVlREMENT <br />_._• <br />~• <br /> <br />_ <br /> SAMPLE _ <br /> MEASVREMENT <br />T..-- <br />PERMIT <br />REQUfREMENT <br />1 <«w~ • . a•• 1r (.. uM Un 1n..,~ol ••. a Nnrn~N,.m <br />~ <br />NAMElTTTLE PRINCIPAL fFXECVTrVE OfF1CER <br />TELEPHONE <br />N <br />• <br />DATE <br />~^ <br />~ <br />.....y...1w.>*~-•. <br />.le l•N<Na.N..Im ...N«. ~I.w , <br />M1 N.rr• AN tuYMp P•M•^•I NR+A! [Na^ W r•M•I. fM InkwnN,l•n /1 / <br />~'u e4Mlnd Cam ~ w, WN7 •! dw ~•rs r [rr~,Y .b w..ry. tlw ,!NNn <br />J - ' <br />:•F?' <br />la ~ .:' l i' <br />~ <br />:' <br />., <br />. <br />l <br />• Y IIYW /NlIN A•H.l ,•M+s~- M [•[MIIM 0• IwMwYUi4 114 M(AVNpq, <br />, <br />` <br />p <br />1 s\.i~M K v W MN N.n lwLd[• MI .eMi VM. Nn•N/. rM m1171M•. '- J ~ 1, <br />L'csidYac :(,.: t ,JAS-dn~: <br />" - I m..rr•oN IM•• w r(NhaN /.rtlN •w w[+atlw[ nMe INNw•IISA •bNATUHE Altl[CIAI [%CfAlTIVC ~ ~~ <br />L: [;4 <br />J <br /> d <br />u <br />a~ <br />l <br />1 <br />w <br />rs <br />r <br />wa <br />TYPEO OR PRWTEO e <br />.~[ <br />r. <br />~w <br />.~. <br />,..1,q H.l,n1.. <br />.[ <br />rr <br />• pIF1C(R 0~11lRHOR12[O AGENT ~~ MIMEER YEAR MO DAY <br />COMMENTS ANO EXp(J1NATfON (7F ARr YItXA I IVNS IRI/NMCI M IIfICrVr~Ml) /IMI/ <br />LPA Fum 3320-1 IRe.' ssG, Pre.~w+ea.,.u.,. n.ny ee luea ~ _ ~ _ , Thls fg ~ 1-pa(1 form. PAGE os <br />