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HYDRO27163
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HYDRO27163
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Last modified
8/24/2016 8:46:32 PM
Creation date
11/20/2007 7:37:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984063
IBM Index Class Name
Hydrology
Doc Date
10/25/1999
Doc Name
3rd Qtr 1999 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS rIMi4 FrrLryNw/Lrm~m /DIOJ..n) NATIONAL POLLUTANT DI9CNAROE ELIMINATON SY9TEM INPDE$) <br /> <br />NAME <br />' DISCHARGE MONITORING REPORT tDMR) <br />,,R3T:.IDc ~7A[. -~".'AktF L~iC . are! n7-rs <br />ADDRESS ;: A i'!' .i I ? F ° L V ., ^ ~ ^ - n M O ' <br />P <br />i <br />R J K (:/ 1] 1 7 RECEIVED PERMIT NUMBER 019CHAFGENUMBER <br />.. <br />. <br />:i A N A V T J F i "- T% 7 1! 7 -1 ] J l MONITORING PERIOD <br />FACILITY h A 51~ J I a F C] A L T 7 ", t o .1 i~ I d~ . (~ Q' .E <br />9 YEAR MO DAY YEAR MO DAY <br />LOCATION s I L r ~. 7 ~M <br />310~CT'. 2S 1 <br />i~ ~I <br />7 J1 <br />TD ~~ <br />u~ <br />;0 <br />wf i.JE ::PHR6! (I.9- -: G'N.. ,1Ff •; A~:= 7 11417/!11-13/11415/ !1617/118.19/13631/ <br />Form Approved. <br />OM o. 20 0004 <br />SEIiT FJND 1 ?'J ~1 T. ~p~• p ~r <br />A rove! si iree OS-31-98 <br />(~Oi;3 KC) 123,'5 l <br />'IItiGk ))) <br />~ - FI-v.4L III IIIIIIIIIIIIIIII I <br />-NOTE: Reed InetruCLioN batore• yletiny this lorm. <br />PARAMETER l3~Idli/Bt MIAR181Ni~ GOADING 146rd Only) QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> l 653/ /5467/ 138-d51 /4653 /5457) <br />EX OF <br />131-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MA%IMUM <br />UNITS <br />161-eJl ANALY99 <br />164681 TYPE <br />/5470( <br />dl1 SAMPLE SrZ k:NLV R;t:xa~x ;: ;;: t-':k +:: ( 1 )) <br /> MEASUREMENT <br />JU4U1 1 D U PERMIT C..fiax r,:rrr;xa ; ;r,=:= j.$ ='s;:{-X=.;: 9.0 iE°'LY CNSL"'.": <br />aPFL7ElC -; IiJSS 7p q REQUIREMENT a'.::Ya rti MIi ;! 'k1 T IM ']!I <br />SULLDS, 5!::rLEAnL~: SAMPLE' #a~aafi !=;:::xa~' .~:aoYa ;=ofi .krA ( 25) <br /> MEASUREMENT <br />U'J545 i U U PERMIT O4i4fi3 Z<CFCO::-. ; ~-,' ~iY;xfifir a;:;=01 s; D..S I;1':F:/ :4AR <br />"•FFLO~~v~i ;ii0ii YAL p REQUIREMENT ~ KLn~: r, w ,Ir T `J'UTu <br />UIL ANJ ,: ,i .."'pif: SAMPLE ;: ;t :: t,^a Gfi>r: fiC- ;: ;F ~: :: +:# ;: ~# ;,+k ( 1~7) <br /> MEASUREMENT <br />U3~hl 1 D U PERMIT traGSas :. ^;ac::a ' =:~;K: QL~k,'-k:` r-:~.;:'T ~: ID - '3'ITIH :IR1~ <br />:; Y'FLG LdC X4]55 JRGJF REQUIREMENT ~ ~•..-,,., ,.,, r.„T1Y FE Nr} r•cub <br />CL"J1F Iu C;)VD7I~ JR SAMPLE ( i3) r'.`4a%:::: ;:a{: .!', ~::;: ;`. t; yJ:~ <br />T H a'J 'l R J R 1' 1+ `: ti T ~ L A V i MEASUREMENT <br />SDJSU 1 U PERMIT OFTIJYtAL B:.P]RT :Cx,:a r,,,,- ,- <br />~r <br />mac:; ", <br />IEPFLY ~. <br />h TA'• <br />EFFLUEM1L' :;R75J Y.ILf1E REQUIREMENT rl r1 v Nrn ` <br />SJLIDSE TJ:.i !. fj yrGaL' ip a:~; O'? ,-:=FC+:r;:+ .t:4 'T :' ( <br />1J) <br />DIS~OLVdJ MEASUREMENT <br />7D~y5 1 7 J PERMIT ;;t..YQfa'f-'. /f".k'#SCR '. ;s.`..~: A41cgt#:F ##TL,71 l` ".3iF%J'r~T I II'R(.Y ;'.AL{ <br />Er':'LUt:ri: JN 55 Y LrIE REQUIREMENT #yya n Y#tr r Mr r <br />UIL A. 17 ~1tEASE SAMPLE aaxasa (94- raaa~a ;;:: :r; :~I:Av v+". <br />Y D U A L MEASUREMENT <br />duU66 1 'J U PERMIT. aTfOrt~C <br />~ ~ RBPOR~P ES=1 ;ti?ufi;fi fi:.aw •. ~ err <br />.; F:''LUz iiROSS YALU2 REQUIREMENT NS - ~ aota 1'T,J <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ - <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I ceanFY UNDER PENALrr GF uW THAT I HAVE PERSONAILr EAAMINED ANO TELEPHONE DATE <br /> AM FAMILIAR WITN THE INFORMATION sVBMITTED HEREIN; AND BA9ED ON <br />~f 1 / <br />~/ (~/~,/ ~~ MY INOUIRV OF TN09E INOINpUAL9 IMMEDIATELY AE9POHSIBIE FOR <br />OBTNNING THE MFOIr1ATI0N, I BELIEVE THE BUBMITTED INFORMATION IS <br />~ i I <br />/~ <br />/ <br />- <br />Y/J TRUE, ACCUMTE AND COMPLETE. I AM AWAAE TNAT THERE AAE <br />SIONIFCANT PENALTIES FOfl 9UBMITTINO FALSE INFORMATION <br />INCLUDING / ~ <br />l G, ~/~•!~, i ~ I <br /> <br />~ <br />~ , <br />1 <br />F <br />D <br />SEE <br />S <br />~G / <br />' <br />~~ <br />~~ <br />O <br />Q7 <br />~ <br />AFB <br />~~ n TXE P0991BIlITY O <br />RNE AN <br />IMPRISONMENT. <br />1B U. <br />.C. 1 100 <br />AND 79 SNiNATURE OF PRINCIPAL E%ECUTNE T <br />" <br /> U.S.C. 1 +7ta, (PYmtu.. urFr lfws mNNa rrry Ych6 FiH. w ro a 10,000 AREA <br />TYPED OR PRINTED .rornM.Tin1.n np+lam.nrwMw.m BmonFM1J rW6y.u><I OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO PAY <br />COMMEN 15 RrvL! rarvLnn nun air nn T vlv~n nvno 7nsmrencs sn srmcnmernr nere/ <br />UETrL;:A:iL:, S]LLUS LI"LC dSIYED P:/q 1]-Y3E 14-dC YL,rCIP E7F:lf S:~ut~l IO 3DR7iiN JP ?R02T' °°"-C'37,?!F;tIT'' IT <br />PART I. d. 1.DF P,• 6. 3TJddAT::R M4.JA3EY°:(f DLAid LI!E 1-1-3J. <br />EPA Form 3320-1 108.951 Pravloue editiopa meY be ueed. (REPLACES EPA FORM Td0 WHICH MAV NOT BE USED.1 PAGE OF <br />0169/°70f:I0-J.i3~ 1 <br />
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