Laserfiche WebLink
FERMRTEE NAME/ADDRESS pWrfrYryNa/lsrww /OIOb+nO <br />NAME +hl'+.._~F ... ., <br />ADDRESS ~~J:: i n 'r du.: i'~:v t• L.:i ...;.. ::I !.:.~ <br /><'7bt: i.~t1lISJ-°. UnIYGF ~i;il ).G1 <br />.: ;;nliU J+J t, C:TI~N CJ i~"l :i..~ <br />FAaLrn <br />LDGtarl.,., ' ,.i•UAL:. :;u Lei" ~ i <br />d.l..; .. STGY+i i:F CGNSULTI NL brv l,. <br />PARAMETER <br />Form Approved. <br />NATIONAL FOUVfAMT dlCNMOE RIMIMATOM SYlTDA (NPDESI OMB No. 2000-0OOC <br />DISCHARGE MONITORING REPORT (DAIRI , a \ D ft <br />-~~~+ (5~J.. JAj <br />PERMIT NUMBER OIlCNMOENWBFII r' _ .'I ~,AL PI"n~~ <br />MONITORING PERIOD ~• ~~ ~ G07 CO.".9I:+LC L',C;,:~ <br />YEAR MO DAY YEAR MO DAY <br />IM ri TO '.i ~1" ~• ~=~' iii uiJCifA3t]:. I_I '"'j^` <br />NOTE: R~Ad Inrrwedar brla~ eompMtlnp thb tam. <br />v <br />QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREDUDIC <br />OF SAMPLE <br /> EX ANALy910 TYPE <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <br /> <br />Ji• ll; ~„ V PERMIT ~~ #Orq <br />... <br />.... ' ~ <br />~'~";r.;. <br />t4t0'OipC <br />9. 0 <br /> <br />- :'. <br /> <br />- <br />t r:. t,. i .; ;:U 55 YA:.U i. REQUIREMENT. ~:: ,x;:;r ~ .: t.: <br />tilx :.tt <br />_ Z .. _L ...& Jt, <br />' <br />J;,L:.;,F '.GTAL <br />- SAMPLE <br />MEA <br />UREMENT .. .. ###### ( 1)i (~ I <br />.. „ ~ ~ ; S ~,/v ~/O ~/L; J ~ /~ <br />~ ' .. i .. J ~ PERMIT Oro •: # #Or <br />1lL <br />.. ,• <br />7Q <br />. <br />~~'~~: ?:: <br />-. r'r',. ~~i.~ i GdJ:iS YALUr, REQUIREMENT =`ai ~. ~ ##~ .;r song ; :. /. <br />.. <br />iL .. ,. '_A.`.:i --_SAMPLE #ixC:::;a 'r: #4$:,;?:.+,• ~ J. ( ~ '~ i/ f f <br />„~ . •, _ J I. ~ PERMIT ~ ~ ~ <br />v - <br /> <br />. <br />~ <br />'r : a. J c ','. :, u 5 J '. <br /> <br />~.. REQUIREMENT <br /> <br />. is <; . t,''. ~ <br />,.. <br />,. <br />Yxt ... <br />=:~ ?s .. <br />, <br />S+E. ., ~ r <br />r. <br />k?. <br />'.iG ".'J.;F SAMPLE .. ,.~_~: 2,: ',.,: ( 1':I /; <br />tJI't.'.rT ', ,L.,; uI-,:~l .. v., MEASUREMENT ~p D6 6'O ~C. ~ <br />J 1 s 1~ .. 0 PERMR .. <br /> <br />' <br />~ <br />' <br />P7I0ltAic'::; <br />• "°::d <br /> <br />8`'' <br /> <br />w <br />~ <br />- - <br />cir Lu^ <br />_ J~~ Ana. L REQUIREMENT <br />,v <br />.':~' s~• <br />;. . <br />'RTR AYE.. <br />' e <br />®- <br />,. <br />•;t.~.. <br />1 rtJ.i SAMPLE : s - - O:~#:=<: ~: <br />( 1 J1 <br />J~:t.L...,6 _. IiI.;.,:Ji.S L MEASUREMENT ,n~ D, D 68 j,- - / <br />_sl / ~ ,: I) PERMIT '. ~ =es f2IQITdL 1.3: , a ,. <br />t'L . .,Noss b~LJ'r REQUIREMENT -~. ' <br />.,. <br />_. ,:. <br />.~. ., RTN A7f1: . ; ~;/! <br />.... <br />.,"~,, <br />~~ <br />~ <br />F :.J .., ~;, ~.:N UUL: Ju SAMPLE ~ <br />( - ~ rs::..f:::;t ... ,.. <br />-.;du ..(i.:. .. ;, K1' ~:.A ?ii MEASUREMENT ~~?JJl~ s~ 1~ ~- <br /> ~ <br />ri: ~. 1 ~. 0 ~ <br />~~ PERMR~.. .y~ ...:...~ <br />~ .;•~: .:_IK Xz :Y`. (; ;:a~ <br />_' ~r:..,Y ~rcJ_L`> Yril,u REQUIREMENT ,~OqA ~;~ 'x <br />. „L <br />~ <br />.. t#:. <br />>.. <br />:J t. ..~L'JF :..:'nL SAMPLE . ~ > 4Zr C~tt4 r:: ( I')~ <br />/ <br />~ i J _ , „ , „, MEASUREMENT ~ y. 00 / 4{ J U ~ ~~' 1 <br />/ G? ~ ~ ,: ~J ~ PERMIT' :. •~ ..: • , <br />t_Jt~i it!:i:i YALJ 1EQUIREMENT ' r,. ,. QR~ AYG~ RTC MR'a ,/:. <br />>. <br />' <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER r nnry • r pn. p .. Nr N <br />Fnwne rrFrr..T elrvrllw ewFe b Aervrsrrr wd W rYdrrenb.m <br />nNwb Rera.n,..bn. gnwrneip.a <br />TELEPHONE <br />DATE <br /> <br /> <br />L' <br />V <br />~ <br />' Is an rbr p,I1rIM PrsnM FnRrI1 Fiber ,rM oWre Ibe Inlarn,Ibn <br />rbrrnw. Erd w nr I <br />r ..rry su. F..nn > Ferv..b, riw.Fe u..,,I.rn <br />..~ <br />L <br />! <br />= , <br />er Ind prsr~ tlI~IT reepnrbY M pnreAp me Inrpmenw, IM Inf,nwlbn <br />/ ~.=_~ <br />„~ / <br />C rbnrlrrrd4 bNe bnrrmT Ynew4dFe eM beM,rrw,,[runre.,nd tany4le. <br />I <br />u <br />m <br />~ <br />n <br />~n <br />• A717RE OF MIINC~AL E%ECIIfNE ~ cys_ /a +J <br />TYPm OR PRWTED .+..... <br />r <br />.r..n <br />or Fend <br />r, 4r..nMrnnF /wetnn.,r.ew. <br />F• <br />i..+r.atni rlw p,rbiFy rn.r.rd i.Fr4.nrnem r«b~..lne .ia.uan OFFICER OR AlIT110RQED AGENT CppF NUMBER YEAR MO DAY <br />:.7:. i': i't_. .:~JJ-' SJ]'It7 ~U .lU Ue~I;J Pn?7:; ... ~ .'.:1 .Ipi. ,•~, .:1 _l. i:!'. ;:~, :.r r'A:.': L, n,~1e 1'+. t:Gh'1HLY '-k".-L. n(. t:u <br />eu, r'U.~.+ .. JLv AiL04iLLT GudINJ P°HIuG~ u"c .. :,C(: c.5~; :. i'Tai: i~ .I:;Tc.,~nT TG .:.i ~:, i. :. l':. J't l'7Y ~IMII'S-Sz=, i.F.,_'. <br />pnurr • .r ru.- r.., m~. ......,. ,..~i`_r ~~~ 1,~~., r ~ v r ~.. .r c DG .~ <br />."F'i7 F 3'' ~-t" ~ Gb 7• gyp''`" "'6' PAGE OF <br />EPA Form 3320-1 (Rev. 3/99) Previous ediEanF maybe uud. I) l" J J 1 / U lh~~ I~ a~ 4'~E7]fQ~' 1 <br />