Laserfiche WebLink
PERMRTEE NAME/ADDRESSR~rf.WryNr'lxur.: UDrp..wp <br />NAME '., p:.l'r. :.uRL '. ~~~ i~a.~v <br />ADDRESS U ~ A, + E R J <br />HFYUi:h C') ''I n,1) <br />FAaLm <br />LO~'~:{hYULN CD 81bfu <br />NATONAL POLLUTANT DISCNMOE ELIMINATON 9Y8TDA /INPDfS1 <br />DISCHARGE MONITORING REPORT (DAIR1 <br />rnn nnr ~:t nTa . <br />PERMIT NUMBER d9CNAROENWlEII <br />MONITORING PERIOD <br />YEAR MO DAY i YEAR MO DAY <br />FROM DO i0 '71 DD 11 !1 <br />. „ <br />1 ': J y <br />F - °I:~AL RfStii" <br />~` NOTE: R~~A bwtruetlorr brriwi eanPl~tln0 thh loan. <br /> <br />PARAMETER OUANTITV OR LOADING ~ <br />~ <br />~~ Quality or Concentration NO. mECBENCr <br />of SAMPLE <br /> EX WKyys TYPE <br /> AVERAGE MAXIMUM UNIT P MINIMUM AVERAGE MAXIMUM UNRS , <br />JIL AqJ Gn::A:E SAMPLE ..: ~t ( ;y) ##OIICO #:::: :.:::': ... ... <br />V I IJ d L MEASUREMENT <br /> <br />H4Ubb 1 0 u ~PERMIL <br />..,. .. <br />.:.:~.. <br />~ -- .. . .`.u~'c.::.~.~~!.: ~.} ESot :;::z:i_•+'.'::' i ':4r (::~: ~:i~:~ ... ib. : ~i/ :'i;il <br />= F' e r.'I F r T• . _ , , ;LiEDUIREMENT. :. .: ~,:: •:...: <br />~..: ::: ~.; <br /> SAMPLE " <br />~ <br /> MEASUREMENT '~ <br /> .....pERM1T ~ :. ; . ~ ~ .. .. ~ :. ~ ~ ~ ~. .: <br />~ <br />: ~ ~ <br />~ . <br />:. ~ ~ .. <br /> REQUIREMENT. ~ ~ ~ . <br />. <br />,. . <br />• <br /> SAMPLE <br /> MEASUREMENT <br /> ;. ..: <br />: <br /> REQUIREMENT: .: .~ .... .. ........::.. ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> :~: ~~ PERMIT ~ ~ ~ <br />. ~ <br />.. .. ~ .:...::.. .... <br /> gEQUIREMEN7 ~~. <br />~~ <br /> SAMPLE <br /> MEASUREMENT " <br /> ~~: ~~:~~PERMIT. ;~: ~ .. ~ .. .... . . :~.. ~ ~ : ~~ ~ .. <br /> .pEDUIREMENT. . ~. .... ..: ~ .: ~... <br />: <br />.. ... <br /> SAMPLE <br /> MEASUREMENT <br /> .::. PERMIT..: ~ ~~ .. <br />:... .. <br />.. <br /> <br /> <br />~ <br /> ..: ... <br />'REQUIREMENT ~ ~ ..:~ .~ ... ~ . ~ ~ <br />:.. .. ~~ ~ .. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT:. .. .. <br />~ <br />~ <br />. <br />.. . <br />~ <br /> :fiEQUIREMENT .:. <br />. .. ~ <br />.,--, <br />~ <br />~~ <br />.: <br /> <br />S .. <br />'NAME/TRLE PRINCIPAL EXECUTNE OFFICER ~ "^nr u er prnu It o .w mu N <br />pneP.M unary m, alrrrnon or up N aoNmtnl una .N rll.rnmrn4 wm <br />rnWOn In arnrdunre wNM1 .,nlrm d,Y <br />ned ~ TELEPHONE DATE <br /> r <br />m .a^ In.l yu.nn.a prnonnd pmp~1T r•Inrr.na nwur Inr mronn.n.n <br />1 <br /> funminN. Eu,d on mf I,pulr) of ur Peron a pr,nm wno munupr Ne,r,um. J <br />~ <br /> e. m~ p•.nm m~:r ^.pmmsr ra nm.nnP lnr Immm.n.n, mr mrumm~un f/lA <br /> <br />a:LMINa b, w me em: of ma trowkdp.b leEef, we, waun:e <br />rb romplrlr <br />o' U <br /> . <br />. <br />I <br />nn <br />ln <br />N <br />a <br />n 610N <br />TURE OF FRI CRA~EXEgJi1VE <br /> .m ewev <br />u <br />m ne <br />Pn <br />unt pnd <br />e rur,uEmldnE hne dfurmelbn, A <br />TYPED OR PRINTED IMuaIq IM PO.allilry wnm una lmPel,onmenl fortmrlnr.IN•Uu:a OFFICER OqA RQED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY vrOIATIONS fR~/~rrne~ .l! •H~cAmrnla haul <br />_ .. IF.iN LI°IT,; BILL ~?IV •:; .. ;ETTL.F.d^. L: SDLiDS LI".. APPLItL F'-`i: ~=i )'l~r,?»!I I' PhcCIP EVENT; T._° <br />I~;JN LL?II1'S GAIV::O F~), 71JYi:,14ii.1 P~r':IF EVE'":'T SUt'~.JFCT "J E:URDEti OF Pa0('F I'~ i.n..;. OIL S G4t.A.°~F' - --.- <br />EPA•PamVJZO.1 (Ftev'J/99j PtevioD`s ~editioris rna~ tie used" ~ ~ This is a 4-part form. , PAGE `OF <br />00059/DUu'T 1~ ~ <br />