HYDRO27634 - Laserfiche WebLink

Home Browse Search

PERMITTEE NAME/ADDRESS pwYi FrfMryNr'Gsrflw /DlOerwp NAME ./~!i :',CA IOAL CJ.`. c'n.`.°. ADDRESS F• i) • f< J A f+ 7 U HAYLEh ~0 ":1c3) FApLTIY L~ATpNH A Y U } !~ CO 916 ? ) 1 Pl V .`n: !' lTT(`u A•: 1!/ !S.\GY^ NATIONAL POLIVTMT DISCHMOE ELMIMATON SY9TEM NPDESI DISCHARGE MONITORING REPORT (DA~RI PERMIT NUMBER DISCXMOE MUMEER MONITORING PERIOD YEAR MO DAY' YEAR MO DAY FROM V 1 „y~JR+ ULT. TO U l U p 1 U !f. ~IlrUk (~Ul1P JC) }' - FIGAL nOUT'i ACUIF' aE'T 'fESTIhG POh O11A '~°~~ }~'~ 9U UISCHAFGt ~__~ ~~'~~ NOTE: R~Ad Imhuetlorr brfar~ eompbthrp 1tiN lorm. PARAMETER QUANTITY OR LOADING ~ Quality or Concentration NO. FRFOUEMCY SAMPLE . EX of TYPE ANAtrsls AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS LC`.IU 5TATI•i uiiHh ACL SAMPLE .... ;'' •, • (~"~!\ ~ ;~:r..-:,, .,:s=:Itr ::d ( ) '1 14l r C F k i D D A? H N I A MEASUREMENT _ `V v ~J ~ M ~ Yvr.., TA°SE 1 U U PERMIT. ~: _...:z ~ ~~~•F~:i.:",:::.. ~..,o "J:~Sf~)i~ `;: ~ ~.:~.;^f.":•..:~.:~ ~ ~ ~i ~- ;i.t:lY'. ~~ i:~+: cF'FLUE97 GkJ-S YNLUc REQUIREMENT ' ~ `'t ~.~5`rLi;~:F~ ~ ' ~ C~%'I' SAMPLE ~ MEASUREMENT ~ .PERMIT . .. .. ,. ~ : ~.~ ~ . ... ...~ ~ " .. REQUIREMENT ~ ... : . ... ~:.: ~ ~ ~ ' z • .. .. . SAMPLE J' MEASUREMENT ~: ~ PERNIIT~ : ~ ~ ~ 4` REQUIREMENT ~.~ ~ ~ ~~~ ~ SAMPLE MEASUREMENT ~ ' `~ ~ PERMIT : ~ ~ ~ ~ oa.. _;,. S"r~.; - .. ~: ~ ~ .. ~., . . ........ .: .: . REQUIREMENT. .. ... :.; ...~.'~:'`,. ..... F.- :~.:.:: ~.:~ ~~ . SAMPLE MEASUREMENT '~"'PERMIT. ~ .. .. .: :.. ~ ~ ~.~ ~ .:'~q;.~ ,.... `..i.:~rt ..'::a: ::.: ~. ~~ ~ .REQUIREMENT :... ~ :~ :~~~ ~~ ..., ~ .. .::~.. . ~~~. ~::~ ..: ~~:. '.:':'GY:~~: .:. '.r.;:~4...::,, :.. .. SAMPLE MEASUREMENT '~' PERMIT : ... , :. ~ yn,., e; :c ~ ,: . REQUIREMENT ..~ .. ... ~ .. . ~ .<.... . SAMPLE MEASUREMENT .. ~... PERMIT .. . ~ ~ . .. ~ .. .. .~ ....:.. .REQUIREMENT . .: ~. . .. ~ . ...... . NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER I army u er pen. +~ a h. Ihtl N na nne.rm alrtanen er rn prtpn p p b dervnenl pM ell merbnen4 wrrt mHw In ecaurdnxe wbh n nem tletl nM 1 TELEPHONE DATE 4~ g r In nVUn IbI qunllDetl peronnN prvpeXr plhrr nM enlunle the Inreroellen h a d F d I i Nu / 1 m n ne . s en mr nqu ry e Peron w prno+u who mange IM ryrlrn 1 // or lM1ro perontllnctlfmpe+dhN rw pihetlnr Nr lnf•nuDw.lhe lnfeem.D•n __ /1 n a L... /I mhMlud b, In the hnl of mr hwwhdre nM hNeL live nnvnle nM nmplele v `~' - - / ~ Q' U ~~ , . I h h IM P I EXECUTI E nmvml en rn ert tlrNllnm pmmle for nbmlOlnr nMlnrormpu•n, p 610NATlIRE OF PR A V A A TYPED OR PRINTED Innualnr lnr pnvlhllllT ernl~.na lmpllonmenl rorhrowlnE.lgpuelu OFFlCER OR AUTHORIZED AOEM CODE NUMBER YEAR MO DAY r COMMENTS AND EXPLANATION OF ANr VIOLATIONS lR~/~rPncP M/ ~r(schmPnh h~r~) .,'.r. pAitT I. A.4 rUk ~c~:AIL:~ ')F ~';: i~--_. .:U-.~ 3e?("'f L~J~:?5'f ~LLUTluh (": °_F~LUi;.T) aHICH IS LETH6L 'IU +Jli.~ OF TEST U+?GAhIS.'!> (1,::~U) r,L~+ A:".. ;.h tCU:', TJCI:I'f'i :ESC it!Pr~iif FUBC TO D.`:n. ~CF'Ii~ uF ALL I}rFUkttATIOM1 (Rev 3/99) PieviBus editions may be used. This is a 4-pan-form. PAGE of EPA`Form 3320-7'6 90j07 /61w aL~i~aA..o ~ 1 '.:,.,p:. xAMFe:nGr••,+r7~~:VrGlK:u: " "4i, i