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HYDRO27864
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HYDRO27864
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Entry Properties
Last modified
8/24/2016 8:47:13 PM
Creation date
11/20/2007 8:33:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981018
IBM Index Class Name
Hydrology
Doc Date
7/26/2001
Doc Name
June 2001 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMfT'TEE NAME/ADDRESS QncludeFanliryNamdLocarion ifDiffenenQ <br />NAME dLUt' !IOUHTAlti F: !rE!c;,Y, I4C, <br />ADDRESSDEgERADD :"INc <br />3bU/ COUNTY ;iO AL 6S <br />RANGLf CU 3I6U.y <br />FACUJTY <br />LOCATION <br />ArrN: ~4eF GuK~eeT <br /> C <br />T <br />PARAME <br />ER <br /> AVERAGE <br />LCCU STATRE 4t±HR AC SAMPLE S`#~'Yr <br />,:.: Fi I O D A P H N I A MEASUREMENT <br />T4'Ijt+ 1 0 0 <br />~Pr'LU~NT ~k055 VALU <br />L_SU STATRE 96HR AC SAMPLE `~ """` <br />i' I tl P, P R A L P:5 MEASUREMENT <br />:ANhC 1 U U <br />~:FfLUEVT GHO55 IALU <br /> SAMPLE <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />NATONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDFS) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />'7I r.O.i <br />($U9k hY) <br />PERMIT NUMBER . DISCHARGE NUM6ER F - FINAL it B L A :J <br />MONITO INGPERIOD ~ ACUTE hFT TESTING FCR a29 A <br />YEAR MO OAY R MO DAV T <br />FROM 1 '?~~ ,~~ "''~° ', ., U:~ChAR~~F ~ n~ a## <br />NOTE: Read Instructions before ~hlpleting this torm. ~ <br />Y OR LOADING - QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />EX OF TYPE <br />MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM UNITS ava.ysls <br /> <br />NAME?tTLE PRINCIPAL IXEOUTIVE OFFICER ICedily antler panalry of law that thisdxu(nent and aM ettachmems were TELEPHON E DATE <br />~.j '~y, prepared under my tlnecuon or aupervi5loh n accordance with a system dealgned <br />NS ~ tc azsure that Waliaed personnel properly petharentl evaluate the lntortnetion <br />, <br />--- ~, <br />~// T~L~ <br />L <br />submitted. Beaed on my Irpuiry dw6 peman or pareons who manage me system, <br />the Imarmmion <br />me Inronretian <br />onalbb br <br />edredn <br />- <br />or N <br />ereonn tlkectl <br />res <br />e f/ <br />/ <br />, <br />g <br />~ <br />p <br />y <br />p <br />p <br />os <br />C <br />~ ~~ ~~- <br />v 1 / <br />r eubmihed is , b Ne beat of my knovnedge eM ballet, We, ecarete, end wmplete. <br />)~) (J L y) SIGNATURE OF PRINCIPAL EXECUTIVE 77 O <br />I ern aware Nat there ere elgnifiram peneltles for submining false iMOrmatlon, <br />E OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYP <br />R PRINTED <br />Inclutli the aaibili of fineeMi risonment for knovri violations. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />ScE I. P.. 1, PG VZII, FUk GG7AIL5 OF' TF_ST Pk7CEGUkF,. 9F]PORT LCSf) - '.:A'I~TICAL PuIs1' F.STIHATB NHIC'; I' <br />LETHAL TO ]U: OF TE`T JkOAaISMS, AND ATTACH ACUTE TOXICITY T3ST dE?Okr FJfI" TO D"1d~,,;Ga0PIE5 OP ALL <br />I PART FORM PAGE OF <br />
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