Laserfiche WebLink
PERMITTEE NAME/ADDRESS Nrrrs. frNlyN~/laanm l/Dld.rnd <br />NAME Ii:d~rci• ,..s ...;, ..., <br />ADDRESS I K A r i- .' ~ ~ <br />C ii~~.• __ it ..i <br />FACILITY <br />LOCATION <br />ni-_. •• i~~tl:. ~ r~F. ALL ~ . <br />-'/~- al: <br />NATIONAL POLLUTANT DISLNMOE ELIMINATION SYSTEM INPDE$l <br />DISCHARGE MONITORING REPORT IDMRI <br />l1-I5/ 17.191 <br />CODU32115 COl A <br />PERMIT NUMBER DISCHARGE NUMBfli <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 5 I. TO , . <br />!26211 l22-131 121-251 126271 12B-291 !36911 <br />Farm Approved. <br />F^!; !' A]!: 'i0 J(1fN5Q~N9~12OAO;0004 <br />~,-I ,; y , ~~ APprovel_e>SP{rp~05-31-98 <br />f - cTISL <br />M T e ^ U <br />NOTE: Reed Inetruetlone belon compNtlny.thie fwm. <br />PARAMETER !3 6rd OnNI QUANT{TY OR IOADINO l~ Grd OnN1 QUANTITY OR CONCENTRATION ND FREOUENLY SAMPLE <br />J2 !16531 /51-511 !3B-I5I 1653 15-5/ E aF <br />/ <br />-371 % <br />ANALYSS TyPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS ls2dJl (61-5B1 (59-70) <br />~ L. AN ., r. ,'1~;~~ SAMPLE +t+: 4-v`4r2 94 <br />~ ~ >YCfid+Jt Ct9C <br />O'` <br />4 t 0# fi :' <br />~ <br />~ i~ U A j, MEASUREMENT Q U /7 f'/1wOL <br />L'4uDD i U 0 ~;;.:.'P~gMtT.:.;• t:t:~~:~Y ~ .~~RE.?DfiT~ ~ E~=1 +Y+d09~+i~ 0*. :;~.t4t+ ... abtiytsri.~ tt/frr <br />EH6LY VI.^ <br />+UAI <br />~PF'LU6tiT G?~~:;5 YAI,U . <br />l1ECLI:....:~NT,: ,. . <br /> SAMPLE <br /> MEASUREMENT ~. <br />. <br /> PERMIT ::... .. ~.., ... <br />::.~ .. ... ~. <br />~ -..:. ~: <br />~ <br />. <br /> REQUIREMENT: . ~ .. :::::'iii i+ .'~ <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> PEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I LEflTIFV uNOER PENALTr OF uW THAT I NAVE PERSO <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED H NALLr E%AMINED AND <br />EREIN; AND BASED ON TELEPHONE DATE <br /> MV INQUIRY OF THOSE INDINOUALS IMMEDIATELY RESPONSIBLE FOR <br />I+I, Gordon Peters OBTNNING THE INFORMATION, I eEL1EVE THE SUBMITTED INFORMATION IS I <br /> <br />[ <br />TRUE, ACCIIMTE AND COMRETE. I AM AWARE THAT iNERE ME <br />BIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INLLWING C <br />~ <br />/ <br /> <br />J7O-S24-Q/1OI <br /> <br />~8 <br /> <br />io <br /> <br />z <br />President OI GEneral Mane @r <br />g , <br />THE POSSIBILITY OF NNE <br />NO IMPRI <br />ONME <br />SEE <br />B <br />01 A <br />T <br />e U <br />C <br />E <br />9 3 <br /> . <br />A <br />S <br />N <br />. <br />l <br />. <br />. <br />10 <br />ND 7 <br />E rate <br />v <br />s <br />h LIONATURE OF M11NC1-AL E%E(:llTrvE <br /> . <br />.c. <br />. l <br />rrRNF Iws,r tll,w ,I.nm, m,r lnebei RIr, w ro t /o,ooo <br />TYPED OR PRINTED rM rmuirwn irpvi,owenrae.rw,rls,lrnA.w Sr,ra/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />Lvmmclr I ~ wrvu urLnnn I rvn yr nrv r YIVLn I wno Inns/mce a, smcnmenrs ne/e/ <br />-`.~ 6 TUnL iku"! LL`!I1~ ;ILL J. wAIVhU, 1.'lG sE.TTLEAFLe`.~LICS i1P1^ AFFLi~D FCF. <=1DYF:,14-R Ir9CIF ~Y;:HT- <br />:BG dUf?DGIi OE' PHUnF F:';UiSi.M;;tJT~ U;+D6k I.A. 3. PF.'N.'1ITTEE "!057 ?Af'F -L1 uc"+5C!+Ani"r, ."IE451.IFF,S 'fO R'r'~UCI <br />mey be used. (REPLACES EPA FORM Td0 WHICH MAY NOT $E U8E6.1 r O C ~ 9 / S 7 12 i 1-16 J h PAGE ~OF Z <br />