Laserfiche WebLink
PERM(TTEE NAME/ADDRESS (Include Faciltry Name2ornfion ijD fferenq <br />NAME y,;KE~R ~OKL ~04{'d:GY <br />ADDRESSD K A k :: H D <br />9GYDEN CD 8163 <br />FACIUIY <br />LOCAT101~~YDt:+7 CG .81639 <br />s ~e.i. - n rn r. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) Form Approved..r ,'. _ • ` <br />DISCHARGE MONITORING REPORT (DMH{ OMB No. 2040-fXX)4 <br />rz-re/ ln- e7 M 1 it J i Approval expires 05-31-98 <br />".)0000221 OUd x (SU84 Nri) <br />PERMIT NUMBER DISCHARGE NUMB 9 P-° T h S L i±t) U T'f <br />~~.:~...: ._ ~ r~:,Ti)i,; pax Does <br />G :r :~ :.~ LL:i C: t161tGt: ~ ( LYfi .~ <br />FROM <br />onre• oe~A Inermrfinne hefnrn emm~lafinn fhiR fnrm- <br /> <br /> (3 Card On/y) QUANTITY OR LOADING (a Card Ony) OUANTi'fy~OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (as-53) (5a-sr) (3975) aE53 sa-sf EX of TYPE <br />(32~7J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Nuc~l3 <br />gm~ 6a~8 <br />69-70 <br />pct r t_. .. - <br /> <br />~i1N : <br />}: ft L <br />;J4YH Y <br />IA SAMPLE ;:..:::... T <br /> <br />~ f D ~ <br />•, r: <br />u. , . aCfifi=t t ) <br /> <br />V <br />Q <br />. <br />. <br />. MEASUREMENT ~?.~ -{ d <br />~,~P7~ 5 L 0 <br />J' <br />~ <br />{ 'GYP <br />~ <br />~'` <br />` <br />, ~ <br />- '. `>s4 <br />' f) <br />- - ~'''_ ~ <br />&oi <br />. (. <br />. . <br />8r5 BELU^ 4Uf <br />M <br />~ik r _ <br />~ t'# ; I~:ST <br />~ <br />~~ <br />:_ T:.... .ii J <br />~:: ii ~ ? 1 '.:: t' rl R L E S SAMPLE <br />MEASUREMENT -~ r~ irk (~ <br />~~V ~-... ..: :f .;: ~k ( 3) ~ ~~ <br />Q ~ <br /> ~. ~ , <br /> <br /># <br />.. <br />~~ ' <br />~- • ~D 7n::Yf~ brLJW ~pREk ~v>~ : <~ <br />~ fi,xr,. <br />v t k <br />y ; ENT .• r, <br />... n <br />:S <br /> <br />.... ~ ~F. <br />, <br />S a. <br /> SAMPLE <br />SAMPLE <br />1SUREMENT <br />G~MI~+' <br />1M~~MENT <br />SAMPLE <br />1SUREMENT <br />MI#1' <br />U l$EM,~NT <br />SAMPLE <br />1SUREMENi <br />PE MIr"~~ '.._. , <br />]U EMENT ' s <br />SAMPLE <br />~RE9U1[iEM~yT~, ~ ~. - <br />NAME(TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF lAW TNAT I <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION <br />MONI TORIN 'A:ERIOD <br />YEAR MO DA ~ R MO <br /> <br /> <br />,. : <br />TELEPHONE <br />mr AND:i3 u.s.u. SIGNATURE OF <br />ro 51e,OfID entl a OFFICER OR <br />YEAR ~ MO ~ DAY <br />EPA Form 3320.1 (oe-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) 000 L t / y 9 0 513-114 J PAGE 1 OF <br />