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HYDRO28693
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HYDRO28693
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Entry Properties
Last modified
8/24/2016 8:47:50 PM
Creation date
11/20/2007 9:44:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
Hydrology
Doc Date
1/25/1999
Doc Name
FOURTH QUARTER 1998 DMRs
From
PICKETWIRE PROCESSING LLC
To
WQCD
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERfAITTEE NAME/ADDRESS /Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES J <br />hariliq' A'ame/Lormimr i! dillerenN <br />- 11 - <br />- DISCHARGE MONITORING REPORT (DA1R) <br />NAME ..._ <br />____ <br />__ ~ l~s C <br />C ~~ rC (?-Ibl (I7-191 <br />_ <br />ADDRESS,; .. I .., s .. ~ _ ~ : , ~ .` : 0:'11 ~ <br />I - 1 <br />V~ f ~ ~ ~ W rY~ ~4''/( PERMIT NUMBER olscwnwec r+ouacw <br />_ _ - <br />- _ <br /> MONITORING PERIOD <br />FACILITY _ <br />- <br />--- ---- <br />--- <br />------- <br />YEAR <br />MO <br />DAY <br />YEAR <br />MO <br />DAY <br />A <br />LOCATION A-1_. t~Ln `~~M \.Th /~C/ ----- FROM <br />- <br />- ~ TO <br />.. r S I <br />_ <br />) 4 .r.~rrti roe-,n rru-,a1 rrnrn <br />1 <br />/' ~ .._1 <br />_ ['?..I <br />~ ..s L. .. ;. -,. <br />Form Approved. <br />OMB No. 2040-0004 <br />Approval expires 1031-94 <br />NOTE: Read instructions before completing this form. <br /> <br /> (J Card Only) QDANTITY OR LO-LADING (4 Card Onlr) DUALITY OR CONCENTRATION FREDUENGr <br />PARAMETER (46-SJ) (54-b1)~ (1$-4J) (46 -51) (54-bU NO. <br />EX GF <br />ANALrsls SAMPLE <br />TYPE <br />r~?~r7i AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS <br />(6?d!1 <br />r64~S1 <br />frig-]01 <br />. .- :'i n' ., .. ~ SAMPLE ~ ~ O :9v~ :'v ;: ... 'r r:'.`•:`.:::. .1 •r:.:; . <br />O <br />W1;t <br />VI SUr+~ <br />- `t <br />` MEASUREMENT <br />r ) ~ 4>1` tJdl4 e`r P15 (lp^ r ~1'~!jQ {i';: ='-t:=.+,c!Y'.: :t 4`. ;t it /,c :4 .R~f,T r~ Tr~i t 1,. <br /> .PEP.MIT R ~ <br />'.` C: ~ 1 .; v ,• n om' t` p t I REQUIREMENT T ~"', T M A x _ ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ' ' <br />^ <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 /> .REQDIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERnvv ur+DER PENALTr of Lqw rHAT I HAVE RERSONALLV E%gmlNEp TELEPHONE D A T E <br /> AND 4M FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND B45ED <br />A ~ `,Q <br />1• <br />Y ON My INQUIRY OF THOSE INDIVIDWLS IMMEDIATELY RESPONSIBLE FOR <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />OBTgwI <br />G THE INFORMATION <br />1~ <br />r <br />( <br />11 . <br />N <br />T <br />ERE 4R ~~ , <br />~~ <br /> H <br />E <br />TRUE ACCURATE AND COMPLETE I AM AWARE THAT ~ <br />( <br />\ <br /> SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING <br />BIZ gg <br />7 <br />ll} <br />~I p <br />~ Z <br />! <br />M a /l < ( THE P0551BILITV of FINE AND IMRR150NMENT SEE le u5C 4 lool AND SIG ATURE F PRINCIPAL EXEC TIVE - <br />, <br />^(v -1 ~ ~ 7 <br /> <br />TYPED OR PRINTED 93 USC 4 1319 (lknalrres uWCr rbrse sramms ma)' nrludr Gnrs up ro <br />SIO.OIXI anJ nr manmum ImOnsnnmrnl of berx ern fi munlhs and 5 yrartl <br />OFRGER OR AUTHORIZED AGENT AREA <br />C DE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (RePorence all allarhrllenrs herel <br />' ?~ ~J .. r1. :)c., is~ '!:4_ i, S9 ~: e. 1 -'! ./. 4 r: :/1- ~ 'I i. .. <br />-.. ~~_±. .J, PF 1'?-11 ~h.4 E' SA'F'!.E a'7eCY°-., c'1^ ~Tr GoFd,SQ R°. Q'~7TR : ., 7T ;T' .,:IC^V ,._ r1~.-4,. <br />- „ - <br />^ <br />r + r~rT ce a nn sr r c Ana <br />0lm 3320- (ReV.9-$$) <br />EPA leVlO(/$~edII10/rS Tay bE 1/$ECI. (REPLACES EPA FORM T-10 WHICH MAY NOT BE USED.1 OGQ 31/950623^2743 PAGE .OF <br />
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