Laserfiche WebLink
PERMITTEE NAME/ADDRESS (include Fanlity Name/Locmlon +fDlfferee+) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) Form ApprOVed. <br />NAME I R .~ F P E R d I N I N G, I N C, DISCHARGE MONITORING REPORT (DMA) " I A O R OMB No. 2040-0004 <br />ADDRESSTHAP.YBN 1^.INE ~ (SUdR Nil) <br /> <br />P. (J. d O X l tl 1 <br />PERMIT NUMBER DISCHARGE NUMBER <br />c- F I N A L , <br />~ :~ ~ ~~ <br />FAOILITY ,.RLIG - CO 41626 MONITORING PERIOD ACUTE' WET 'T85TIN6 FOfi 016e <br />LOCATION ~ - YEAR MO DAY YEAR MO DAY <br /> FROM _TO 9 3 i4~ '10 OISCI!AAGr ar<a <br />h T T N: .1. G O R G O N P E T E H 5, P H E S/ G£ 17 M~ G R NOTE: Read Instructions before ompleting this form: <br /> GUANTITY OR LOADING OUANTiTY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> P EX OF TYPE <br /> ARAMETER AVERAGE- MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANaC~(s <br /> L'_'7U ST eT Rf, ad4R AC' SAMPLE irt~RGa n'x~''`~'(` ysfi K~{:'t:y 3:Y ;::%+: :: ~ T) <br /> C°RIODAPHNIA MEASUREMENT <br /> TA^13B 1 U U +saa cFt- <br /> <br />t'.FFLUENT .Gt1055 YALO. <br />~iXOKca <br />,>~,,Y ,- <-... <br />t;. ,, E" <br />- <br />=Ti°_ <br /> LC~U STAT. F. 96HR AC SAMPLES ~4"44O# ca~~a ;`"o~aa '::+~,,,;r ( ::3J <br /> YII7EPH~L~S MEASUREMENT (` .. '. <br /> TA!16% ~~ U 0 eta cR- <br /> cFi'L+(F s; k055 YALU ~nao CE N? <br /> ~" ~,`;`J~,.• <br /> <br />. yyyy r. <br />, <br />'F <br />3 SAMPLE <br /> <br />MEASUREMENT <br />- ~ . <br /> r <br />, <br /> <br /> <br />t <br />i <br />Ij <br />SAMPLE <br />~NAME(TITLE PRINCIPAL EXECUTIVE OFFICER ICenify ur,tler penalty of law that Nis tlowmant antl all ettachmwta were <br />tllracYitln or su <br />ion In acwrdance wph a system daU <br />r <br />e:etl under m <br />vi <br />ned <br />e TELEPHONE DATE <br />p <br />y <br />p <br />p <br />ep <br />r <br />s ~ <br />' <br />baswre Nat qualifletl personnel properly gather sntl eraluate meiMOrtnetion <br />P <br />Q ~~ <br />,1 /- <br />~~ ,( y~0-gy4_gg01 OU IO 24 <br />OII <br />etess submmed. eeaeccnmyiwuxyotu,ap~wnapa~srns,rtwmanagama,ysam, <br />GOT <br />~ f <br />w mole petsore tlireLlly resporrslble kx pamerinp ma Iraomxson, me irsonnetion <br />l M <br />' <br />anager <br />a~~jdaat 1 Genera <br />k <br />l <br />l <br />tl <br />nowletlge sntl Del <br />, true, accurate, sn <br />~., eubmi11e0la,to the beat ar my <br />e <br />wmplele. <br />nificant <br />salsa Inrormason <br />ware mat mere are sl <br />enalties Iw aubmslin <br />I e SIGNATURE OF PRINCIPAL EXECUTIVE <br />p <br />p <br />g <br />, <br />m a <br />TYPED OR PRINTED <br />InclWl me 'bll' of floe endl risonmern ror kna+d violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />, ~Np~XPLANATION OF ANY VIOLATIONS (Relerer+ce all atlachments here) <br />„0 <br />~ <br />SE ~~' ,PP 7-9, FpA DEPAILS OF TEST PROCEDURE. REPORT LCSO STATISTICAL P'~iNT };_,TI`1ATt: WH ICH 73 <br />Lf ";.SO,A,Of -;;SST.:,y~6ANI5HS, SAD ATTACH ACUTE TOR IC IT! TEST REPOF.T FJ5"t T7 pi?F, COFIE_% Uy ALL <br /> <br /> <br /> <br />