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HYDRO29881
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HYDRO29881
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Last modified
8/24/2016 8:48:45 PM
Creation date
11/20/2007 11:38:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
Hydrology
Doc Date
10/9/1998
Doc Name
3RD QTR 1998 DMRs
From
PICKETWIRE PROCESSING LLC
To
WQCD
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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T <br />PERMTTEE NAME/ADDRESS /lnelYde NA TIONgL POLLUTANT DISCHARGE ELIMINgTION SYSTEM (iV PDES) Y / <br />Farili0- Name_/(oration jf~ jl~repLl___ <br />Ia <br />• Ci L~ <br />.. <br />DISCHARGE MONITORING REPORT (DMR) <br />^i v <br />' <br />•' <br />~ <br />NAME - W• <br />_- <br />-- (]-let (N-19) f <br />l r TVI' ln <br />0~1 <br />upT TF ~ <br />~ <br />~ADORESSY ~ ~J ! ~ ~ ~ t~ r r'-• ; ? 1 D,9 i~ `r n ^ I N (S'r !1 ~ q q ~ Form Approved. 1 ~ ? V S • <br />_ _ <br />1 ~_ <br />- -~T T _ _ _ _ <br />~to l ~ D • ~/~fj~' . f ~ t~-~I O PERMIT NUMBER ~ . P F T ° A I OMB No. 2040-0004 <br />_ <br />- <br />XZ'T~+~ ~e.nver ^n re-try]-~~iQZ;~ ~+r^~~~ Approval expires 10.31-94 <br />------------- ---~-- MONITORING PERIOD <br />FACILITY <br />_ _ _ _ _ <br />- ~•.. <br />c <br />~ <br />YEAR <br />M <br />D Y <br />Y AR <br />N]O <br />DAY <br /> <br />' __ <br />LOCATION <br />~ar <br />V <br />-•"4 /' <br />. n~Yf FROM <br />~ GfM `YJ :: _ TO Tn %• <br />.:'} rtfl 1 :)¢:S <br />i~TQr}{],RC ~` ~ <br />_ <br />_ <br />_ <br />-~ <br />' <br />° " <br />" _ <br />1-_- F-- ~~ <br />A T <br />N : TR <br />"" <br />~,»rt <br />; 1 . }! .!,1~- rzo-gin t?1-z~i Iza-?s/ !zn-n/ Iza-zel I ~o-?u NOTE: Read instructions before completing this form. <br /> l1 Card Onl}') QUANTITY OR LOADING (4 CaN Qnll') QUALITY OR CONCENTRATION - ' <br />PARAMETER (46-J it (!4-bl) (IF-4J) (46-J:1 (J4-6U ryp. <br />EX FREOOUF NCV SAMPLE <br />`TYPE <br />/1IJ71 ANgLYS1s <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS l <br />~l 69-r01 <br /> (A <br />c (M1J ti91 t <br />4 r•} <br />~~ ST0.'"F ~ 4fit? rt'fj i)![R' ': itw iX fF" `.:4 f: (: i~.l <br />' .'1 <br />Y-.!f: fF'• ~~ <br />( ) <br />. <br />~i.?InPll?in(IA SAMPLE <br />MEASUREMENT ~'QO , , O •h•' G.ab <br />Tti`.3-~ I 7 n oa+omao a#aapaa a 'irr.i R~~~R'~ RiDi/Pft't>t auaaa~x °R- TRL7 c NIIP <br /> PEP.MIT <br />iFF'L'154T "9'755 YnL!)^ REQUIREMENT !:oft,: *!S YA~.U3 ','. rgN^ . <br />•_ ,'r'I '1. c' 9h'!R ~t'l) ': (4 ft!1«.. Y,trt4f;.h~Y ¢Gr34i`t:• ~=!}fi, ~O~T ( ~3) <br /> <br />R <br />` <br />~', <br />^O SAMPLE <br />MEASUREMENT <br />~ <br />0 <br />O <br />~ L <br />b <br />I <br />! <br />N pt, 10 {r ~r4 <br />cAtir'- '! ~, <br />' PERMIT aca a vaaal a,a a.:i ~ ~ <br />~~~:; ~aaa ... <br />' <br />~ :. ~pttaala 9R- <br />. <br />~ p <br />1 . <br />LY <br />~~Q <br />AF'I.'~"• :4755 Y~L!}c REQUIREMENT' - .. ft {]Gif rfv~ { <br />+lN ~~~b*.. • <br />b'. rn q... . <br />i+ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />` • <br /> MEASUREMENT •: <br /> <br /> PERMIT <br />~J <br /> REQUIREMENT '* . <br />tb . <br />1 <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ` - ' :yA <br /> REQUIREMENT <br />~ - <br />p <br /> i <br /> SAMPLE <br /> MEASUREMENT <br /> " M.' S <br />~ .A - 4 . <br />° <br />~ £ <br />~ <br />` <br /> PERMIT - r , y:. -5' <br />( ~C. _<. ' <br />t <br />SiC q,.- . y <br />- <br /> RECUIREMENY ~ N ~ ~~ ~ ~ 4 ~' ~~, '~ '- -i <br /> 1 ~., c: <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br />~ <br /> REQUIREMENT I <br />4. _ ~ ~~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERnvv UNDER PENALTY of Lqw THAT I HAVE FERSONAUY EXAMINED <br />qNO PM FAMILIAR WRH THE INFORMATION SUBMITTED HEFEIN AND BASED TELEPHONE D A T E <br />i M <br />0 r/1~f ON MY INQUIRY OF THOSE INDIVIDU4L5 IMMEDIATELY RESPONSIBLE FOR /'~ ` <br />y <br />11____ OBTAINING THE INFCRMgTION I BELIEVE THE SUBMITTED INFORMATION I$ ` '/ <br /> TRUE ACCURPTE 4ND COMPLETE. I qM AWARE THAT THERE 4RE <br />GNIFICPNT PENA <br />MITTMG FPLSE INFORMPTION INCWDWG <br />TIES FOR \'N` <br />.•, <br />G tiv] L f L' ,_` A rE q (~ r SI <br />L <br />SUR <br />THE POSSBILITY OF RNE AND 1MPRISDNMENi SEE 1B use 4 1001 PND '} <br />3 ` f' <br />7V~ <br />l (~ <br />~ <br />)O <br />Q <br /> <br />6 1319 <br />33 UBG <br />(Prnvlrirs under these suwtrs mv~ mrlude (mrs uJ In 51 NATURE OF PRINCIPAL EXE UTIVE Il p y <br /> . <br />. <br />5/00(q <br />d <br />l <br />/ b <br />6 <br />h <br />W ! <br />i <br />OFFICER OR AUTHORIZED AG <br />NT AREA <br />TYPED OR PRINTED elxern <br />an <br />nr m.isrmum <br />sanmem o <br />mom <br />s e <br />~nrs/ <br />mpr E CODE NUMBER YEAR MO pAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rekrcn<'e all allaehmentJ here) <br />"O£ PART I. n. 2.~) FO? DETAILS C14 T£G'" ^nOC°' URE;. ^IPJR'C I.,^,S~• - _°T.0.".'I-°"•LC4? Pn'Nr o;TT •F°' ~RTrH 2S <br />L%T. :'. .?L TO SOA OF TEST Or-'r ANIS."!5, ANC AT~A rO ArUTE TOXICI?'y TrST P°P7R'" FO°9 Tn r1M%. r'~`"'I4S OF 11LL <br />rd~RHe T~_n +• ~r c3pur Tn roe <br />SPA Form 3320-1 (Rev. 9-881 Previous edrhons may be used (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 PAGE T OF <br />OC 55/95^F]23-1743 <br />
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