Laserfiche WebLink
PERMITTEE NAME/ADDRESS pwJiifrefl,ryN~Jluranm,JD,~G.mp <br />NAME ,. ~ <br />17.T~ctw.re <br />ADDRESS N F'r} ;; (, ~ g r y p <br />11l 1:411 ur ra v/~.r t7 y`.-r3 S. V~STr. Lk <br />FAaLm <br />LDCnrIDN y r y r) R, r' O i l '7 91 <br />r• r 3rrvr.~l r~~~ P^ <br />n "i Ty: Jll J- ::ERENIi. R. <br />NATIONAL POLLUTANT DISCNAROE ELMINATION SYSTEM /NPOESI <br />DISCHARGE MONITORING REPORT /DMR1 <br />I7-161 117-191 <br />^"rnn•t• n~ nnr <br />121L1 PERMIT NUMBER DISCNAAGE NUMBER <br />Cfu L3 ~ MONITORING PE OD <br />YEAR MO DAV YEA MO DAV <br />FROM q q O O1 TD 0 1 i <br />!76711 l77-731 (7475/ 176771 I7B-791 136311 <br />Form Approved. <br />rnw v nnv(• nC O o. 20470-00 fn <br />Approval expires O ~-98 <br />(~[Iqy ~~,) 1~T45 , <br />r I'i0 R ' <br />NOTE: Ree Inetructloro bilor completing this form. <br />PARAMETER l3 Ord Onlvl QUANTITY OR LOADING /~ Grd On/Y! GUANTITY OR CONCENTRATION t,}O. FREquENCr- SAMPLE <br /> I<6531 !56571 (38-151 !4653 (51-61 OF <br />131-371 EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (17-e]I /54681 (59-701 <br />NI, SAMPLE a?aaaR R4RRnr ;r~n4rra ( ~~) <br /> MEASUREMENT <br /> <br />uuuoo I D ~ PERMIT ~:.: <br />" <br /> <br />Q <br />R :. ~~ <br />s.~:ac~:t:" <br /> <br />~ <br />~~ <br />':: xoeaair~ <br /> <br />~~~ <br />Raa <br /> <br />:. :.: <br /> <br /> <br />, <br />ee.~ '.:. <br /> <br /> <br />; <br />b:.t*M#~+s:: <br />:9 <br /> <br /> <br />.a <br /> <br /> <br /> <br />sl <br />":FF r y... -B 55 VA1.^ RE <br />UI <br />EMENT <br />;.:.~.:.. .. .. ~ <br />' "' <br />.~ :. ~ ;.: ~.;. ~ .... .. ... .. .. aa¢ ~~~rt*: :Y~*S-~ ~'. : '~~:.„ :.yytt Y'~' e <br />: <br />=;1?1.1v~:r ")fAL SAMPLE t'~aaaa Rxa0~7r t0001'+R ( 1V1 <br />711 .i [' ? H D ~:'/ MEASUREMENT <br /> <br />UOS17 1 D 0 ... <br />':;:~:PERMIT::~'.:.. .. <br />Rxrf~RRt'0~ ~; <br />~ ... <br />;:r'.'.rxM~4..!1!~EC:'~ <br />. <br />4aa <br />,. .~R:~YAaVr1PAt~l:<::~' <br />j <br />~ <br />' <br />7:0 : <br />f" <br />k;itCR:. <br />OQ~x' <br /> <br /> <br />~: <br />:: F ~ L " I r r <br />:REQUIREMENT~ <br />.. ~ ~ <br />.. <br />.. <br />w <br />.. ..::.. ~~: <br />.: <br /> <br />~ . .. <br /> ... .. F yr t <br />SJL1U~, :~~:i1'LFIPL,. SAMPLE <br />MEASUREMENT aaccae aasrr. Gaa#aa <br />~ _ <br />cz:r-:r. <br />^ . <br />(/~S~ <br />r <br />U.)~7ti 1 U U ~ ~~~~PERMIT.~.~:.. <br />~'~' ... .....:. . ..... <br />rsa:+t;C~RR~.: . ~ <br />:~:r Ac:Ir <br />~ ~ <br />aac <br />.. .: ~~.4~..~;it .; <br />~ <br />. ~ .rte.: <br />~ <br />.. <br />~ <br />N C ' <br /> <br />R <br />T <br />/ <br />:~' <br /> <br />P <br />NAB <br />F: F F I U F N T <br />.. n5 1 F REQUIREMENT <br />....~: , :.:.:...:...: ~~:. ".::..:":: ~.. <br />~. ... ... .. .... . ~. ~ :: ~. <br />.,... ~~ <br />... ..~ .:. <br />.".:Tat .;.~ M <br />~. ~~.:~~~~:.:~:... <br />. . <br />.~ <br />'.. <br />. :'.y .. <br />Vt ''1 <br />. <br />F: <br />:..* ° . <br />. <br />I4i1'Ir TOTAL SAMPLE as C4F0 tip ~ppP>nQ <br />~ 19~ <br />(,[ ,_ F F, [ MEASUREMENT <br />Ui!}u5 1 D D aaaaoa'.: <br />" ::: r~vLl~¢vR Ram ''.aa~:~a~iN'. <br />,. :~.5 7~p. .. ', :.EI~lEI' <br />: GRAfa <br /> <br />.. <br />?. F P L '; P} " T REQUIREMENT ' " ' ~ <br />.. .. ~ ~ <br />:~::; .~ :~~: <br />RraKC 7 ~: <br /> <br />~. .:r .r r <br /> <br />r r. J r : <br /> <br /> <br />:.. . <br />'Ill ,y!1 ;i+F. I\SF SAMPLE Ra Gaaa RalaDCS .-ca n0 ?aarr ^: <br />( 1O) <br /> MEASUREMENT <br /> <br />.1J"~!)2 1 0 U .. <br />;;PE.RMIT.'. <br />ME .. <br />s4ic>b:Qryl~ <br />~ <br />::OI.iEti4"R~Y <br />' ' <br />PT:a <br />R:ti•~i'gAtC. <br /> <br />~ <br />?IR>;TGTfi#~ <br />LO <br />,. ,. .. <br /> <br /> <br />~ <br />~~~ <br />r I <br /> <br /> <br />aa' <br />I <br />'r:FF iI F'JT GROSS V1 It REQUIRE <br />NT: <br />~:; •..~ ~.~ : ~~ ' '~ <br />..: ... ,,. ~ <br />~'.. ~ RaaG .:.-~. ~ ~~~ <br />~ ~ c.r• rr. y ~~r• <br />~~ . <br />. <br />. <br />_~ '~. . <br />. . <br />h'LO~~r IN COdDUIT 0a SAMPLE ~ pT+) aOaRCa wr. `. YV.- :.... ..:..u ~: <br />' <br />T,1 ..°!1 Trl h:APRE4T i•LAH MEASUREMENT <br />1 ` <br />SUC.±;1 I U U ..: .PERMIT... .. :. <br />REPflR'T~~~ ... <br />RF.PDR'C ~~ <br />~~4ii~a,>yy <br />a^x:C.~.< <br />~^-~:.c~ <br /> <br />~ <br />.. ,.: <br />~ <br />..... <br />iF <br />E'!tLl <br />.. <br />~TA•. <br />l'iI <br />EFFL'li:•+T .:R'.rSS YAL'J :REQUIREMENT. '.3. .~.Y~G. .:D.. ~ . rr ~ . . <br />?II. h•iO 3;vP.tiS`: SAMPLE aaaaaa ( <#J2) . :a4a•: :+[.r.~^,'=.'.` . . .. <br />Y I `i O A L MEASUREMENT <br />911U~b t U ;P ~..~~PERMIT.. OCRRrf 01 ~ RP,vfl RT ES=1 C~;rR^.;- .}+:.':~=ka ~ r,:~.._titi :a . : ., e: <br />F>' }{ LY y`IIAr <br />Y I <br />'!FPLUGNT :Aa55 TALUF .REQUIREMENT cIFkS .-.: ~~=- 4i1=U rte- ~' <br />NAME/TTILE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENUrv of uw THAT I HAVE PERSONALLY ExAMwro AND <br />MILIAR WITH THE INFORMATION SUBMITED HEREI <br />ND B <br />E TELEPHONE DATE <br /> N: A <br />AS <br />D ON <br />MY INOIIIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />' <br /> <br />m ~ prJ <br />Gr OBTNNING THE INFORMATION, 1 BELIEVE THE SVBMITTED INFORMATION 19 <br />. <br />'- TRUE, ACCUMTE AND COMPEETE. I AM AWME TNAT TNERE ARE '-,i ',/ <br />- <br /> <br />9GNINCANT PENALTIES FOR SUBMITTING FKSE INFORMATION <br />INCLWING / <br />a <br /> <br />~ , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT <br />SEE 18 U <br />S <br />C <br />F 1001 AND _ <br />' G n - 1 n w . . <br />. <br />. <br />. <br />]] BIONATGfl OF PR ~"` ~'` r' <br />` ~ I <br /> U.S.C. f 1 ]t e. ll4rW4. MMrr rMS AbNAM ,rrY t'N/udr Irrr ,p ro l fO,pOD INCRAL EXECl1TIVE <br />~ - <br />TYPED OR PRINTm ^ <br />.,......~.._....... .,.... .... ~~...~ „~ . ..e ormMlmun irw•ivwwnrW arwwrlmondraW6rrr+l <br />.~~...... ,., _._ .. OFFICER <br />OR AUTHORRED AOENT A' EA <br />CODE NUMBER <br />YEAR <br />MO <br />DAV <br />a nnv cnr cnnn i wn yr nnr r,~cn I Iona rnmmrno an suacnmenrs nrre/ <br />30 4AY dY4RAGF. !S HI:H-'S? '!9NTHLY AY ;, DU3[9; P?RIOD ?F.p7RT°.U. OIL ~ r.'+=A•;c _ ~;r~ ~~ ~~~~r ~~ ~,SS <br />TUTAL IAO}r LI1Ct5 'diL!. 9F. YAIYED, AND SPTTLP.A?L' SOL7'15 LI'IIT~ EPPLI~i` cJU <ojpo~,r'lgl:n ro ~•~prcyc•4T-SFT'". <br />EPA F m 33 Oh 1 r-95 ie "oue adibo a bs sed. • 1 P " CES A'P RM O HI OT BED ED.) '' '"' '` '' ~~ ~ L ~ + ~ .p Gp bF <br />i <br />