Laserfiche WebLink
<br />PERGITTEE NAMElADDRE55Oarl.s gM~+'l.+r,.. dDf }wJ <br />NAME _ _ <br />ADDRESS - . - .. <br /> I ,:GU SYT :i< ~l'u GS <br /> ~EL7 CG N164 <br />FACILrTV _ _RADO dIx~ <br />LocATX»( .;gLY CG @lb4 <br /> . Y I l(T1T .LIl r2ttA YE ^lG in•G <br /> 1'Wm APpfovd <br />NATIalAl M4LU1ANT d3PfAlgI DJwWAT10M fVfTpl /AWDE$I <br />DISCHARGE MONITORWO REPORT (OMRI ~~'P ~~'~~ <br /> <br /> <br />PERMIT NUM$ER p9CMAR0E NW\fA ~ - F i tt ,~ y n a i l <br /> GE TG f! EO r p5~ <br />LO'£ STOII <br />- <br />MONITORING PERIOD x <br />= ' <br />- <br />V Y <br />AR MO D Y <br />Y AR MO OA E <br />FROM TO _ <br />1 <br />M lam <br /> . <br />, <br />ROTE: R••d In•trNelion• ~da• conpNlM9 t <br />PARAMETER QUANTITY OR LOADWG gUAl1TY OR CONCENTRATION NO. <br />EX ME'~'fcv <br />~ SAMME <br />TYPE <br /> AVERAGE MAX/MUM VHRS MINIMUM AVERAGE MAXIMUM VNRS vas <br />A <br /> SAMPLE <br />MEASUREMENT <br /> <br />_ , PERMIT- <br />REQUIREMENT >C rJ4`. <br />~b$; :S6 >( .ru ...~.. -,. EC.. ,.r i... t~i~ <br /> SAMPLE <br />MEASUREMENT <br /> PEaMIT <br />REQUIREMENT <br />_ __ <br />_ <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />-- -~SAMPIE <br />MEASUREMCNT <br /> PERMIT <br />REQUIRFMENT <br />__ <br />_ <br />_ _ <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REOUIREMEM <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />flEQVIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />NAMElTR'LE PRINCIPAL EXECUTIVE OFFICER ' ~ "' " M~'~ ~ '"" ~"' N <br />rrrA rMn , <br />Nm,LU~ ti, w n ~'~""~"' "~ M •"`~ <br />1n <br />r .In <br />. <br />.w <br />- <br />.I ""O ~" <br />• yMr~ MPM TELEPHON E DATE <br /> pnp <br />w <br />r <br />ew <br />w <br />{w <br />r. <br />P <br /> wr ,f.l fun11.6 PervmM .r,grA) [r,orf rM r..wrl. M wfe.~fW <br />wI,MM1eG..wr• a w~ ~rq.h J M Mnw w Pnan .M wrye Ow ~•rMw. <br />a Gr Perwn •{mu, mpel,~Me Mr ~r,.rrlq W M[rnwAel M IeYr.,rYra _ <br />_ - _ _ <br />•' <br />' wMll!aA 4 N IMr M, J,nf k^^.lrlrr rn! M•rf, ,rw, wevnN..M ertPkY. <br />RE Oi MSMXAI EXFCtJ17YE <br />T i ~ <br />~ ~ <br /> <br />TYPED OR PRINTED fvr.rn drf,Pr~rn+~„Akr, pcMf~r r«.,r,n•.(r.r bMeaoa <br />wA~u. Purw,f d.+.. ..u ime.b.~n..., m..oo.fnE .ta.uaa HONA <br />V <br />DFIfcFR OR AUfNOfM2E0 AGENT NUMDEP <br />~~ Y <br />EAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIOKS (R•I•imcr ws •tnchn.m(s h•.•1 <br />nLE SIiL245 tIRZT ~, "I _ ~ . _ ,. - <br />kPR Fpm 31T0.71RS.. 1417 Pr•nova eoPo. n>nsrce .uc ii'~u f~a~-LFf I~f; ~tni PAGE C`t'_- <br />