My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
HYDRO30953
DRMS
>
Back File Migration
>
Hydrology
>
HYDRO30953
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:54:43 PM
Creation date
11/21/2007 1:04:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Hydrology
Doc Date
8/3/2001
Doc Name
2nd Q 2001 DMRs/ cant read
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
24
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PERMITTEE NAME/ADDRESS Qncfude Fanliry Nann/lamlr'on if Different) <br />NAME <br />ADDRESS _ ~ ~~ ~ -- ~--~ ~~ ~ i' ~ •- <br />FACILITY ` - ' - <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MFDES) FOmI ApprOYed. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br />PERMIT NUMBER DISCHARGE NUMBER - <br />MONITORING PERIOD ~ ~ .. - <br />YEAR MO DAY YEAR MO DAY _ <br />FROM _ - - TO - ~ ~ <br />,, ., -,~ .(, NOTE: Read Instructions before'ooMpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALVS/s <br /> SAMPLE ~' ~ - <br /> MEASUREMENT - ' <br />+.,-: -, •. ;. r:~ t PERMIT .~; ... ,., y__.-.y ,. _ __. -" ., , <br />' ~ ~ REQUIREMENT <br />i , ^ SAMPLE - - <br />~ <br /> MEASUREMENT ' <br />~'.t ~. ~ .- .. PERMIT - , <br />-~ ~ ~ - ~ ~ REQUIREMENT <br />_ SAMPLE ~ t <br /> MEASUREMENT <br />_ "~ J PERMIT - - .. . <br />•- ~ ~~ REQUIREMENT .. <br />..: , ~ ~ - SAMPLE f ~ ~ - <br />. -~ ~ MEASUREMENT <br />' ,i ,~ ., _ PERMIT r ~ ~ ... .. <br />- .. ~ ~ REQUIREMENT ~. <br />- . ~. - . - SAMPLE . o <br />- MEASUREMENT <br />,~ <br />/ .. PERMIT ~ .. .. .. ... .. - ~ - <br />~ <br />- ~ REQUIREMENT ~ - <br />~ , <br />' ., _ SAMPLE ~ ~ . . <br />r MEASUREMENT <br />~ <br />; <br />" I - ~ ~ PERMIT ~ _ . , ... - <br />~- -i - ~• ~ REQUIREMENT - ~ -_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICertiy untlsr penalty al law that Nis document antl all attechmenb were <br />re <br />ared untlsr m <br />dire <br />ti <br />n <br />Mslon In <br />i <br />rd <br />ith <br />t <br />d <br />tl ~ TELEPHONE DATE <br /> <br />~/ p <br />p <br />y <br />gne <br />c <br />o <br />or supe <br />acco <br />ance w <br />a sys <br />em <br />es <br />t <br />h <br />ifi <br />l ` _ ) <br />~ <br /> <br />-: ~ ! : I • - <br />' ' <br />' - o assure t <br />at Rual <br />ad personnel proper <br />y gather end evaluate the inbrmadon - <br />_ <br />/ l <br />~ <br />~ <br />. <br />„ ~ r . <br />i submlbed. 9aaetl on my ingulry M iha person or Pereons who manage Ne system. ~.. <br />.. <br />- - J . , r _ - <br /> Wthose pereore directly resDOnsible for gathering Na urtormetion <br />the IMOrmatim ( ~ ~ ~ 1 ~ , ' ~ <br />" <br />! <br />' ' / , ~- ~ <br />~ ~ ~ I/ J <br />. , <br />- v ) ( j , <br />( submMed is, to the best of my knovAedge end Deliel, we, eccurMe, en0 complete. SIGNATURE OF PRINCIPAL EXECUTIVE t <br /> <br />TYPED OR PRINTED I em avrera Nm Nere ere sigM~ant penalties br submMing false inbrmadon, <br />includin the ssibili otfine and im risonment for Mnowi violations OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence all attachments here) <br />EPA Form 3320.7 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />
The URL can be used to link to this page
Your browser does not support the video tag.