Laserfiche WebLink
PERMITTEE NAME/ADDRESS pncrudeFaeirryNamelranHoe jDt/jereaq <br />NAME <br />ADDRESSp'.A[~rL'. '.IS': <br />FACILITY ` .' A ! ~; ',. ~ •9 i •~ 1 `~ <br />LOCATION <br />NATIONAL POLLIITAM DISCHARGE ELIMINATION SYSTEM (NPDES) FOrm AppfOVed. <br />DISCHARGE MONITORING REPORT (DMA) OMB No. 2040-0004 <br />"It:a4 <br />r fir. ~. . <br />PERMIT NUMBER DISCHARGE NUMBER ( . _ ~ 1 <br />- '+ F I.. <br />MONITORING PERIOD ~"i _ ~.i.~., S:. ` i.C.~:'. ;~'.~:, :; :' <br />YEAR MO DAY YEAR MO DAY <br />FROM J1 J'~I `il TO Ji !"J ':+~. I •~i. •l A'i ~_~ ~~( ..'' <br /> <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PAR EX OF TYPE <br />AMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~~~ <br />~!L i:;J 'J 9:.8'`. SAMPLE ..^«^ ( ~;) ~t:: ;.~ ~:. .. r .. .. ~ .. <br />+' : '~'.: A :. MEASUREMENT <br /> ~~ ~ •• <br />:. ~. i ~ ~ T .r n JCi J ti /, i. J ( ... f ry ~l', ` 4 ,2'G.Y.f!f "i. •:' <br />I <br /> SAMPLE <br /> MEASUREMENT <br /> M1 <br />4 .y 4 <br />~f A. <br />~ <br />ryt". <br /> ~ <br />i ~ ` <br /> SAMPLE <br /> MEASUREMENT <br /> <br />Ak+ <br /> <br /> <br />Rrw GIY ~' ~~~~~~~~nnn <br />d~j'"Z'kV 3. a\in" <br />ii <br /> <br />~ ~ <br /> <br /> <br />. _ <br />~.y <br /> <br /> <br /> <br />•, <br /> % k i <br /> SAMPLE <br /> MEASUREMENT <br /> ,. <br /> <br /> <br /> <br />" <br />" <br />" ~ SAMPLE <br />/ ~ <br />"" <br />~~ ~ MEASUREMENT / <br /> <br />{'~,. ~• <br />r <br />s,~ <br />r ~'v. j <br />j <br />. :T't „• <br />~ <br />~ <br />„~; <br />-t r <br />~ <br /> js~.YYy~ x g <br />_ t '~. {~-r <br />n ~- <br /> ~. .. . <br /> SAMPLE <br /> MEASUREMENT <br /> ~ 4 ~. <br /> ~ rd <br />SAMPLE <br />A. ,fir{ '.' ~ : -,~ ° r.. x'ir' '~`G a "r,,R :.~.~t.i'Cv.? "-,~"' _ ."_ - <br />4r g ~ ~ i i <br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I Cerny under penalty al law that Ihls dcoumeM end NI attachmems ware L TELEPHONE ~ DATE <br />prepared under my direcllon or supervision in accordance weh a sysTem tleslgnetl <br />to assure Net qualified personnel properly gather end evaluate the Inbmretion <br />W. GOLdOR PeCeCB submised.DasedonmyinqulryMNeperwnorpersonewhomarugeOgsystem, .• G-- ~f~.L~ y70-~A24-4401 O1 07 ''S <br />or (hose ps+aorn ureoey rasponslde la getherlnp Ore IMOrmetion, the Inlomietlon ) - <br />President/General Manager submetetl ls,to Ne best of mylewvAedge end belief, sue, accurate, end complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />l am aware thaz there en slgn~cant penalties br submitting false inbrmation, OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED Including the oossibiliN M fne end imorisonmeM for knowlnq violetione. rn„~ NUMBER YEAR MO DAY <br />CDMMFNTC AND EXPLANATION OF ANY VIOLATIONS !Reference all attachments here) <br />. .. :J"~L i.: J'. L!'1:,. o.LL ~ .hi'. 'i, ~'r '-..Tl._t"_. ....... ~ .. .. .. .-~ ,..F~- _ <br />. ...1 <br />EPA Forrn`3320.1 (R /99) Previous edlUOns may be u'sedy ~ ~ ~ - _ THIS IS A 4-PART FORM PAGE OF <br />Ei <br />