Laserfiche WebLink
PERMTTTEE NAME/ADDRESS pneLJr F.+npN~r/.rnl.lyDlpi..llr) <br />NAME -..~ ~ ~ . <br />.. 'f <br />ADDRESS" I 'i ! . r 1 '~ i ~ .. ~ ' r .. . ' ~ '~ <br />1'751` 3Cd y'I . <br />FACILm <br />LOCATION .. n ~' ~ i <br />''i, ja N MI !i. <br />PARAMETER <br />. i. . ~. ..:i 5 .`. <br />,.; °: i. <br />I ~": L U 0 <br />F''L!!-' .,FJiS V <br /> AVERAGE <br />SAMPLE prec ; <br />15UREMENT <br />PERMIT ~ ~ :'>x ~~.~~; <br />]UIREMEN7 ~ ~: <br />SAMPLE <br />1SUREMENT <br />PERM17 <br />]UIREMEN7 <br />NATIONAL FOLLVTANT DISCHMOL RIMINATON lYBTE/A NPOESI <br />DISCHARGE MONITORING REPORT fD Rl <br />~ <br /> <br />IT NUMBER HMOF NIIMlDI _ p T I,~ p I ' °' <br /> ' ' 'I ' "~ c ^ t ~~ : !, <br />MONITORING PERIOD ~ <br />Y MO DAY YEAR MO DAY <br />FROM ;;1 10 r1 :1. _?i •' >:) J.r. ;^f!AR.. .. I --I ~...:., <br /> NOTE: Rr.rrd klAhuetlorr pdor~ eompMlkW thlr, Iwm. <br />TY OR LOADING QUa~lty Or Concentration NO. FAE OFNCr SAMPLE <br /> EX NAtras TYPE <br />MAXIMUM UN MINIMUM AVERAGE MAXIMUM UNITS A <br />U/ r ~~ ~15~C!I <br />.. <br />y.e.' N~..r <br />I <br />.h.~i. .. <br />$.~'C~l:!: ,'* <br />: ~ <br />"?: Y;:i.?Y':Yae~::'?7 <br />': <br />yI, <br />... <br /> <br /> +~ <br /> <br />I, I <br />'S ~: <br />:::;.:r~:., .:. <br />]UIREMEN7:..: ~ ~;:.:..;:~;,:~:,;.<;.. ~ ...... <br />~:.. .. .....: c:...;::alt k ~:..:~..• ... <br />SAMPLE <br />:. .a: ~:~.., <br />.. . <br />R' ..:.. .::: :.. .: <br />~:, . <br />E <br /> <br />j <br />,'p <br />1 <br /> <br />:_:?:::':PERMIT::.; ..:.c <br /> <br />~: <br />~.~ :..:. ...::... .:.:. <br /> <br />. .. <br />~::`,. <br />~ <br />~ <br />~ <br />~~ ~ <br />~ <br />.: . <br />.. <br />,. :.. <br />- <br /> :REQUIREMENT ~.:.~' ~ .:..::. : <br />.:;... <br />~,...-. <br />: <br />. .. .: . <br /> ....:.::....:...::.~.... <br /> <br />:.:::.. <br />:. ~~.:~ ~ a:s::: ~..~:;;,.~:.: ...:....... . .. ... .. <br />. <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I ttrlll, • v yen. 1, e v IAp Ill <br />prtpn.e nnen m, mrrctlon or ap lf Jerylllenl rnd dl al.cnmrn4 Wert <br />rnl,lnnlnurnd.ntt wlu n,aem del <br />nee <br />TELEPHONE <br />DATE <br /> /~ ' <br />1S, rr" f'1 (r ~ (I M fNs i <br />le .wrt Intl gmXnM peronnel proyell, plno eM rnluee Ine Informtllon <br />pemllled. EsE on m, Inquln d lne prwn or yenere wne mynnye IM ryalem ~ <br />~ ' <br />~ `'' <br /> . <br />or lhee prnom tllrtcll, reynMn4lorLelllerlnp lbrlnfnrnullan, IM1r lnrn.nullon <br />~~G ~ <br />/~~ ,/,: ~ ~/) <br />~~I h7e Z?~ <br />1 <br /> /~ <br />I li n/Il/) /; CAI !"G I~ w4mluM b, ulM1e eel er mlYmw4aye.M eeuel, We. rnvntr..M ael.pMle. <br />lem n. <br />l lnrn <br />u <br />s <br />an <br />m <br />nb l <br />W <br />r <br />e <br />rm <br />ro <br />m <br />610NATURE OF M11NCd'AL E%ECUINE / C%l 11 ~" <br /> rrt <br />e <br />m <br />yl <br />pen. <br />n <br />a <br />e <br />nr a <br />ll <br />ny <br />rm <br />m, <br /> TYPED OR PRINTED 'J ma,wmy l>K puolkNr, elnMnna lmyll0nmem ror r.m.mr rlal.unlu OFflCER DR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMEN75 AND EXPLANATION OF ANY VIOLATIONS /RNAryncy d/ ittAChmEnh h~r~l <br />.4i 1'. ,.., ?. 1~ LI'..' ~ ~~~.. T~i ~Trt. ~. ... ,.r ~ (. '~ 1) , .'[. 1 ' , ~ Y rs f ._vr.r ~: q_ua (. t. -:fir °Y'.. i <br />..., p, i M ~ D . r ..1 . I' J ' ~ 1 r' 1 i• 1.:J " 4 ~ ° r . ~ c - , .I •) [' - ` x r ~ i '... . <br />• • r . ~ I L 1 ~ . ' ' i 4 c i . . ~ . ~/ y O i.. 1 L . <br /> <br />EPA Form 3320-1 (Rev 3/99 previous editions may be used. h~ <br />00 `? ~ 7 / O1-U <br />SjI~ ~ 4~~rts(gfm. <br />PAGE ;OF <br />