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REP09298
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REP09298
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Entry Properties
Last modified
8/24/2016 11:38:57 PM
Creation date
11/27/2007 12:06:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
Report
Doc Date
3/28/1995
Doc Name
APPENDIX G WPDES DISCHARGE MONITORING REPORTS
Permit Index Doc Type
HYDROLOGY REPORT
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS //m'/udr Nwno NAL RoLLUTANT DlSCgwwOE EuMm wnoH srsT EM (NYULS' 1 <br />Fariliq~ Namqq/(aeatinp jl. pi(liJr^N. DISCHARGE MONITORING REPORT I DM1fR) <br />NAME YLAJiv /: 1.LSL l.u JuJL(.n lI _ __ (}/bl (11-191 <br />4DDRE55 L./LV ~GUiR YdLL __ __ LViJV UU1J:I VUN A <br />_ _ _ F L n .; ~ 15 F Y _ _ _ _ _ _ _ _A Z O O U U L _ PERMIT NUMBER Dlacx Awcr xu.erw <br /> <br />J MONITORING PERIOD <br />FACILIrr ~ 1 -r~ -7T' <br />' <br />W ,~y/ <br />// YEAR MO DAY YEAR MO DAY <br />LOCATION , <br />e 1'tOLJrL{r J[_ ( <br />- . .SOi/~ __ LW FROM <br />- ~ ,J TO <br /> 'i <br />~ <br />-Oi " <br />~ y <br />nLlh: ~ • <br />, rhLSIJi::NI r <br />(l0-111 f--'1'~II lN~151 (16-?71 (18-'91 (10;11) <br />i•!IAC$ <br />(J L D .i n M) Foprd ~fwed. <br />c - F 1 d A L OMB No. 2040-0004 <br />C 1 ~ l: N a; fi G L INfproVaA~cyi~6 I~a{I-Y4R E d K <br />NOTE: Read instructions belore completing this form. <br /> (7 Card Onlyl QUANTITY OR LOADING (a Card Onf}'1 QUALITY OR CONCENTRATION <br />PARAMETER (~A :f 71 <br />(SJ-All <br />U8-ail (Jb-Sit (SJ-611 NO. <br /> <br />E% FREOUENOr <br />of SAMPLE <br /> <br />TY <br />E <br />(11111 ANALt 515 P <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS U1i11 /badfl (69-)01 <br />+ SAMPLE <br />MEASUREMENT r:r:i•.•::>. ~.i.. ..:,:.: <br />I • U ~ •'~+i+v'.'~~~ L <br />]S o I ~ ( I1) <br />~ <br />' 7 <br />Gy <br />It) <br /> :{ <br />L1/µLU i l; G <br />PEP.MIT I 1 .+.r ,' ::-;+,~ >4 I .U NBI:KL GRAB <br />LC t'LU3YN'1 VhLJ ;J :J VSLU REQUIREMENT •;: {+Yi+.: MIN1:lULy JIAYIMUi'I :JU <br />LVJ.I U:J, YLJ'IAL SAMPLE <br />MEASUREMENT `:: '}:}:`~i •v'$-}=Fv: w:J•S: %.: :k .: I <br />J~I <br />'e'I <br />( ~~) <br />O <br />' <br />..U JI LULLL 3~ <br />LUjJU 1 V C <br />PERMIT J :.:: ;r;l~ .;.' .: r,:;::;: i; •~.,:•.s ~ ONCIr GRAB <br />A.ee'LUdhl tikGJ:i VnLU REQUIREMENT +~i~i~Y JUllB AV <br />Ii DAILY I1X HG/L tlUNT <br />v AV uh r ~E <br />' <br />SAMPLE ~4::1T,Ii::,; ;~il;r:.:;::r >.:•~Tr,•a-r • <br />r,:,.-:a:+ <br />N ( i9) <br />TL <br />N <br />~ <br /> <br />t l(:.L 1\ LL 111-lJ It llV :J t'•T <br />EASUREMENT <br />~ / <br />) <br />`~ <br />G- <br />• <br />LVJJD I V G PERMIT 0^'viT%s~+ 4`YO+i## `ft~si• >F«r#•'`.•7 KIJi'#+t:k lU CONTI GRAB <br />LtY LJIi J'i1 GFIGJ~ YALU REQUIREMENT {: ~: ::4• INST pA NG/L GENT . <br />T <br />1.{.J l` <br />lU 1hL RLi,UY LhAULh SAMPLE <br />MEASUREMENT ~ ~ ~..t :: %: :: .J:::.: i+:: • v:+y .,l:. 12 <br />OO LJ J~ +1+ <br /><•/• 6~ 1 /'~ <br />\,/ 2 <br />I <br />~ <br />~~ <br /> t <br />a70 ell <br />(rUILJ I L U PERMIT r Iw<~•;• } • <br />' (] •rE : <br />GaA B <br />LFk'LUE:N7 vHOS:i Yt1LU 'REQUIREMENT viYv:: 30UA AV . <br />UdILY tl NG/L ON2 <br />tl <br />1 LJV, 1N CONUUI'i Gr( SAMPLE a~ <br />~ O4 Y /'~ ( <br />' L'QS <br />l <br />i ( 1i .3) ~ :I v`~f ~lv ~;+wY •I T' i+##i`~~ ' <br />1 <br /> <br />1,t jV '~S1ib~1 ~': ~.N7~ kLbit <br />EASUREMENT <br />• \ Gl am ~ I <br />.`iu u:.U 1 0 ~. PERMIT h r ~ ##~~ I A <br />Lr'iLUliN7 GnOS,i VALU EQUIREMEN7 3068 AYG DAILY NY i1GU <br />~ #### <br />~ <br />5: <br />VL MEASUREMENT 40~ 3 '~I t ~ 6 1 ' ~ ~ j G <br />6 <br />L 1 <br />.UL <br />U 3o ••~ <br />7JLy5 1 G U PERMR ' `~ # ~`# ^"^'# ~' .# OPTIONAL BEPORT Q2RLY GRAB`': <br />tFFLUENT Uk055 YALU REQUIREMENT ~~~+:E QRTR AV DAILY: tl tlG/L <br />~ <br />' <br />•,~ :;; <br />U G 5 <br />V L yU Ii L SAMPLE <br />MEASUREMENT "~'+ ~ Y~. ~•:i 6: i~ ~ s=• r V14 f <br />(J 1 <br />l 1'; <br /> • <br />C+IJ40 I U U PERMIT ES-I '~ k#: ###C ~ NEEBL YISUB <br />LFFLUkNT lskG:iJ VALU stEQUIREMENT IN5T MA1C dU=u ##;i# <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CEgTIFr UNDER RENALTr OF LAw THAT I HAVE PEg50NwLLY Ea AMINED TELEPHONE DATE <br /> <br />Qk~Vs ~OL~e~C <br />J ~`~~ <br />J AND wM FAMILIpq WITH TF[ INFIIrIMA11CN SUUMIT IED NEgEW. AND RASED <br />ON Mr INOURY OF T1gSE WdVIDUALS IMMEDIATELY ItE~ NSIBLE FOR <br />OBIAWWG T <br />E INFORMAT <br />1 BE <br />O <br />VE T <br />we <br />cn <br />R <br />~ <br /> <br />A H <br />I <br />N <br />LIE <br />HE <br />rnm <br />WFO <br />MATItX! IS <br />TRUE ACCURATE AND CO•.IRLETE I AM AWARE TUT THERE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTWG FALSE INFGRMATION <br />INCLUpNG <br /> <br />1 <br />I <br /> <br />N u `~ . <br />THE POSSIBILITY CF FINE ANU MPRISONMENT SEE IB LISC 1 llpl 4ND <br />JJ U'iC { 1]19 <br />F[n: <br />ll <br />1 <br />n <br />lr <br />IhrY <br />f <br />(rf <br />l[l <br />! <br />l <br />d <br />SIGNATURE OF PRIN IPAL EXECUTI ~~T <br />JV~ ~ ~ ~ <br />6- 1 ~\ <br />{ <br />r• I V 1 <br /> <br />TYP OR PRINTED l <br />e <br />l <br />! <br />l <br />u <br />loll ur <br />Y <br />JlY <br />JY r <br />[ <br />10 <br />I <br />fIU.Mq anJ ur nuaunum nnpri,unmrm ul f¢fxren b mmrhT anJ S Tun I <br />OFFICER OR AU OR12ED AGENT <br />AREA <br />NUMBER <br />YEAR MO DAY <br /> C <br />COMMENT AND E%PLANATION OF ANT VIOLATIONS (Re@rrnCl all a/lachmenls hncl <br />i,iL v G~~i.--:TL[ E'GG'l~ili;'1L f/, kn6L' .i. <br /> <br />tililnLY .i6~ING 1N:iIkUCIIUtJ.i--FUG'1'NV'!L L/e • <br />
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