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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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TERMITTEE NAME/A DDRE551/ua luJ[ <br />I d[iliq~ Nenm/!n[ariun i! di!!rr[ml <br />NAME- '?a!"_.~.~~1LLi-.L~-~.:-Y._.~.« T~-~T-::---- <br />ADORE551~~y~~~y~~~___________ <br />NA IONAL POLLUTANT DI9CH aRC.E ELIMIN.a.TION SYSTEM (NY(JtS~) <br />DISCHARGE MONITORING REPORT (unfXl <br />I '~ 16 1 III-141 <br />('(1 ('0-'• l~ 7 y <br />PERMIT NUM9EP o1ec..Awcr. rvl..,eEw <br />~'I ~)!J <br />(;'1'~ R V M ~ Fgc~~ipprovetl. <br />~ _ I N'1' ~ P +; 10MB ND. 2040-0004 <br />n........,~1e ~ fn-af-nA _ <br />--------'- MONITORING PERIOD I .'1'1')Rlr. G":l"-'T'.:T'!-C'. i-li f-r!f 'll!1'I <br />FACILITY <br />FRO <br />~ <br />Q <br />~ YEAR MO DAY TEAR MO DAY <br />TO <br />A <br />__ <br />OWk~a:. <br />i~g40L.~ <br />LOCATION <br />• aj!j `~, <br />lt{ •J~ ~ <br />'+' N0 DT:i~:II~4I:' <br />ktY <br />Y <br />r ; a ; °-- • ° '=' •a"'r "• _ - a ;; ~I 5 T 1'' .'! ' NOTE: Read instructions before completing this form. <br />I?a?n r??~'~l (?a ?b) r?b-rn (?8-?91 r-+n-nl <br /> r I Cdril Only) UANTITY OR OADING (~ (`y/d OIIIJ'J QUALITY OR CONCENTRATION <br /> <br />PARAMETER <br />Nb-SI) (i!-bl <br />(J8-Lil (.16-5.11 (5~-611 <br />NO. FREQUENCY <br />~ <br />SAMPLE <br /> EX A TYPE <br />( I!-.ill \ HUVSIS <br /> ~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS e'd9 9-101 <br /> \ J <br />/ lef dtll (0 <br /> <br />_)kl:_rTY, <br />SAMPLE <br />.vr'.r#+` .•-A.t u. .~ r- <br />a .• <br />I„ <br />/1.~ <br />;F~:-~.-;i <br />a--.. r. <br />( ~li~ <br />l <br />-I f1F..~NAl.s° CHR:)NI~ <br />MEASUREMENT V <br />l V <br />qp <br />~ <br />`i~•t2~ i ~ (1 PERMIT ~v'Y; 03~k ::ri'vi i3 P.i?P:);tT 4#:'>r : #."-#4#; itNOYC TRLi 0!IP S <br /> <br />':0.11..?UTS 1f''i,J~ REQUIREMENT <br />:Ifs YA[r!? <br />r0 ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ' <br /> REQUIREMENT ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT ~. <br /> REQUIREMENT ~ , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> gEQUIREMENT ' <br />NAME; TITLE PRINCIPAL E%ECUTIVE OFFICER 1 CLNIIM1Y urvDF.R PENALrr LIF LAw uuT I HavE rEHwNauv Ex AMwED TELEPHONE D A T E <br /> LNU AM FaMII IAR WITH THE INFORMYIION SUBY11I1 ED HEREIN aNU BASED <br />~p~~`5 f <br />V~A~ rM M1 Irll)NIHI U( TIMI!~E MJUVIDI IAIS IMMEOIAICI~ HESYUNy'1bLE EI IR <br />o <br />C y C 1~111PININ+i THE INFCAMATIUN 1 W.LI[V! IIIE '+IJHMII'ILU MFOHMaTIUN IS <br /> <br />I <br />' <br />I A 1N11E Ai CUFaiE AND CUMPLCTE I aM aVyARL IHar THEflE ABE <br />11 <br />YJMnT <br />NC <br />S <br />~ <br />' <br />~ <br />} <br />~l <br />V <br />S ~ ON I <br />:.Ir.rUl x.ArJ1 I <br />ENALIIES FCJR SUbMI <br />1HG raI <br />L MF. <br />WC <br />B <br />0 <br />D <br />f <br />' 1 1 <br />V try <br />~~6' .` <br />L <br />/{7 <br />~ <br />I 1 <br />01 AN <br />JIIF 1 <br />USSroIU Ir of RNE aN0 IMPRISr mMENT S6 r: I <br />USC <br />rh <br />wr <br />d <br />J <br />I <br />m <br />Lr <br />f <br />9 N4 <br />l <br />J SIGNATURE OF PRINC AL E%ECUTIVE J <br />.J J 1 v <br /> rr <br />n <br />n <br />J uy <br />J uSG <br />131 <br />n. <br />0ea un <br />nr •u <br />u nuJ m <br />C <br />~ <br />T <br />ED <br />NT AREA <br />TYPED O PRINTED llU rhCl ~uJ .Ir ma vnm,:. unprounnlnll er nn.rnl n neuulu ~nJ <br />Imn J OFFICER OR AU <br />ORIZ <br />AGE NUMBER ~ YEAR MO DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS IH[I[rrure .dl and(lunern.. hurl <br />.:1; !f a:rr f1.4 i'1B Y :5 i' :'fi U~. a4?' 7F~11! `•S nr. t ?rHfa' Y T)~ia TYA"N: 1ci <br />"CJKLCfY itPT f.:f9F;SibP%?t. t. 't =llii~µ `l'(Tt51'~:'ALLY GtiTr '1fFY "T'd <br />. n.1, ~. ,- .r ., - .l .. .._.. _ - ., .. - <br />'fhNFPh':'r",G~Oq'rHE R`:?RON~~TYATMS .~5 <br />rraTJ;C.)arhT)1, a61i ntSr.}tY11> ieC TPST <br />
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