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REP12772
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REP12772
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Entry Properties
Last modified
8/24/2016 11:43:21 PM
Creation date
11/27/2007 1:01:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
Report
Doc Date
3/2/1994
Doc Name
APPENDIX G NPDES DISCHARGE MONITORING REPORTS
Permit Index Doc Type
HYDROLOGY REPORT
Media Type
D
Archive
No
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1•NUYYf Nwll wl rU iUl)t ~~wN•.L LI Ir ••IIUN )v )11M 1••I'1/L]l <br />£rrYrry Na(•r/Larrrbnl/drJJrrrnq VND ISCHA MONITORING•REPORT IU.NR/ <br />NAME_=~~~DI CDPL CO (SF.Y P.CR Tfl l~ nzrol uTU•)u E...... w-~~ <br />wooREnl3j~IIll~!y~AL~------- <br />~ ! No <br />o-0004 <br />H4 <br />Rr9(Jtp <br />SUDP <br />-- . <br />) <br />. <br />( <br />P <br />___Fi.A ;_ry1'~Iy~____--~~~~1-_ PERMIT NUMBER RI.=N.,~r RYM.r, F - FI4AL EEplres 9.30.91 <br />1 <br />---------------- MONITORING PERIOD <br />~ DISCHAr.cE TO TPI9/FISH CREEK <br />•wcluTV <br />______________ <br />YEAR MO DAV YEAR MO OAV <br />LOCATION <br />FROM <br />_ <br />__ <br />ro ""'~ 'ID DISCHARGE <br />=tv' <br />~ <br />A tT H • D E.'' N I S L. ST E V P, N S ,)~ P F S /IO 171 /11~1J1 !11151 !16171 /Ia.19~ l!a 1 ~~~ <br />. <br />NOTE: Read instruction! before completing (his lorm. <br /> (J Card Only) QUANTITY OR LOADING (I Card Only) OU ALITY OR CONCENTRATION <br /> <br />PARAM CTER <br />(16-7J) (Jlfil) <br />(l8I7 <br />(!161 <br />16 <br />JJ <br />NO. rRFOU FNCT <br />SAM PL <br /> ) ( <br />- <br />) <br />) DF TYPE <br />(JI-JI) E% AHALV515 <br /> AVERAGE MA%IM UM UNITS MINIMUM AVERAGE MAIM UM UNITB <br /> 616!1 (61681 (69-7U <br />OIL AYG .;RF4SE SAMPLE +~+A'}''••~r~ <br />( 9U~ ••.•••,) A "• <br />'~rY~~r AYY ~.',:.;Y <br />( ~ <br />VISUAL MEASUREMENT O D 1 ?~ V ISVI <br />R4066 1 1 1 .'..PERMIT. ~ i`t+##vo: <br />"' " <br />"' D ~ <br />,. <br />~ ES=I ~~+`-tT##-:. ;~XT4'fr~: Y«.~~,tiT .: ;:r HCE/- ISU2 <br /> <br />F UENT GRDSS 0A REQUIREM ENT, <br />... ... .-°• <br />' ~ ~. <br />~ ' <br />_ <br />;. . <br /> SAMPLE <br /> MEASUREMENT <br /> 'PERMIT n:. <br />[ .. ... .. s,.) .. <br />..1• "gam .~ .: •~ ° <br />y.. °z% <br />.e~ <br />.'jj' <br />', s' <br />:8;' <br />JZ'! <br /> 11 <br />fOVIREM ENT. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ....".... ~ <br />..: PERMIT:; ... I ..: .. r~ <br />..e ., .n a:: <br />~° <br />"""" <br />~~ <br /> <br />..: )'~~ <br /> :REQUIREMENT " <br />' <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />' PERMIT.: <br />: <br />~~ <br />•...: ...: r...: '~ ~ <br />~ <br />~ ~ ...." <br /> <br />~ <br />. <br /> <br />~ <br /> . <br />R EQUIRCM lNT <br />:.. <br />''s.:.."~-. <br />: <br /> <br />x, <br />'~ <br />.~, <br />.. <br />" <br /> <br /> <br /> <br /> <br />. <br />.. <br /> <br /> <br /> <br />' ' <br /> <br />s• ... .., <br />, , <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> ' PER M IT ~ '.: ~ ~ : ; ~ ~ ~ ~ ~ <br />' <br />' ° <br /> REQUIREM ENt ,..... <br />':.~.:. .:. ; <br />~.,:.....; . . <br /> SAMPLE <br /> MEASUREMENT <br /> <br />..:PERM IT~. ;.' .n.n'"~' <br />:~.. .. ..; ... <br />~~~ <br />' <br />~~ <br /> <br />" <br />~~ <br /> REQUIREM EMT ': .,, '..:" <br />~~'~ <br />` ' <br />+" <br /> SAMPLE <br /> MEASUREMENT <br /> '•-PERMIT, ~~ ... <br /> ,R COUIREM ENT . <br />NAME/TITLE PRINCIPAL E%EC UTIVE OFFICER I CCRIIFY UNDER PCNALTY OF LAw THAT I HAVE P[RSONALLr [wAMINED <br />AND AM FAMILIAR WITH TMC INr ORMAIION BUBMITT[D NCRCIH 1ND BwSCD TELEPHONE D A T E <br />/ / ~~ <br />(~ <br />f OH MT IHOl11RT OF THOSE IHpVIDUALS IMMC[YAiCLY PESPONSIBLE Fp1 <br />OBTAINING THE INFOPMATIO <br />V I BELIEVE TNC SUBMITT[O INFORMwiION <br />1 Q <br />/ . <br />IS TRUC wCCURATC AND COMPLETC I AM wWwRF THAI TN(RE ARC SIL ~"~ <br />/// <br /> <br />1 <br />V <br />NIFICINT PENALTIES rOR SUBMITTING FALSE INrOPMAIIOH INCLUDING - <br />Vv <br />,( <br />Q <br />S <br />Q TNC POSSIBILIIT OF ZINC AND IMPRISONMC <br />f ICpI AND <br />T / q <br />6~ /~~ <br />53 <br />~ <br />~ ~ ••~~ <br />( <br />er <br />r~ , <br />nnv mrrudr ~n~ <br />]IUSC 1 IT9 IP.nahr. uMrr IMv llYrur. . • <br />FrY UW <br />r. SIGNAT RE OF PRINCIPAL E%EC UTIVE L 77 -~ off, <br />TYPED R PRINTED y <br />. <br />••d•.r ma Nnl.m ln~prlneln~.•II../A. rY..n w~nnnrA. and .: ....., OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DA <br />~arnnenT wnu ur~wnw nun ur wnY YIOLw nDNS Ingrrrnrr mr mrm nmrnu nrrrr <br />OIL E GRAS°--SEE FOOTNOTE F/P PAGE 3. QRTRLY 3AHPLIHC INSTRUCTIONS--FOOT!IOTE D/. <br />X320.1 (Rw. 9-86) Pnv(oua editions nray be used. IRE.LACea EPA FORM T•na wNICM MwY Nor ~c usED.l <br />0~C39/920615-12117 <br />PACs <br />OF <br />1 <br />
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