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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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rL RMITTCC NAM CIAODR[f3 OnC(Ydr <br />frrJlry Nrmrf/tlonlbn Ernr/ <br />NAM[_LL~~ .~"1LSZ Li°"~,"~L11---- <br />PAClurr -- <br />LOCATION <br />r fTti: PF. ~?.TS L. ST?Y°'+. ~.Dti CA PST DRNT <br />n+noNwL roLwTwNr scR+wcc ruMlnw nDN SrsrcM M'PDEJI <br />D ISC HA RG NITORING REPORT ID.IINI <br />l /b nwl <br />(' !1 l . !' 1 ! ~. <br />PERMIT NUMBER <br />MONITORING PERIOD <br />YEAR MO pAY YEAR MO OAV <br />FROM . l1 (~ .TO 11. <br />l30~71/ !Il-I31 IN~1J1 /Ib~l7/ /78~.'9l I30d11 <br />:•,I"7[' Form Approv <br />(5;19:; N'i) D.mM9pNo. zoao-oooa <br />[ - FT !f 111. Expires 9-00-91 <br />olscnrl!Tl:e Tr, rl:i~/°ISIf CRcFR <br />NOTE: Read instruction before completing thif form. <br /> (J Card Only) QUANTITY OR LOADING (I Card Only) QUALITY OR CONCENTRATION i <br />PARAMETER (Ib-J3) (Jrfil) (Je~J) (Ib-Jl) IJIfi/) NO. FBE O`NCY SAMPLE <br />TYPE <br />(3~i7j EX wN LL r515 <br /> AVERAGE MAXIMUM UNITE MINIMUM AVERAGE MAXIMUM UNITS <br />5IL)I <br />IbI <br />L <br />YI <br />169J0) <br />FL~Hr IN v(i7fjUIT t)17 6AMPLE /~ <br />( V~~ . .v.. r .. . . . ~ . ... . ( I <br /> <br />T';1 ~U rr.E ~.r~ nr ~(, ~t;T <br />MEASUREMENT 9 <br />I <br />I <br />O ~ I O' (~O~ . O - <br />T <br />( r <br />~~~ <br />5~[.~J 1 (` I1 .' PERMIT ^a r, <br />~•R Lr. O.IT .' t!C LIViY :l'.l/(.. Y~~~/`. IIrY ~ ~.v~l/'}•1.'•.Ly" ~u~}~}A;C' T <br />RER..Y . <br />MSTAN <br />FfFi:UP.FT :ROSS vnLU~ REOUIREM ENT 39: A.. ="rl <br /> 6AMPLE <br /> MEASUREMENT <br /> ..~ . <br />%~~~PERM IT. ' <br />~ ~.:.. 3.r.. ~.'<<.' v 'a.. 'a <br />~ <br />~ <br />^ <br /> RHOUIREM EN.T, ~ •. ... ' <br /> SAMPLE <br /> MEASUREMENT ' <br /> ~~~~-PERMIT'- <br />~ . <br /> REOUIREM ENT ~ ~ , <br /> 6AMPLE <br /> MEASUREMENT <br /> <br />PERMIT. :: <br />.. ..... ..; <br />: "^: •.: °' <br />.; -,~.. <br />~•. •^~^ :~:" <br /> REOUIRCM ENT . ... ~ . <br /> 9AMPLE <br /> MEA6UREMENT <br /> . ~ PERMIT ~. ... ..^,. <br />°. <br /> <br />.,... '^ . <br />~^~~ ~ ~ <br />~ <br /> <br /> <br />~ ~~ . <br /> RlOUIREM HNT '- ~ '• "' " <br /> 6AMPLE <br /> MEA6UREMENT <br /> PCRMIT~ ~ .. <br /> REOUIR[M ENT ,. <br /> 6AMPLE <br /> MEA6UREMENT <br /> PERMIT ~ ~ ~~ ~ ~ ~ ~~ <br /> REOUIREM HNT <br />~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I EER11rr UNp[R <br />RNAL TY OF Uw TNAT I npC P[RSOwur [r+Mm[D <br />1N0 LM MMILPR WITN TNC IN[ORM1110N SUBMIR[D N[R[IN wND B+SCD TELEPHONE D A T E <br />(,qrY W. end-}- ON YY INQUIRY OF THOSC INLVVIDVALS IMMFDI+T[LV RLSNJNSIBLE fOR <br />OBIAIH~NG 1NE IH[O[IMATIO.V I BCLIC VC TNC SUBYI RCO INr ORMwiION <br />~ <br /> IS TRUC +0008+TE +ND CCMVLRE I AM awaRE TNL.I 1N[RL +R[ SIG ~~ <br />~ M(ICAHi PLNILTIC$ FOR SUDYIRIHG [NLSL INFOPYATION INCL WIND <br />L~ G <br />L <br />~ <br />f <br />S <br />B <br />u <br />Y 0[ <br />ONL <br />I <br />P <br />i50tiMEnT SlE IB USC [ IOOI •NO <br />TNF _ <br />60Z <br />7 <br />3 /J q ? <br />93 ~ <br />I <br />/ <br />V VI f /It VIfO +; <br />' <br />9 <br />A <br />~ <br />^ <br />~ • <br />S~ <br />1•• LII/I//~ <br />• n~rv uulyd/ I.nr. u 61GNATURE OF PRINCIPAL E%ECUTIVE 7 <br />-25 7 `/ <br /> <br />TYPED OR PRINTED Y <br />o•rl...n+.~n~.n,..FN•••n~l.•II ••l h..I...nXm~•nlh. and.i •ra... <br />OFFICER OR AUTNORI2ED AGENT <br />AREA <br />NUMHER .. <br />YEAR MO DAY <br />C VMMENT ANO EXPLANATION OF ANY VIOLATIONS Inr/rrrnrr ull ullutwmrnl[ n/rrJ <br />LIL g GF.:AS2--SF:F P~nTupyE F/F PACE 3. Q'tTRLY :iA!??LING ItI:iPRUCfI(1115--~0~1"ICTh' n/r <br />EPA FO[m J720-1 (RSV. 9-98) P/BV10U4 Btli[iOR4 may bB USBd. IREFLACEf EPA Fo RM T-Aa wNICN MwY Nor eE DsLO.I rwr,E or <br />
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