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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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Fr[drry Nrm[/Lorarbn if drffnrn0 y DISCHARGE MONITORING REPORT rDl1R1 u <br />NAMI_~~y_lr_iQ ~--)v~.°..'~ ~C 17/9 <br />~---- t1CN0R Form Ap d <br />wonREn13 n1JS1J~g1.F -__-_-___ 0 rR (SUUR Vi1~l I'•9T8TNo. o-oooa <br />-__FI,A:51'~.1=---- J-~' ~fl5~j,)L_ PERMIT NuM BeR oucw.wcr wu...r" F - FINAL E%plres 9-JO-91 <br />MONITORING PERIOD DISC-HA.HG F: TC T°I^/FISN CRcr.E <br />PAClurv <br />-~--~~~-----~------- YEAR MO DAY YEAR MO OAY <br />~ <br />LOCATION FROM TO <br />- <br />ATTN: DF. IIIIS L. ST?V °!7SON PR ESIDEI7 lzD71/ !z1'1JJ lzl zs/ !16771 I7R z91 Ilo )11 NOTE: Read instruction3 before completing ihi3 lorm. <br /> (3 Card Only) QUANTITY OR LOADING (. Card Only) QUALITY OR CONCENTRATION <br /> <br />PARAM lT ER <br />(16-73) (3167) <br />(J8a3) (16SJ) (3161) <br />rEO. rw EOU[NC• <br />OF <br />SAMPi <br />TYPI <br />(7737) wN nLr515 <br /> AVERAGE MA%IMUM UNIT6 MINIMUM AVERAGE MA%IMUM UNITS <br />6761) <br />l616A1 <br />164.Ir~ <br />SOLIDS, iDTAL SAMPLE ^'~rrr"~' {'riA~'k ( ) r, ,v,- ( ?!J) <br />SJJFENDESI MEASUREMENT 1z y <br />1Z- Ll <br />V ( ?~~ /'~A <br />L> r' <br />UJ530 1 C' `? :.PErtnI IT. ,... .: ,...+F~m.>< ; <br /> <br />. <br />' <br />' <br />e Y,Y :: 'v A~~krt~#: <br /> <br />• <br />`: „- <br />, . A.:k tY;`•;-~# : <br /> <br />: <br />:' 3 <br /> <br />5': ;:: <br />' <br /> <br />70 <br />.• <br /> <br />:iCE/ <br /> <br />RAH <br />• <br /> <br /> <br />EFFLUdNT GROSS VALII <br />RECUIR EM ENT . <br />•; : <br />: <br />... <br />. <br />... •; <br />. <br /> <br /> <br />. <br />' <br /> <br /> <br />..- <br />- <br />DIG AND 'RE4SF <br />~ <br />BAMPLE ~='r'.~; rY.-rr <br />( ) r.,rr,r .-,,.rr ( 13) <br /> <br /> <br />FR?D`I E%iR-GR4V M°'1'1 <br />MEASUREMENT <br /> <br />~ /n~ <br />V <br />I 3b <br />Tj <br />6rTf <br />00556 1 D 0 PERMIT" Yid ~'-k Lr':. ~rrm~~:' . .- fi.']: CE (LY'~•,ra .. .y <br />~'.`~'Y'J SI <br />. <br />' <br />I <br />^ <br />~PTI9 <br />+RA <br />lu <br />~~ ~. <br /> <br />c- LUa IT GROSS Y0.LU <br />RlOUIREM ENT <br />,:. <br />::::' '' <br /> <br /> <br />r ,- <br />. <br />V• <br />^r •w <br /> <br />Fr• <br /> <br />_ <br />I3ON 6AMPLE `:'i vi::~ r r,-r ~v` ) <br />~ :Xi==~v+„ q ( 1 ~ <br />) T~ <br /> <br />TOTAL Rc"'OVERA~ILF <br />MEASUREMENT <br />~` <br />~ O. <br />~ <br />Or D ~~ <br />/ 1 <br />I7~r <br />/DF <br />l <br />' <br />1` <br />UJ9D0 1 0 0 riRMiT,..; ,r~3;T?Ys :. <br />' .: .pr~ryi{:y.: <br />~~ #:: yr:k#,"-G''l ` 1.0': b.4 NCE/ , <br />tZ <br />.4 <br />U <br />t:FFLUF.NT GROSS VPLII HEOUIREM ENT ~~' <br />`` ` '' r;: ~ <br />E _ <br /> BAMPLE <br /> MEASUREMENT <br /> '"'PERM 17 ~~' <br /> REQUIREMENT, <br /> 9AMPLE <br /> MEASUREMENT <br /> <br />.. <br />~~~ PERMIT: ~: <br />... ..... ~ <br />.. <br />.. <br />... •..:n <br />.:: >:.: <br /> <br />: <br /> .REQUIREM BNT; .... <br />:::..::'. ..,F <br />.... :; •. <br />: .. <br /> 6AMPLE <br /> MEA6UREMENT <br /> .. ~ <br />' •. ,PERM IT: ~.. ... ~. <br />'... .;, ;. <br />:. '...y'. <br />~ <br /> <br />.....e: •:.. <br />... <br />•-' <br />n• <br />.. <br /> NEgUIREM ENT ...: .....,. .. ,,~ <br />-.. <br /> BAMPLE <br /> MEASUREMENT <br /> <br />..~ .. e. .. <br />"' PERMIT.:' ....+:: <br />... - <br />~ <br />'.:: •.. ::. <br /> <br /> <br />:. <br />.. <br /> <br /> <br />:: ~. <br />.. .~; <br />.:. <br />e a.~ <br />era <br />•' <br /> <br /> <br />.. ~y;. <br /> <br />`a'~ <br />a <br /> <br />.:. <br /> <br /> <br />~Y~.. <br />`i?,..' <br />. <br /> REOUIREM.ENT: . <br />'..< <br />; :.., ~ <br />.:: •• . . <br />.. <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I C[RNFr unp[R PENALTr OF LAw THAT I HAV[ P[RSONALN Ex AMmED <br />[MILI <br />[R WITH THE INFORMITION SUBMITTCD HEREIN AND BIrSED <br />AND AM f TELEPHONE D A T E <br /> i <br />r - <br />/ <br />Cy/ <br />~. Q ~1pnd~' ON M• INQUIRY Oi THOSE MOVIWALS MMCDIAi[LY RESPONSIBLE Fpi <br />OBTAINING THE INFpiMAT10:1 I BELIEVE THC SUBMITTEp INFORMIITIOM ~ <br />JJ <br />j <br />//j <br />~~-- <br />//JJ-- <br />ffjj <br />// <br />// <br /> <br /> <br />E <br />` <br /> <br />5 TRUE ACCUPAiE AND COMPLETE 111M AwAR[ THAT }H[RE ARE SIG L <br />. <br />~ <br />.,' <br />A <br />`--F~-w <br />-_ <br />{{ <br />~l <br />T <br />I NIFICANT PENLLTIES FOR SUBMITTING FALSE IN[ORMATON INCWOING ~~ Q <br />[~ <br />Qr.l ( ~ I i. <br />L VV J <br />TvE Po55~Bll.lrr OF FINE AND IMPR50NMEN* SEE IB USC 1 1001 AND <br />3J u5C 11]19 rP.evhu~..ndn rhrv rmmin .per mrlud. llnr• vy o~ !I nr~ <br />61GNAT E OF PRINCIPAL E%ECUTIVE <br />~OZ ~j <br />~~7J <br />/~ O~ .r <br />_G <br /> A <br />6 <br />A <br />A i <br />~ AREA <br />TYPED OR PRINTED rlu. <br />•v <br />m~~nl <br />. en <br />..r..I <br />v.d...me.~vrvvl.^~Pn••nrni-nr ../ OFFICER OR AUTNORIZED AGENT NUMBER YEAR MO D <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS IRr/rrrnFr ull uuudlmrnu hrrr) <br />OIL E GRiASE--SCE FOOTaOTE F/, PAGE 3. 2RTRLY SAMPLING INSTAUCTIONS--FOOT9DTF. D/. <br />EPA FOUR $320.1 (R~v. 9-88) PFeNoua editions may be used. IREFLAC[f EPA FORM r-ro wH1cN MAY NOT •E psED.l rACE o. <br />OOl;?R/^7.')611-1 2!11 1 <br />
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