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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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LRMITTCC NAM[MO RC]] {lnrfYd[ <br />u Jrty NRmr/Lor[rbn lr nr/ rf 1 { <br />I(IM[_1_li (I .~~ p 1_• /t_ ~ ~:4' )ILv it-LI ) <br />DDwn[L~ ~ Ti)_7LL~--------- <br />-----~ <br />AUUrv ____ <br />OC ATION <br />•I Ffi;e f, I.TS 1.. T:9'P.V EII:!1sl^DAPC Tn4"IP - <br />ru UnnwL Pol LLTwHr mxHAncE ulMlnwnoN sv•,ILM l,vl'/1I,.SI <br />DISCHARGE ITORING REPORT IDIIR) <br />Z l6 f 7.14 <br />I rI. C^.^ 7 <br />PERMIT HUMBER vlsc.I•ncr nu•I <br />MONITORING PERIOD <br />YCAF MO DAY YEAR MO DAY <br />FROM ~ `1 TO <br />I10~111 171131 11113! l16~Z 11 118 Z91 170711 <br />'. 1 ":~ Form Approv~ <br />- F'T'!?L Expires 930-91 <br />r'I''`'!h nr .' 'r.". Il r. ~l/L'ISN f^rE7 <br />NOTE: Read instructions before completing this form. <br /> (1 Card Only) QV ANTITY Oq LOADING (0 Card Only) QUALITY OR CONCENTRATION <br /> <br />PARAMETER <br />(16~Sp {Sl bf) <br />U8-ISI (1631) (Sldl) <br />NO. <br />x rnCDU E.ICr <br /> <br />~ <br />SAMPLE <br />TYPE <br />(3Z II) E r51S <br />h <br />• <br /> AVERAGE MA%IM UM UNITS MINIMUM AVERAGE MA%IMUM UNITS <br />SI/, 11 <br />IM1IbYI <br />IAV 71q <br />~- <br />)LID;T "MITT. <br />~ SAMPLE ;:k': is (: :;: ' ( ) .~... ( ]..) <br />~ ~t ~ I',~ II t. ~= MEA9U REM ENT ~ <br />~ `/ 1ti t <br />/~U' <br /> y C/ <br />.I TSJU 1 7 ~ <br />i PERMIT Yf-Arm#Y,:f;:# ~~~c',FFY' n .. nr~.c ;CI lil y^F'/ ~P,Ail <br /> <br />°"LUfi 11 ~N7"- ~AIIIf REOUIREM CNT <br />- <br /> <br />, <br /> <br />_ <br />) s <br />ne- <br /> <br />` <br />y .T• <br /> <br />- <br />'.. C I. \ 11 I: • I. ~. ~. j BAMPLE <br /> <br />... .... <br />.. <br /> <br />...... ....n <br />. . 1 <br />I <br />E --___ <br />~ . r :'(:;a ;::"; 1 <br />( ~~ - <br />F MEASUREMENT <br />I. )7511 1 r ~ ~- P.ERMIT~ <br />~ {X-'Z##~#'' ~ v,!#i%YY' ~fYV :: }~ r'y: ~::r~.~ AI. h'YYY <br />1'~' I <br />ONTI.1 D <br />. <br />AA <br />c~'FLt7RNT C?753 9ALU REOUIREM ENT #### " . <br />1 <br />IIi7t 6AMPLE ~,`'~'-'.cY {::~i. . ~ ) rvi~'v:I:~c I'1 <br />( ' <br />c.Irr.L ne.nv~PnNt.F NEABUREMENT Ofl7 <br />L• Q!'/ <br />b ~. /~29 <br />/ /9rp <br />l <br />' <br />n <br />0.0 <br />(1980 ] 0 ~ PERMIT • '#]tY#~~, ~k#1=fat ;c#r. ° ;:~•:Tf#3: <br />' 1.~ <br />~ L. J <br />~ N~ <br />E/ • <br />R <br />? <br />•H <br />I f''I <br />U~N71 ~:Nn S'' VAI <br />II REOUIREM ENT ' +rf . . <br />~. ' <br />~ . <br />; <br />- <br />. . t <br />C. R o-ty +r, <br /> <br /> BAMPLE <br /> MEASUREMENT <br /> . .: <br />:.:.PERMIT:' .., e '.. ., ~ <br />... ..,.. <br /> <br />~ .' <br />". •..". :, <br />... <br />~ <br /> REOUIREM ENT, ,.:~.. "' <br />"'~ '~''~~' ' <br /> 9AMPLE <br /> MEASUREMENT <br /> '.. <br />'.. PERMIT'.. ~ ... y. <br />:>.( q., ..., .'.. <br />•~ <br /> <br /> BAMPLE <br /> MEASUREMENT <br /> ~. ~... .. <br /> <br />' PERMIT: '~ ~^ .V .. <br />..: <br />'- <br /> <br />. <br />. <br />'. <br />~~ <br /> <br /> <br />, <br />:a 1: <br />~ <br /> <br />~ <br /> <br />' <br /> RECUIREM ENT: :. <br />. <br />. <br />;. .. .: .;... <br />'.:" :.'::': . <br /> 9AMPLE <br /> MEASUREMENT <br /> PERMIT..'~.~: <br /> 'R EOUIREM ENT. ., ~ '~ ' <br />NAME/TITLE PRINCIPAL E%EC UTIYE OFFICER I CERTIFY UNDER PENALTY OF LAw THAT I HAV[ F[RSONAUY C%AMMED <br />ANO AM FAMILIAR WILH iH[ INFORMATION SUBMITT[O NCRCIH AN <br />A <br />D TELEPHONE DATE ' <br />I a <br />• l <br />~~ SE <br />D B <br />ON My INOUIRV Of THOSE IND VIOUALS IMMCDIATCLY RESPONSIBLE FOR l <br />~~ <br />~ <br />e <br />W W OBIAINIryG THE MFORMAtIO:I I BELIEVE TH[ SUBMITTCD INFORMATION ~ ~ <br />,F <br />j <br /> <br />I$ TRUC ACCURATE AND COInRETC I AM AWARE THAT TMERC ARE SIG ~ <br />.r_II:~JN <br />.i <br />`/l <br /> NIf ICANT PE hAL TIFS FOR SUBMITTING FALSE INFORMATION INCLUDING <br />Ir~~ <br />s 2~~1 r Env~rot. f~-E-Calyx THE POSSIBILHV Of fME AND IMPRISONMENT 5[E IB USC 1 IODI ANO <br />11 uSC I IT9 .prn,lnr• ,Mrr Ihrv pol <br />nmr mn <br />r <br />J <br />n q <br />d <br />h BIGNATUR OF PRINCIPAL E%ECU TIVE Gnz ~~~-SZ~3 93 ~y 23 <br /> <br />TYPED OR PRINTED <br />a <br />.. <br />r <br />nr, vy b. <br />M <br />, <br />l <br />,IW ••rma.Inlunl lnlpr,a••,InI.IU„/Mlu.rnfiml.nrA. and :Ir,,.I <br />OFFICER OR AUTHORIZED AGENT <br />A EA <br />NUMBER <br />YEAR <br />MO ~ <br />DAY <br />OIL C Gh ~cc__gc'g ?nnT1T7f6 F'/[ P0.GP. 3. QRTRLY SAflPLING TNSTP.UCTLrI'13--F'ODTA:O?~ p/, <br />EPA Form 3320.1 (Rev.9-BB)PreYlous etlilions may be used. IRE.LACe3 EPA FORM T~IO WNICN MAY HOT e[USEp.I VwGC O• <br />X111; ~.I, ..TI~_I ~qI I <br />
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