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REP49742
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REP49742
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Entry Properties
Last modified
8/25/2016 12:53:47 AM
Creation date
11/27/2007 12:39:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
Report
Doc Date
12/11/2001
Doc Name
APPENDIX G NPDES DISCHARGE MONITORING REPORTS
Permit Index Doc Type
HYDROLOGY REPORT
Media Type
D
Archive
No
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PERMITfEE NAME/ADDRt S~ I InrluJe <br />F~r!llly Neme/LBtulmr" Ifien•nU _ TT'' <br />VAME_~~h ~~JLL_~-~L1111L.~1a}-_-- <br />ADDIIEBS 13UU _ UTA YAL1;____ __ __ <br />___ FLAGSTAFF' _______ AZ BbliU1 _ <br />FACILfTY <br />__ __ ___ <br />OCATgN ~ ~ _ Vc:~ISiY`~~'~~` _ _ _ _ _ _ <br />kT'fNn ~~~^_- _ __ __"_IN_ PkF_STI]F.NT <br />... ~.. .. ... u~~.. n... ...:.I ~i.~~... ... .~1 <br />DISCHARGE ONITOHING REPORT I IIhIRI <br />(1-l61 (1719) <br /> CUUdUU[ 'v U4 d <br /> PERMIT NUMBER PncHAeaa nurece <br /> MONITORING PERIOD <br /> YEAR MO DAY TEAR MO DAY <br />FROM ) U TO <br /> !JO-JII !))Jil IJLIU !Jb-I71 /lF-I01 /70-ill <br />i911i U N • <br />(S U d A N W) FcgTO epPlpved. <br />F - FINAL ofne No. 2oao-oooa <br />UI~CHAAGE 'l~rol44i"Bllef2g~'~AEEK <br />'~;'~' NO DISCNAHGE ~_( '~*r <br />NOTE: Read Instructions before completing this lorm. <br /> (7 C1rd Ollly) QUANTITY OR LOADING (4 Cant Only) QUALITY OR CONCENTRATION <br />NCY <br />FRE <br />PARAMETER (46-SJ) (SI-61) (78-45) (46-SJ) (34b1) NO. <br />EX ~ <br />ANALr9S SAMPLE <br />TYPE <br />(JI-77) <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS (blfYl (6168) 169701 <br />SOLIDS, TOTAL SAMPLE ###### .'##XI~k# ##~.:~x~# ~ L(~ v ~.-1.J ~ ( I9) ~ ! G <br />~ <br />GIS50LYEU MEASUREMENT U ...` <br />70295 1 0 4 9# <br />#O <br /># <br />' ;##### <br /># ~##>:- #####~ 'OPTIOHAL ''AEPOAT QT$L!' H" <br />Gfll <br /> 'PEP.MrT. .: :. . <br />. <br />. <br />: . <br />. . . <br />EFFLUENT GA055 YALU REOU1~"°'~ ###'d HT@ A9G DAILY H HG L "`" <br /> SAMPLE <br /> MEASUREMENT ' <br /> <br />PERMIT ' `, ~!. <br />ti~l~ <br />' : <br />: <br />' <br />, . .. <br />., <br />. <br /> RHQUIRHMENr.: '. <br />~ <br />, <br />' <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT .: _ ~ - .' <br /> REQUIREMENT ' <br />l'; <br /> SAMPLE <br /> MEASUREMENT ' <br /> .. PERMIT:. ~ ~ <br />-.. <br />~ <br />' <br />. ~ <br /> <br />" ... <br /> REQUIREMENT - ; <br />.' '.. .. <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT .:.~ .. ~ .... <br />" .. <br />.... .. ... ,. .. <br /> REQUIREMENT . . '.::. "' . . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. - ~ ~ . <br /> REQUIREMENT ~ . ' <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT ~~ - <br />,.. <br /> <br />' <br />" ' ' <br /> <br />~ ~ ' <br /> REQUS3EMHNT ~~'.: '.~.. , . 's;;. ' <br />' .. . <br />NAME/TTLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY of LAw THAI I HAVE PERSONALLY Ex AMINED TELEPHONE D A T E <br />A <br />l <br />~~ AND AM FAMtNR WITH TIE INFORMATXw SUBMITTED HEREN: AND BASED <br />ON MY INOl1RY OF THpSE NDVOl1AL5 MMEDATELY itESFVIJ501E FOR <br />© <br />C v <br />` OBTANMG THE WFORMATgH I BELIEVE THE SUBMITTED MFORMATION IS <br />LI <br />C <br />I1 <br />`~U T <br />Y 'y <br />~ W TRUE ACCURATE AND COMPLETE 1 AM AWARE THAI THERE ARE <br />SKJ~IIFIUNT PENKTIEB FOR BUBMRTWG FALBE KORIMTION INCLUDING <br />irlE POSSIBUrY OF FwE AND MPRISONMENT. SEE IB US.C. 1 1001 AND <br /> <br />gIQNATURE OF RINCIPAL EXECUTIVE <br />9io ~a763 <br />` ~ / <br />o J <br />-{ <br /> 33 USC. 1 13t9. (/1•naIIMJ undH IIKSt {ItlulO m/Y in[ludt ~nO uY 10 <br />O` A` <br />TY D OR PRINTED f10,000 aM ar mHimum ImPliaonmenl of belwun 6 manlha aM S yuntl OFFICER O AUTHORIiED AGENT NUMBER YEAR MO DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATX3N9 (Rt@rcnce tll .IRehmenft hercJ ~ <br />JIL E GNBASE--SEE FOOTNOTE F/, PAGE 3. UA'I'ALY .iAtIPL1NG iNSYAUl:1'IOUS--FUU'1'NUTE U/. <br />Fp6 Fnrm 339-1 1Rev. 9.881 RPVIOUS elfiliDns mAy M IFP(f. (REPLACES EPA FORM T-AO WHICH MAY NOT BE USED( , ., ~ ~ , -; ) ~) .~ PAGE IOF <br />
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