Laserfiche WebLink
PERMITTEE NAME/ADDRESS ~lnr(uJr Furilitr CunaiGxafian iJDiffrrtrtq <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (DMR) .. <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />01.1L~ Nc 2U4ij-/:G» <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ• FREQUENCY <br />OF SAMPLE <br /> EX ALYSIS TYPE <br /> AN <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~ ~" <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br />Y - <br /> MEASUREMENT '• <br /> PERMIT t \ <br /> REQUIREMENT <br /> SAMPLE <br />' <br />( <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I rrrtify under {x•nxlty xf lax thW thi• d~xumem and all attaa•hmrntc xere TELEPHONE DATE <br /> prrpun•d under m) dirav~tion nr wpervicinn in uernrdum~r a rtb u .)etem dccit!navl ~ <br /> to s cure thal yuufirxd pa•nonnel prnpa•rl~ Ralher and ra:duutr the inR~rnwlion <br /> cuhmiucA. Ftucad uo nn inyuin ..f the tx~rcnn ur Ix•rcnnc xh.r munuyr the stem. <br /> rrnum din•rtl. nc{xm.ihle Gn Ratlx•rin>: the inG~rnurtinn, tltr Infrrrmation <br />nr thnce <br /> f <br />whmiurd ic. to tha• tx~t ..f m. km~xlyd;;e and Ix•lief. trrn•, nreurutr. and axnptrta•' SIGN RE OF PRINCIPAL EXECUTIVE ~ <br /> I nm uxure thus there art ciKnifiram penuhia•~ far wrhmittin(; fulce in(armnti°°. <br />ENT <br />T <br />RI <br />A AREA <br /> ri.onmrm La Am~xinf; aioluliom <br />of fi <br />e and im <br />di <br />th <br />ibilit <br />i <br />l O ICER OR AU <br />HO <br />ZED <br />G CODE NUMBER YEAR MO DAY <br />TYPED OR PRINTED p <br />. <br />n~ <br />epn. <br />y <br />n <br />m <br />u <br />COMMENTS AND EXPLArvAIIVrv Vr ArvT VIVLA 11Vtv~ Inererence an auacnnrm na r~cr c~ <br />EPA ~ R 'ice': <br />I <br />TI1iti iti a 4-Pari f(1fln. PAGE OF <br />