Laserfiche WebLink
PERMITTEE NAME/ADDRESS Include farilin ~ame7~xarinn iJDiJ~erentl <br />NAME <br />ADDRESS <br /> <br /> <br />FACILITY - <br />LOCATION rL.~.I.~ C.' t7 51b34 <br />.IY 1~: 12?C], RED-Lf1i`1t4T:~7tV r'I si?\!~ =i R <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 />Form Approved <br />OM8 No. 2040-0004' <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE f <br />`"•~ <br /> MEASUREMENT ` <br />\ -- <br /> PERMIT <br /> REQUIREMENT <br /> <br />SAMPLE I <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />~ li <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ` <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />~ <br /> MEASUREMENT ~ - ~ - <br />- ` <br /> PERMIT ~ , <br /> REQUIREMENT <br /> SAMPLE , <br /> MEASUREMENT -•~ <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER 1 cenifj nnder penuln ~~! lu.. that thie dtrwnent and all attachment. mere <br />~ <br />i <br />h <br />d <br />i <br />-0 <br />- TELEPHONE GATE <br /> cnnlanae e <br />prepared under m~ dira <br />tion nr .upeni.iun m x <br />t <br />u yHrm <br />e. <br />>;na / <br /> to aa~urr that yuulifnd peruinncl pntprrk ttather and ea nluale IM' in(nrnwtion <br />~ <br /> .uhmittad. Nased on m~ Inquin of the q•non ..r prrvm~ who manukr the .y.tem, <br />ur lhn.c prnun. dirrctl~ re.pnneiMe for yutherinC the information, the information ~ - <br />+ " <br /> itted is <br />to th <br />lk~t nr m <br />Anuw led)te and M•IieL trw• <br />uacurute <br />and cam <br />k[e <br />h I ~ - <br /> ) <br />, <br />p <br />. <br />w <br />m <br />. <br />e <br />. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED I am aware that thrre ure.ittnifkum penuhie. for .uhmiuinz falx Infnrmalinn. <br />iterhtdin~ the pr.ihitih of fine and impriummem for knuwin)•.iolutions. OFFIfjER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MQ DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3325-1 ~Re, ~ Pra:~i~~~.s ~,~ _ , ~ <br />form. <br />