Laserfiche WebLink
PERMITTEE NAME'ADDRESS ,Ira fade Facifiq ,NumcY~xaunn iJUiJJererr, NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME ;; :-~, • ; fd;: ~ I DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS '~ - <br />• ,; cJ t ;•, r: i:.l' PERMIT NUMBER DISCHARGE NUMBER <br />i~'~ ~' MONITORING PERIOD <br />FACILITY :; : Nr <br />-~ ' ~ YEAR MO DAY YEAR MO DAY <br />LOCATION '.'ON FROM TO <br />~;' F .~T)t'• T Id~TON: c7. irJ' <br />Form Approved. <br />OMB No. 2040-0004 <br />MTN1` WATER TQ APACHE C:ANYOI' <br />,~u x <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. ~ FREQUENCY <br />OF SAMPLE <br /> ~ TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <` . t u~: ,- ., ._ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,,~~+ r. #•k- ~ ...: i -_. . _T t'`:,.t t <br />f - ~. <br />REQUIREMENT <br />- ~ ~`~ <br />I'T I ' ~ <br />MAX I i`l~ii-i <br /> SAMPLE ~ ^ sr s,. _ <br />_ MEASUREMENT <br /> PERMIT '~'~`sr### #:.tixx3: # -## .. .. •'•~; 3~ ~ ,..~- <br />- F` REQUIREMENT - • - 30UA r3'/ ~= MX 7U 'a'.' ~ h)ONTF-i <br /> SAMPLE ~ L .,. ~:.; <br /> MEASUREMENT <br /> <br />PERMIT <br />~. it x: ;-it• if <br />,. ~ ~~gg <br />.~ K~ <br /> <br />~ <br />. y.. ~ ; <br />^' <br />' <br />' <br />,_ .. REQUIREMENT r'; , T i_ 10N <br />T`' <br /> SAMPLE .. o- <br />l _ <br /> MEASUREMENT ~ <br />~ <br /> PERMIT is #•~#•1N~r ~ ~• •. 1.. ~ . <br />' <br />_' _, ': r=. REQUIREMENT ~ jF;.-~•T - r_NT <br />~ <br /> SAMPLE ~ ~'~= ' `' <br />".-- MEASUREMENT <br /> PERMIT _. ,~. ~ .- . v _. . _ . .., , .. a <br />~^ REQUIREMENT ~-f'-~1 •: 'JG DAILY MX - <br /> <br />- :'- MEASUREMENT <br /> PERMIT ' <br />" - '- - : REQUIREMENT T NSt `'; '~ is ;;_ ~ _:,~ <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME,TTTI.E PRINCIPAL EXEC OFFICER ~ rrrtify under {malty of law that this dixumrnt and all att:u;hments were ~ TELEPHONE DATE <br /> <br />~} t! N ~ ~ ~~ pr•pared under my dirtttinn .x supcn~ision in aaordanee with a system d«tgned <br />1a ,utiure that ymlified lxrvrnncl prulxrly f+vtlta and evahwte the inf~rtnauon .. <br />_ <br />~~~~ <br />/' ,;~hmitted. 13asai on my ,ogwn~ of the persrm or pertita, who manage the sy.ntn, <br />( <br />/l the u,tbmtati°n <br />ftrcntu dirctttly respon?thle (or gnthcnng the information <br />•r those f ~ -, <br />~ <br />' . <br />( <br />• <br />lete <br />l <br />d <br />d l+ <br />f <br />w <br />ac <br />rate <br />nd e <br />vn <br />b <br />t <br />f <br />k <br />h <br />d <br />h y ~ <br />~~ <br />~ / <br />~ <br />/ <br />- <br />e ~ Cf now <br />, <br />e. <br />cu <br />. a <br />t <br />p <br />. <br />rs, in t <br />e <br />es <br />o <br />my <br />e <br />ge an <br />c <br />e <br />suhmrtta <br />f <br />i <br />b <br />i <br />i SIGNATURE OF PRINCIPAL ECUTIVE / 1 <br />- .~ [ <br /> ng <br />nfortnatinn, <br />I am aware that there arc stgnilicant penalnc+ far.u <br />m <br />tt <br />al+e <br />k OFFICER OR AUTHORIZED AGENT AR <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED n.+wing ~xdannns <br />including the lx+.+ihility of tint and rmpnu+nmrm for CODE <br />COMMENTS ANU tAYLNrvAI Ivry yr HrvT vwtJal ItJno Inrrererwv an auacumanta ncr o~ <br />: .. ~~ IOD ttEPORTED <br />~::.; <br />ease - si_E I. e. ~. n, Pe. e. <br />