Laserfiche WebLink
PERMITTEE NAME/AODRESS (lnrML F~erhryNwr/Loesrtren t/D(Qrirvnr) <br />NAME ~.{~~Ial~#~~ MINIP~It'sr dfiv~. <br />ADDRESS ~~~'~'~~~ ~~~~ <br />:~°. ©. BQ~ ZS7 <br />FACILITY T13t~~P~ld t~~IIVE <br />LOCATION C:F~~-aI~ C~ ~:~.$25 <br />i "E"C~3: Cas~lti!"iC3t4lO ~. YiU %~i.7l~i, ~I'd~$/(~~'{ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT ID R1 <br />,..r::.. <br />PERMIT NUMBER DISCHARDE NuMtlER <br />MONITORING PERIOD <br />YEAR 0. D Y R MO_. DAY, <br />FROM TO ~ " <br />Form Approved. <br />pIN6 No. 2040-0004 <br />i'I I NQR <br />f 5UBFd ~,.~~ <br />~~'SGMF~r~G~:. Tip SP-~~`~". ~~F~~~j'~ir. <br />NOTE: Reed irntructiora betas cotnpletinq thle ttxm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANAlvsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~"' SAMPLE a ~-~ <br /> MEASUREMENT <br />004t}C) ~. f) C? RERMIT #3F# ~. ~~ a >" , -. t',.~ . <br />~~'~"L.U~6~T QI~ f~SSi 'J~4LU it(=n111t~~MENY ~•~ :t•~~e i~ I Pd T I~Ui°E _ _ _ -_ _ _' <br />~ i'i~:t ~ Mt.~i'f S~~ <br />~... a1 r ~~ I z,. !•~t SAMPLE .. ~ x .; :< ~ ~ r . . •a- ~ rw <br /> MEASUREMENT <br />~ <br />C3~S~•5 ~. C7 C1 PERMIT ~ ~- , #•#~ ~ •a• ~r t ~ ~ ~ r ~rr~u <br />CI= ~'L.U~i~t1~' ~6~fJ33 4tf5~,..U~ REnt11REMEN7; ;~~ -`~~~~ 3~ ~`G 1".1{-~ ~'L'~' i`iX f'''llr.ti_ t"fC)i'dTf-i <br /> SAMPLE ., :r-rt-.r~v-a- ~-•sr•;-~;-~• ;::r; : .. <br />i - J ;r~, xrs: t <br /> MEASUREMENT ~ <br />r3SS~ Y O t? PERMIT #•#•~• ~. <br />F~'F"I_UI~ttfT Gi~t]GiS VPtLU~ <br />_... - ~E(lUIREMENT f :~•st•#•tt• ~~,/ '~i~~E~~" i~f€~:: s°d~~s.. G~PdT <br />_~ r SAMPLE ~ ~ ~r :r :- ~. •Srv:.r :r :; - / a: xr1 :r-~r <br />THRU TREA~'fi~l~f:4T' ~LAf~! MEASUREMENT // <br />5~i©~Q 1 ~ Q PERMIT t •. x fr•, ~ F?'r~F3t C ~; . '! i '~ Cr ~ ' <br />IrF''~L.U~i~lT GI~CGaS VALU FIEt2UIREMEN7 '~G~Cy'~-s A,~.~`t~ ~iflt2L i~l~ P~"dCal? :'r:i~•~# <br />~U ~. ~, t f-L <br />a:)ISSO~.~~%~ SAMPLE <br />MEASUREMENT sr •r. s: <br />/ ~3'Kr~Y •sc <br />~` # :r:t~~ .. 1 <br /> <br />'7fl~?95 ~ ® C) <br />: PERMIT <br />~ <br />. <br />### <br />~ <br />t~ . <br />/ t r T t~ <br />E~I^LU~fi~z c~:os<~ u~~U . <br />al~va~M~~rr <br />:> :~•:~~•~• <br />, ~ ~~~'t~ ~t~~ ~~~z~~ r•an i~~rl_ <br />.. ,. I .~- SAMPLE ~ sr :; :r •sr ~ / •~~:~ :ter „ :, .::~ , z n .> „~• ~:• <br />~ ~ SUI~~. MEASUREMENT ! ~,.~' <br /> PERMIT <br />F1= ~'L_U~fi~T ~~;C33S 4IALU .REaUIRI:MEN7` T t~l ~ r h`IA k ~#.~=~t~ '~#"~'# Fi3~PdTF <br /> <br /> SAMPLE ~~` <br /> MEASUREMENT <br /> ?;f+ERMIT' <br /> AEC2UIREMENT <br />AI EXECUTNE OFFICER <br />N t «ru~r ~ er pens ty o lew that mh document end nn ennchmenu were TELEPHONE DATE <br />AME/TITLE PRINCiP papered under my direction or aupenMon In accordnnn with nsystem desl`ned '~ <br /> <br />/,~('~ / ~r//1 <br />/ / <br />~ / <br />to more That qunMRed personnel properly ether and erslunte the Infornulbn <br />eaxd on my inquiry of the person or penoro who mram <br />wbmlfled <br />e the s <br />stem /`\4~ <br />~ <br />, <br />N ~ S <br />• I ~ v~~~ ,., <br />C <br />= t~ VVV . <br />` <br />, <br />y / <br />~ <br />. <br />' or those persoro directly resporulbk for ptherlnE the Intornution, the Informstlon <br />t <br />f m <br />kn <br />t <br />th <br />D <br />kd <br />b <br />i <br />d b <br />tl <br />f <br />d <br />d k ~j ,/ ) <br />~ <br />~ <br />Q <br />~ <br />~~ <br />/ <br />/ <br />e~c ~' y <br />ow <br />o <br />e <br />n <br />o <br />fe en <br />, tae, sKCrrntq an <br />su <br />m <br />tte <br />e <br />e <br />eompkte. <br />. <br />lll <br />the th <br />l <br />t <br />ltl <br />1 <br />r <br />b <br />i <br />n <br />hb <br />I <br />r EIONATVRE OF PRINCIPAL EXECUTIVE ~ <br />/ <br />- 7 <br />~/ <br /> ~n <br />nm nwnn <br />en nn s <br />un <br />pena <br />n <br />or m <br />m <br />t <br />e <br />n <br />ormntlon, <br />ntl <br />TYPED O'R PRINTED ~ InduelnE the posslbluly or tlne and Imprbonmenl for knowln` rldseom. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rel~renc~ sl/ ethchments here! <br />T aS ~., "~OT:~~ ~I'~t~fid ~.3~~:~YS WXIrL H3~ I~,I~ItalE1~, ~c SETlI~.~~~t_~ ,c.>QI_.~~5 I...If~I 9 APG'LI~D ~'f~R ~-1.GaY~', ~~F91`2 I`'~$EC~I~ ~l1~ltill-- <br />S~~ IiUI~ID~I~ d7F B'Iv~gCl~" Idd~Q43TIS~fi'9~i~T3 UI+~~D)`I~ I. l~r. 2. TOS a.~dQIVI~'CI£vl~lG - 3. ~. ~. C3I1_ ~r C91vEAS~ - S~~ I. ~. A. tID>. <br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used. {~~~'~,y f ~1~~~4' ~1ii~Qilit. PAGE 10F <br />