Laserfiche WebLink
FERMITTEE NAME/AODRf55 (1^ri+4 frWgN.wLorNren I/D~..w.1J NATIONAL pOILUTANT DISCNMOE ELIMINATION SY57EM /INP4ES/ Fo!m Approved. <br />~ OMa No 2oao-oooa <br />' ~ <br />~ - DISCHARGE MONITORING REPORT (OMAI <br />NAME ' + `~ <br />ADDRESS ~- ~... f _ _ .. is <br />r <br />'I <br />M <br />L <br />' ~ ~T'i I ` ~ ~) "`~~ PERMIT NUMBER a5tHM0E NLMIDER 1~ - I yT' ~ <br />~ <br />` <br />' <br />ti==*J v <br />t7 GL~Oi~ SPGS .. <br />ULC_1-t 7 <br />!-~=~~~R - ~ ~3TP.~E <br />FACILITY _(ii":Y~ MINE ~~ ~~ MONITORING PERIOD __ <br />~ <br />C'~: ~ 1 Y AA MO-• DAY Y AR MO . DAY. i `:~; 1? I . ;1 ~ : ~:.:. <br />'-' ~~ '~ <br />'r10 <br />N <br />LOC.A <br />_ FROM TO <br />- <br />- NOTE: R~~d Imtruetlorn b~fo7~ compl~tlnp th(~ to7m. <br /> PARAMETER pUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, E1IEOUENCY SAMPLE <br /> O~ <br /> EX AHAIr~s TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <br />1i <br />' SAMPLE <br />MEASUREME <br />T .: ~ / <br />~ 6w <br />1 ~~G~ // <br />/'! .;: <br />I <br />- <br />_ <br />. N " <br />, V J <br />+4 S PERMIT , . ., .. ,... ... - _ <br />L ..: l <br />~ ...LV~N~r ..-,~~_-.;; '. ~,:,~. ~ ;, <br />~ - REQUIREMENT <br />- '3o~r~ ~1+,rG i~r ~ 1 i _ ,;~ r., ::: i i~~- i ;.. <br /> <br />SAMPtE - --- - <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT <br /> <br />---- REQUIREMENT <br /> SAMPLE - -- <br /> MEASUREMENT <br /> PERMIT <br /> __ - _ _ - REQUIREMENT <br /> <br />SAMPLE _._ - <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE - -- <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> NAMEl17TlE PRINCIPAL EXECUTIVE OFFICER ' `~^117 ° fr pf"•'70 ^^ IAf~ tlih docvmrnl •nd ~u •IlKfimenb.err <br />TELEPHONE <br />DATE <br /> prep~nd under rw7 dlref+Mn or fuper.fflon In ~reord~ntr rlth ^ ,7nem dM[ned /~ " ' <br />. <br />% --~ t H +(~ / .. to tesurt IAeI rudlfkd perennnel proptA7 plher End f•dYflf IM Infonrollon <br />fuDmllled. Errd nn mr Inqulr7 of IAe person a prnwa aAo nun~[r <M f <br />Mrm '!.~ ~ i r ~ j / <br />- ~ <br />{ ~+ <br />~ <br />~ <br />/ ~ ' / <br /> , <br />, <br />IA <br />l <br />U ( <br />r <br />- <br />~L <br /> / 1 oa <br />on prnoro d <br />rec <br />7 mporedbk for plhfA^[ IAt I^fornullew. Ihr InformeU.m :: /; , ~ _4 _ <br />+ - + <br /> 1_ ~F: ' ~l; . ~ - <br />' wbrnlnfd h. t^ IAe ~1 of m7 L^o.kn![e •nd ArNrf. IrW. ~mrrale. end mmpkle. + v (. L <br />{ ` - - <br /> I e~ ^.en tkel IAen Ere,f[MBu^I p-ndtie for aerrrrnn[ blrr Inror,n.uon t10NATVRE OF MINCIr•Al EXECUTNE <br /> TYPED OR PRINTED , <br />InelYdl^[ iAf p^.dbiul7 0! nne •nd Imprleoninfnl roe kno.in[ .l^I~Uorn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRd~r~nc• dr •nc~h77r~nrs h~r~/ <br />- i r If^ .. i_ 1 't <br />EOA Form 3320-1 (Rev. 3199) Previous editions may be used ~I~iiS )5 3'd-p3t( fOTtTt PAGE pf <br />