Laserfiche WebLink
PERMITTEE.NI,MEJAOD~SS,Q~hf.t~hry .rrLofN~ q~VA(D~~+l._ NATIONK VOLLUTAJiT DISCMMOE EIIMINATiON SY9TEM (NPOES/ .: Form a~pvroved <br />NAME +.. ' - ~ ~ ~" ` ` ~ ~•~` ~ S ' DISCHARGE MONITORING REPORT /D RI '~~ = ~•Jr ,;= oM8 r!o 2oao-oooa <br />ADDRESS ~ 731 STATE H I GHWA~' _ ~ I"I -- I RIT ~ R I f'i i•il: <br />PERMIT NUMBER DI StHAROE NVMDER <br />MEEKEa -~I I31b4? F?~,TL LOOP PC~~VD;';•IILSC~Iv GRE<I=1^. <br />C,n1~ nI•,,jYIJ MIr,Jc MONITORING PERIOD ~ <br />FACIIfIY _;, Y AR M - D Y YEAR Md' DAY ^ ~ !'!•" O ; `;~ _ I ~'' <br />LOCH T10N ,, FROM TO <br /><<FLS..Y D. ~A~4 ~'> ~' OP A (VOTE: R~~d Imriuctlor+~ b~fo~~ eompl~t(n9 thlr }am. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX FRE°oFN~r SAMPLE <br />TYPE <br /> ~ ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />n <br />- - • ~ SAMPLE <br />`~ ~ ~ ~- MEASUREMENT _ <br />~ <br />- <br />- <br />-- <br />Q~-~ =' ~ ~ <br />' <br />' <br />' PERMIT - - r <br />~ ;10DA AVi~ DAILY MX ti'.: ' <br />. <br />-~.L'.~~ <br />O: <br />cF'FL1.:E^JT C <br />' REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> V SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ~ <br /> PERMIT ~ , <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TTTIE PRINCIPAL EXECUTIVE OFFICER ' cent] Y er qn^ ry o 1^. lMl Ub dolvmrnt ^nd ^N .u^chmenu acre ~'• /7 TELEPHONE <br />^r!d Y/Idef m1 AlrecilOn M wlPer.lflorl In ^KCOrd^m't allh . f]flern 4~ jned - / / ~ <br />R GATE <br />p <br />p <br />. ;~ ~ ; , Io aefvre Ih^1 gY^NMd personnel PtaPtrt] j^Iher ^ne e.^IY^It the InfMen^IIp1 i <br />~,~ <br />~~ ~ ~ %~~ <br />r <br />fYDnlllled. e^ffd on mf Ilpvlry or the person or prr^ora aho m^n^je /he f]f1tm, / <br />j <br />,, or Ihofe prnons 01ret11] refponlhle for j^lherl nj the In/orm^Ilen, lhr Inforl1r11mI ~ ~•;_ . ~ ' 7 <br />'Y ~~~ 'I ~ ~c- <br />~ ~ I <br />~ '' ~ , <br />:. ` r ~ whmlued If, to the hell of m] troakd je ^n0 bevel, Iroe, ^cevnle, ^nd compkle. <br />t, (' Ji f "' ~ ~ <br />fIONATVRE OF FRINClrAI EXE <br /> 1 ^m ^a^n Ilol three ^re Cjnlnonl prndttef roe ahmllNnj hhr 1n/orflunow, A A <br />TYPED OR PRINTED ladldlnj the pordhlul] Drone ^nd Imprhonment for kno.lnj .fel^uolea OFFICER OR AUTHORIZED AGENT COQE NUMBER YEAR MO OAY <br />COMMENTS ANO EXPLANATION OF ANT vlvL~ l wn~ (rra~ilncp ~n •rwcnmmro n~rri : a <br />REC'IP ~V~hli IS CLAII`1ED. IF CLAIM APPKJ~i1=P I~Y WC <br />~,UR~i•trlti-fS '- SEE I. a. 2, PIS. S FOR Ii~(P.DEM (?~' P~OOf <br />EPA Form 3320-7 (Rev 3x99) Previous editions may be used <br />