Laserfiche WebLink
-£RMITTEE NAME/ADDRESS(iw'ii6F~rWyN~.'Ler~rre„1/p~f,,.,,r/ <br />NAME <br />A DDRE S S <br />~~~~ G'%1 81 <br />FACILITY ~-IrIV(7 i1Tr~f- <br />~ocAraN ~ % , <br />PARAMETER <br />AVERAGE <br />DISSOLVED <br />7G2°5 1 G G <br />~FFLU~'IVT GROSS <br />REQUIREMENT <br />NATIONAL POLLUTANT dSCHAAOE ELIMINATION SYSTEM /NPOE.S/ <br />DISCHARGE MONITORING REPORT /DMR <br />/ , IC I~ j OMd No ?oa0-0004 <br /> ' ~:~JBF? JC i <br />PERMIT NUMBER dSCHAiIOE NUMDEA "'I - I ~~Y ~_ p I Iyl I , , ` <br />, <br /> <br /> MONITORING PERIOD ' -1 ' ' `~ ~ I^' . i T Q G1: ' = i'` ~ f NG ~' / <br /> YEA MO DAY YEAR M D Y <br />FROM Tp - - - _ ,_ ~ <br /> NOTE: R~~d irntrucdor» btaiw~ compbtMp thM form. <br />QUANTITY OR LOADING QUALITY OR CONCENTRATION NO FREQUENCY <br /> , of SAMPLE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANKYSS TYPE <br /> <br />., <br />•; rn Iu r I , , - - -.._.. -. •••r••.•~~...~ seeorasnce rlm . system desl~ned <br />to ttmyn thsl qu.MlleA perwnnel PeOPe~7 [.Iner snd r•.Iys1e the In/erm.tlon <br />/ sobrNlled. Sswd on my IoyulrT or the p.,oe or penom .no m.wsje the srslem, <br />l •~i'~/~'- ..~ _ er those prrtsre dl.ecty rapow>rbk for plherln~ the Infornutlo4 the Inlnrmstlon <br />- ~ "~ . wbmllled bt to the bnt of m~ bnewledp •nA beMer, tro<, wtunlr, snd eomylelr. <br />I •m ...R Ih.l Isere .R d NflCllwi <br />TYPEp ~ PRIfdTEO Iwtludl IAr [ Pendne ror subml:on~ rsbe Inrormatloo. <br />^! porlbllltr of llsie •nd ImPrfsonment for lnowln~ .Id.llotu <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~/~r~nc• ~M •Itichm~nts h~ri/ <br />. r: ~ ~ <br />~ <br />n~ ~/ / <br />~ I <br />_ <br /> <br />EIONATVttE OF -RINCt-AL EXECUTIVE <br />OFFICER OR AVTNORl2ED AGENT TELEPHONE <br /> <br /> <br /> <br />7 ~ - <br />~ ~ ! ~ ~~"~~~ /~ ,. ~ ~ <br /> <br />A A NUMBER <br />CODE DATE <br /> <br /> <br />_ <br /> <br />f - / <br /> <br /> <br />YEAR MO OAY <br />_ <br />EPA Form 3320• t IRev 319gI Previous edrttons maybe used ;- -: <br /> C~: 14f~'-~. /l~~~fS,t S1{:~~rfA17durrn PA[3F nc <br />