Laserfiche WebLink
PERMITTEE NAME/ADDRESS r/nrlud~ FariGfy .tame/lorWian iJ IhJjerrnU <br />NAME <br />ADDRESS _ .-_ _ ..; ~ t.: .i <br />>3o x tr: ~o <br />=ru .~~~ ~~~4~5 <br />FACILITY -C: f+ f•1FI'd~ Cs~ihPL.EX <br />LOCATION ~ ; PN C; D 61639 <br />SnARf-]. Rt=i ! ,t]f~1aTTa"ifU MuNGf~F'R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (DMRJ ,; ~ ; RJR <br />.'13R ~~ <br />PERMIT NUMBER DISCHARGE NUMBER ~ F I1V <br />MONITORING PERIOD "G T <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />ntnTC. D.... <br />.,NYC... ~... <br />OMB No. 2$40-OOg4 <br />r <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> OF <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYSIS TYPE <br /> SAMPLE <br />MEAS - <br />'~ ^~ I ~ <br /> UREMENT :- <br />- t ~ ~ r ~ ~, ,'v,, <br /> PERMIT „ <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br />1 l <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certin under Ix•nn1N of law that Chic dncunw•m and alt nuachmemc Mere TELEPHONE DATE <br /> prepurrd under m. direction nr wpen-kirm in uc'rurdnnre with u pcfem designed ' <br /> to nccure Thal ymli0ad prn.mne! prwprrh gathrr and eruluatr the infnrmatirm ~ ' <br />( <br /> cubmined. Ft:aced on m. inyuir. wf the penon ur prnunc wha manage the ~)Nem. r <br />' ~ <br />J <br /> or throe pennnc direrth rccp.mcihle for gnthering the information, the information ~ <br />~~ - <br /> wlrmitted ic, to tht be t of m~ Anowledgr and helicf, true. ncrurute, and complete. <br />m aw <br />I <br />e that th <br />• <br />if <br />i <br />l SIGNATURE OF PRINCIPAL EXECUTIVE / ~~ J <br /> a <br />ar <br />a <br />rc arc c <br />gn <br />iram lrona <br />tiec for culnttitting fnlcr information. <br />TYPED OR PRINTED im1uding the prneihilin of fine :md imprLunmem G.r knowing cirdutionc, O~FICEA OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />(`n1U~AFAfTC Aldo FYDI Ah1ATIn1J nC AAty t/tot wrtnnte~ rn_e______ _ DE <br /> <br />PAGE <br />This I, a ~-~~a1t (tool. <br />