Laserfiche WebLink
PERMITTEE NAMElADDRESS ilncludr Fruilifr.~'antdlncafum ifUiffinnt) <br />NAME :',<^,)';, LLC <br />ADDRESS , .. , .- <br />~. tsOX ,,..=;~ <br />. ~`•~LA ••.Q 83.424 <br />FACILITY ; t (~QR I ZQN i'i i ia~ <br />LOCATION 'LA G[~ 81424 <br />LANCE EGAD)=, M i NE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION I~Q, FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE j <br /> MEASUREMENT <br /> PERMIT :, :, .. ;a i, r, i_, -;RT REP(]RT './ G~,Ft?: <br />- REQUIREMENT .- .. _ "~ AVG DAILY F'}Y :•11t- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -. .. ., •. ~ r=.'cF~3f'•~~ «F',.,-~ <br /> REQUIREMENT , . DN I L .' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _. [ s: ~'GrZ T ~ :~ I-~ <br /> REQUIREMENT ::! a AV ; - ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r - - ; ~ ; <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 errtin under prnxlh of law that dti+d~KVmrnt xnd xu ~tunhmrnt. »orr <br />rd u <br />x <br />de <br />dl <br />arti <br />n <br />•nisl <br />d <br />i <br />ith <br />d <br />i <br />d TELEPHONE DATE <br /> prcp <br />r <br />n <br />r nq <br />r <br />n <br />nr +utx <br />on <br />n arcor <br />xnrr w <br />e+ <br />a s)arm <br />goa -- - <br /> In x +urr Ihx/ ytmlifird prrwnnel properh leather xnd r+xlualr the information ~ - • <br />- - - - - -- wbmitlyd. Based on m) inyuin• of the prrson or pcrwms who nwnujer thr .}arm. - <br />~ <br /> or lh.nr perxons dirrcUy ratiponsiMr for kuthrring the information, the information '- ' - ~ <br /> +uhmiu Yl i • to the beet of m. knowledge xnd befirf, trur, xecurutn and romplrtn ~ ~ <br />r <br /> <br />~~ <br />I am xw urr that thrrc urr +ignifeexm pt•naltir+ for submitting falx information SIGNATURE OF PRINCIPAL EXECUTIVE ` -- <br />TYPED OR PRINTED . <br />m.ludiny the psx+ibilit. of fine and imprt+w,mrnt far knowing violutiurts OFFICER OR AUTHORIZED AGENT AREA <br />D NUMBER YEAR MQ DAY <br />.. R~-. r.,.-. _ <br />`~~!li. i. a ~!-haft IOflli. <br />