Laserfiche WebLink
PERMITTEE NAME/ADDRESS pwdiJr F.rWry N~./Lorarow (/DiQlwewr) <br />NAME <br />ADDRESS .._ .. _ <br />. oUX 14.iU <br />:JAU~ LU t315iG <br />FACILm ~lU:. ;,URTh >; ;;G'vit+ lfi~IF:, <br />Lora T-oN P 4 i.1.. A L L 1. G o t 51 b <br />. ~-JUrtl L• I:l CGCS Y.~. <br />NATIONAL COLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESI <br />DISCHARGE MONITORING REPORT IOMRJ <br />PERMIT NUMBER asc1+ARDE NLIMeEn <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO _ <br />Form Approved <br />OMB No 2040-0004 <br />:1I bafi <br />(al:i~;i <br />E - F.i <br />Pil *i G <br />NOTE: Rssd If-struetlons bsltxs colnplstinp this Iwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />E pgEQUENCY <br />of SAMPLE <br /> X ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ 5 - I . '., _ : r ~ I - - <br /> REQUIREMENT "I ti i r ~. ~' ': ~ k ~ ° .. " _ <br />..: L. SAMPLE ~ _ ~ <br /> MEASUREMENT <br /> PERMIT _ :. ~ ~ / <br /> REQUIREMENT ~ ,, n L n ~ i. Y ?' ~, C ; :. <br /> SAMPLE ._ <br /> MEASUREMENT <br />.. _. PERMIT ' - l+ L t G b 1 ~ Ct / <br />.. <br />. REQUIREMENT ~ n ! L t !` :' ' ~ M1 <br />_ . <br />_ , _ SAMPLE _ j <br />i, MEASUREMENT <br />1 _ PERMIT ~ r~:, .- - ..1.,.. VU !~._/ <br />. <br />.. REQUIREMENT ~ ~~ L A r <br />Ir :i it I Z Y (~ w i _. ! <br />T <br />.. <br />_ . . <br />. <br />., SAMPLE ~, ; <br /> MEASUREMENT <br />i 1 i PERMIT - ., •:~ a t ~ ~ e C; .'- '.'' .. J T 3 ~ r' <br />_ ,. 1 REQUIREMENT :• ; ~ j <br /> <br />_ .. SAMPLE <br />~. MEASUREMENT <br />.~ PERMIT ki.rGr.T 1~bCfi1 - - ~ L': 1 ~'... :ht <br />_, ~~ . _ REQUIREMENT ~ , :: a ~ ., h F L Y .. <br />1 ~ SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ..~ i.r7 _ ~ _r, i r...l. . <br /> REQUIREMENT ; ,: ,_ <br /> <br />NAMErT1TLE PRINCIPAL EXECUTIVE OFFICER r nr1~1) . a pen^ If o Lw IhH thh darumrnl .nd dl elt.<h mef+n were <br />TELEPHONE <br />DATE <br /> prtp.rtd under mt direction or fuyer.Mon In .<cord.nee w11A . rfttem de![ned <br />_, to ttaurt IhH qu.Nnrd personnel PropeAf [.ther end e•duete the Infnrm.llon <br />. wrbmltted. 6~ed on tnr InqulrT of the person a persons .ho nun.(t the rysam, <br />I <br />l <br /> O! thou penors dfrec[ <br />~ roporn <br />bk for (.lherlrK I/tt Infonnellow, the Informellon <br /> wbmltted Is. b Iht bell of m. knewledte end betlef, trw, trccu nte, .rd rompkle. _ <br /> I em .... re Uel Ihrre .re p[nln<snt prmltler for wbmlttfn[ lase Infornrdon EIONA TYRE OF IRINCItAI EXECUTIVE <br />TYPED OR PRINTED , <br />~n<ludln( tM yudbluh of nne end ~mprtsonmrm for knowln( Nd.lloru. OFFICER OR AUTHORIZED AGENT CODE NUM[1ER YEAR MO DAY <br />COMMENTS AND EXPLANATION or ANr vwLn I TUNS IRS/srsncs sIl srrscnmsnts hsrN <br />< .t~r:R FRt:C;iY. EVE,.~~i GCCLFi:,', UcJEC1 'PC ECFitt; Cr FtCCf <br />EPA Form 3320-1 (Rev- 3r99) Previous editions may be used. _ h <br />