Laserfiche WebLink
PERMfTTEE NAME/ADDRESS pweilJrf^eWryN~/Lx^rrow I/DIQGrwr) NATIONAL POLLUTANT DISCHARGE ELMINATION SYSTEM- JNPDESI <br />NAME DISCHARGE MONITORING REPORT (D R1 <br />ADDRESS <br />._ PERMIT NUMBER DISCHARGE NuMeER <br />FACILITY ~~ i ~ : C R r. ~•. r._ ~_.I ~ ~ i : r1 I'; 1; :. MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />LOCATION '=F2`.?~ET Ci-' FROM TO <br />~sES T. CDC3Pi=R, EXEC V <br />Form Approved <br />OMB No 2040.0004 <br />1'JT PC7P~3D ~l C] ELK <br />6t ' _ <br />NOTE: R~~d k»truetloM b~iw~ compbtiny this 1lxm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, fREOUENCY <br />Of SAMPLE <br /> EX TYPE <br /> ANAlysls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT • <br /> REQUIREMENt <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :., .,, - ...; , <br /> REQUIREMENT 1 ! _ <br /> SAMPLE <br />I <br /> MEASUREMENT <br />(~ PERMIT .. K .1 .. - :.t L, ., .. <br /> REQUIREMENT - <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT a ... _ _ , .. . <br /> REQUIREMENT r'.-'', " 1. - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ; 1 ,~ <br /> REQUIREMENT <br />' SAMPLE <br /> MEASUREMENT ~ _ <br /> PERMIT ~ ~ - - ~ . <br /> REQUIREMENT , .i I-'f I''S~( <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT ' <br />REQUIREMENT <br />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER 1 "nlq ° er pe""~ n 6. Ih^1 thb dorumenl ^nd ^u ^n^chmrnts were TELEPHONE <br />prep^rsd under n.f direcllon a wper+ifon In ^rcord^ncr with ^ lfsletn ded~ned DATE <br />to ^mun Ih^t qu^MM1ed personnel P~~7 i^Iher ^rd r•^lu^lr the Infnrm^lbn <br />^nemined. s..re on T~ Inquiry of llle person a prnoal^ who m^n^te lhr snlem, <br />w lho^r penoru dlrectif resperdbk for E^IIKr1rK the {wform^llen, the Infornl^Ibn <br />fubnlllled b, to the Dell of mr knowLd~e ^nd DeIM, Irve. ^crunle, ^nd rempkte. <br />610NATURE Of -AINCIrAI EXECUTIVE <br /> 1 m ^w^n u^1 were ^re dEdM1c.wt pen^Itln for /aDm11uM f^hw Infoml^ufn. <br />TYPED ~ pRNiTED InrlWln~ Ihr pa^dDIHI. of nne ^nd Iwlprf^omnent roe kno.fnE •id^tlalL OFF1CE11 011 AUTHORIZED AOERIT CODE NUMBER YEAR MO DAY <br />I COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R~/~r~nc• ~N •tt~cAm~nh h~r~l <br />~~ra~ ~ ~.-(~; ?~'::~ '. MT APt~{ Tr('~ '.f'!}7 -~t~•{p; ^qi-.tU P;'1'f-:^7[=°'~F~17; <br />F.oA Form 3320-1 (Rev. 3/99) Previous editions maybe used. TI115 tS 8 4-pgR fOr1T1. PAGE OF <br />