Laserfiche WebLink
PERMITTI:E NAME/ADDRESSpno~b~rF«+YgNwdL«^nwf/DfOG'~1 <br />NAME <br />AOOFiESS _ <br />:iiS~T C0 E <br />FACILITY GPN CRK ~ EL4; C.Ri~. t9IN~f <br />LocATION R~ET CG F <br />~~S T. C170PER, EXrC V. P. <br />NATION Ai pOllllTANT dSCMAAOE ELIMINATION SY9TEM /NPOESI <br />DISCHARGE MONiTORINa REPORT ~O Rl <br />PERMIT NUMBER dscHAAOE NVMDEII <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />.' <br />F - ~ I~~iRi <br />i'ii~CHriI~C~. T{3 cL.Y. LREcr, <br />NOTE: R~~d kwtTUCdex» b~Ior~ compbtir~y thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANA~rsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 1 ' <br /> <br />REQUIREMENT ~, <br />, , , I MR X I Ni <br />i;•' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ <br /> <br />REQUIREMENT _ <br />- <br />~ ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT .. <br />y ~ ~ " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r . .. ,.. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ... , .; ,... <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE ~ <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />RINCIPAL EXECUTIVE OFFICER ' "r„1) ° ' Dt""-' " '•" Ih^1 Uh docvmenl ^rd .II.11^[nrnenu .ere TELEPHONE DATE <br />prrp^red tlndtr nt) dlret/lOn Of suptr.lslon In ^ccord^n[e s.llh ^ s)slerrl dalLnrd <br />NAMElTITLE P <br />to t~IR IhN au^Mfled personnel prvpeA) L^111tr •nd e~^lu^1[ IM InfOrssutlon <br />ul <br />of tM person or <br />ersorl^ .ho m.n^Le IM s <br />sleln <br />lll <br />e.te On m <br />il <br />D <br />d <br />p <br />, <br />) <br />ry <br />p <br />) <br />stl <br />m <br />e <br />. <br />a Iho^t persoro Alrec111 respold Dk fa plherlnL Ut Inkxm^llow, the In/orm^tlon <br />,. _ suDmllled b, b lht Dent Of Im tnowkdLe ^nd Detlef, IrW, ^e[slr^le, •nd [ompkle. <br />INCIrAL EXECUTIVE <br />I <br />LI <br />- <br />N <br /> fwnl pen^Itly tw pbrrrlnnL nbt Inrornrtbn, <br />I ^rn.~^n un Ihere .re flL t <br />OHAT <br />RE OF <br />R A A <br />TYPED ~ pR~~p IndsdlnL the p.rDlal) of nnr.nd ImpAsonlnem ror -ntr.lnL eloi.tlorri OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lR~/~r~nc• N/ •tt~cnm~nts n~r~l <br />` EPA Form 3320-1 (Rev 3199) Prtwlous editions may be used This iS a 4-part form. PAGE OF <br />