Laserfiche WebLink
PERMITTEE NAME/ADDRESSpr.eVirirybryNw/t~.newl/plpbt.,,y Farm Aupro:ea <br />NAME NATIONµ POILUTMIT OISCHMOE ELIMINATION SY4TEM /NPDESI OMB No 2040.0004 <br />DISCHARGE MONITORING REPORT lOMR1 <br />ADDRESS <br />• d U:- t {~ -i J PERMIT NUMBER ascMrwoe "uMeER ~ .. r <br />_ ~ - FI~~aL Ft~n <br />FACIIfTY <br />~ti J 4 C~ MONITORING PERIOD 3 1 C CC L t~ 5 a C C i I ti~ h <br />LOCATION ~.:tUG :~(1R'i'1 t :iGUTN r!i. YEAR MO DAY YEAR MO DAY <br />rALtSAL'1; (, c: FROM To ~ ) CISCFAFGc I ~ ':~ <br />• ill t: 1 l'fn~r • <br />- noTE: R~~d IE»tfvettor» b~lw ~ po mpl~tiny thi s Corm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. ~EOOF"~~ SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX A"avers TYPE <br /> SAMPLE <br /> MEASUREMENT , <br /> PERMIT <br /> REQUIREMENT b . j ~ . i. ~... _ ~ n :. ; - <br /> - ,~~... <br />_ ~ SAMPLE <br /> MEASUREMENT , <br /> PERMIT <br />_ • <br /> REQUIREMENT ~ ,~ ~ J:/ ?~ :~ <br />y <br /> <br />_ <br />, <br />._ SAMPLE '~ M ~ !•. ~ 1. 1 I' <br /> MEASUREMENT ~ <br /> PERMIT <br />. <br />'~ . L REQUIREMENT , . ." r G Fi I r, ~ . ' <br />, , , _ SAMPLE L It X. `' ~ , ~ t <br /> MEASUREMENT ; <br /> PERMIT <br />., ~ r:... <br />o: v r . <br /> REQUIREMENT , _ ~ Q ` ~ ' .. - <br />_ SAMPLE `''` ~ - : f <br /> MEASUREMENT , <br /> PERMIT <br /> - <br />~ <br /> REQUIREMENT .. : r ~:: _ i. ~, '~ i ;~ ; <br /> I I <br />.. <br />.~ - 1. '; 1 ,. '. SAMPLE I • ~ i'; r. A ~ j <br /> MEASUREMENT <br /> PERMIT <br /> .. <br /> REQUIREMENTC r" .. , <br />iu > .~ .. - <br />: ~ , ..., t. - <br />-r_r:i.i _ <br />i"' .,. <br /> SAMPLE . <br />..r: ~ i. <br />liY t:X • <br /> MEASUREMENT '. <br /> PERMIT <br /> - <br />~ <br />" <br /> REDU <br />RE • ;- l :, <br />I r <br />I <br />- . ; <br /> I <br />MENT . <br />. _ ~ „~ <br />. <br /> <br />NAMElT1TLE PRINCIPAL EXECUTNE O t rerl ltr u <br />FFICER er pen. tT o ^. th.t the document .nd .11 •Il.chme nU were ~ •1 r_ :1 '~ <br /> <br /> <br />~ vRv.~ <br /> <br />to.ale I Yl,def m~ dlrertlon or nl,en <br /> <br />h.l yll.pned penor,nel ,rop eltr.l III occord.nce wllA „ <br /> <br />erlJ i.ther .nd t..h,.te th ~.tem et.li„te <br /> <br />e Inror+n.tlon <br /> <br />- T ELEPHONE <br />DAT <br />E <br />j <br />- wlhminw. aced on m~ Irp,ltr~ of th e vt,>on or <br />ersone .ho r <br /> <br />or tlw.t <br />e <br />no <br />dlr <br />ll , <br />ru mte the fMem, <br /> p re <br />er <br />T re+pel,9 hk fo r ptherlnf the Inforrrutloll , tht Inferrlrtlen -- <br />•- lo0mltled e. to Iht b01 of m7 t•owk d[t .nd hepef <br />irVe <br />K <br />ral d <br /> <br />I .m.w.re <br />u.t Ihe <br />n <br />l <br />dn <br />l , <br />. <br />cu e. .n <br />compkle. _ - <br />' <br /> <br />TYPED OR PRINTED <br />IrKludlrK t re. <br />s <br />~r <br />nn <br />p <br />he powlblptr of flne.nd Im en.itle roc wemltnn~ nee <br />,Asonmenl f <br />r ~n <br />i Inrorm.tfon, EIONAT URE OF -RINCIrAI E XECUTIVE <br />/ <br /> <br />COMMENTS AND EXPLANATION OF AN <br />Y VIOL <br />ATIONS / <br />Rtrl~r~nc• ~/l att~ch o <br />o. <br />np rlo <br />m~nt~ h~r~/ l.thmt OFFIC ER OR AUT?fORlZEO AOEPET '4 A <br />CODE NUMBER YEAR MO DAY <br />.i++tfFi PRiCIt~. i.itEAi LL"CUtis, SUl;JECZ iC Et,bl,ih CF FFI <br />FPA Fo!m 3320-1 IRev 3!991 Previous editions mad be used Tt11S IS 8 4-P3rt fOFITI. PAGE pF <br />