Laserfiche WebLink
PERMITTEE NAMEJADDR£S5,?we~Jr feetbar N~r~lorer,et!(/Dtaira.r) <br />NAME - <br />ADDRE55 <br />r.iir~Ki"R ai6~ <br />FACtIITY ~' ^;_ QWYt1 !'~ <br />LocATION ~-t~,ER n t~ 'nEa316~ <br />NATIONAL POLLUTANT OISCHMOE ELIMINATION SI9TE~A //NPDfSi <br />DISCHARGE MONITORING REPORT (OMRI <br />_.. < < <br />PERMIT NUMBER gSCHMOE NUMOER <br />MONITORING PERIOD <br />YEAR MO DAIS YE/1R ~ DkN~ <br />FROM j,i TO <br />Form Approved <br />ih I r~{;?R oMS No 2oao-oooa <br />'3' ~iE~Ti=R ==.JL.~ H TO GCCl~ SYu'1`~ C' ` <br />it <br />NOTE: R~~d IrMtructlorw Mtor~ compl~th+p this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION r10, fREOUENCY <br />of SAMPLE <br /> EX TYPE <br /> ANUYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~.: , ., SAMPLE - , y .. <br />J~ ~ C` <br />~ ~ ~~ <br />~ _1.,..- <br />`~~~ ~~ A <br />~ <br />ISSUL'.%:~1.i MEASUREMENT I <br />"' -' <br />' <br />' <br />' - = , .. - : <br />: -- - <br />03S <br />S 1 PERMIT ~ <br />.. i(?D~ AVI <br />r z?AiL <br />Y MX I~:>''_ <br />~:F~':_U)~N7 -" _ REQUIREMENT . . <br /> S A MPLE~ <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />~_... <br /> SAMPLE y <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT __ _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> RE~UIREMEN7 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />f SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />_ <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />MAME/TITLE PR NCIPAL EXECUTIVE OFFICER `eentl. Y r pen. it o le- Ihel thN elervmenl end W atnchlnml! .ere ~ TELEPHONE <br />i <br />'{>1 <br />1 <br />1 e <br />d <br />• <br />.Ilh <br />l <br />re <br />A <br />l <br />d , <br />d <br />l DATE <br />pRpered Yr <br />On tN fYpM <br />M1 <br />1 <br />Keor <br />.nt <br />e <br />. !]I <br />e <br />l <br />ee <br />Lne <br />~ <br />ef T) d <br />rer l <br />~. ,.i~ e_ to aavre IM/ ~uelllMd personerl P~p-*I7 Lacer •ne e•eluele IM Inrormtllon , <br />~ /) <br />. <br />~ <br />; <br />'% <br />. <br />I <br />~ fobm1111d. Bred on m. IngY1rT or U!e perwn a prnoro YM eee.neLe Ibe !7llren, • <br />~ <br />. ~/ <br />~ <br />_ 3 <br />or rleofe pa+xlro dlrecllr rnpoeWbk for L.IherlrK Ihr InfaneulleYe. the Infnnenllon '~ ~~ ~ Y ~1~1 <br />~C~ i~ r I ~ <br />. <br />, <br />r~~ jS L/ „i_ <br />, <br />~ <br />I _ <br />l <br />f <br />Lw <br />w{W <br />T <br />l <br />n <br />la <br />d D <br />Y <br />f <br />t <br />'~ <br />' ~ <br />~ i- '' <br />4 - <br />o <br />m] <br />e <br />Lr .r <br />e, . <br />~~ ~_ fubmlllyd b, to the bC <br />e <br />e <br />. <br />rue, .rtvn <br />e <br />romp <br />r. <br />;_.- ; <br />i . ~ iC N, <br />~! i <br />VT/ ~ <br />NATVRE Of FRINCI-Al EXEClIT1V~E <br />1 <br />L <br />- <br />• 1 .m.o.re 1b.t Ihtre.rr flLdfk.nl penaHea fw sYbmlltlnL heat Inlonrutlon. f <br />O A A <br />TYPED ~ PRIPITED Ineisd7rq the posedblulT M fine end Inepr4loneernl for ~eeorlnL eldellorli OFFICER OR AUTHORIZED AGENT CODE rlUMBER YEAR MO DAY <br />COMMENTS AND EXF'LA NA I wlr Vt• nn T rlvLn a Ivf~J Inoe err frnc~ wr ~re~m•. ru ....r ~ ~~~~ <br />~'4HR PR~CIP ~VEN'f I5 CLAIMED. IF CI_AIr"/ AP, r.,v L ~, ' <br />' - - ~ ~ - rr- - ~.. ~r.~ c ur r' 7 _, ',, t..,-r- ~~:r~Fnr 'l_ ;~_~r. <br />- - - ~ <br />,~ _ _ - <br />". T$ic is a 4=p~Tt fOnn PAGE OF <br />EPA Form 3320-t (Rev 3~99j Previous editions maybe used <br />