Laserfiche WebLink
PEgMITTEE NAME/AODRE55 (lwrlii F.wMryl~...~terrl,w (/D(QG..wr) <br />NAME L - I <br />AOORESS , i.11. - . .. , _ .._ <br />~?:,1 STATE H i GHWAY 1^. <br />FApIfTY r~WY~ I`~ I NE <br />~oc.~TloN DER '~• ~S~ Ci <br />SLY D. SAPJDERS, ~ OF <br />NATIONAL POLLUTANT OISCNMO[ ELIMINATION S1'9TEM /NPDES/ <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER ascHAnoE NuMeEn <br />• MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />UF: <br />Form Approved. <br />M r NOR Dale No Zoao-aooa <br /><SUBR JC) <br />f - Y I NpL. • tL' <br />s~i; i.b NAND T~Or~G~7oD ,~;3f?irvG 4~ <br />~`_ <br />NOTE: R~~d Irwtruedorw b~tor~ compbtMq thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX [a[ouENCr <br />of SAMPLE <br /> <br />TYPE <br /> ANALYSts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />_ ~ _ _ PERMIT ,. ~.~. ;~. ,. - _ <br />" ,F Gc. ~,- ! REQUIREMENT .. .:; ,: ,'i`; ~ .~ , <br />. . ~ :.' ?.L SAMPLE <br />,_ :~_.: MEASUREMENT <br /> PERMIT .. _ ~ u _ ~ . 'd=:; <br />;_~, ; REQUIREMENT ~ . , - :"~fti•rF <br />_ SAMPLE - _ ; <br /> MEASUREMENT <br />,r.~i 1 PERMIT ~ .- ..•~:. z _. ... _. <br />• I Lt~`.I ! REQUIREMENT _ . ,' ; f_'f; I l..`.• i•j}i .. I'1~]i~71 <br />_ SAMPLE ` <br />,~ i~,' MEASUREMENT <br />'£'O PERMIT r, ;,..~.: ~ .. _ .. ~ ~:• tom, ._ <br />- Lys ni . _ REQUIREMENT =. ~-. _ CD/=: F3•„'G P:~ ~ i._ Y' i'1 ~. ,. _ 'IC•hIT: <br />..;. L_ ~ SAMPLE _..... ~ . ( _ r <br /> MEASUREMENT <br />~ <br />- PERMIT -~ -. r , .: # -r 1. v t ~•.. ,._ <br />• REQUIREMENT z ".._ ~ :•iFb;+' ~ "L ~: i"t•i <br />iv :Gt'ui'_,. SAMPLE ~E - .. ,. <br />~~~j ?`~~~ ~i°i1._1`I i r MEASUREMENT <br />~ <br />"~''~` =, G I ~ _` PERMIT ~ ... • ,?• . •. .T .. .:- <br />_ ~ •v .- j:.•~. _ _ - REQUIREMENT ::~ :,r ~ -;t•#a `'>C?P~T <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 cenrtr u cr prm 1~ o s. lhsl tAh doNment sod sH IgtKhmenh were <br />NAME/TiTIE PRINCIPAL EXECUTIVE OfF1CER . ~ TELEPHONE <br />prepared oMer rn~ direcllon w supeMfow In seevrd.nee with . frtem ddtned <br />~ ///~ , <br />DATE <br />,~ f • : T~ - to more Ihw qusnllM personnel PropeAl tslher and e.Jusle IM Intrmstlon ~ i ,: •~ <br />_ <br />' ~~~ -- `' suDmllted <br />lr~ed en mt Inquiry of the perswr a persons who rruw- <br />e the s <br />slem <br />~ ~ '' ~ <br />% <br />~~(~~ - <br />. <br />t <br />t <br />, <br />. ,~ <br />. _.r r <br />. <br />tl <br />e <br />dbM f <br />h <br />t <br />( <br />t <br />dl <br />I <br />f <br />l <br />h <br />~ L <br />''r <br />~ <br />^ ~ <br />" <br />. resp <br />w <br />or tsl <br />~ er <br />hese prows <br />ree <br />er <br />rrt Hfe <br />n <br />onnst <br />ow• t <br />e Informstbn <br />r <br />l <br />th <br />D <br />l <br />t <br />k <br />w4d <br />d DHl <br />f <br />~ <br />~~ <br />(~- <br />1 ! <br />j <br />~• <br />'.: - = <br />G <br />D <br />d h <br />I <br />l <br />5' <br />- - <br />' <br />e <br />el <br />n <br />m) <br />ne <br />te an <br />~- , <br />~ <br />/ <br />r <br />J <br />, <br />. <br />i <br />w <br />mllle <br />0 <br />t <br />, <br />rve. tKCSrn <br />e. ^nd compkle. <br />% <br />: , <br />-_ <br />. <br />nlfk>,wt <br />1 <br />e Ihst (h <br />r: d <br />n <br />lHe <br />f <br />ltH <br />th <br />t <br />ttIOMATURE OF teRINCIPAI EXECtlT1VE <br />D <br />t - <br /> nw .war <br />ere s <br />t <br />pe <br />s <br />s <br />or wr <br />m <br />rrt <br />e <br />n <br />onersllon, <br />TYPED OR PRINTED tneludint the pnsdDilttY of nrre and Irrrprtspnrrrent for kno.lnt rlelslbrn OFFICEII OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRdrar~nc• ~N ~rt~chm~nt~ h~r~/ . <br />_ ;4 ~~r=ClP ~tl>=SST T~ t_~f.Tfi,~-ry =r' r'Lrall"f ;~:~'~.*_~OVED 3Y wc?='~?, <br />EPA Form 3320-1 (Rev. 3199) Previous ediUOns may be used _ :~itllS•13 a ~1=ill-(0[771. PAGE OF <br />