Laserfiche WebLink
PERMITTEE NAME/ADDRESS rlnclude raciWv \'umell"alion if Differrm, NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY MONITORING PERIOD <br />LOCATION YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. J t <br />OMB No. 2010-0004 <br />ff+? f?>_ii_!T i <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREGUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br />•? <br />' 6 <br />O <br />3 a <br /> <br />k <br /> PERMIT f4 : TU <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /><0, <br />0.1 <br /> PERMIT - P F1 L <br /> REQUIREMENT <br /> <br />2_L` <br />- SAMPLE <br />MEASUREMENT O V :. 11 3 (? V" `- <br /> PERMIT <br />t;.•r <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT 1 d R L1 $ <br /> REQUIREMENT <br /> SAMPLE <br />1 <br /> MEASUREMENT Q ?S <br /> PERMIT r :., f 5 T 414 <br /> REQUIREMENT - <br /> SAMPLE <br />MEASUREMENTi <br />?• 03?(? <br />Q,Q3`1 Q <br />/a <br />9 <br />O3-? <br />?y <br />??bo <br />3a <br />6 <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />3 <br /> MEASUREMENT r? J <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cerurr under Proalry of law that ihi.d..nmrnt and all attachment. were <br />d TELEPHONE DATE <br />r? prepared un <br />er mr dimlion or up-moo in accordance with a stem dntgned <br /> to aswre that yualifiad W-nnd prnprrl? gather and e,a1WHr tM information <br />H arl ti l % <br /> <br /> <br />?+' `?r`??J hriolled. <br />d <br />myuin of the prrvm r <br />c who manage IM• .r on m, <br />tron. <br />? <br />520 <br />04 r o <br />i li <br />i g the <br />or thh- roe pennn. dirrolh rr+pmriMr for :at M•nnq the mformwtioa?. the information <br /> <br />M6, <br />. <br />ubnu ,,d is. I. the be,t wf - knowledge and helief. t,ur. accurate, and canpkte. O <br /> <br />I am u.. un that there are tanarwani <br />rnaltie, Gw %uhmittin <br />fare info <br />tio <br />m $IGNA RE OF PRINCIPAL EXECUTIVE <br />J <br /> <br />TYPED OR PRINTED p <br />g <br />r <br />a <br />n. <br />n.ludmp the rw,.:bila-F find and imp-nment for knowing rio hujom. <br />OFF ER OR AUTHORIZED AGENT <br />! <br />AREA NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br />DA Form 320.1 +Rev 3,)9I Pfevt:we ehbuiK •s :-t w- This IS :1 4-parr thrill. <br />