Laserfiche WebLink
PIERMITTEE NAME/ADDRESSp-h-bf etbyN..?L atom o wu) <br />NAME <br />ADDRESS <br />• ?. tiUX 14.iU <br />LiSAUE CC bi52t <br />FACILITY l,D5IDL NJhTh 6 SCLTH M1N4:a <br />LOCATION 11 tf P A L I S A U E CC b 151 E <br />V.P. <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM /INPOES) <br />DISCHARGE MONITORING REPORT WMR! <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OM13 No 2040-0004 <br />t W L ii ."I <br />F - FINAL <br />FUhu 1C IC COAL CP.FEi, <br />NOTE: Reed h?etruetiono beforert:o;4Wting this form. <br />t?) A <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCr SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT C <br /> <br />REQUIREMENT . <br /> ?MA Ek r r <br />t: P. <br /> <br />y1 SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />J U PERMIT -ata >c,W- k, t 4ye;r'fi9•• u?YUnT ChIIS L <br /> REQUIREMENT <br />r <br /> `:nA sf <br />j <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Er>vPO?'. f.._tL.. ;+;Ip7C !+!13y.< 1Y i1 <br /> REQUIREMENT U L TI AV" L, S i f `; v <br /> SAMPLE 1 <br /> MEASUREMENT <br />q i U PERMIT i >r yf r .t "r (r n"" <br />a - <br />e <br />; <br /> REQUIREMENT Sys z <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cerlrlr under penally *(is. that this document and an attachments were <br />TELEPHONE <br />DATE <br />prtpared under my direction or supensslOn In accordance with • System designed <br />to aware that q.,alled personnel Property Lalher and c•ahsate the tnrorntatlon <br />' _. submitted. Bawd on my inquiry or the person or peraom who manage the system, <br />or those perta s directly responslbk for gathering the Information, the Information <br />submltlyd Is <br />to the best or m <br />knawled <br />nd b <br />f <br />t <br />li <br />= <br />y <br />. <br />re a <br />e <br />e <br />. <br />rue. accurate. and complete. f <br />I am aware that there are slEdfk>,nt penaltie for wtbnrlting Salo Information, 610NATURE Of PRINCIPAL EXECt)TT/E <br />TYPED OR PRINTED Including the posslbltlly of Ilm and Imprisonment roe knowing Aelalions. OFFICER OR A VTHORIZEO AGENT AKA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />G VMMCrif 1114 APIV E^rL^"^ t rvrw yr n... .... r....v.w In wr wr vrcw avr we uc.rnnwnm rranq <br />LG11- CP T.Pc F <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This is a 4-Part form. PAGE OF