Laserfiche WebLink
FERMITTEE NAME/ADDRESSQnekr* i.r0ry/Vsw?LarartewI/D(j-w) <br />NAME <br />ADDRESS _ . .. .. t , .., I . <br />ISADE GC d1S2 <br />FACILITY „L'SIDL NORTH b iOUTh MINES <br />LOCATION iR PALISADE CG b152 <br />?LSG)si L. KIULf n. v. P. <br />NATIONAL POLLUTANT OISCHMOE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHNIOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />,114 Oft <br />(SUbd Lii) <br />r - FINAL <br />POND 11 TC LGAL Cbl <br />NOTE: Rsst1 Instructions bsfwti Zlorripistlnp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> [>< OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> Y Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />' <br /> 4 <br /> <br />r SAMPLE <br /> MEASUREMENT <br /> <br />- PERMIT ;: v>y.±sr +sx++Ge t •?. ?_ l?ii?? `ec F/ rr... <br /> REQUIREMENT <br /> v 4 K <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ., <br />r 1 1. <br />1 U r <br /> REQUIREMENT <br /> <br /> <br />r Lr SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT n..J?U:. .EPCFT _ ?xLY !, <br /> REQUIREMENT <br /> <br />y <br />fly <br />' SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT i - ti K L Y y I` i. l' <br /> REQUIREMENT <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 mAitr u r Pen. ly *(Is. that IAN duty men! ¦nd .II attachments were <br /> <br />we <br />11 <br />do TELEPHONE DATE <br /> Prepared under my d{rectlon or wper` <br />o In .cc.rd. <br />a n st <br />deigned <br /> to assure Ih.t quallned Personnel properly gather and evalu.le the Inrormallon <br /> Pubnrtled. Based or my inquiry of the Person or Persona who manage the system, <br />i <br /> or those penero dimity respons <br />ble for fathering the Information, the Information • <br /> submltled b• to the beat of my knowledge and belief. true. accurste. and complete. A <br /> I .m.ware that there are sagdncant penalties for submitting ralee Inrormatla n SIONATURE OF NIINCMAL EXECUTIVE <br /> , <br />I A A <br /> <br />TYPED OR PRINTED <br />nchading the posalb{my of line and Imprlsonmenl for knowing Acl.umnti <br />OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />CODE <br />YEAR <br />MO D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference aM attachments hare! <br /> <br />1 tit; r _ t alt <br />EPA Form 3320.1 (Rev 3199) Previous editions may be used This is a 4-pert fOrrn_ PAGE OF