Laserfiche WebLink
PERMITTEE NAMEIADDRESS(7.AkFaf6ryN-.?Lftwi-(fDW ,) <br />NAME <br />ADDRESS <br />o0A 1430 <br />cc 91t, <br />FACILITY „?1Tlt. 33hTn G SCUT6 MIN$S <br />LOCATION it A L I i A L E Cc d 15 A <br />t..SUN L. KIr.1,FR_ v_L. <br />Form Approved. <br />NATIONAL POLLUTANT DISCHMGE ELIMINATION SYSTEM /rNPDESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER E ARGE NVhteER - F I N A I r E `. <br />MONITORING PERIOD ' h D""a- T c CC A L C E E E K <br />YEAR MO DAY YEAR MO DAY -` - <br />FROM TO <br />NOTE: Rand 4rwtructimm hatnea e+nernl&tina this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. UENCY <br />FREO SAMPLE <br /> G <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />^ <br /> REQUIREMENT is i • ::. _ : f. n i C. L ~ <br /> SAMPLE I <br /> MEASUREMENT <br /> PERMIT r C c / F <br /> REQUIREMENT t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?'? e : ,? n _ :. r i:: "T F• c <br /> REQUIREMENT <br /> <br />v SAMPLE <br /> MEASUREMENT <br />i PERMIT a r tr Yt 7s : , _ 1 / <br /> REQUIREMENT <br />'..: SAMPLE <br />i <br /> MEASUREMENT <br />.. 1 L3 PERMIT <br />A <br /> REQUIREMENT . 't 7 r k L S <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT (,E PC A f r. n 12 I b ?; A <br />v REQUIREMENT .+ Y I I L Y i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT y ;.": u L A <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t certay " nckr pe"a tr ° 1'"'""u" d "'"1e"" d •" •"'cnmenu .ere <br />PreP¦,ed under m7 dirr" n or w <br />per.hlon In aesordenR with • r7rtesn darned <br />TELEPHONE <br />DATE <br /> <br />.. to assure the' queened Personnel POP, 7 Lather and evaluate the Inforwutlon <br />submitted. Bred on my inquiry of the p<rsoet or penor who mana <br />e the e <br />etetn <br /> <br />' g <br />] <br />. <br />or those penom directl <br />m <br />o"sible for <br />th <br />l <br />I <br />th <br />f <br /> y <br />p <br />gs <br />er <br />nt <br />n <br />e <br />onrutlon, the Inlormatlen <br />-- <br /> suEmltted h, to the Ent of my kteowWte and beery. true, eccunte, end eotnpkta. 7 <br /> 1 am aware that then are Signlncant penaltln For wbntlldng fehe Infornutbn, SIGNATURE OF PRINCNAI EXECUTIVE <br />TYPED OR PRINTED <br /> <br />- - - - ._. ...._._.. ,. IncludlrK the poadblety of nne and Imprtsowmenl for knowing rldatlati <br /> <br />.._ ._ OFFICER OR AUTHORIZED AGENT A A <br />CODENUMBER <br />YEAR <br />MO <br />DAY <br />?.rVmle,V rev V e1r•er ??. ?r•..n ..... ?. ..... ..__....?..? r.•?•?. ...... o.. ?••?r.r.rrwrr•u rrw, wr <br />• - .= • _UHR PBECIP. EVEbl OCCURS, SUBJECT 16 2!LFL'EN CF PFCCF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This is a 4_-p <br />art.form. <br />/ _.