Laserfiche WebLink
ERMITTEE NAME/ADDRESS QrerA.drF« WryNa.e?Lornle.r (1Dlairsrrr) ` .' NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDESI <br /> <br />? - OForm Aroved. <br />MB No. 2040-0004 <br />AMC .G'Y 1.? Ft F Y <br />r, WON) 7 <br />CC 3•1?L C '^?.C41 PA DISCHARGE MONITORING REPORT (DMR1 - <br />Ui ? 4 'U .. <br />DDRESS d A i'1 i. L T U Iv 17 tw I <br />i" a <br />+ b. '.1 D G, Y Q A D, N. 40 4 PERMIT NUMBER asCHARGE NuMeER _ <br />t AA _ <br />m h f ? »?' <br />rM1 <br />r p <br />T <br />9 iY J ?) S <br />4 <br />a' iY <br />205 <br />7 <br />:: <br />,ta <br />:r <br />ACILITY 'tl Fl 3`1 (3 Ft ,. <br />Y <br />i'I i i <br />` MONITORING PERIOD ;i .; j r 1j '( riL: li, x C7 <br />% N A UR .t'? A C r % <br /> <br />DGT10N <br />' t <br />„ YEAR, O DAY* I YEAR MO :: [DAY. <br />ii;4 3 <br />U ilk IT y I C 0 <br />.. FROM ' TO'. U, d t '%ii <br />IJ I <br />Fi fl Ii <br />7 X 1 ('i P .A T T I IS a G 0 .1: D J Ro A 14? A G E sl : <br />C <br />NOTE. R*wd Instructlesnm? Woro .11. Wlatlna? this forrn_ <br />PARAMETER 4UANTITY OR LOADING QUALITY OR CONCENTRATION NO. MECCUfNCY SAMPLE <br /> <br />AVERAGE.. <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYsts TYPE <br />pl.j SAMPLE ;,?rtrfi? ?4Fc.ttrC sr,.,tw•s?;a ' <br /> MEASUREMENT . <br />JQ40 U i U U PERMIT ? <br />H f?,, [,(^(r <br />w % <br />u <br />t ,h'' <br />µ+ 4 <br /> <br />f 1?`? <br />' <br /> <br />` <br /> <br />? <br /> <br />• <br />?• <br />? i' ? <br />EJ G a!w T d <br />) <br />tG <br />5S V <br />? 1 <br />` <br />ftEQUIfi <br />EMENT ' ? <br />' <br />? ? M gn <br />?r a ;; .f 1 ?: <br />:::? ,. <br />? <br />' <br />? <br />? ?', ?? j?, <br />'# .z <br />'rt r <br />" <br />f <br /> <br />. <br />? "•K?''?,•'-` n <br />i <br />n 1 ? " s' <br />'r ?? ' r 1.;; <br />n :!?< <br />r , ? rti; <br />1 - <br />` ? „ <br />r <br />+. <br />., <br />a J <br />. <br />. <br />. ••::::.::::: <•:: <br />: •>: •,?. <br />,,, . , k <br />: <br />r <br />4* ;, <br />r <br />y .+, , <br />t <br />? r t. , <br />,? , <br />, _ <br />> i J S L} a t s w .'i L; }i is .:' SAMPLE. ?'. t{ ?p rx t <br /> MEASUREMENT <br />1 U a 45 .1 C) J <br />.. <br />. <br />• PERMIT r r z, <br />, u s rr, <br />+ k r'•?r M :. :LF ?, ,;i , <br />Y'. ?. ?r{{,? <br />S-1r ?i 1: ee'p !!{{ 1II <br />•F-iLf ^'? ?' ^;'l t•`'r r <br />1 L T;, <br />^i. J rF ,. )- <br /> <br />'. <br />, <br />r - / <br />1 :?1 <br />it l.tti 17 <br />ti.. <br />L <br />,f 5 t r <br />k: i . <br />. G A A? W J.t . Y 1. V <br />wx REWIREMENT <br /> <br />::;::::::::•::: <br /> <br />M <br /> <br />? <br /> <br /> <br />.& <br />o . <br /> <br />': ,LT i: t ,t <br />?i P. . <br /> <br />,,ALM1, S Y <br />S <br /> <br />4 <br />F• F' r l r <br />L/ L <br /> <br /> <br />i, <br />11 L h .- l:, ? EA S E SAMPLE. x. <br /> MEASUREMENT <br />1 } x 3 <br />' PERMIT w::,r , = n ? ^? . , , 4 a ^'' <+,'t ;c: F , N .4 M ?;* 17 , ;" <br />.. ,.. ?. <br />.., ,r , ?, <br />f <br />? l: <br />1X <br />T REQUIREMENT <br />-, <br />- <br />? <br />? <br />n? t ,,,., S Jar <br />ti` <br />L <br />l t :' ,._ <br />at:. r <br />- <br />? N <br />L.r.a <br />.G.: <br />:.....::.:.: <br />- : <br />•::i <br />is <br />. <br />,. <br />, <br />!f? <br />y <br />Usti r. is C U N 'U I T C it SAMPLE T f ). t s:., . ,: b <br />P H R U U R 4 i+. VI * N T P .Z. A t'I ` MEASUREMENT <br />4} l) () '?, L . PERMIT ? i t i F'7 a,t>:( ?' vSi l r r ,'? 1 } a l'r,` r ?,ii S s + t+ Cal <br /> <br />,, G* 0 5 <br />F VL U F I' <br />VA I . <br />+ <br />a <br />` f 2'U A:, _ SAMPLE t . ti4K <br />{ <br />s i 5 Q i, V E ? MEASUREMENT r <br />11./ :> PERMIT <br />` t r _ , ^i",i 4 al i; ti y: <br />? s:s Gt r„ y t(t C+"{i <br />,r <br />I r <br />a.w <br />h ;r '3 sty '?ni <br /> <br />' <br />n <br />?, <br />? <br />?. I.. c <br />F F L ' (i'1 <br />a 4[l.,s YA1 U wI;EQtlIRE1Nl;N7 <br />r. <br />...:::::rr:»:::.: , p <br /> <br />s4tiCt n <br />,t <br />? <br />j• h ,v <br /> <br />?'s•? <br /> <br />.;,w , .a?L ??,?i, <br />_ <br />" <br /> <br />t'it r <br />A J,.. C LA y? <br />J i L /w Itt L! ? F1 ?+ tti w+ 4 SAMPLE' r 9 4 } <br />i / ` • n 1 r =, :J .? ?. •. '?, ?'?: k' <br />+ f A MEASUREMENT . <br />3.1 u6 ri 1 C} iJ PERMIT <br /> <br />: `}?cr M' <br /> <br />?` ?? r+y f? ,t s+ :• , , , .. ' tar J ?: <br /> <br />? <br />w <br /> <br />. <br />I' . r <br />t 4- <br />f ? <br />I <br />i ;o s <br />U <br />U k <br />? <br />k' <br />UiREMENT <br />, t , <br />_l, ??. T._ ?,?r <br />?,; <br />..?+, <br />1 <br /> <br />R 1 <br />) <br />U <br />z <br />i , ?' / /,;• t: { <br />.'i Y- raj r1.?J !? <br />"I <br />1 1 1',' <br />; ` <br />? <br />x: <br />?; s <br />.i.'. <br />.I, J? <br />' <br />J <br />.. <br />: <br />... <br />4 <br />. <br />, <br />: <br />K:•;.: . <br />-- .». <br />: , .?,:; r ,.TS , ..c „ <br />at .e t , •?. ' }? <br />..; <br />f 1 f <br /> SAMPLE <br /> MEASUREMENT .' <br /> PERMIT r e' : <br />-}f <br />?r 1' h . tii 7 'rrff; <br />„ <br />{f7: <br />,i <br />? <br />f <br />ar <br />%;,y <br />"t <br />+ <br />I v <br />tf1f Ay1* 4 <br />4 <br />7 <br />1 <br />tr <br />r ? <br />y 4 yt?i <br />f <br />? <br />4 <br />_ <br />T? ,,I + ; <br />g <br />. Z <br />?ii <br />. <br />, <br />" <br />} <br />` <br />.- <br />I <br /> :fEntJiRl;Mf=NY r ., <br />, <br />: <br />i <br />! <br />! 1' <br />e <br />? ii , , t~ '3 <br />a <br />F <br />? <br />f4 <br />ti <br />k <br />,a E <br />^ <br />- <br />, <br />r <br />a <br />+ , <br />i cz <br /> , ` <br />AMEITITLE.PRINCIPAL:EXECUTIVEOFFICER tm1 ya, erpenslro .w lost than ment.ond.attaltathrrlentswers <br />prepared ender myd1milon.or superrltlon In veto rdenee with ¦system de0pd i TELEPHONE DATE <br /> <br />0+• 'G'.SLJ L:.r•• to manure that quallned penonnel propertygother and evaluate the In%nnailon <br />erred on m to I ortha or rtana:whe msna the #"ten% <br />ooemltied . <br />- . <br />or those persons directly meponslhk ror jethodng the Infor mtlon;.the Inforntutlon a!a <br />?9 r <br />' <br />F•' wbmltted la,.to the Dent ormy kneMedte mod bells, true, omrote, and mmplete. <br />sI <br />Inta <br />t <br />udtle <br />rot euDmlttl <br />bane I <br />t <br />mnon <br />uw <br />h <br />th <br />r :. I <br />iQm%TURE••OF PRINCIPAL EXECUTIVE <br />O . e <br /> zn <br />n <br />,pe <br />nE <br />n <br />onr <br />e are <br />s <br />, <br />ore t <br />at <br />e <br />I am , ' <br />T1rPEDORPRINTED indudlnttheprnlbmtyornnemtdImprlsentnetttOurknewInttrloudop 0MCER:ORAUTHORIZEDAOEM <br />CODE. NUMBER YEAR MO <br />. DAY <br />)MMENTS-AND EXPLANATION OF ANY VIVLAIIONS.(HefeWer emarracnmrnrs nerr/ <br />T C; 2. (, ,r• -a:. } i.. p.1 ¢j 1 ? F 7 ?.•Z, ' :i r'; f ":w';' 4c^ ?: <br />:'t A i BI.I rUz.:: f,,? a AFL r + ..I I, .,. ~>JTw.. ,-,. x i{ ir,Itt. .. i. t?LI' ;,,..wUI1 ik.t.+E.NT 1cr <br />f% i; F ' L a ? a is +-? • <br />r <br />t; lI' t i a'? fanOI rTl. PAGE . OF <br />A Form 3320-1 (Rev. 3/99). Previous editions may be used.