Laserfiche WebLink
KRMITTEE NAME/ADpRE55 parfrfr F.edgj Nl..1 aerfarr (/f>IQi.?ar) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (INPDES/ <br />NAME DISCHARGE MONITORING REPORT (DMRJ <br />ADDRESS - V; <br />5'.1' .I 1 STATE ? T "- ' PERMIT NUMBER DISCHARGE NUMEER <br />I.,EEftER <br />FACILITY _.Or O. WYO I•! I NE MONITORING PERIOD <br />` <br />MEEKER c.0 YEAR DAY YEAR M = DA <br />LOCATION ' FROM TO <br />T t; i_#.._Y D. SANDERS, VP OF Of <br />Form Approved <br />MINOR OMB No 2040-0004 <br />F - I NAL- <br />STREETER GULCH TO 900-D 5PG-,E5 C""' <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE 77 ??., Z- <br />F ;UAL MEASUREMENT <br /> - - <br />- : - - - - -.•-+--. -- - <br /> PERMIT , _ <br />F : L VENT > r' O ,S ti'ALI.J REQUIREMENT I hJSI MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />i SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />i certtll under penalty o l.v that this dorvtnent and all ellachmenb .era - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER i ?, TELEPHONE <br />Prep.nd Yoder mr direction or super.lion In aeeord.nrr +Itn . ayatem desftrvd 7 <br />/ <br />/ <br />DATE <br />G ?r l Ye sawn that qualified personnel properly gather and eeahtate the Inferwulbn <br />. <br />?'• <br />? / <br />v <br />an?mltled. Based on my trpulry of the Person a persona No ntan.re the arstrm, ! `?.• ?- <br />J /l .t <br />or tho.e Peraan dlrrc-p&"W for gatbertng the lnlorm.llna. the inrormalksn !!! "'CCC/// "'""" ' ? <br />? / <br />1 <br />I ' - <br />wb <br />to the beat of m <br />knowlM <br />t and belief <br />Irv. <br />a <br />un/e <br />and <br />itled b <br />r <br />l <br />l t <br />- ._ - <br />l <br />E <br />, <br />n <br />, <br />. <br />, <br />ct <br />co <br />np <br />e <br />t. <br />i <br />ltl <br />t <br />SIGNATURE OF ?RINCVAL EXECUTWE <br />G <br />ifi <br />f <br />b <br />I <br /> gn <br />cant pena <br />1 am a..n that their are s <br />es <br />or fu <br />rd <br />tlnE f.W <br />nformation, A A <br />TYPED PRINTED Including the penlblutr of line and ImPAsonment for rno.lni vfd.uorr> OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments hers/ T <br /> <br /> <br /> <br />be used ThiE'i3 a 4-pan POrm. PAGE OF <br />dit <br />ions may <br />EPA Form 3320-1 (Rev- 3199) Previous e