Laserfiche WebLink
PERMITTEE NAME/ADDRESS47n-&&s rwgM..?Lwrro"VDWw-) <br />NAME <br />ADDRESS <br />__ =KER Co 8. <br />FACILITY _OWYO <br />LOCATION : -KER CO 8: <br />-LLY D. f•ANDER.?, VP OF OP! <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM IINPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR I MO DAY YE R MO'. Y <br />FROM TO - ?. <br />Form Approved <br />M I OMB No 2040-0004 <br />? S'• <br />FLAIL LOOP f OND/WIL50N CRiMK <br />NOTE: Read k»ttvcdww before completk?p thh form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />iO1?A <br />Y rl <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 strut. u er pen. ty o law that thl, do-mere and oil attachments were <br />NAMElfiTLE PRINCIPAL EXECUTNE OFFICER ! TELEPHONE <br />vt <br />ed under m <br />e <br />t <br />I <br />dir <br />ti <br />DATE <br />y <br />r <br />s <br />prepar <br />on or wp <br />on <br />ec <br />n accordance with . system designed <br />- <br />to severe that qualified personnel Properly gather and evaluate the lnrnnnation <br />7 fl <br />l % 11 X G f.. <br />i <br />aabmltted. Based on my inquiry or se person or persons who manage the syrlrm <br />r <br />or llrwt ptraorta directly roporsdbk for tatherlnt the Infwmatlors, the fnrorrrrUnn ? ?" ^ ; ?? - £( <br />• <br />'• ? ' <br />' <br />O <br />?? G :./,• : ; f <br />?1G submitted b, to the best of my tnowledte and beper <br />trw <br />?%1/r ; %?, ; <br />aec rale <br />and com <br />lete <br />! r 'iv ! _ <br />.J <br />i <br />; <br />. <br />, <br />. <br />. <br />p <br />. <br />I am swan that then. an Significant Proahw for wmbmftdn <br />rob <br />Inf <br />SIGNATURE OF PRINCIPAL EXECA)TWE <br />r, <br />u . <br />TYPED OR PRINTED t <br />e <br />o <br />an, <br />m <br />Inel dint the pondblsty of Am and Imprisonment For knowing vlolauraea OFFICER OR AUTHORIZED AGENT <br /> <br />NUMEIER <br />CARE ODE <br />I <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPLANATION Of- ANY V,IULlkIIONS (Reference affattachments hotel <br />4HR PRFCIp EVENT I5 CLAIMED. IF CLAIM APPROVED BY WOCD- <br />- 2FMENTB - SEE I. A 2, <br />^!t3 i sc*TRUCT 19NF <br />EPA form 3320.1 (Rev 3/99) Previous editions may be used This t? x It-paid i0rin. PAGE OF