Laserfiche WebLink
PERMITTEENAME/ADDRESSt7nc.rl.ewgNa-?L ,wiam(1DIO?wmfI <br />NAME <br />ADDRESS <br />L' t: <br />ISADE G <br />FACILITY rSIDE NORTH SOUTH M <br />LOCATION R PALISADE c <br />-.L-SON L. KIDDER, V. P. <br />NATIONAL POLLUTANT 04SCHMOE ELIMINATION SYSTEM NPDES/ <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER oNUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />FROM TO [ I I <br />Form Approved. <br />R OMB No. 2040 0004 <br />( SUPfi UW: <br />F - FINAL <br />mner,c:ZTni= gntl-#* ,! Tn rf-v fl kIVER <br />NOTE: Read kmtructlone before complotinp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ' j I <br />// r <br /> MEASUREMENT <br /> <br /> PERMIT <br />'I 1 NIT MU N ' ?lriX I f' t; ;•1 <br /> REQUIREMENT <br /> SAMPLE <br />' <br /> MEASUREMENT <br /> <br /> <br />J PERMIT <br /> <br />REQUIREMENT 7 <br />r,+ :-. <br />J <br /> SAMPLE <br />T <br /> MEASUREMEN <br /> <br /> PERMIT <br />MENT <br />Q L Y _ <br /> UIRE <br />RE <br /> SAMPLE <br /> MEASUREMENT <br /> <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 />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER ' -lay Pena tr ° taw that this doeument and all ltachr is were ?- TELEPHONE <br />dlr-tl <br />n a su <br />ervhlo <br />danrr with a s <br />sterri desi <br />ned <br />d <br />nd <br />r m <br />I <br />e DATE <br />p <br />r <br />g <br />prepare <br />u <br />e <br />y <br />o <br />n <br />n w <br />or <br />to am" that quahned personnel proKdy tathre and evaluate the Int-nallon <br />aobmltled. amid on mr Inquiry (the person or pers who manage the syrtem <br />or those persoria dirxtl7 mponslbk for gathering the Inforrnatlon, the Inrtmostlon <br />- <br />---- <br />-? wbmilted Is, to the bnl of m7 knowledge and belild. Ime, arcuntr, and rompkte. <br />ifGNATi/RE OF ?RINClPAI EXECYJfIVE <br /> I am aware that then ¦re sigrdikant prnaltfea for mbmltnng r.h. lnforntatlen, AREA <br />TYPED OR PRINTED Including the pmdbllll/ of fine and Irrrprhonnn t for knowing violatiom OFFICER OR AUTHORIZED AGENT COOE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION yr AnT VIVLAI I ltJryJ !/t+/+/TACT to *f/+cnmmis n+r+/ 3USPEPIDED SOLIDS (rss). TOTAL IRON AND/ <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used -TKts is 4 4-part form PAGE OF