Laserfiche WebLink
PERMITTEE NAME/ADDRESS, Indt,dr ha<ilrtt \'mar bnatinn it IUlller'-w, <br />NAME <br />ADDRESS <br />483 <br />FACILITY <br />LOCATION <br />,crl t_•r.?no <br />Form Approval <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No 210-in oC04 <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER TA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />- FROM TO <br />NOTE: Read Instructions before comoletinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT eE; _ tt ; e 6:. .. - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE tr . <br /> MEASUREMENT <br /> PERMIT <br />s I REQUIREMENT <br /> SAMPLE :-. . <br /> MEASUREMENT <br /> PERMIT p 1-'i <br /> REQUIREMENT <br /> SAMPLE ) <br />i. ENf FL F-i MEASUREMENT <br /> PERMIT ?,,-( •, R" <br /> REQUIREMENT <br /> SAMPLE y:; o ., <br /> MEASUREMENT <br />_ PERMIT F!" f! <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER Irerhp "nderper'au, r'rlcna d'.'t.hi<d.^°'^''n:.^rl;rn:"'achn'.•nt<wrrr <br />r <br />nd'md <br />r <br />ai <br />i <br />i <br />d <br />di <br />i <br />l <br />i j` ?" <br />i TELEPHONE DATE <br /> <br />/ f?/ / // r r f') ?'I'J? J?` <br />Y < <br />p <br />rpa <br />r <br />m) <br />re <br />un nr •uprn <br />un <br />n .'. run <br />anre w <br />th a y+lrw fie<i?nr <br />lu a«u'r 1h:u yualifird Ixr,mmo prnlw rla palhrr and ra:d'cuv Ihr inG,rtuali,m j <br />i •/? / <br /> <ubmiltKl. fia.rd ,.u n'a inrp'i. , of Ihr Iwi -is nr per<nn< aah'• m.mui iii, .r t, m. <br /> ur thu<e I'rnnu. din•a ll-. naaaniLL fur _elhr' ull thr inf^rnwunn. the infurnr.rtiun / <br />/ - whmiurd i<. t.. ihv IN?I ^f m> Auuadr dcr- .a"d b, I.'r. trot.. aca ur.iu•..wd : ungdaa• - - .?y' - ?` . , /; <br />r - l arr':re arr lhul lhrn wr •iynifu aul <br />' n.•Il , i i .nbmitlin <br />d.r ... D,nn,d n,u <br />f gl NATURE OF PRINCIPAL EXECUTIVE ?' - <br />TYPED OR PRINTED . <br />y <br />. <br />P <br />imiudin the p.n<ilnhl of fine u-rt'mprr..,um• nt 1,.r knnwine .u•Ldhnr, OFFICER OR AUTHORIZED AGENT A <br />EA NUMBER YEAR M DAY <br /> CODE <br />F'!{ECIP EVENT SUBJECT TO RU2DFtd OF PROOF REGUIREMENTS IN <br />.":D TO THE L1TitT Tf?t?i l.ITTfJ*rt r1= ::?:1n"s <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used 00O63/C'T*WJ; <br />1"1'9 ?l In•