Laserfiche WebLink
PERMITTEE NAMEiADDRESS ?De hide Fa ihn Name bwatum if!)iJleremi <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read <br />Form Approved. <br />OMB No. 2040-0004 <br />1< <br />hc!fnrvi'mimnlAtinn thlc fnrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO_ FREQUENCY SAMPL <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />l REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I centfy under penult% of law' that this d-untent and all art tclmtrnh were TELEPHONE DATE <br /> rcpacd under m) direction or supemisron m accordance with a system designed <br /> <br />rr ' assure that yualtticd peronncl properiv gather and ecahtate the information <br /> submittd Rased on my mgmrs of the person or pcrums who manage the sy3tem, <br /> or those pawns directly respxmstbic For gamcnng the information. the mfirotmwn - <br /> ,ubmm d is. I,, the best of m} knowledge and belief. true, accurate. and complete <br />t <br />I <br />h <br />h <br />i <br />i SIGNATURE OF PRINCIPAL <br /> am uttarc t <br />a <br />t <br />ere are s <br />gnd <br />c.mt pcwlnes for suhmntmg false intomtaGon, <br />TYPED OR PRINTED including the possibility of tine and onpnsonmcnt for knowing t tolatton . OFFICER OR AUTHORIZED <br />rnr)p YEAR <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This is 8 4-part form.