Laserfiche WebLink
FERMITTEE NAME/ADDFIESS Pamb& I?elMyM.?Isr.M.. Yvw..yr NATNINAL ?OI MANT DISC11ARW R MwATWN sY*yW /INPOESI ONe No. 2046-0004 <br />NAME DwCNAROE MONITORING RETORT IDMRI ; <br />AOORESi 1 <br />1 : ± PERMIT NUMBER asC1+A1at Nummet } i i ?,; . t•. _ ; F, f <br />MONITORING PEROFAC1lrTY <br />LOCATION Y D Y Y <br />FROM TO 771 <br />t G rr NOTE: Road bw*ucdom bofen d q thM form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. meouvltr SAMPLE <br />OF <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYNS TYPE <br />-4 --- i ?? <br />FL' k-NT n ?:1L <br /> <br /> <br />t <br />TYPED OR PIIWITW .a." or P.rrmy of ¦w w oww.rmw.w <br />:OMMENTS ANO EXPLANATION OF ANY VIOLATIONS /Re/orence of Afbclvn?nh h? <br />PA Porte 3320-1 (Rev 3M9) Pnr4mxn @dibons rmy be uMd <br /> <br />M PAN riA.sr.? SIONATUIIE OF PRINCIPAL EXECUTM <br />I" "ohmmm OFFICER ON AUTHONZEO AGENT AREA <br />NUMBER YEAR MO DAY <br />TD r-101-1TURtN6 - E <br />O'D .''-7Ws is it 4-part form. PAGE -OF ,%