Laserfiche WebLink
P"h4rrTEE NAME/ADORESSp+-.6JerftMm-Um tim j/DW-mg) <br />NAME <br />AODRESS <br />FACILITY <br />LOCATION .: _ <br />Yotm Approved <br />wwnONAI POLLUTANT DISCHARGE EUMMAnow lysTEM INPOESI OW No 2040-0004 <br />DISCHARGE MONITORING REPORT /DMR/ <br />PERMIT NUMBER aac?tAROE wuMaER - F i f-.:%L_ <br />MONITORING PERIOD <br />Y D Y DAY <br />FROM TO <br />NOTF• R../ te..s.. "f- <br />PARAMETER QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. F"Oumcy <br /> <br />OF <br />SAMPLE <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYNS TYPE <br /> SAMPLE <br />l MEASUREMENT <br /> PERMIT <br /> REQUIREMENT INST MAX <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> AEQUIREMENT <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER y y • °i' °'? <br />E?? ..r.. my a?.i.. K m ' •""`"t rarh. <br />..r.? I ewe..w' <br />TELEPHONE <br /> p <br />. WcWd - .wh a sy1ftm /alpq <br />.+...M <br />rrr 7`00" <br />r <br />+? DATE <br /> <br /> <br />- L-'. •' <br />i r <br />w "li w. aw <br />ta <br />t E <br />whw+.rt?ew <br />wMMM <br />0-..r e. w <br />le <br />l M <br />/ <br />? <br />, <br />_ . <br />q <br />ery r <br />prs. w pnwr .he ?? Yr n+re.. <br />1 <br /> rttm Pees. wnrtty n p 1 <br />Ew pt-U q tM Wwr11w aye <br />Mrwwwlsw <br />shwthted k be the boo w m <br />' Wd <br />d <br />1_ <br />- <br /> y <br />e <br />6~. Irm. ea.rwe, wd - plew_ <br />1 s- rwe dw then en r <br />reeaw <br />ra <br />O <br />' 7 <br /> <br />I <br />p. <br />s <br />w mbm tdng raw keft wee. <br />,- <br />SNINATURE OF PRIMCIPAL EXECUTIVE C <br />TYPED OR PRINTIED &&I n <br />Iy 08m W Iw'rlssVwwt for km a, OFFICER OR A VTHORIZED AG ARIA <br /> ENT <br />I NUMBER <br />CODE <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />OMMENTS AND EXPLANATION OF ANY VIOL ATIONS /Rahwenca aN aftachmrfb h.r.l <br />E;T;_L-A[3Lr 7iUi 1l1:i L.}"rIT APFLILIP FLIP -1vYR ;e4i?R P .F,...ii r'K <br />DA Form 3320.1 (Rw 3194) Previous 9dibpn may be used