Laserfiche WebLink
I-& nAMt/ADDRESS (1wrLb FrsYq NarrL«wfow l/D{O?r) <br />NAME <br />ADDRESS <br />IA CC <br />FACILITY 'E- W-, 72 MINE <br />LOCATION ?- r <br />PARAMETER <br /> <br />ENDED <br />DENT GROSS VI <br />r? <br />JENT GROSS VAL <br />VISUAL <br />84,366 1. O O <br />EFFLUENT GROSS VAL <br />NATIONAL POLLUTANT DISCHAAQE ELIMINATION SYSTEM NPDES/ <br />DISCHARGE MONITORING REPORT /D Form Approved. <br />OMB No. 2040-0004 <br />R/ <br /> <br />PERMIT NUMBER DtSCHARQE NUMBEII <br />MONITORING PERIOD - ` <br />? YEAR MO- I DAY <br />YEAR M <br />O DAY <br />FROM <br />TO <br /> NOTE: Road klatmetlone before completing this form. <br />QUANTITY OR LOADING QUALITY OR CONCENTRATION FRECUENCY <br />NO <br /> <br /> <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS . <br />SAMPLE <br />OF <br />EX ANALYSIS TYPE <br /> <br /> <br /> <br /> <br />Pei T <br /> <br /> <br /> <br /> <br />DDA F. <br />r I <br />_ "I L"K <br /> <br /> <br /> <br /> :SODA DAILY <br />1 1- <br />WOP< I r <br /> <br />, <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> ?. <br />LILY M X <br /> r: <br /> <br /> <br /> <br /> <br /> <br /> <br />I I <br />Pr°W^y tether end erahnlt the Information <br />submitted. Bred rm my Inquiry of the person or yerams who manage the system, <br />or those perms dlrectly responsible for gathering the Information, the Information <br />submitted Is. to the hest of my knowledge and belief. true, memrate, and men <br />I am awarr that then are si rIcawt pkte. <br />the ? perish' for <br />TYPED OR PRINTED II <br />W jubmili bunion gale Information. :SIONATURE R UTHORAL EX GE TiVE OF 1 <br />t pmadblBty of floe and Imprisonment for nowing ridaUona OfFICER OR AUTHORIZED AOENT CODE NUMBER <br />:OMMENTS AND EXPLANATION OF ANY VIOLATIONS /Ralorenco &# affachmonts hero/ <br />?A Form 3320-1 (Rev 3'49) Previous -damns may be used <br />This is a 4-part form- <br />TE