Laserfiche WebLink
PERMITTEE NAME/ADDRESS intudr hwilin \nmr.'l.nrurinniJ"!>J/rrrutl <br />NAME sr <br />ADDRESS ;F <br />FACILITY <br />LOCATION <br />T?VEFit <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM iNPOES) <br />DISCHARGE MONITORING REPORT (DIhR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0W4 <br />A <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />t MEASUREMENT <br /> PERMIT <br /> REQUIREMENT r. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT i <br /> PERMIT r i tt ?!i <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r- <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _. , <br />t REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I.-fit ynnto twn"11-rI II' ln,i.d. unmmandau.nhrchnnml'"'n' <br />r <br />r m. dir <br />r <br />nr,• .. ith <br />.. <br />aan d <br />nmd nnd <br />Ii <br />n <br />r .u <br />i.rv.n in u <br />.nt <br />i <br />• <br />l TELEPHONE DATE <br /> p <br />. p <br />pr <br />. <br />r <br />n <br />.. <br />n <br />. <br />u. <br />. <br />a <br />r. <br />,n, <br />r <br />- _ to a,.urr Ihal yualifird 1.•r-nnrl I., -q. rh ?!ml,o and e, .duulr Ihr intnrmatim, <br />/ ?• / <br />- <br />.,.trm. <br />-1-itl,d. R-rd nn o in,im-.I Ihr I„•n.m , r„ nnn. t nnmuL the <br />Y <br />J <br />? <br />?!?'-j <br /> m Ihnx IK','W,• dir th pn it I 1 cathrrh,yIhr i, 1 rut n, Ih inf rn Winn -. ? <br />?•-+---? <br />. .ahmi11.A1., In Ihr 1-1'.f n;, k I dve and I.-Ii, F. 1-'-l I - , ,1,-. n I n plrh'. ?? / <br />i •% •? Q ' <br />- a.. <br />m <br />r <br />n,fi <br />fn. <br />I a <br />r <br />thut th <br />i <br />nt <br />u,ahn• <br />obmiltiu <br />lal <br />i <br />t <br />nuutu,n SI NATURE OF PRINCIPAL EXECUTIVE 1 <br />' '( <br /> <br />TYPED OR PRINTED a <br />n <br />n <br />t <br />. <br />a <br />r . <br />ra <br />p <br />. <br />. <br />t <br />y <br />n <br />• <br />e <br />h,rludin (hepn,.,hihh u(lim .Imlimprl....... -I I.a h OFFICER OR AUTHORIZED AGENT <br />COREA1 DE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />:?7E?,) f3F E <br />EPA Form 3320-1 tRev 3199) Previous editions may be used ) hn: is x4-Par"pm1.