Laserfiche WebLink
'EWOTTEE NAME/ADDRESS Ilncludr t i6n 1an1r.4nrnfian if Different, <br />I M <br />v <br />R.1%iL <br />I F A"ALITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />•rr??•r. n__ <br /> <br /> <br /> <br />PARAMETER ANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> = OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT L <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAMElfITLE PRINCIPAL EXECUTIVE OFFICER 1 r-nFl. under I-Al, .f i:.- than the. d n unn•ut and .dl alfndlment...a r <br /> <br />I-pa-I nndcr - dirt+now ur <up-r. t-,n in accordance with r .'.Icm a-'knvd TELEPHONE DATE <br /> <br />' t., --l- lhal ynalifr.d I- nlmnd pn l-h gather and r.:duatr the inh,nnation <br />- i .nhnriftcd. Ra.-d u i m. injnin of the W-n or Ia.ron...ho ueuraee the ..avu. _ <br /> or Ih.ne t-n, (lirrcll) rc.th.n.i hlc I." g,rthcring tha• in(ornralion. the informalinn ' <br /> cubmined t,. Io the I-I of m% kii- cdg.:md 1Mhcf. Iruc..rrcuran•• and ormplew. <br />um <br />n. <br />Ih <br />th <br />i <br />if SIGNATURE OF PRINCIPAL EXE <br />UTIVE <br /> . <br />nrr <br />ere n- <br />m <br />en <br />nint pcnalli- fnr-In,nlnng fab- iuGrtmntiun. C <br />TYPED OR PRINTED mclmhng the p-il,dit. nl fin- end nnin-iwmncnt fnr Avowing vuhlunn., OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO <br />r()MMFNTC AIJII FYDI AAIATtnht r%C AhIV %lint AT1r%KIC rn..s...,....._ ..11 _.._ CODE DAY <br />:',jiT'I -__L403L IDS L 1 111 i r WA 1 VELA F! ,R <br />PART I. S. 6a AMY ADDITi _);.J.Al DATA <br />EPA form 3320-1 (Rev 3'99) Previous editions may be used Thit iS 'a 4_part forma PAGE OF