Laserfiche WebLink
Form Approved. '4 ' <br />`tlity Name/Location if Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No. 2040-0004,,E <br />E " DISCHARGE MONITORING REPORT (DMR) <br />??a <br />4- ' <br />R rr' 1 DISCHARGE NUMBER t <br />PERMIT NUMBER <br />Q : CJ <br />g, MONITORING PERIOD <br />oQ@4t"? t ?t ;.i._f YEAR MO, D/#Y YEAR MO': DAY, <br />Q ?. FROM TO <br />?4? <br />, NOTE: Read Instructions before completing this form. <br />17 <br />£ t- lV NO FREQUENCY SAMPLE <br />?,? QUANTITY OR LOADING QUALITY OR CONCENTRATION OF <br />kl EX ANALYSIS TYPE <br />` ti i ti C <br />+?, ?y AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />Q? ?? ?4 Q 'C... .. ., x ., .. t . .r'rt"s:'.. z':i' .. .... •.'t?;•i ,. ., <br />7777 7.7 <br />A' ' <br />or / <br />5- ? <br />o \ <br />o U V <br />r° <br />O <br />Q <br />01 <br />4 ? "' ''cn r tai N <br />`tu dti y "' o CO,? is were '-? TELEPHONE DATE <br />c3 6} y y:'s /f?L? system designed <br /><) e information <br />• tU?' nape the system, <br />on, the information <br />cad A' ?a ate, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE ?Q <br />? F-` O,, alse information, AREA <br />?3d violations. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />r t,'nRIECIP EW NssT 5 `rt,.)E(',!' 70 sUROT-N OF PROOF 'rEGU IREMENTS X?v <br />a r) 's O -C',: r: a5 I VX SIN t•.` X T H,„'N 46 HG(Jf`?,.:'. <br />t , . , " "" PAGE F <br />vO0 ? <br />? / isri9a4=park=farm. ?