Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME <br />ADDRESS I't}' G R i i t <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (D MR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO e <br />Form Approved. <br />OMB No. 2040-0004 <br />..'?z.r 5,- <br />F r <br />" 1!Ni :r-)+?.. <br />s'1 T iiU +._r.. M-«`rDk'. 4 <br />NOTE. Read Instructions beforeddopleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF <br />ANALYSIS SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />-•}a SAMPLE •?• _ 7 ;w: -t- . ... .. .. <br /> MEASUREMENT <br /> <br />)04 00 t PERMIT <br />151 <br />9S i <br />t_ <br />Pv t ?. + yc° REQUIREMENT M I `tj t VII 3 if 3d9 71u1 <br /> SAMPLE i. p tis? n C t <br /> MEASUREMENT <br />wspEi` oir <br />. <br /> <br />e PERMIT ,g, # >+. # # sc :. t # x <br /> <br />? <br />c <br />:1 #3$ 3t .tE # <br />? <br />r t <br />tr i.:. K1,. Y 0 <br />FF 4 'N } f,r15?5 V Ai t' <br />REQUIREMENT <br /> <br />. ?s <br /> <br /> <br />4A r'' <br />i( <br /> <br /> <br />"I X 72 IV <br /> <br /> <br />LL <br /> <br /> <br />, .)^ .1 .1 <br />?_, + i SAMPLE ., . i'-"r r j•. , .. ? ;+„t ?r <br /> MEASUREMENT <br />RNBL E <br /> PERMIT <br /> <br /> <br />REQUIREMENT <br />SAMPLE <br /> <br /> <br /> <br />•. 4- 3z• a u <br /> <br /> <br />r: k iS r w. 3 20 <br /> <br /> <br />n0QA AV G <br /> <br />_ <br />EiF; = <br />E, U <br />DA I , 11X, <br /> <br /> <br />: L <br /> <br />t <br /> <br />-: 1u K ,• <br />i <br /> MEASUREMENT <br />A-; y <br /> <br />?Fl_L?f_s``l <br />w. ' PERMIT <br /> <br />REQUIREMENT <br /> <br />SAMPLE . ;1 ;.. x 3F :.' .::x•?f k <br /> <br /> <br /> <br />r-:i , ,i ? # 1 E3# ?s. <br /> <br /> <br /> <br />.. -4- °K ,';+d7 <br /> <br />:3`i'fs <br />A R5{"`jl; ' <br /> <br />1-I % fib r" <br />r' <br /> <br />I rs F' :.. <br />_1 t ? ."t tl Y <br />r <br />1 i 'C}`i <br />•r <br />: MEASUREMENT <br />'; } <br />TOTAL t, <br />~ <br />F L.I c ; I t t Ly ,t , r <br />str?i...r .. t.. , PERMIT <br />REQUIREMENT <br />SAMPLE ' }r sl'F <br /> <br />#x ?: s # • :k t <br /> <br />r. :#^• r d <br />k ii 4t # si• xf. . ?i # <br /> <br />•t ,r t j00 <br />?ii:),0 A (,',VG 1 00Q <br />10A 1 L, Y 1`1 4 <br />1 :.... <br />E `t=). 1. 3EEKL"`r :i-lMf Oc <br />, MEASUREMENT <br />TOTAL lB E <br />1 ; <br />CI'105 - ?1f;L.rl.: <br />Iv PERMIT <br />REQUIREMENT <br />SAMPLE 3I .E .st F <br /> <br />x Far•;.t ". x(34# # <br /> <br />A o-A k ## <br /><<.:,.x I#3t t## <br /> <br />A!, 1 "? <br />:101)A VG <br /> <br />iit xz, RtPURT <br />DF3IL €1x <br />. <br /> <br />xr t + _ i L.`1' t:')MF, ? <br /> MEASUREMENT <br /> <br />tk#i3 0•# kr#3l ks. 1 t <br />PERMIT #4# it ?## ,4?° 't K #: 3t is - <br />r REQUIREMENT •? .>r "ti t 1`9A1t 1 i;?? <br />TLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHONE <br />rV 1 i1 AB, <br /> <br />DATE <br />NAME/TI prepared under my direction or supervision in accordance with a system designed <br />?{ A <br />L(? •` 7?jt/ `. ?t to assure that qualified personnel properly gather and evaluate the information <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />the information <br />athering the information <br />onsible for <br />dir <br />tl <br />res <br />th <br /> <br />--• <br /> <br />! <br /> , <br />g <br />y <br />p <br />ose persons <br />ec <br />or <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE j? <br />! P. f ?l r (36 '?•"" "' <br />' Gy I am aware that there are significant penalties for submitting false information, <br />- <br />OR AUTHORIZED AGENT REA <br />TYPED OR PRIN ED including the possibility of tine and imprisonment for knowing violations. OFFICER CODE NUMBER YEAR MO DAY <br />COMMLNI, ANU tAF'LAINAIIVN Vr AIVi VIVLN11VtVp IncIVIF11,c an mwa..... .? <br />T I ON' -- s.I <br /> <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. 0006-4 % { dv? $,A t 4 4-p€lrkAprm- PAGE tOF 3