1987-12-01_PERMIT FILE - C1981017 ‎(145)‎

• Permit No: C1981017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/1/1987
• Doc Name: 1987 Annual & Hydrology Report ‎(part 22)‎
• From: Mid-Continent Resources
• To: DRMS
• Media Type: D
• Archive: No

PERMITTEE NAM DRESS (Include NATIONAL POLLUT ISCHARGE ELIMINATION SYSTEM(NPDES! orm Approved
FaellityNatne/Locat fferejzt), I DISCHAR ONITORING REPORT iDA1R1
NAME ''' _'_' ( •� 1 - -1,, 17-19 Approval
val2pires9-3
_-----------__ � Approval expires 9-30-85
PERMIT NUMBER DISCHARGE NUM SER
--------^------------- MONITORING PERIOD
YCAR MO DAV YEAR
LOCATION FROM TO
(20-21) (22.23) (24-25) (26-27/ NOTE: Read instructions before completing this form.
(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO FREQUENCY SAMPLE
PARAMETER + (46-53) (54-61) (38-45) (46.53) (S4-61) of
(32.371 EX ANALYSIS TYPE
>< AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-63 (64-68) (69-70)
f SAMPLE '
{ + MEASUREMENT
.. ./ { PERMIT - - ,. a , - :;i w.->. , .. . .,;'•a.a '
REQUIREMENT
SAMPLE
MEASUREMENT
I ..:. PERMITF<•
REQUIREMENT
SAMPLE _
MEASUREMENT
PERMIT ., ,€; Yxr,,I ,ee,. ,< .ti+ ,✓ „` 'H% ..'r;,.t.,.. "+,
REQUIREMENT -
i
SAMPLE t
MEASUREMENT
-_ ! J PERMIT
- •ti E - - REQUIREMENT r
- t` -
_ r
` SAMPLE ;
1 3 E Sit,_ MEASUREMENT
PERMIT
r ` JJ .-t REQUIREMENT 3 `
1 . :
SAMPLE
,. _ ,'�� „ - E 't••��I•. J MEASUREMENT
A PERMIT 3 - ^C* < , -,S'F - r 3 .t« t �""{. t « t,.! ,• ,
REQUIREMENT ., / •e , '
._ �-.. • ,
SAMPLE
MEASUREMENT
PERMIT ,• - i,.1<, < - _„ w• ,',a .. r 4 ...<a.,
• 1 :c i REQUIREMENT
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY Or LAW THAT I HAVE PERSONALLY exw Mlry ED TELEPHONE D A T E
AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED '
ON MY INQUIRY OF THOSE INDIVIDVALS IMMEDIATELY RESPONSIBLE FOR
OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION
IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE ■IG- "
NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING
THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE I$ U.S.C. 4 jQ0I AND SIGNATURE OF PRINCIPAL EXECUTIVE
33 U.S.C. § 1310. (Penalties under these statutes may include fines up to S10,000
TYPED OR PRINTED and)or maximum imprisonment of between 6 months and 5 years) OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY
CODE
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (Rev. 10-79) PREVIOUS EDITION TO LIE USED (R—.' ACC: E^P. FOP:. T-:0 WHICH MAY NOT Ur L LD i A CIL OF
UNTIL SUPPLY IS EXHAUSTED,