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1987-12-01_PERMIT FILE - C1981017 (145)
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1987-12-01_PERMIT FILE - C1981017 (145)
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Last modified
1/4/2021 1:55:24 AM
Creation date
5/17/2012 9:05:36 AM
Metadata
Fields
Template:
DRMS Permit Index
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
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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-ERMITTEE NAME'-DDRESS (Include NATIONAL POLLUTA DISCHARGE ELIMINATION SYSTEM(NPDES) arm Approved <br />,acilityName/Locat' ifferent) DISCHAR ONITORING REPORT(DAIR) 1MB No.2040-0004 <br /> IIAME___ _� ----------- 2- 17-19 Approval expires9-30-85 <br /> N D13 R ESBT T— <br />--_—^_I___ '_-----^—__--- PERMIT NUMBER DISCHARGE NUMBER <br /> 1 r ' <br />-----`==------------- MONITORING PERIOD <br /> i 1 <br /> FACILITY— 1- <br /> ------------- YEAR MO DAY YEAR MO DAY <br /> LOCATION j i _' FROM TO <br /> (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Read instructions before completing this form. <br /> (3 Card 0nly) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> , NO FREQUENCY SAMPLE <br /> PARAMETER (46.53) (54-6i) (38.45J (46.53J (54-6/J DF <br /> (32.37) , EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-63, (64-68) (69-70) <br /> SAMPLE <br /> ' r MEASUREMENT <br /> {. PERMIT # - nor" c <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> 1 REQUIREMENT 'i•s Y' •• «,.'y4 <br /> SAMPLE . .. <br /> MEASUREMENT <br /> > PERMIT a <br /> REQUIREMENT } ' <br /> SAMPLE - <br /> .. MEASUREMENT ' <br /> PERMIT s ,.. v".�, ,.» y ? I; 'µ• ., <br /> 1 I REQUIREMEi,:T i ar •" •; <br /> y <br /> I '1 SAMPLE - <br /> MEASUREMENT ' <br /> PERMIT J' v X» ^'•.,,., .j -r , <br /> REQUIREMENT ^' • •` •. <br /> i c t SAMPLE - <br /> MEASUREMENT <br /> e' PERMIT . „ - •). d w '"; <br /> REQUIREMENT <br /> SAMPLE .. _ <br /> MEASUREMENT <br /> PERMIT <br /> ... % REQUIREMENT <br /> IIAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED <br /> ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY R..-JIIBLE FOR <br /> 1 OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTEO INFORMATION <br /> -' IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG- ' <br /> NIFICANT ►ENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING <br /> _ THE IOSSI8 <br /> IL1TY OF FINE AND IMPRISONMENT. SEE 14 U—C. § tool AND SIGN ATUVTE OF PRINCIPAL EXECUTIVE <br /> 33 U.S.C. § 1319. (Penalties under these statutes may include fines up to$10,000 <br /> TYPED OR PRINTED and/or maximum Imprison men t of between 6 months and 5 years) OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />:OMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br /> P <br />:PA Form 3320 1 (Rev. 1079) REVIOUS EDITION TO BE USED ;?E^L..CCS EPA rcr.r T .. wrc;cr, MAY NOT uL usLn.} <br /> UNTIL SUPPLY IS CXH AU:i'I ED. <br />
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