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 NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) orrn Approved
Facllily Name/Loc i)different)
�pv .�t1 T DISCHARC ONITORING REPORT (DMR) IMB No.2040-0004
NAME _ . I�':i- t„ I .�t ` 1
-- --- -------------
_ ( 17-19) Expires 2-29-84
ADDRESS_ 1 (' 1 X; Ll- ( • ! " r" t
�. y—.,y—� —�1 ------i --------- _
l• trl)P�`(�Y+I�E �`� f T t: I ': PERMIT NUMBER DISCHARGE NUMBER
--'---- —"-------------- MONITORING PERIOD
————————————F�/CILITY— ——— YEAR MO DAY YEAR MO DAY-----
LOCATION — FROM
4 ' TO "' 4
' (20-21) (22-23) (24-25) (26 ) (28-29) (30-31) NOTE: Read Instructions before completing this form.
(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION
PARAMETER (46-53) (54-61) (38-45) (46-53) (5461) NO FREQUFENCY SAMPLE
O
,(32-37) EX ANALYS
IS TYPE
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITE 6263) (6468) (69-70)
/ L SAMPLE
L 0h 1�-r I.,I.�t. N T ! MEASUREMENT a r1 •a .R r r .- .y ..
Ii fi a 15 t FtEQtjliiEME�411T • „ x * x 9F yE ♦ x, x y.
y SAMPLE -
'419{, .J"i•ji•A__. '.('Y' .ik..1..�.54;-r..�.J.�.(' MEASUREMENT
d 6.-�'j'1,--I•l�-t,-�--�--- M1CRIdIT ,. � ,
} I
I SAMPLE '
F (� • tf lT q'�I MEASUREMENT
REQt)1RMBE51T
SAMPLE
r1 t) ,f HA U MEASUREMENT 4
a
PERMIT
x; `S + A
1
SAMPLE
MEASUREMENT .� I
1 ti:4
.. �. PSRMIr I ,
"LrQUIRBM9NT t y
t
* } r SAMPLE
MEASUREMENT
PERMIT
] 1 r1:'�) 1QRQtII1� M8JV7 (; sr 4,' •s
j L; I✓ _ S (j L h L - SAMPLE
MEASUREMENT t+
I
PERMIT
fY9gU I R9M ENT
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ! CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E
AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED
ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION
IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG 1
NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING
THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC 5 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE -
33USC 51319 (penalties under these statutes may Include Imes up to Sl0,txxl
TYPED OR PRINTED and'or maximum Imprisonment o/between 6 months and vears l OFFICER OR AUTHORIZED AGENT A A NUMBER YEAR MO DAY
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
t4A
'A Form 3320-1 (Rev. 10-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF
UNTIL SUPPLY IS EXHAUSTED