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1994-12-05_GENERAL DOCUMENTS - C1981017
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1994-12-05_GENERAL DOCUMENTS - C1981017
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Last modified
2/6/2021 2:21:11 PM
Creation date
6/14/2012 10:53:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/5/1994
Doc Name
Bid Documents (IMP)
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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PERMITTTEE NAME/ADDRESS Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM(NPDES) <br /> FacilityNa/de/Loeationijdifjerentf DISCHARGE MONITORING REPORT(DMR) <br /> ��t------------- ----- 2-16 17.19 <br /> ADDRtdSf <br /> PERMIT NUMBER DISCHARGE NUMBER <br /> -------"j ------ ---- MONITORING PERIOD <br /> FACILITY <br /> --------^-- ------ YEAR MO DAY YEAR MO DAY <br /> LOCATION FROM TO , <br /> -------------------- <br /> (2o-z1f (22-23) (24-25) (26-27) (28-29) (3o- 1) NOTE: Read instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (38-45) (46-53) (5461) NO. FREQOUFNCY SAMPLE <br /> (32-37) EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS>< 62-63) (6468) (69-70) <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> . .REAU'IREMEIE'E' - .. .Z.I. .y.:i s ., k♦.F r., <br /> r SAMPLE <br /> MEASUREMENT <br /> ..:. ... .t .e -• '1►11�t[IIt'1' -....a,;,i%+�:a«« ��'h+of.+.`L.t+^;y: '_c_.:... s".tx',z<.�i.wtt..:� --iat-i+#�4k�a�t. ,U i�!S3d}#�1#I .M -ty-saeq.-f r�ik�------- <br /> .. . <br /> s a > <br /> SAMPLE - -- -- - - r <br /> MEASUREMENT <br /> ,I <br /> KEQUIREMEE'I'#' '"� F <br /> J Y 0 <br /> SAMPLE ? <br /> MEASUREMENT �' r <br /> PERMIT <br /> REQUIREMENT. { � <br /> r <br /> SAMPLE <br /> MEASUREMENT 1 <br /> ya PByRy�M IyTC ,f, - , - .- - - ; Ah ' > - .F • 'c3 v, I ft <br /> R C��EftfS�i.4!-itN� M I 5 <br /> r SAMPLE <br /> MEASUREMENT <br /> } <br /> E'tItM l E Gnt <br /> Y t - t <br /> Pt813iIEI�1:Id#A1T .. <br /> r SAMPLE -MEASUREMENT <br /> PI RIAIT - <br /> • IRgU EN[ f <br /> NAME/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 RESPONSIBLE FOR j <br /> OBTAINING THE INFORMATION 1 BELIEVE THE SUBMITTED INFORMATION / J <br /> IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br /> �..• - NI F(CANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING <br /> THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC 4 1001 AND SIGNATURE OF PRICIPAL EXECUTIVE <br /> �l '�-- •��- ' Jr '-') <br /> 33 USC 41319 (Penalties under thew statutes may Inrlude fin— up to Eto Wo T <br /> TYPED OR PRINTED ,��.d or max;mam mlpn vunmrnt of hetuvwn 6 moneh.and.5:van/ OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br /> EPA Form 3320.1 (Rev.948) PrOVIOUS editions maybe Used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br />
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