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Home My WebLink AboutWQ0033677_Monitoring - 10-2016_20161122FURT1 NDMR o9 -n NON -DISCHARGE MONITORING REPORT (NDMR) R Yi) f PCl Page _L_or a' Permit No.: •00 • ..- � ■ ■ ■ G ■ Groundwater LowmingSurfa� Water Parameter Code Sampling FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page Ax- of Sampling Person(s) Certified Laboratories Name: James Edwards Name: Water Tech Labs Inc Name: Cindy McGinnis Name: Does all monitoring data and sampling frequencies most the requirements in Attachment A of your permit? O Comment ❑ NCMbnpllant If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective ween. rvuaun auumunm aneem Mall Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail vice Center Raleigh, North , Ana 27699-1617 Operator In Responsible Charge (ORC) Certification Permittee Certification ORC: Cindy McGinnis Permittee: Case Farms Hatchery Certification No.: 992943 signing Official: Cindy McGinnis Grade: SI Phone Number: 808-438-6900 Signing Official's Title: Hatchery Supervisor Has the ORC changed since the previous NDMR? ❑ Yrs El No Phone Number: 828-438-6900 Permit Expiration: 12/31/2016 Signature Date j_Y Signature Date this signature. I CemNy the this repot is axwnks and complete to Ow beat of my krowledge. I coney, under penalty of law. fat dee doamers ab as athodwrenb Were prepered order my direction or supervleion in amoroance with a system despned to aseurs tr at at qualdled persoriel properly pillared and evaluated the infumAw sub RIMI. eased on MY Irqu7 Of tte Denson err persons who merege the System. err those perwrs directly respaab a for pathafng the information, the kfarmatbn kbmbed s, to the best of my kroeoledge and belief, sus, somata. and complete. I am ewero that there are significant penuries for submitting false 1.Plan nation, Including the pwsibtiry of fines and Imprisonment for knowing vidatkma. Mall Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail vice Center Raleigh, North , Ana 27699-1617