HomeMy WebLinkAboutRenton Transit Center SMR 4665-01Industrial Waste Program Monthly Self-Monitoring Report Send to: King County Industrial Waste Program
Email: info.kciw@kingcounty.gov
Company Name:
Sound Transit - Renton Transit Center Construction Project
Sample Site No.
IW1671A
DA No.:
4665-01
Please Specify Month & Year:
Month:
20
This form is available at: www.kingcounty.gov/industrialwaste.
All units are mg/L unless otherwise noted.
Sample Date
pH
Maximum Daily Settleable Solids (mL/L)
Maximum Daily Flow Rate (gallons per minute)
Daily Flow
(gallons per day)
Notes
If relief only, indicate why discharging to sanitary sewer.
Min
Max
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I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations. I further certify that all data requiring a laboratory analysis were analyzed by a Washington State Department
of Ecology accredited laboratory for each parameter tested.
Signature of Principal Executive or Authorized Agent Date
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& Date
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Please Circle All Violations Due Date: Monthly report is due by the 15th each month.