KRMITTEE NAME/A0011E5$Q.+ileNgXr'fr.ur df~l..wt
<br />NAME
<br />ADDRESS - .. _
<br />:JJYII aulia LS
<br />:.~x ca elevs
<br />FACRIrr : AUO ~ I ~} ~
<br />ttxATIDN ,., ;,x :.O 81648
<br />• J. IatLi.aRC, n2~~ ~a.rli:[i?
<br />NATrOwAI FOItlRAN7 p1tNAA0E niW1A1)di SrnN /INPOESI
<br />DISCNAROE MONRORWO REPORT (OAfRI
<br />PERMIT NUMBER axwiAOE wva~a
<br />MONRORR4G PERIOD
<br />YEAR MO OAY YEAR MO OAY
<br />FROM TO
<br />Fwm ApprwaC
<br />OMp No M<O.OOOa
<br />~su;sx orb
<br />F - f*~AL
<br />NOTE: Raad Mfatrunlona Eatora complatlnp thla fam.
<br />
<br />PARAMETER
<br />Qi1ANTITY pR EOADiNG
<br />QUALITY OR CONCENTRATION NO. r~EOVflacv SAMPLE
<br />
<br />EX os
<br />YP
<br /> twaavvy T
<br />E
<br /> AVERAGE MAXIMUM UNITS MINIhR1M AVERAGE MAXIMUM UNITS
<br /> SAMPLE
<br />MEASUREMENT 1 ! /
<br />..._ _ PERMIT ..~.r~c .,:^:.. Erj -:oc:c yaG .n;,i ;!;6;;
<br />_ REQUIREMENT
<br />. ,~ ; .:. SAMPLE . _
<br />~~` MEASUREMENT
<br />1 PERMIT 4o-~cv. ta>r 01,:3 OtrOr:bc ;~ 70 il•i. r./ ':i«i
<br />_ r ItT REQUIREMENT ~. ,; ;, ,~ 1, 4.'. ° 7 .Y ~ °.Ch
<br />.. . _ ., _ ... SAMPLE ~ _ .. i
<br /> MEASUREMENT
<br />~ .I PERMIT t~r•~P?t• aOt6p9 - •:pOp~- atG ~•~ ~~ _
<br />
<br />.
<br />_b/
<br />I•.:
<br />- ~~I vis U::.
<br />-___- REQUIREMENT ..J
<br />[ G 1 ~. .. SAMPLE .
<br />~Ar MEASUREMENT
<br />.-.
<br />__--_
<br />1 PERMIT 00:4wy 1.;. eJ 'i C.;./ .
<br />.tY REOUREMENT _ I e::l ~J,' 'ta
<br />--- .^. ~J IMP}
<br />_
<br />_ -_
<br />. :..ILA:. t. SAMPLE t ,
<br /> MEASURE6ffNT
<br />--
<br />~ U PERMIT : J ~ ". 1 :
<br />'
<br />` REQUIREMENT .
<br />lti
<br />_~
<br />-. :,T 1+11.
<br />_- fix
<br />_- _,•.
<br />--
<br />_
<br />:h ~JMI~U.. SAMPLE } /
<br />.;ica:~tLaT MEASUREMENT
<br />-- -
<br />
<br />.. ., i L G
<br />PERMIT
<br />C':. l'.'.$i
<br />Fp?OOv
<br />c0oa•+~
<br />."~gsp
<br />I I
<br />:.-i-, !: :' '. Y.~151 Vn..~. REQUIREMENT 7JA ~f;: ,1
<br />-.~____
<br />. .. .., ..
<br />____ -= _ ___
<br />. _ ... .: o[tLAJ SAMPLE • i -
<br /> MEASUREMENT
<br />PERMIT c>fi0ov tLPG$i piLlTn ~ a~sfrG pL14. O~% _ ,._ •, .V
<br />. REQUIREMENT • :! T ~ R E
<br />I rs: bf, . ...n.. r ~.. UM Wf a[.vwr•R ../ .nMlu•..tf .rr.
<br />NAME/TITLE PNIIiCWAI EXECVTNf OFFtCEA
<br />TELEPHONE
<br />GATE
<br />o~a,r,r•"n~o.«o._r.~r••wo.,..a~.a.•.. .Im..m..~•a.a,,.a
<br />le,r.n nw pYlhd,,.aiM r•rm e.u•..•w ..w.l, IM wa.vtlee _
<br />.
<br />wa.wn.el. awes w.•.1.a.,ll,ef,k ,enw ~. ,....w .lw ero,.o:ae ....e... -_ _
<br />__ -
<br />_
<br />M Ur Pew alrwell •wy//K fw ~.IMll,y W la/eeruGr, IM IwbwLL•. - /_ ... /~' -'
<br />`
<br />rMtM \ •. O. MI J s~ aewleaae wa Mae1, ,ere. ~vewe. rJ ems,
<br />I
<br />r u.ea.. 4.e 4wee en a,rawut s...1nv we wMealnna M1w. 1.ew,eaar+
<br />110NA RlllE OE I11MC1-Al EXE(.1RNE -
<br />' ~ i.,
<br />~
<br />TI,PED Op pRMITED ,
<br />I.wwla lr,sewl. dar aro r,n.w,..rr aro.ule e{s.M1Ora OffiCFR OJI AVT1a0AlEE0 AO[IR ~' A NUraER YEAR MO OAY
<br />COMMENTS AND EAYIAnAI wn v. ner. v.van ,.vna tnarranca M mncnmann narq
<br />EPA Porn 73261 tRev. ?e991 Previou. eNona maybe uwd _ ! J ~ / :.~,"f,`;u ~ L~~;O/nl PAGE Gf
<br />
|