Laserfiche WebLink
I PERMRTEE NAME/ADDRESS ?m1vJ. r>-uuyNa~aiat~ab• grpg~w.,vJ NATipNAI PgtINMfT Dry,+wgc'E CUwNATaON 3r'6TEM MPDFF.91 Form Approval. <br />I NEE DtSCffAR6E MONITORING REDORT /UMA <br />L[ M I2;: ~: c-: r: t,r.{yr OM8 No.2040~000a <br />ADDRESS , .., . ! ~ ! _ Approvd astpl:os 0531-1>8 <br />'.: l % 'i 's 9 PERMIT NUMBER rntiCNARGE wNeEn <br />FAC7UTY ~ ~ ~L~~ MONRORING PERIOD • <br />LOCATION YEAR MO DAY YEAR MO OAY <br />- . r. ::.) r ` Ii 2fl FROM TO <br />- L L L \ • A • R E a~ J R • . R L b R t. G F ^'.~'/ ..:.U f3F:5> (I6: iJ 2Ar• p1Jr/ NOTE: flcad ir~trUCllor's be!or9'GOri:MeSNp Ous 10rm, <br /> (3 CeJrJ Ot/)!I QUANTRY OR LOADING (a Cant ~tll pUANT1TY OR CONCENTRATION NO. t1iEUf/EtrL^ $Ah1PLE <br />PARAMETER fAE53i /Sd-Gi1 7J6~A~ riE53 ilia-d.I <br />~ <br />Cs <br />~~ <br />1~4n AVERM.aE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITS AI7AGYS5 <br />I ~,a~ lBctss 69-70 <br />, <br />' SAAtPLE ~ - •~ <br /> MEASUREMEM <br /> PERMIT <br /> <br />REQUIR <br />MENT :.40nyG ..3:a ~ ~~~>; $y.3:; ~,_ <br />. •`+ <br />~' <br /> <br />.. <br />y -, T <br /> E - p a r ~ <br /> _ a • ~ u v <br /> SAMPtP •... - <br /> MEASUREIAEM <br /> AOIIOO~ <br /> <br />I ~~; <br />/ <br />t' <br />'rF :90..; REQUIREMENT , 1':~ , pS• R e' is <br />u: u• :-. 11 <br />• '='.TT; ~. SAMPLE ... ..: ._ - . <br /> <br />MEASUREMENT l <br />I <br />1 <br />'- PERMIT as-zao9t ..^ctcoea <br />k <br />a',:. <br />•. = / <br />~ <br />''- <br />~]!j fig r REQUIREMENT <br />_ __.~ __ ~~ <br />ir- <br />Z 1._ 7 1 T V Y <br />_ <br />• ~ 0 f 1 T. SAMPLE ... <br />A ~ s - i MEASUREMENT - <br />• 'I ~= L '. ~ PERMIT ,~U;I{sG :C4z=£:» If -- <br />_.);. REOUIREMENT <br /> <br /> MEASUREMENT f •1 <br /> <br />' ;. Q PEAMR Odr09C? 40r7'Q-? 0.1C 006 Cp9•~O' ("' <br />~ , •. <br />T ~ g.~ ; - REOUIRE>AENT <br />. . <br />C A Y 7 it i ' SAPAPLE a .... . - - <br />' -- <br />~+ T A v N T _~ MEASURElAE:iT <br /> <br />'.. ~U 1 Q 0 <br />' <br />' <br />" PERMR <br />REO <br />I .: :. i?4j ? P.Oar r.~o~?t C+O a'^~ Oso4~_ '.. a<: ,, .!~ <br />~ LOEMT GRDiS <br />!' U <br />REMENT :'eq ~ '~ M <br />-- <br />..7 US, ;9Tlf. SAMPLE •'J :- ~:-:.^ .. ," <br /> <br />.. .~ . y c n <br />~ <br />MEASUREMENT , <br />~ . <br />~ <br />~. <br />~ <br />PERMIT ~->a .. - ..., - PTi!1,t1{ I. <br />C <br />? 1L i . ? A R <br />. REQUIREMENT <br />>•a ., - <br />~ - <br />NAYERttLE PRINCIPAL IXECUTNE OFflCEA I (:F.M r:fv I.;a",,[R F~r1Attt rF uw :NAI : w,vr Yh~')NA:~ v E'.YA+NKFp AND <br />TELEPHONE <br />AM rAnaucul w:T» n <br />c w <br />in <br />M <br />N <br />e e <br />T <br />?v <br />~ <br />a <br />f DATE <br />, <br />~. <br />, <br />ar <br />x <br />-i~ <br />1T <br />tgc; <br />. e,r <br />7 <br />~ tk5:%ov Nr <br />mOU:AV (# TIK1917. tiQY:.11AL$ IapJl-Pii1TC ~~ 2:. .°'G':Sil:Li. (q4 (SHSAI+hNG <br />TM} IKl:C?fUlA1Nk1 I Pr_:flF TW[ :it.>F.riiE~ IM4Z:•kNS:IpK h, TrpJE, <br />A(X:UnATF A`Y.1 G01.Wt.Ei E. I AU AV: oAt 1NAT il!1: R[ Mf ~l!jf;pK`,pN7 <br />PE!IKi:L`: !OR 9Je;Y~1:Yi~s iAlS~ WrC.TiMATpK. FJG:UDn:O 'I}aE <br />s'OSSUfa ir`r (y f:> <br />; Af <br />~i~t <br />` <br />+ <br />_ <br />a7: <br />> <br />:N_ <br />r•. SEE !B l.3 C. 4 r W+ ArrJ lJ u6 G fiiGNATURE OF DRINCIPAL EXECUTIVE <br />! 'ar9 Obros:ror :safer .,a:e .:.r~vn .^xl r+cnrtw Mm W aJ S+G:NO mW a <br />7YPE0 OR PRINTED <br />M\I\IL\RC • •\.V ,new, ncem„m :myso+wau 1:»r ...• 6 mm+u o-ei 6ywrx! OFfiCER OR AUTNORfZED AGENT ~ NUMEIEA YEAR MO DAY <br />."v......~......~.r,w wv.. rv..v .v., ..vrr~~vv.~avw.pv •.wV ax wlnYVxvvplnav v/ <br /> ~ I 1. <br />EPA Form 33701 iC & , ... - ,.- _. (REPLACES EP0. FOAM T-a0 X'H(CH MAY NOT BE USE D.)' ~ ~ PAGE QF <br /> <br />