|
-ERMITTEE NA/.!'IAODRELSfL.iirlyd.)Nrrf.,•.n.. UOIA•~C
<br />NAME - -, ~. .
<br />. ,J J7:7CTSUM C:i) ~15L
<br />rACnm ~. .- ?1:idON 'S1NC -
<br />LOG noN , . , g CO d 14
<br />wAnowK MeltnAwr pSCfIAAOt ElAMwA1)Olf s+'srt++ fNPUfSI
<br />DESGWIRGE MONfTORWO REPORT fO Rl
<br />PERMIT NUMBER uxo.AAeewWLE11
<br />MONITO_ RfNG PERIOD
<br />Y AR MO DAY YEAR MO DAV
<br />iROM '...1 TO
<br />Fwm Appra+ad
<br />r~Mp r» ?OA61fOPt
<br />MihUki
<br />(S1Skt n8)
<br />P - PIBAL =-.L"
<br />F,1i:D 4 i1SCHRG ?O !(U2Nd-tI: ,. c~:.
<br />__ i ,
<br />NOTE: R~Ad kwtruedorr INIaL ~MNnp tF~Y iam.
<br /> NO fAtno .wc+ SAMPLE
<br /> pUANTRY fM IOADiNG gUAUTY OR CONCENTRATEON
<br />.
<br />PARAMETER E% AIIKY}5 TYPE
<br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMVM UNITS
<br />~, SAMPLE -)
<br /> MEASVREMENT
<br /> " '
<br /> PERMIT e~- .-... ti.5 _..~u /.:; :9L:E/ INBLi
<br /> REQUIREMENT x i P p.+ ~ :I ....., I.
<br />.
<br />~' ~,
<br />• ~+ . ti :, _ i .
<br />. ,. ~- ,i ~--• -
<br />- ---
<br />1
<br />(
<br />.._ ~ill..t.: s~ SAMPLE
<br />MEASUREMENT - .. - _
<br /> '
<br />,,,,.:~ 1 U G PERMIT t/etcs, .:::-••r v6D~ ..;:r03? :'.~ kCE/
<br />a`I' GF.Ld
<br />' REOUIREMENT J - . --,~~- f:IJ
<br />i,. .:~
<br />o; .'i~::.;iT t4J5:i __ I}
<br /> SAMPLE '~ - ~
<br /> MEASUAEMENT
<br /> ~ ' '
<br />):::.. .. i J (i PERMIT -s P.CC:S ..c^w:•d:~k r!p'~+p~r G.IIi', iu :GN?:
<br />'
<br />`_ GF
<br />ht}
<br />FI.J `. i.l C. t1U3S 'r d:. ~.. REQUIREMENT ;1 i' Y .'1 _./i_ !i
<br />~
<br />::,JA, iN CJ1iCUi I .. SAMPLE ~ I ... ~ -
<br />y MEASUREMENT
<br />I (rl~nl H4
<br />tiT
<br />N i
<br /> e.rNl nayp~.,. o:}. ~~ Y: .~c ~. ;\C. / I tii
<br />in
<br />.: )'I 1 U U
<br />'J; PERMIT
<br />REQVIREMENT ni$Ja:
<br />Y;;
<br />i'vub
<br />• ~{
<br />i :.o :!X
<br />~D I~'''~' ----
<br />,-
<br />.~ r:.J :ST GkO,;° _ .
<br />. .
<br />_ ~, IUPhi. SAMPLE ~ - - k "~
<br />.
<br />. MEASUREMENT
<br />)y
<br />V ' ~
<br />! ~ _ i J - PERMIT n~~Sv >c ndo. bcruy~ 'S£YU~f
<br />~ itc !"v :.
<br />i I ni,(
<br />,~ :>nn >
<br />.. .: t? oI(J_.: ..~_ REQUIREMENT < ~ b ~1/u
<br />i i)6i L? ?1 ..~~_ _
<br />1-~ +~~,~ SAMPLE : ~5 ~. . ; ., I! ~~,. ..
<br />.
<br />.. .,
<br /> MEASUREMENT - _--
<br />~ _ F '
<br />'
<br /> PERMIT ~C uoa IYFFa6T ~; unga.YO acr.a c ..cc~ic= I:i+C
<br />./ .: .,
<br />r ...
<br />i J ~: ' - ~- V N i :
<br />'
<br />.. ~' ~ ; '). J :.. ~, ..:~
<br />_ REQVIREMENt 4 I.i:i F
<br />.k R X = .
<br />•
<br />- ----- SAMPLE
<br /> MEASUREMENT
<br /> - --
<br /> PERMIT
<br /> REOVIREMENT
<br />
<br />NAMFJTTTLE -RINCWAI E%ECUTR/E OFFICER "'»"
<br />,»y.,; " ' ^° `t ~'^'"•,
<br />a w»,.r!«»..» r w, s~.:w.,n w v aus.
<br />r....ww lw ...+•..w...nn ,mo •.n
<br />..~ow ttwlp.
<br />~ TEIEPNON E GA TE
<br /> Iw .sr t nM w.Ma+n.w,.+ r.
<br />n(
<br />.
<br />`^
<br />N
<br />L .,y,.^) ru.» .,r ..wr.
<br />IM
<br />.nOw wIM n
<br />.,.w. » In.lr,r...n..
<br />,.n.H W ,rM
<br />V
<br />- 1/~
<br />J ~ ~ / _" c ~-
<br />~) ~MI
<br />r LAW sn n)
<br />~
<br />ww
<br />O
<br />M
<br />~y'e P'Mh'~P'^wYY ,
<br />i
<br />!s I•Jlerlrtt IM IwY~.~..,I M W IM. rW .
<br />M ~ //
<br /> ..t...~» .a < u W MI r „) .we .lwp mtl wwE. uw. «.. .«...we.~www w.
<br />T
<br />Vf - % • .
<br />.t 6
<br />. len.n rw
<br />. A . Ntn...LLM LIONA TO~Of MINGtAI 1
<br />E%ECU
<br /> IW.w rw
<br />.n aw W»v.
<br />~ r r
<br />w. t,ww.Hi.
<br />+
<br />~ .wu OEE ICEl1 oA AVtNORUt O AOEM'T CO DE Nl'NIBE R YEAR M O DAY
<br />ED OR PRMITEO uvAw. ,.rp,.eun).r
<br />w t
<br />r...w.
<br />w wa
<br />TYP
<br />COMMENTS AND E%PLANATION Of ANY VIOLATIONS IRdLrmt• d eruMm~ntr lrwr~l ,I {
<br />LT ?0 $iiF.:1Z:N UP ?ItOUF R$iUI4EHz'sTS I'•
<br />EPA form 337E I tRr+ ~ Peerqus Mkon+Ino'E W uaed 1 i) 1 d
<br />
|