|
,f11MRTEE NAME/ADDRE44 R+i+lwfryNr'/r.v.+t/O(/fw~
<br />NAME ... _
<br />ADDRESS ~ ~ ~~ '
<br />FACRRY
<br />LOCJITION
<br />wAT~OwK iOiIVTMT PSCMMOt ReMWAfe0w 5'.{T[AI INPDESI
<br />DISCNAR(iE MONITORING REPORT tOMR!
<br />PERMIT NUMBER pSCwMtRwwslR
<br />MONITORING PERIOD
<br />V AR MO OAY YEAR MO D Y
<br />FROM TO
<br />Force ACprovaU
<br />-DRt6 NC 20•t4000<
<br />xIHDR
<br />F - P7xAL
<br />:.p-1 L'.1AJG'JT TO crn ,,\•_p
<br />NOTE: R~e>d 4rtruedoer E~lor~ eompi.tMp tlel( loan.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCEhTRAT10N
<br />NO.
<br />netaRwr.
<br />SAMPLE
<br /> E% u~
<br /> M,
<br />ys TYPE
<br /> AVERAGE MA%IMUM UN175 MIMMUM AVERAGE MA%IMUM UNITS
<br /> SAMPLE
<br />
<br /> MEASUREMENT
<br />
<br />. i _
<br />_- REQUIREMENT 3iiLA ~F(• !!)< TD AY !~. .,
<br /> SAMPLE .. 1 i
<br /> MEASUREMENT
<br />~
<br />~ PERMR ,. ... .: ..r . ~" .J .,,f i
<br />
<br />- ,. .. REQUIREMENT ~~~ ( Mj,pIxU.'9 :'ad i~UK
<br />-- _ _~
<br />_. i ~~ :.~, .. SAMPLE ~ ... y
<br />1 _
<br />~, !i _y j MEASUREMENT
<br />
<br />_. ',I .. REQUIREMEM ~ - ]UC~A 1.'~!: `1.Ii,Y xX ~i !1Ut2'[:
<br />... ,,.... SAMPLE
<br />MEASUREMENT
<br />- ,. ,. c .. .. , ;Z
<br />1 PERMIT
<br />_ v~ AGO : v .. .... g.; ,- .p. -, u L'~ ~C:I i 1' ' ..
<br />.: :. 'A: REQUIREMENT
<br />- ~ ..
<br />- ::r.•.? xAr. i` Ge Y:
<br />_ i
<br />_
<br />-- _SAMPLE ... ... - ~
<br />(A= MEASUREMENT
<br /> PERMIT . ' r . .
<br />. ..
<br />. REQUIREMENT ~ 30(: is A'i'. 7Ai LY 5X '.
<br />- .. , s ~
<br />' SAMPLE - , - -.
<br />~.
<br />.1 MEASUREMENT
<br />,~~ PERMIT d~.•~_a. ..: <'•:n: ~ •.
<br />,,, REQUIREMENT ilJ ;,i CVO L.\: L: 9Z
<br />-
<br />----
<br />
<br />'. ..
<br />. •:. -
<br />SAMPLE
<br />..
<br />.....
<br />,, MEASUREMENT
<br />PERMIT '.• .• ~. , t.c r.. ,> r. ..
<br />_ REQUIREMENT .2+$ Y b d
<br />NAM!/TITLE PRINCIPAL EXECUTfVF OFF1CEq ~ `~ "' ~ ~' ~' r1 i.. a.. w.a~...,, .,e .e r,wM,..r. "'. TELEPHONE
<br />l
<br />w"r
<br />. Nrw ~M
<br />.
<br />reW
<br />ver.
<br />i
<br />v
<br />1
<br />.
<br />,
<br />"
<br />A
<br />1 DATE
<br />ry/n
<br />/np.m
<br />v
<br />r ~
<br />.
<br />y
<br />.
<br />t
<br />.rcv .
<br />v t
<br />.[m
<br />e
<br />(~
<br />1
<br />NM.v AV1.nMI1Ml..~M'MWV/.r (vMr.M ...YVrv ,N l.iwwrlW '-
<br />
<br />s ~
<br />. ~ z ,.r.u~..sro..r„y„i..rn,a~... «.~...w,w.,.. uw ..,wo. _~r~,/
<br />-
<br />_
<br />«ore.,«w wnr.l ,..ryrrer a. t.afwnry iw o-N..+.::n. er wt..+,«I,.
<br />ryM»r,N\uer~•MIYmt.~w
<br />a0 MMl,m
<br />w...e.
<br />ti
<br />n
<br />- -^
<br />wl
<br />' _ -
<br /><~
<br />.
<br />r
<br />~ ..
<br />h
<br />.
<br />.
<br />va
<br />.
<br />y.
<br />.. _
<br />I.ew.Nf11111A.R1R.ENNYr }..bN }.f ryl.Mly(e.1. ~+w,w.LLx {IONA IiJRE Ol tTINtlpAI E%E(~ITIVE ,
<br />.
<br />~
<br />TYPED OR PRINTED r,.woq er,aw,eiYry el n...r ~~Mwe,~,.w M.w.v(.w4Yena O/lICER OR AUT1WR12fD ADENT _ CO[)f NVMOER YEAR MO DAY
<br />COMMENTS AND E%FIANATION t)F ANV VIOLATIONS /Rd~r/nti MARACem.nrs,
<br />,. ...~,
<br />5$-I.C.B, pG YI.
<br />~R14 DS]A':y'{TAO.~FRI PAGE 4+F
<br />
|