|
PERMITT[[ NAM[ ADDREff (Inrludr
<br />PoriRty Name/LxRl~on p dlOennl)
<br />/..}e~--~k`MAS9 tefl~`~f1MPANY----
<br />~DD~E~- P- Hf1X ~~$(7--------
<br />---- CAHH(ZUAI~=-----------
<br />-----f fl x,1..2/ Z'~-----------
<br />lAGILIII-------
<br />}iOCAT10M --~---
<br />NATIONAL POLLUTANT D18CNARGE ELIMINATION fYBTEM (NPOF.J) form Approved
<br />-- DISCHARGE ITORING REPORT(DMR) ~N0.2A00~0015
<br />l2-f 117191
<br />-_- CI]not n7 003 **NO DISCHARGE**
<br />- PERMIT NUMBER - DucNARC[ NureER
<br />1
<br />-- MONITORING PERIOD
<br />Y[AR MO DAT YEAR MO OAT
<br />-- PROM )+4 n7 ')1 TD A4 07 Sli
<br />-- Ire~tu r:t~rq I)l~l~f f»~n~ rJalq uaJ/f NOTE: Rasd Inftruetlonf bf10A COIRPbllnp tfib 10811.
<br /> (J Card Only) pU ANTITY OR LOADING (l Card Only) OU ALITY OR CONCENTRATION
<br />PARAM [T[R (16-JJ) (Jlfil) (fBaJ) (1633) (1141) HO,
<br />!% FR[oOU~NCr fAMPI!
<br />TYP[
<br />(37-37) AMALYeIe
<br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNITE 61dJ (616d) (69-70)
<br /> fAM-L[
<br />E'Ll)w (F'FFLUk.NT) M[A[UR[M[NT r * • • * • r r • • • a
<br /> •~~ p ~
<br />% ~
<br />:
<br />a
<br />~
<br />~ "
<br />~ :~
<br />~
<br />~
<br />- R[OVIROA[MT` •;~f° '°~p~
<br />-
<br />~
<br />~~
<br />YV *
<br />'
<br />``
<br />~ ~.:
<br />:
<br />•~.-~
<br />:e
<br />• .
<br />~~
<br />~"~~
<br />L`~'' ACT
<br /> * '
<br />.1
<br />t. +
<br />-
<br />.
<br />s.
<br />~ r
<br />• a
<br />r
<br />•
<br /> fwMPL[
<br />SUlln91 TOTAL SUSP M[wfuneM[NT • • * * • r •
<br />(FFFLl1f;NT) ~Y~-01M17 ",~ ~'° ,r
<br />Y$(" '"
<br />ag'A
<br />i
<br />s*
<br />'Y fi/Uh
<br />I :
<br />~''
<br />§:' ,: b=.
<br />s- °
<br />sa'' Mf../L `i
<br />a~ xt'
<br /> .< .
<br />.
<br />,
<br />>
<br />nA . _ _
<br />, .. ; ,
<br />
<br /> fAMPLC
<br />IRI)NnTIIiAL M[AfUREMCNT • f t • • • • •
<br /> ,.
<br />~.
<br />,.
<br />
<br />..
<br />~•
<br />
<br />< «
<br /> _:.
<br />
<br /> BAMPLE
<br />PH rFIELD MEASUREMENT i • • • ! • # } t ! t 4 '
<br /> .. R.
<br />' %iRMIT. -'
<br />° .~,. ~..
<br />'a r s-
<br />°
<br />...~ a,. o
<br />°
<br />,.
<br />~, .. ~ '~
<br />.'• pA
<br />SU
<br />~.":.'
<br />'
<br />Po
<br />~a.:a ~°
<br />°
<br />'. ,
<br /> REOVIRlM[NT'
<br />. > '"
<br />~°
<br />'
<br />r ~ ~ .'
<br />'
<br />.
<br />'
<br />5. ° - . ~
<br />~'
<br />°{
<br />`
<br />'
<br />°
<br />+1''
<br />. ns:
<br />?
<br />. ,. "
<br />"
<br />T:
<br />"(
<br />li
<br />n f n . tt
<br />•
<br />1 •.M'!
<br />R n.4 •.
<br />sY
<br />i ..
<br />.1 ;
<br /> 9AMPL[
<br />f)IL R f..)2 F.A3E MEASUREMENT • a • •
<br />
<br />l/1 Cil!/11 °
<br />'KRYfT.
<br />~`'
<br />., °
<br />.,-.
<br />a°
<br />"
<br />`
<br />-
<br />`
<br />...
<br />`.:
<br />: ~
<br />~
<br />~
<br />°'
<br />"
<br />~
<br />~
<br />°
<br />e~4 ~
<br />M~'/
<br />L
<br />^-~
<br />~
<br />'i+•. q.m
<br /> .
<br />.
<br />~REOUIRW[NT .~
<br />..
<br />.,d= ~
<br />n.°
<br />~g
<br />~ x
<br />~°
<br />> as
<br />,
<br />«I
<br />°
<br />" ~,a
<br />'"'
<br />'
<br />e
<br />~
<br />~
<br />~ :'a, yA
<br />A
<br />' ,~
<br />y'::
<br /> .II •
<br />.
<br />t" yr;
<br />r..i
<br />t 1"
<br />JxM'
<br />.~
<br />t `F<FLA. ,5 F
<br /> (AMPLE
<br />cowour.T [vtTr }~/I)1~ ' MEABUR[M ENT #
<br />
<br />TU~i (EFFLl11'
<br />WT)
<br />`>PeieyiT,.:
<br />~., :"; ,;
<br />..
<br />~
<br />° ;°~~s°',
<br />Y
<br />`r ;' °•
<br />;',,
<br />'
<br />`^
<br />~
<br />a:
<br />,> ..,
<br />~
<br />°~;~ ,~
<br />',:~..,.~.°
<br />~
<br />>a"~
<br />. ~R[OVIRW lIi'-~ . ~re
<br />-.,~
<br />"
<br />a
<br />`
<br />°~
<br />~ _
<br />a' ~ s r.
<br />=
<br />' .
<br />"
<br />°
<br />~
<br />` .,
<br />~.a r
<br />'
<br />`~Y F ~~~ •:-~~.
<br />~ s
<br />6
<br />I
<br />l .• *.
<br />* *.
<br />°•..'h:~i
<br />. r, .k
<br />*•°*. +..t
<br />.•
<br />•. A
<br />"•.ti' . a
<br />.I(
<br /> BAMPLE
<br /> MEASUREMENT
<br /> ,^PERMIT x'
<br />" °~¢>'"
<br />¢
<br />
<br />A~
<br />n , _ .
<br />"" °
<br />.es"g%`;sa .,a...
<br />
<br />
<br />
<br />
<br />,
<br />" ~.~a~y.
<br />&" ~~.,tt g_x,~t, .".a'.
<br />
<br />
<br />'
<br /> .
<br />RWUIREM[NT' .
<br />,.. >_
<br />.,.~ > a a°" s y
<br />e #,..
<br />r°
<br />
<br />,
<br />
<br />e<
<br />s
<br />..
<br /><
<br />A
<br />
<br />
<br />
<br />e
<br />~
<br />.,~
<br />~ ~
<br />,,:
<br />T:'
<br /> ., r. .-~
<br />p ..~
<br />~ ..- ,, .~ ,°
<br />~
<br />V
<br />NAME/TITLE PRINCIPAL E%EC UTIVE OFFIClR I CERTIFY UNDD1
<br />PENALTY OF LAW TNAT I NAV[
<br />PERSONALLY E%AMINED ~ TELEPNONE D A T E
<br /> AND AM FAMILIAR WITH THE INFORMATON SUBMITTED M1EREIN. AND 9ASED
<br /> 'ON MY INQUIRY OF THOSE INpVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />L+
<br />J. L • Reynolds OBTAINING THE INFORMATION I BELIEVE THE SUBMrtTCD INFORMATION
<br />
<br />General Manager 9 TRUE 'ACNRATE' AND' C?IPLETE. I AM AWARE THAT TNERE ARE SIG
<br />NKICANT PENALTIES FOR SUBMfTT1NG FALSE INFORMATIp1
<br />INCLUDING
<br />i
<br />. .
<br />.,TM[ POrSIBILITY OF FlNE~AND IMPR15DNMCNT. SEE IB U.S C. 1 1001 AN
<br />11]IG
<br />]3 USC
<br />(AnrNirr undrr IAer rfalu4r may includr /finer u
<br />b t10 ~
<br />SIGN ATUR PRINCIPAL E%EC UTIVE
<br />~
<br />TYPED OR PRINTED .
<br />.
<br />p
<br />.
<br />rnd>or mraimum imP~RMmrnl o/MIUAYn6manNlrMSymr1./ OFFI OR AUTHORIZED AGENT A A NUMBER YEAR MO DAV
<br />COMMENT AND E%PLANATION OF ANY VIOLATIONe (Rr/rrrnrr R/f allurhmenff hnr)
<br />IF NfJ„[>I9CHARGE f1000RItEU Ullltlr•I(. THTS kEPgHTING VEN(lu7 R@NUI:I Nh~U U1SCi+4ltr,k"
<br />FUR'CIINUUCTIVITY k/UR TDS INUICATE IINiTS f.1F lAI.AtiU1tF.MF,NiA FF:k. k)Fk°+IT F'IlR RIn111REMF~iTS, '_
<br />' 1 1
<br />EPA Ferm JO7O•) (Rsr, )O•I9) PAEVIOU9 EDITION TO BE USED IREPLACEf EPA FORM T-10 WMICN MAY NOT BE USED.1 PAGE OF
<br />UNTIL SUPPLY IS E%NAUBTED
<br />
|