Laserfiche WebLink
PERMRTEE NAME)ADDRESS (Include £aci(iry Nmne/Locarion i/DigerenrJ <br />NAME SEheCA CGM1L CU.".PANG <br />ADDRESSD it A 11 E k D <br />NAYGEh <br />CJ )i1E39 <br />FACILITY <br />LOCATIO!'~AYD~:Y CU Ui 03J <br />A!i'.+: ,;. dJU a:;Jati, c;~y;.;6L bAk.0.Jt.x <br />NATIONAL POLLUTANT DISCHARGE EUMINATON SYSTEM MPDES) <br />DISCHARGE MONITORING REPOFIT (DMR~e) <br />(2-161 <br />COJODU221 p <br />PERMIT NUMBER DISCHARGE NUMBER <br />~^ MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM yy Uv U1 79 yy JG 1J <br />(2(}211 (21-23/ 84251 '.C,. ~• (2fr271 (2&291 (J031) <br />Forth Approved <br />1 N U :: OMB No. 2040-0004 <br />Approval expires 0&31-98 <br />('iU9ft K4) , <br />F - ?I6AL c~'l 1'i <br />JISCf';,rc::E 'LO Ixlo/UxY CdLnfi ~~ <br />__ ~ <br />NOTE: Read Instructions before completing this form. ~ <br /> (a Card Ony) GUANTITY OR LOADING Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAM m <br />PARAMETER (46-53) (5481) ~ (38J5) (46-53) (54-61) EX OF TYI ~ <br />(32-37) AVERAGE MAXIMUM UNIT MINIMUM AVERAGE MAXIMUM UNITS <br />6283 ANALYSIS <br />(6468) <br />63 <br /> ( <br />) <br />t' rf SAMPLE <br />MEASUREMENT . ;:.;: t ~.:: . . <br />/ .. .. . <br />3 S ( 1 2 ) <br />v <br />/ <br />~ <br /> O - <br />O'JvGU 1 U U <br /> <br />'F~SPEk31UII.., <br />:. . <br />Y _, _. ~ <br /> <br />3 F- y <br /> <br />F'_~bY4t':` <br /> <br />Sf6'F <br />ciFLJF:NT Jn')55 YALJc ,~~Q~~NT i i!A >~ ,?s"~=~ :''. ~J ~ ).. <br />~'i v. CJ~ J h SAMPLE ,-:e 3:= ~ rF %."# C. ,cy.}:-~:: ( ly) <br />oil :i P 2 N J F. G MEASUREMENT U <br />D_~3J 1 ~ 0 <br />' -~~ +-s <br />~ r = ~ <br />- <br />~ _ <br />.~ <br />~ + ,~ <br />3 <br />' <br />..r i <br />LJ:: i~iT .;i]~5 VALU". 13Eb I ER <br />ENT. ~ 'ta3C <br />= 3Qi?~" ' G/L ..:•; ~ <br />I( u. <br />. <br />s)L.lDSa ,err ckJLc SAMPLE v;cC.:=~: ... ~. .,.... <br />I ~ <br />I ( 25) ^ (_ <br /> MEASUREMENT ~ ~/ O + I/ v <br />VV <br /> <br />GFFLJo':: LkJ55 YALUz HEOUJ Ek~ENT i-. <br />a ;1t:;~ . _ ~r . 1 <br />L ~ ~)` <br /> . ,. <br />m <br />.. , <br />..: ; <br />L/ <br />Id7!la [JTAL SAMPLE .. ..:: ... ",~:}.: ~. :. :, :::;: ::; ;t ( la) <br /> <br />(A ~ F r) <br />MEASUREMENT <br />~ . a ~ <br />V • ~ S /` <br />(~ <br />/ <br />C~...b <br />J1J9i 1 J u _~ <br />i5'Pk``iiMIT`= ~ ~ ': ;:} iNOF h ,• <br />~ <br /> <br />:: ° F' L J L' :+'f ~ k J S 5 Y A L U e <br />ESIUIREMENT <br />~ ~.: <br />~ <br />~. ~ ~- <br />m <br />` <br />.y G/ L <br />x <br />~~ `'~ <br />aiL A!iG .:ktASE SAMPLE ~:'};: 7i-:~ :::~ p:}::'3r: .;7+}G;-;: ~ jq~ <br /> MEASUREMENT 0 <br /> a_.. <br />r <br />`F'FL'JF:FT Gk:1S5 YALUfi _L'M~NT- ~. - r -~+ ,(~ s: ,G/L ~'` ~` '~"'"~^ <br />FLJAa 1L+ C)YDUIT OFL <br />I'.1ir.l TF.cA:','LEST PLAN'T SAMPLE <br />MEASUREMENT /~ /!, <br />U.756O ~I / <br />~.rrLyl IG ( ~3( :r r.; ;.-p ,., ;r:r~ -y~}:}yc} <br />O <br />I <br />Tk <br />~ ~ J 1 J 0 <br />' <br />' ~ ~~ , #~ ~,. ~ ~ <br />~' <br />`` <br />s <br />4 <br />' . ~ ~ <br />' ~ <br />= ~" <br />: <br />F <br />LJF:FT GRDSS YALUe ~Q, ~M~Nt_ _~p~ AC 0#ILt:~ r,cD ., - <br />!!J ; <br />r?fi~~„* 'axa ~ <br />' I <br />:i ILLD:i~ TOTAL SAMPLE "'f"~' °" "" ~`$"F'"i" ~y~ <br />l' <br />v ( IrJ) /,~ <br />I <br />i i.i :i)LY p(I MEASUREMENT ~ <br />W 56 V (~ w <br />' J` ~ ~ <br />': <br />` - a <br />' ' ~ ~ ' _ -~r <br />FFL <br />J::BT GH055 YALUi: ti1RE;~ N ;,- <br />, tr * <br />~ ~#aa ~ <br />r,. <br />~ <br />• ~ i <br />Gi== J/L <br />NAME/OTLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY EXAMINED AND <br />IN <br />AND BASED ON MY ~ <br />TELEPHONE DATE <br />... r <br />~ <br />1 <br />"\ <br />S Q h j INQUIRY OF THOSE INDIVIDUAL <br />T <br />F ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />I <br />F <br />RMAT <br />N I <br />TR <br />E <br />Q <br />- <br />\ HE IN <br />ORMATION, I BELIEV N <br />IO <br />, <br />E THE SUBMITTED <br />O <br />S <br />U <br />ee T <br />' ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTIN 1 AM AWARE THAT THERE ARE SIGNIFICANT <br />G FALSE INFORMATION, INCLUDING THE I <br />~~{ <br />OVJ <br />5~ 1 <br />G POSSIBILRY OF FINE AND IMPR ISONMENT <br />SEE 18 U <br />S <br />4 1001 AND 33 U <br />S <br />C <br />C ~ <br />1 . <br />. <br />. <br />. <br />. <br />. <br />. SIGNATURE OF PRIN PAL IXECIITIVE ../ <br /> <br />TYPED OR PRINTED 4 1319. (PanaNes untlar Nese statures may Inclutla Ilrnla up ro Sr0.000 end a <br />maximum rmpnswvnem olSaMean 6rtanHn antl Syeers.) OFFICER OR AIJT RI2ED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />aaaa~ <br />a~ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence ell ettachmenLS here) ' <br />i:;s iP.7R LIMITS RILL ae aiAIYED AYD SdTTLEARLE SOLIDS LIt!I'L' Ai'PLLcJ FGH <=LOYS,2uwx FNrsCIP EYENT; TSB <br />I;TiIN LI`4ITS NAIYEll PAN )IDYRa24N8 PftECIP EYF.NT SURJf'CT YO 2iU3GF:N UP P800P IN I.A.2. OIL_L' GREASE-St;t <br />T I 1• IS ~• M '1 i T T.'. 9) Y /' y • :i 1 p <br />~1Tr'T i _ ; - Ti-t-Y i 'J ~' Tl <br />EPA Forth 332o-1 (0&95) Previous editions may not be used. ~~ (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) 0 (j ~l l 1 /'? 9 '~ ',1 .i - i 14 J PAGE 1 OF <br />