|
i'ERMFFIEE NAMEIADOHE55 Owii ireiryMr'l.~ruw dOta.wi
<br />NAME
<br />AODI~55
<br />LV U1tiJ',
<br />iACltm
<br />LOCJITX)r/ W 01 G ~!1
<br />AITt.yr. I., c:E S. rA46bcr.
<br />MATIONN F4LL1/TANT Ot9CMM0f RMMAPOM TYlTd //NPOfSI
<br />DI6CMAROE MONITORING AEPORT lDAIR/
<br />PERMIT NUMRER pSCNAAO(4UMe111
<br />MONITORING PERIOD
<br />BAR MO - DAY VEAR~I_-DAY
<br />FROM ~ TO
<br />Pam AVpa••d
<br />OMB No 20/09404
<br />e u
<br />11u~0 ^7 ~J
<br />F - tiNAL
<br />- n d .. Y .. ~ 1.
<br />I
<br />NOTE: Reed knlFUetlorle b•Fa• oompNFM9 INN lam.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATXNI NO. a1L9UEr+cr SAMPLE
<br />
<br />EX OF
<br /> MALVas TYPE
<br /> AVERAGE MAXIMUM VNRS MINIMUM AVERAGE MAXIMUM UNRS
<br /> SAMPLE
<br />MEASUREMENT
<br />~
<br />!;, '
<br />
<br /> PERMR - 6•~ .. .. _. ~ .`.111
<br />,,. ,- , , REQUIREMENT ?f 1ti I £v. a "It C: ", n
<br /> SAMPLE
<br />. MEASUREMENT -
<br />
<br />- PERMIT ~ - - : - .. ~.: - c . • - - _ %
<br /> REQUIREMENT JLi~D 6Y~,~ ;; 1.1: t
<br />" SAMPLE
<br /> MEASUREMENT i i
<br />_ PERMIT ~ - - rt t F '. "
<br /> .
<br />- REQUIREMENT J U v A , v - -
<br />---_~_-
<br />-
<br />-~- -
<br />_ _. _ SAMPLE - '
<br />t,.. MEASUREMENT
<br /> __-
<br /> PERMIT ~ /
<br />
<br />. .... - REOUIREMENT _
<br />i
<br />_ -. SAMPIF.
<br /> MEASUREMENT
<br />_
<br />_ ~PERM17 _-_
<br />.. REQUIREMENT
<br />-
<br />--- "_
<br />. • h SAMPLE 1 -
<br />
<br />. . ., MEASVREMENT ~
<br />i
<br /> -
<br />- - PERMIT ..~ . ~.- , c ..: ;.., . - - ' ~ , ~- _
<br />r
<br />.. REQUIREMENT
<br />` ~ U ...4 ~ v ~ , :. ,,.:.:. '. N X .
<br /> SAMPLE
<br /> MEASUREMENT
<br />~ '
<br />
<br />,
<br />PERMIT _._ <._v .-- .i :-11;. A'=._ .. ~a: ~ ~ nr.
<br />REQUIREMENT ~ ~ .~' n 1 . - : ! "..
<br />NAME/TfTIE PRINCFPAI EXECilT1VF OFFICER r...e.. ^^ ;. .."rn.~wi: a,,...,..,^. .a. .n,.,..,,..„.
<br />TELEPHONE
<br />GATE
<br />prtp..e0.,.1.. .e...r+.r,...,F...ew.,r...re,a.,,,..i,n ..~a..r e.ri.ree
<br />:. r.a pr.rn.e r•a^^+1 p.r•..tr vrw..,re ..w.r. ,A. r^Iwa•!M
<br />~
<br />ne,wn.a. ew.e •,. n. rngmn a w rro^ a P~.+.r• •`. m.n.p w mo,a
<br />'
<br />.. n.,. 1..:,r. er.Mry ,.yr.rr,ler kr wA..,^. w wFO.,r..umr. ,w. InferMtl~ -
<br />.eDrr.rr.e 1i n w as et ^p Ar^..Irer ud MM1. aw. w..rr.r., r^e,wglel.. I
<br />I..^...n aa,nm ... slMlk^.e F..,wb Av wn^+rm,y nl.e UA..a.•..r
<br />619NATVR[ OF FI!IMC7AL CXELIfTM '
<br />TYPED 011 PRMRED .
<br />'"'*'m^e'°'o^r•'.m'~'le° ^'~""*^^~^.^"^. ~^^.~^~.wnerd OFFICER OA A1R110A1Zf0 AO[pR ~~ NUMBER YEAR MO OAY
<br />COMMENTS AND EXPLANATION Of ANY VIOLATIONS !Rd•renCV eoI efleMmmn Arre1 ~ --
<br />
<br /> - .1 A -
<br />
<br />EPA Pam 3320.1 (Rev 3'99) Grevious cdilion: may he uaee. Th1S l5 3 6-part fOR°. PAGE OF
<br />
|