|
PERMITTEE NAME/ADDRESS Bwrd, rwWgNwdLx.nw,tfUiQG.eVj ~-•-
<br />NAME POIx•~r i,uV~l, :JAL COLPfRY - -
<br />ADDRE551(OiLL~:JL 8I5F'E r. j FOkTALS
<br />P..;. '!0!: luau
<br />FACILTN
<br />LOCATION
<br />ri:.'r: JUlI:S ?., ".C.hi-.P !:.L~IL~.:'"'
<br />-NA4rON~~ppOLi411'MiOISCNMOE ELIMINATION~SYSiEM /NP.DE$d
<br />-OISCRARGE MONITORING REPORT (DMB/ - -
<br />11.161 I7-191
<br />Tr ;, nT
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ~) 04 CL TD 'd3 OF ~^
<br />!16111 I11-131 !14151 116-I7I 118-19) 136311
<br />. -. .. ~ - ~.--. .Farm APProve j.,.~
<br />PowD 1I To cofL c °' 10 - 004
<br />b~el exgir ~-05-31-98
<br />(S!1PP iIC) 1)~ '
<br />~ - fIAAI
<br />N1 ,•Gn
<br />-.. `t0 LI`_;CrAN:-~ I~jL.~/L :;:x I.
<br />+. NOTE: Reed Instructl°OS before" 7romplJtlnO this form.
<br />PARAMETER 13 Grd Ontyl QUANTITY OR LOADING !~ G,d OnlYl QUANTITY OR CONCENTRATION ND FREOVENCY SAMPLE
<br /> I46-53I 15x611 138-I51 lOG53 lye-511 E °F
<br />131-371 X
<br />MALY513 TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ref-s]1 184-651 169-701
<br />.. SAMPLE -, :~:}-:::~{: ~:f :~ ~? • ::~r, r:"±:.~ ( I1)
<br /> MEASUREMENT CJ / T~
<br />~+u~'„U 1 .i J ~. ~~.PERMIT :: s1?#r:+:. r/C~.x•,:K=;r >: rxr: .G rs;: 1:G~;: :I.G .:EkLY "NSIT';;
<br />_FFLUE:,: (,F'.OS" YALUF
<br />` 'REQUIftEMENT fiyr::r fE , ~ H TN 1>, q^
<br />~Ui.i USE I.:TA L SAMPLE fil;, ;; K:': r..,;:;: r~ytp fi; fifi,?p ( 19)
<br />.. ii ~ r C N:i ~ / MEASUREMENT
<br />Iv~3U I u 0 PERMIT: ... O~tKaplpfj : . 4~p5;:ik u.K: 0FTi1001~ . .35 7Q
<br />~ INCA/ .F?A1;
<br />~~}'r LUchi >;ROSS YALUc REQUIREMENT: ~ ~ ~ .... .. ~.... ~. ~ .; fi,.n ~ ~~ ~~ 00 YC. Y P, n~ / y R.. +
<br />:JLIJSE 3oTTLF.AnLE SAMPLE ;x;::~r,,.: .::;:4^t, fir,•K,:},p ( ~5)
<br /> MEASUREMENT
<br />.lU`.>D:J 1 G 0 'PERMIT y:?ruy:~;. :;;:;::;:xxr,::x .K• r,:.,:; rFt,:K:fi!+^. FFFCiT i!??JIQEi7 ` 'Si;F./ :!lAb
<br />:.Yt'LUiiNT L'ROS~ 7.'• Lai. REQUIREMENT ~ p:?;x x, TPn P! !
<br />~ =.1>:°.,
<br />i t?UAE Ti/IAL SAMPLE .: :. :'C: y: :: ~x :: ':7;: •:~.;: ( +~))
<br />(AJ FE) MEASUREMENT
<br />IlU~S I 0 (J PERMIT
<br />,,,;. ..
<br />.. .Y `:}
<br />;:.. x..:
<br />~., wtk K: :}r,: ~: ++K: n, ;::;: ~~ti, 7.F;
<br />
<br />\ ""'!;~ .i3;i~
<br />F'c'LUIiNI GkO~:; J4L'J !- REQUIREMENT 7p, :;: 1ftilA AY.' rIV ~ !' :a+1+'^-.
<br />iIL AND LrtleA:it: SAMPLE ..',`-:::;::: ..':p ;::i:?:;,,., ( 1`aF
<br /> MEASUREMENT
<br />.l ~bL 1 0 G PERMIT ., "t:x ~:. x•: : ,ix :k 4ty# ;:
<br />~ :: g: 6:pfiy..,.x R€:'FC: P~T ~1~G. [ '~•a': I+ ;:.q t;
<br />r'F'FL'U [:NT VROSS VA LUe REQUIREMENT ,}:?4 rs .~~,
<br />1J L
<br />r
<br />. LJME IA CONUUI?' UF. SAMPLE ( U3) r, r,:': r:: x;. r/C;:Or~rx qr, :::~:r.:}
<br />~,t .;U TREA i'MENT i'LJI NT MEASUREMENT
<br />vU~U 1 U 0 PERMIT r.EPGi?T REPORT Y;a,,•,',', r:;OANfifi KJKcJ3y,]~ e ~::;: LY ti';`A:
<br />.I`FL'JENT GY.US~ YALUF. REQUIREMENT jiiliA nYG LAILY !1X C1GL ~~^:i
<br />+GLiGS, 'IuTAL SAMPLE JK=.• i:;:;: :~afi:;#s '.t:Y:Sf,:(• ( ;y)
<br />• i. "i ~ V L ~' t. ii MEASUREMENT
<br />/vZ>> I G :1 PERMIT etPr,;6R4: {e r,. re;eK:fi Y: Kxr+'s {x:?.fix?..w R~.FCPT R~iFG-~T
<br />i Y ~
<br />" %
<br />i A ;,
<br />r
<br />~.cta.UcA'I GROS.> YALU6 REQUIREMENT. ~ ~ ~ 4:?'-r !'R:F AYc H'.'F ".d:( ":~/L • ~ :
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD ~' / TELEPHONE ~ DATE
<br /> AM FA MILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON
<br />'
<br />^
<br />L
<br />J ~
<br />/ MY INQUIRY OF THOSE INDINDUKS IMMEDIATELY RESPONAeIE FOR ~~ •
<br />,
<br />Q{A/
<br />/ Lts
<br />I /Y
<br />. OBTNNING THE INFORMATION, I SEUEVE THE SUBMITTED INFORMATION IS
<br />TRUE. ACCLMUTE MD COM0.ETE. I AM AWME THAT TNERE ME
<br />SIGNIRCANT PENµTIE3 FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING ~ ~ j
<br />
<br />I
<br />n
<br />1 }'! C_ ~V ~'r~ ,
<br />THE POSABILITY OF RNE MD IMPRISONMENT. SEE 19 U.S.C. 1 1001 MD 3] SIGNATURE OF PRINCIPAL EXECUTIVE ~~I
<br /> U.S.C. 1 1]10. lAUWei1 Y,OII tMw NA,ro. „ry M,[AnII rMM. y ro JIO,000 AR A
<br />TYPED OR PRINTED n/•'xxM.Mx.,xhwlw+E:xr,r olM,wwn snNnNrw6 yw..l OFFICER OR AUTHORI2ED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION vI• ANY vlOla I IONS Irrenrence s0 errscnmenrs nere/
<br />T 11 .^
<br />
<br />cUnUcN JF Fk00T KHE.'i R~Ur.52It.:. k-LILF't'FJt' ETTLFALLr'_ .::LIDS 7RTt?ARY LZt!ITATICD~.
<br />EPA Form 3320.1 108-951 Previous editions mey be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) PAGE OF
<br />00737/+'C2.3-I?SF. ?
<br />
|