PERMRTEE NAME/ADDRESS pith A.wryNr'Lsrnr.. /Dls.wp
<br />NAME Clt~kGS YA81~6 VALLEY i:C.AL CUkP.
<br />ADDRESS '. `'i:-. E,ii~J .:OJTtl, E °CY.°.Q it Ph
<br />~-;i)v cA~"f CItlt~:AL CiY.CLf:
<br />FAdLm
<br />LOGTION
<br />A.. ..1 ~~. iE.a N. r.c uY. '.Ar; :rn ,. :.1 L'i
<br />MATIOMDISCNARGE MON TORING AREPORT DMRIPDES)
<br />COG 027 i Sit 0113
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM '.1 t! 1 1 J L TO J O l c S 1
<br />HAJGR
<br />(~GiSR :1 ir)
<br />F - Fi'IAI.
<br />~.I~` 1, FOND
<br />ifC.'
<br />r !'0 FG1UcL C:i:_Lh
<br />NOTE: Rr.rrd AvDVeNorr E~lor~ eompMTMp Ellb Iwm.
<br />
<br />PARAMETER GUANTTTY OR LOADING
<br />QUa}lty Or Concentration NO, FREDUENCr SAMPLE
<br />
<br />EX Df
<br /> µ,LLrys TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />lr )i., :uT.?L SAMPLE
<br />MEASUREMENT .:a;:::c# nrt;;a, r., .:p rfa#'t
<br />~
<br />~ ,E~ e1
<br />~
<br />( 1 ))
<br />!~~
<br />~
<br />D.)P
<br />~ i.; Fc) ( Uvl
<br />
<br />~:.;'}~ J
<br />.. G ~ .'PERMIT..~.. ..~~i:##s:;:(c~ .
<br />.. ~, ~.....~i;c:+': ~:
<br />
<br />~+ Y:;:Y =~i:=~n+:. si~.r~>.a':i:.:
<br />..
<br />.,. i 3yf.G~/~ S~hA~Ei
<br />Sty: ~:Ua.~,::.r,l'S dLOA REQUIREMENT. ~~::~.....~ ~~ ~.: .~ :.. ~ ~.J.L~i',.;,:~.s:`•::': .r~Y
<br />: ~t:iS::a:.i. MG/L ~'".i.7~N7:Y
<br />li:.i;:, :uPlii. SAMPLE ####ui: arc',:#:).p ;:#d:Y'+'':
<br />' ~ ( 19)
<br />r/
<br />I
<br />~'
<br />'~°
<br />( i:.; F' °} MEASUREMENT ) I ~Q ~
<br />~ ~ ' ~
<br />J
<br />V 1 .1w _. i U C :~..~ PERAAIT: '~ $:~%;: Sfk04 . ..:;;.:: ti.:: ~;< ~ :;. r,:;. ~X: >k#~44 3.. `, . ti:`. ~: ~..
<br />
<br />~
<br />'
<br />)tiC.E/
<br />;kAh
<br />
<br />c; r Lam.:., .1
<br />..'. .: I:JS-~ VALuI gEQUIREMENT
<br />~ ..
<br />~ ~ ~: ..~~ ~ ~ ~ :::;::t# ~.:: ..
<br />..~ ~
<br />F[..n, i,. ~:JNllUI'f .~k SAMPLE ~-I qq
<br />DO
<br />L ( 03) +s Y:##u~f "~:;::`•i::: :+ #Y:
<br />~
<br />(/
<br />N54
<br />~
<br />T:~-;J _ :,.hi "::hL ?L~h MEASUREMENT ,~I~ f
<br />U ( 7 1
<br />1
<br />(
<br />SJJ`,1, i J U ::::PERMIT:~~..:: :tiEi~~l'i!+'
<br />'
<br />-
<br />. ~.4~
<br />TI:Ct~eL'
<br />;.
<br />,#~.,~4
<br />,.,.:
<br />.. :.Y#>'~:" ~z>:.;~:r~:
<br />,,.....'..".. :,:s~ ~
<br />LFa;LY
<br />IR'' „
<br />~1nn
<br />
<br />ef'!L'Jf.•: .•D~5 YALi;-
<br />:,REQUIREMENT. .
<br />.
<br />~~':..~.':.~~ ~'
<br />~ ~~~~r.v
<br />ra-
<br />..
<br />
<br />~
<br />~
<br />.
<br />~
<br />~
<br />UT.. .. ;.. .. ..:AGc SAMPLE ::a :.': r: : ( 4LL) ..-'::#r,. r: ... :.'.:n .. ..
<br />^t-,
<br />.,, ~ )17 `
<br />~L
<br />Y i ..: J n :. MEASUREMENT ~ JI
<br />.~-
<br />
<br />~
<br />D ~l UOD 1 L J '
<br />
<br />:. ~.: PERMIT '. .r~r... .:.:..r
<br />y
<br />.-.., ....,... .. ...
<br />r
<br />:! ~ ~ ~
<br />..
<br />t:,=1.
<br />...
<br />.S A.
<br />:.: a.,$`!"'.. .
<br />
<br />:.:... tr.tt.-. ^:.:j..'..'
<br />.'M .
<br />:.:x N_.: :
<br />
<br />3,f: ;=
<br />
<br />r::~L.Y
<br />
<br />YSSUAE
<br />c[ FLU:' .S .-.RJ55 VAL7 ,REQUIREMENT: ...:. : ~: ~ ~ .E~?;~~T .~Mn% 4::=0 .. ~~.: ~ ~ .. ~
<br />,:
<br />~ tC~## ~ .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~~~~.~:PERMIT:: ~ ... ....... .. .. .. .:: :......
<br /> genulR.E1,~IENT :: :: :.. :::.: .: • ::.::.:::::::.
<br />.. ...
<br />:
<br />
<br />.
<br /> SAMPLE
<br /> MEASUREMENT -
<br /> ~~ ~ P MI .~... ... ..: .. .. ..::. ..
<br />~
<br />~ .
<br /> ~REOUIREMENT. :. .. :. ~~ .~ ~ .. .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ::.~PERMTi~::. .:~ ..
<br />~ ~
<br />~
<br />~ ~ ~ ..
<br />~
<br /> :AEOUIREAAENT
<br />:: .~ ~
<br />.~; ~ .
<br />.. ..
<br />~
<br />.
<br />..
<br />~
<br />..
<br />~ .. -
<br />
<br />
<br />: :.
<br />...
<br />... . .
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER .«mI>. rr wn. rT er .. In.I lnn eavn.m.m.u .n.cn~,D.m
<br />TELEPHONE
<br />D
<br /> vrtw~~~•r mf ai..rn,ner.,wr.Wee in..ob.nR.iln.,T,IrmadEn<a ATE
<br /> Ie ,..rt m.I q..nnre w.,en,N pr,wrl, pmrr.ne ,.w.Ir mr mrenn,Il,n
<br />Richard ~Aills
<br />
<br />i .~.eMU.a.esaonm~mgmrywu.pe,~,,,rwnn,u.nem.n.,rurq.um,
<br />n /~~ ~~~~~
<br />~~'~-:;70-~7~z
<br /> er l
<br />DrrwmmUlnrry mwMHr fer f,inrd.y NelnfemuUea lne WOma,nen I//,/i ~1 l
<br />/
<br />Environn~anta tanager •
<br />m.
<br />n.
<br />E
<br />e11
<br />r
<br />rrr ~/ / ~~
<br /> m
<br />. nu,nne
<br />ne~ nomwn
<br />.maf
<br />w
<br />eMmn~ .~mrenn.rh , 810NATURE OF PRINCPAL EXEdfENE
<br />
<br />TYPED OR PRINTED
<br />~ r>~.
<br />~MWmE m. p„aenu,ern,..m hnfrlr,nme,I re..m.inE aei.aord
<br />OfFICER OR AUTHORIZED AOEM
<br />CODE
<br />NUMBER
<br />YEAR
<br />MO'
<br />DAY
<br />E:UMMCH 1 p~nnrv
<br />77 c.......... ~..... -. ..... ..-~_.....~w :n.•.r..... v., v..........nm nv.q
<br />AT1.
<br />i::•Y L1i1LTJ }'Ga 'i-.i, i::;iiJ o J!iTTL^:ALL:. ~GLIU_ (L.~L' '..') A:'FL'; JNLY I° ~= 1J-Y'
<br />:+-;':: i'[- HCLi .:V? ;:':
<br /> , .
<br /> FOR ~Uicf,E\ Or PriGU'~ ~: uI:::rGdTS. JiL
<br />52e; i.~t.1
<br />N'; 1.7 6 GREA5~-~::~ =n ~pl,
<br />r.
<br />F/ ^^:: 2
<br />- ,.. ,
<br />, _
<br />.
<br />, r
<br />.
<br />.
<br />EPA Fwm 3320=1' -a,'. ~ r.nri. r. rDV A:. .,. n~~.. A~w.. ____ -_ riv
<br />'(Rer 3/99) Previous eddions may Ile used. ~ ., v ~ V ~ ~
<br />000 3 i /This is a a,pan form. PAGE OF
<br />
|