|
PERMRTEE NAME/AODREBS D.db F.+bryNr'ts.rf.r VDbr.ntl
<br />NAME ..jL„;!4J:` YaMt~ ': •iq :. :J"':-."Y
<br />ADDRESS°ISFS L,?1'~3 3f;;1i1 H, i `:.{'tAP ~'~.
<br />1515 R~`t F1l
<br />FACILT'
<br />LOCATIONI ,e ~. ~ ~ }; - r. :: U ~ U 4 6 T
<br />;.(Tti: iyZ"9geL L'JDLJ'.+. ";F'e 'PZN°. !1GR.
<br />NArIONDISCHARGEOMON TORINO REPORT /D /RIPOESI
<br />M .; 7 ,.~
<br />..~. 1:~ 1 r: ~ (S09R JC)
<br />PERMIT NUMBER dxx~waE Nur,~eFn v _ F > I, q L R n 11 .. r
<br />MONITORING PERIOD ~ r a ~ 1 • ° `~ ' o `' rn F ~' '~'' ` ^' 4
<br />YEAR MO ~ d YEAR MO DAY __
<br />FROM 0 04 TO 9 Dr! ~' i•: Vl r~'I`CN.4Ri-' ~--~ ~~
<br />NOTE: RAAd Imtruetlorr bdor~ eomphthq thh form.
<br />PARAMETER QUANTITY OR LOADING QUdilty Or Concentration NO. Fl1E0uENCr SAMPLE
<br /> OF
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNrTS EX 'w~r~6 TYPE
<br />!!.r ~: 'f, :',. _:',T1:, L. ;.Y
<br />~ SAMPLE d-, kkSt ;r krtkk`Y t: 7kkk?k ( ! 1 ,
<br />' ! 7 ~~ ."T L Y r ^ MEASUREMENT ~ ~(~( .; O , (iO 1 ~(; '~-`:_ ~ I.,(•' (h~
<br />! J) 1 1 7 J ~:...~; PERMIT: •~:::~~: '?::p.91:ir5l:Tgl '. ~. ~.i~TX''+r:~!:4 t'k~r~ k .:n , ..
<br />,. fi ...:
<br />
<br />;.
<br />,- - ^
<br />. REQUIREMENT;= : r. ...
<br />:., .::::.: :.:.: .. .
<br />?~
<br />.:....
<br />~
<br />~
<br />~
<br />,
<br />c
<br />. LJ~NT ~..US~ V L .
<br />s...
<br />.,::
<br />3 :::A:6!'G~"
<br />;ti•~:y~.
<br />....:._,Y
<br />~~
<br />•;
<br />~ r: ^tl
<br />"r'~; 'r, :'7TF;YT1AL6y SAMPLE
<br />E OrF¢¢¢= ~rt;gip ^,r c; ^:~¢#$ C
<br />~ ( 'I _~ ,1
<br />Y
<br />J
<br />i R.~I'
<br />... ~ L t C P MEASUREM
<br />NT _ ~ r ~ J LQ Ch~
<br />_, 1~ ~
<br />Iliub L :1 rJ ~:~::.PERMIT.~,:~ .. .R#~kE}#~k~ ~ '~.~x~4h.:
<br />~' •. 'r-~-.~':"'+ 0'• ~:~j~'i:p.:
<br />:~:
<br />
<br />~.
<br />.r'}'L:!ENT GRJSS VALO:: REQUIREMENT.
<br />;:..:....:~::..~ ... .. :.: ~~ .. ~
<br />::..... .~~;'.:~~.: ~~~~
<br />.~.~:",:~,~~~
<br />9 :
<br />~
<br />::C:. T:#ZT''::q.T ,.„
<br />
<br />,.:,,
<br />gp~jll",,
<br />~ SAMPLE
<br />MEASUREMENT P.rv~RR c."RR' ".F r. •:r„c [ L
<br />~ ( 1 7 `~%!'SL '
<br />"ri
<br />;: F`!"]ALLY JZ.iSJ].VD -,
<br />Q" ~ G~C}`I
<br />J ,
<br />/ C
<br />;
<br />!
<br />i 1 31 3 1 0 LI :;:~:;:PERMIT:T:r^.: :::~.;t:;:~&I:R:~.^::..
<br />r :<~.i ~~c.L~#tk:$:h: k .:k' ~ i;.MR h,OFgr.": :; ~'•>~~T!~~R'1"~~~
<br />: ~r'~:t3;' `.".:~;'
<br />;<'`::'.~~ >: ' ` r. '
<br />. G.. c .. .e I
<br />.tL).V1 .,RUSti VALJ .. REQUIREMEN..T'
<br />....:..:...:................ :.:;;y:;,.::.:..
<br />:':.<~<"'-:'a
<br />..:.:.............:.4..: ::a::...i :'.':';':,.:: ~':;.
<br />,..... '.t^'~ .~ :'
<br />.:~,~. ~~:~:~'_ .
<br />y:. :>.•.
<br />.,,3 ~~'~:;~~.Yo.: .
<br />:.
<br />r.i;~.~...:L;~.~i:?I:~:
<br />.,.:;/~
<br />..:. uZy~m:.
<br />.:):~.
<br />%gl;~gryc~°, SAMPLE
<br />E ;GR#kk 4C~II": .. ,y k"
<br />(
<br />i
<br />•
<br />f'
<br />`.)f-NCLAL:.!' ~Li>>DLVD MEASUREM
<br />NT Qn)7.5 V,(3 ~ ;
<br />,?ti, ~,
<br />,YJ
<br />%). it.~ 1 J J :;t:~!:PERMITI:..: ~`.~{sAr#G:#~F: .` :..z. ¢~,y.¢¢q'i ;t~¢
<br />~ r::: ~: .~ :: ~. ..:, a,r y~y
<br />.:
<br />::~5
<br />~~
<br />'
<br />~
<br />~..
<br />R'E :. .K~C .: J~' ~q'=~
<br />}' c L U ~: h '; fi7 ° Y p 11 :.NEgUIREMENT
<br />. :,:.: ~ ..:
<br />... .. ... ..<:,~~~~~
<br />~:.....~:.~.
<br />.... .,
<br />
<br />
<br />~~ ,
<br />.,,. .:: ~.:..~~
<br />~
<br />.:T:
<br />~
<br />;>
<br />~ ::'A
<br />:::;~:::~.;~T~:
<br />. ' %
<br />'~ ,. 1.
<br />; :. :. r."r
<br />~€~E?....f
<br />[I, a'iU :f:. [, .45£ SAMPLE ::a:<4rX; t;tRRtt ;: .. :'. t: ,1ktr4#C i `~~~•
<br />~ ~
<br /> MEASUREMENT NP• ~/) p~j< A)/h
<br />ti ~' 1 L J 0 '=::~~PERMIT:T:':~ ~:~.'>7T+'kY~:~ll a~l~~:. i:. ~'{:~i.!F::#'#:~~"'~ .. . Y ~ ..
<br />,.
<br />,.:.as:k k'.:.;
<br />
<br />~°#?I!?lr{)bi:wR#:::.
<br />
<br />k:~ ?.;"`::::
<br />
<br />t7;Yfi:2 4,
<br />~
<br />
<br />• r. p p,
<br />~
<br />~~ .
<br />+F'i. J'. T ,:: d'l55 YALJ: :REQUIREMENT:
<br />:.::.::~..:~~,.:...;... ::~•::..~ ....:..... :::.
<br />:~....:.:~~.!::...:~::.:..:.::s::~ ..:
<br />~'~,.. ,,..: ,..:: ~: ;: :~:
<br />:;::~n
<br />... .
<br />;~!;: ~.-.-: •.~~:•:~.::.::~.
<br />..:~
<br />:: t:~:p~5./C:"?4,i1~~:
<br />". './?.
<br />~::::~ ..
<br />:-
<br />:a'E~:!i. ~..
<br />.
<br />)d, V r•U`: i),rr lR SAMPLE ( .. v) ..t:pgr ¢kt+4'r .f rt~_. ,~
<br />'."il .r„'yt,.T PLA H• MEASUREMENT ~.13 r(7(i ]) (~ Ij `~ IN`JTA~
<br />' ~; J``,1 1 .I 9 ~::~.~: PERMIT;..;>•'; ~::..G{MA~EI R~T
<br />~>~~~; .
<br />'z`<`~$'P.`P ~:~~
<br />"{'
<br />- ~:.t.t~.~. y." ..::~~. +T Kt tA:.1
<br />.:¢Vk~:: ~: r?c:?: %t `k •}a. ...
<br />~~ ... ... :y,',.'r`. F.LC NSSq.I
<br />
<br />'t'l.UR•.,T r:R.ISS V3LIi; REQUIREMENT.
<br />>:.r ~ :.~~ ~~:..:.. .
<br />. :.
<br />..3L7]k~A~ G~V.G" .
<br />.
<br />:
<br />.
<br />,....
<br />';&~3:T:LY~~ ?91I:
<br />M/;!'~
<br />~ ~ ~ ~ ~ .
<br />'~~ ~~~~ ~"..::.. ~.
<br />~
<br />{:~.a-:
<br />)L 4ia ': -, ~}; 7,5j; SAMPLE n.~a.~r:t ( 111 .. ... 7¢±;: ,t:~ ...
<br />(
<br />~r'
<br />°
<br />U
<br />~
<br />,~ ~ MEASUREMENT O ~ ? ~
<br />pL
<br />I
<br />);,.. L ~1 0 ;'::<PERMIT,.::.'.. ::..:.#~kk'x#a~`:: ~.:::~{lL+~PRR~C: F^=~ "~~'.'~3'~1~` .i'ON.CQ.G°Ark '.: ~'.4.(F:F'¢{: :4 r':4 P'Y.xj,V jC')ef
<br />r r.'.1:'.^I T S lt'JS' V sREQUIREMEN7~ . :;~. :~::.:.:::r:~~ %,.:E1DSiT r~tS:~.. :~ !i'7='.1
<br />NAME/TREE PRINCIPAL EXECUTIVE OFFICER r°°">° rr prn~l>o .. mn~u
<br />prtynM Uroer m>alrRrrnn or mpr l. aorvmem.ro mm¢nmenU.rrt
<br />nllon In rmrd.n.e .Iro ..
<br />.rem d
<br />a
<br />d TELEPHONE DATE
<br />
<br />'%1 Ch.iYJ ~,i l l S >
<br />e
<br />tne
<br />ro mart ron qunnnN pemnnd prupea> prner.ro mrmtr Ib Infermabn
<br />wemiura. e.wanr,rn>Ingmr>nr ro. prnnnrtprtdu .nn m.n.tr rM gnrm.
<br />u /f ~ //
<br />r
<br />~ ,1 ~ ~ ,~
<br />~?~1 g%0-. r ,~
<br />
<br />fIV1TJnmen tal ~idn8(3er er
<br />mr prr,n,. alrtrrl: reperonl. ror t.u.nnt u. nform.rwn, rar mrenn.uw f/
<br />`.
<br />)
<br />'
<br />_ mnminN 1. rnuren~or m>.np.4dtr.ro nrurr.rmw .nvno-..ro mmpl.rr.
<br />I nm onrt un roar rrt s
<br />nmom
<br />rnnlnu ror
<br />b
<br />aw
<br />bn
<br />mm 610N
<br />'AINCIPA
<br />T / s ,~
<br />)
<br />
<br />R PRI
<br />TED t
<br />p
<br />ru
<br />n
<br />nt
<br />e
<br />rmnnnn,
<br />IM
<br />al
<br />l
<br />a
<br />lll
<br />r A
<br />URE Of 1
<br />L E%ECUTIVE
<br />TYPED O
<br />N u
<br />nt r
<br />rr pna
<br />r>o
<br />E
<br />BnenrolmpMOnmenr ror Yno.lnt .Idnuens OFFICER OR AIffHOR12ED AGENT CODE NUMBER YEAR MO DAY
<br />„v.m.ru..u r.r.v gyn. ., ............ ... r.... ....~,.. rv.s rnvomc. wr .u.cnmmra nqq
<br />.., r' -a ~•`. LI~~; .., FG:( i:S ~ sEr rL::AiiLF. J~)LTn~ (L;. ~ '1 !,'+ l4 LY .. c= ,~_YR, "'(1-8p !~?•, ? ,: ~~-.
<br />'~.
<br />.: ,.~I.`•~.o. i}:,^^, I..:. L, e.", 9, FDg Kq ^1 1c ~!i n1 rrn? ... :. :? !, .;N .-- ll '." '~, ~".. '_.
<br />ftD~+ F R' ], P..qS~' SEE F.JTNO E I. R. 1.. 1.
<br />EPA Form 3320-1 (]ZeY 3/99) Previous editions may be used. This3i~ ~ 4 ~artsform. PAGE OF
<br />^U]DE /'JLU L L
<br />
|