Laserfiche WebLink
PERMfT7EE NAMEJADDilE55 Ql.d,i lrU~ryN~/reemw. (/DIQn.N/ <br />NAME _^. i. ;I,K:';i '!1. IPF '"7EL "-'14iPAl.~ <br />ADDRESS" I ti~ ~ 1 l ~; ~, r c <br />_... j so1.1., r~nRH P!C <br />JAS .- .':< ,/ <br />FAgLm <br />LOCATION) ~i n ~ 'r ~' L' L .. I b y ,. T <br />'1'07 "1~'14r 1 f ~_ <br />NATIONAL POLLUTANT DISDNMDF ELMINATION SrBTEM IIA'PDf$l <br />DISCHARGE MONITORING REPORT (0AIR1 <br />r . , ~; <br />PERMIT NUMBER g4CNMOENUAlEII <br />MONITORING PERT <br />YEAR MO DAY YEAR MO DAY <br />FROM :11 0'+ ~ 70 1 1 ? <br />t :, ' <br />. - °l 'r .l ,. dill .?'1 <br />NOTE: Rrrrrd Irrtrumlotr b~f«~ eomphtklp thH I«m. <br />PARAMETER QUANTITY OR LOADING Quality Or Concentration NO. mE oFNCr SAMPLE <br /> EX ANALrSIS TYPE <br /> AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS <br />:;~J~)::T) Jil'y SAMPLE <br />MEASUREMENT ~~r: r•p-' „a;vm Ok4~~rk n <br />( <br />G 3 <br />~~ -~ ' <br />{ ) <br />rl <br />" <br /> ..} <br />M () ~~ . <br />. <br />~ r <br />JJJ'+. 1 ! ! ::~~.PERMIT...::~:~~ :.~s'r:4;'?~. ~i~ ~. <br />? . ~ ''x"d#4~'i~~>~ r..::. .. .~,~.. <br />,- <br />~~ ~~3~rl:~::;`.;j.?..: <br /> <br />~ :~: :.~:F..~.~.~::n:::.. ~.~ ::'i ,,:..~~/ <br />~• F' L ~ f• •, T ^: 7 ~ i e r ;1 ••: REQUIREMENT; .. ,k,•• ~ ~~O'CS A ~ Y:s . D~? i 1: T`. "tK : <br />~ <br />, . <br /> SAMPLE .. - .. ., ` i. r,.:Y '. ~e- ( t - <br />) <br /> MEASUREMENT '7 (r, <br /> <br />r, /~ ` <br /> <br />~~ %: <br /> <br />,- ~%' <br />~:a•.~- <br />I' <br />1 .1 .' t 1 ~ i ~:.~..~ :PERM17 <br />::. <br />~ ... _ ~ ~ ~ ;. <br />~`.. <br />Ipi'#nt~S~~ <br />' .:....: <br /> <br />'3;"? <br />~ . .~ , <br />.. ~ . <br />F L :i F ,: " ; d j .~'., ~~ ~ _ . ~ : REQUIREMENT :.... , .. Y i ~,.) i ~ s <br />r. <br />:.:.. .~'w 1.It <br />K.~ K <br />.. <br />: <br />_7L1:1 if T]P4i SAMPLE r. ..,. i <br />' <br />_ . _ , , ~ h , MEASUREMENT ~~ N w ,t ~_);L .+' <br />I.': i ) :) J ) ':r.~,PERMIT~. :., ..:. ,_... .. 'x°: ....: ,.:.. :+.~:y.~ :~_:P~R't-; ..: <br />' :::;`R.~:~y~{31A q!:.:i: <br />311E ~/ <br />'.:t.: <br />"i^I ~i: NCS BF'L~'+ REQUIREMENT <br />~ <br />... ~ . <br />.3~3A?. 1LV ~iT.: ~~, Tr:~•` ', MG/L ~: <br />::. P!i}liTH <br />' L 1 ~ ~ . P'.) C ~ L SAMPLE .. . <br />( 1 ~) ~ <br />~ <br />p ry t~, ~ :J MEASUREMENT <br />-~ 1^ 1 ~ U s-::',PERMIT ~~[.. ~CPn ~..^::o .r -..: ' k~.~:: <br />T .. ... <br />, ?iti ~ ~ >:^~:r"(.:.`::::.. ~ <br />' :/ ~iT.T:.i.~g/~ :>R. r, <br /> <br />.Pr'L.'„wf GRJ55 Yt~L1'F REQUIREMEN <br />,. ..::...~~ <br />.~~.. ~~ <br />.~ <br />~~~ <br />... <br />:; ~ . <br />.:.ri.-~.A':; : .. <br />~~'n~l?~I~I :~:"•Y.: <br />Y. <br />"';/L <br />~ <br /> <br />~ <br />''1:4a'~t? <br />.!..~~~~. ~~PCL£ABr SAMPLE <br />MEASUREMENT ~ ~ _.. .. ~ ~ <br />L C'I ~ { -,1 <br />~ <br />~ <br />~/~ , <br />(_'' d~:_. <br />'>~I ~, J ) U . •T.~:":PERMIL.:..: ... ~. :..?alipF.iti::k :. ::.. . ~.:. ~_.,. ;: ;~:; <br />~ <br />.. .,««»~ ~ , q. ;: ,~,:<j:::.::: ~.:~.~~::.~~~.: :~:. ~ .~' ~~re:/ 'r.A~4 <br />.. "' r? `• Y, .. t+ T i 9 v L G~ti! ;REdUIREMEN7~ ~:.';.: :: ~ : ~ <br />~~ .. <br />::' Y~: <br />.,, '. -::f iLF'nPL`;'. SAMPLE ., rc~ ~ .. ~ ~ .. I <br />~ <br />. MEASUREMENT J~j/~ r~ ,".1 1.).L <br />~', I i L J i) ,~....PERMIT:i: .. <br />~ :::R r.~xlx.'i'"<:.'. : '.3 ,„.:~,. ,y:+: c •..: ~•n .. .. <br />.. <br />. ?~:u T,. r+4 <br /> <br />°r'L,.~ ~:^~ f .~y75o YnLJF ~REgUIREMENT <br />:..:. ~.. .. ~.:.. :~: ~ ~ <br />.:: ~. ..~. ~' <br />.:.. .. <br />.... -.: <br />~..., ~:. <br />..;;1.1~I~C.. Y.~~:~; `a' <br />°L/:. <br />'"'!}A TB~ <br />. SAMPLE ..... •~ ~ . ' { ; ") <br />.. 1 ~^Y ,.qb nL MEASUREMENT _ <br />~'~;i ~-~ y <br />[). ,=((1 ~~~~ /~.i./ <br />• 1 J U i"i~.PERMl7<:. <br />. .~s'rto~:; ..,rah.... - - .::3>. i.. : r.~~13~(]-tT ..4:)"'F./ .5 ° <br /> 'gEQUIREMENT, •: <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER '°""T° "v'""r° •`m.: u l. anrvmrm.m.u n,.<n:Rn:..rrt <br />TELEP <br /> ..e °nerrm elrtr,lon nr a, <br />ortv T pf <br />nbinnm~.e.nn.un. q.:rm em <br />n.e <br />- HONE DATE <br /> <br />~' r, t^ Poil is E <br />lo.mnrt IM1tl yufXON prronnN propetl) plMr utl eolu°le IAe InrnrmNlon <br />we:safe <br />e~an.m <br />n, <br />°I <br />wu 1 <br />' <br />~' <br />' <br />' <br /> . <br />> <br />y <br />~ <br />.Ffron°.v.no,,..nom.n...ror.n,.m. <br />m <br />n /. , <br />~~ <br />/ Irh ",. <br />~~7 <br />.;~ <br />. <br />:~i n gild,':' <br />i ~ 1 v'''J:' t (~ ~ / w <br />oN Orroroelrtf <br />r.wn,.am. rw pmrnnE rnnnro,,,,.na:, mr mro.m.nnn Jc ' <br />.r.s r <br />• f <br />` • , / <br /> w6MIIM b. 1° IM1e 6fa1 of mJ kM.keEf .M blXrL Irv6.ctl:nle. u:e tpmpNl6 <br />I.mf..rtu.nnert fna <br />nmuM <br />dnf. r <br />D <br />: <br />d <br />r <br />b <br />mro lIONATURE OF <br />RINgP `'~ <br /> t <br />p.n <br />nrn <br />m <br />u <br />E <br />° <br />r <br />nryua:, <br />e1 <br />r <br />:M - <br />AL EXECUTIVE <br />TYPED OR PRINTED :, <br />nE:MVamnnur o <br />i <br />nf..ne lmprlsnmenl rw.no.lnE •la.ualn OFFICER OR AUTHORIZED AOEMT CODE NUMBER YEAR MO DAY <br />a.vmmcrr : o nnv ur,.nnn , wn yr ..... . win , rvna rrtnrrrrncr. ~n r.rracnm~nrs nrln/ r <br />.. ... ? i,.. "~'. .. ._e'?. •. I'. '1 i. 71. I' (LlC '.',') .'?''.Y 'I:LT = j', _.v of ii; _'u? c,7 rrLP r.Y`~'' j5 <br />.. L:.["E". r. .. .. R. U, 'r' '!~ F']~ Y.UuD%. ~° .,o ~.~F~ q^.~n [r.rc+l+,. .IIL .: r',~ '_,-.. ig .1.D, ?::. 11. <br />EPA F«m JJ20.1 ~. 3/99) Previous edi7ions may be used. 00'70 7 / OT~S.~C f7' a'QiT!1~2T"'-. PAGE lOF <br />