PERMIITEE NAME/ADDRESS /lrbifrNryNr'lecmnn ynffl r.nr1
<br />NAME :. )L::n"J Ye'~PA. C~,'1 L .''~"vh
<br />ADDRESS'? 1 •i F S 1 , 1 .1 `_~ i) ~i ~ i . , i ~ •'_V. i ~ 4 `I (~' Y.
<br />~/5i'J 'CR KZ/
<br />FArnm
<br />LOGTION~ n! ~: 3~ [• K ' J h (J 4 r 7
<br />T"4: '.ICA,I, i.ODLn,,. Yl N? 4GF..
<br />NArioNDISCHAROEOMON TORINO REPORT /OMRIPOFSI
<br />PERMIT NUMBER g5CHM0ENWlD1
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 7( , TO (1 y
<br />~' - FI'.AL
<br />°74" L, ""v 1.D
<br />.: ;'
<br />NOTE: R~Ad butruetloer ~b~for~ eomphElnp thh }wm.
<br />
<br />PARAMETER nUANTITY OR l0"
<br />QUaiity OI' Concentration NO• fAEDUeeer
<br />or SAMPLE
<br /> E% Mi4Y~y TYPE
<br /> AVERAGE MA%IMUM MINIMUM AVERAGE MA%IMUM UNITS
<br />~iL .1 ".;i ;s?ET iF SAMPLE r:.^. ;t ~sy!< .. 3R4dfiv is ,.:•.: .':':J ( 1
<br /> MEASUREMENT P
<br />~. ',1
<br />' t;'r"";, ~.jR, .?%i
<br />~'!'I '.'. 1 0 '
<br />.! ~. 'PERMIT:, ~. ~..:~
<br />~..~ ..........:...... ..
<br />:`:..:~c;e,.:^:,. ~. :.:.:-^^~
<br />...sir
<br />~ .
<br />:~~~~~'i-~iR@itr.-~:
<br />~5!::iai<~!~r.,7'.:::
<br />~, ...
<br />'.;::';i::~:<:.:;~:..
<br />I.l:~ ~, ,.~, ~;m ~>..• ~
<br />1"
<br />°YLJ'r:9!' G~:JS.; VAL7'-
<br />L 'REr].UIREMENT:
<br />.. ~.`.i:..~: ~_ ... .
<br />.... ::.:~:. '. :'~;r~i'`::.;:-:`~,..' ,
<br />~~~
<br />~ :
<br />.i::.y.`iM..:;';j.R~'i. "'
<br />IN C~V~I1Ii 'I'i
<br />L7+ SAMPLE ViY ! Ib ~ ~ :~ ;:~,trxR4! C14;;r::t '<~
<br />,
<br />i' P ° Y A T !1 E •~ 1 " L A '] }• MEASUREMENT ~~ (/~
<br />V~ !/ ' ' . r',} '1 f `
<br />,~i:)SJ I 0~ 7 ;.~.:~:PERMIT. ~. ~: ~, ;,:?., ;• .:.. .. ,. .. ... ::nF#'V :~9~R if#YS ",R. :' : ~'Y.?i:Wi'!5.: :~ ~ ~~1:. ..
<br />Y! I.7 (;YT oRJJS '/AL'i: aEDULREMENT. j,~~[i 1:r' ~.lY-. :•^~.[{:' "' .,
<br />•
<br />.~'
<br />~
<br />fL A";} ;RF.ASE SAMPLE i -;~ .:.. u[ ~4l=rt r, ,. !5
<br />.•,;:.:. '~..
<br />l,IA V MEASUREMENT O ~') ~ .~( ~.~ / 'y: ~. '~. ~: -
<br />'~
<br />Jhh 1 Ll J -~::. ~: :PERMIT.:,:::.
<br />.. .
<br />.:...~. .,.
<br />... ..,s..^v ^'.
<br />~.t... a3~-. .. '.r.. .. nr: :.:
<br />:~:
<br />.., r.'.. .:: Y ;, i!: ye>^
<br />r>s C. ..
<br />'
<br />'-•::;:
<br />!:~~i:~",
<br />~
<br />~~.~~ ~
<br />~ ~?AL'~F.~!(Qg?~i: ;..~
<br />~
<br />~...
<br />!,.X :'}
<br />.. . ,.. „ ~, ;. ,
<br />
<br />~.,.NC .nHJ55 VAL.J.. .
<br />.
<br />::IZEQUIRENIEIJ.T;.
<br />...........:.-:.::..,.... .. ~ ~ ~ ...::~. ~..:.
<br />
<br />.s.~u.f. 4i.~ .
<br />
<br />.. "i5,;....~a.t,~.:
<br />
<br />;.:i_
<br />:. ,
<br />.
<br />.
<br />>'~s~~,.:'>:}:: ~ :
<br />;:'::;.:i t...'ss:,::.:.; .:.
<br />~~
<br />:::s?::.<'?r'',':::':.i .~ _:
<br /> SAMPLE
<br /> MEASUREMENT .
<br /> .:... PERMIT..' . .. :. .. ....
<br />~ ~
<br />~
<br />~ .. .
<br /> :REDUIREMEN7. .~ ~: ,..' .. ..:.
<br />~
<br />~ .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> :~.;:~:::PERMIT'S:::; .:.-. ~ ..
<br />..... .. ...: .:. ..
<br />.
<br />
<br />HEOUIREMENT:
<br />::':. ~ :~.~~.~: ~.:.
<br />: ~....
<br />.. ~ ~ .:..
<br />.: .........:.::.:: ..::~:~:~.:~:::.: w:~.;;~:::;::....:
<br />.~ ~ ~.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ':~<~PERM17~'.~~:: ~~:. ... ~ :~~. ... ..... ....
<br />. ~REOUIREMENT.
<br />
<br />~~~~~
<br />~~ . ~ ~~. .... .' ~ .... ~ .::
<br />,.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~:'
<br />"::~~::PERM17~~~: : ~ ~ ~. ... .:
<br />.:
<br /> .
<br />.
<br />,REQUIREMENT
<br />: ~a~~ .. i<.
<br />~
<br />~
<br />
<br />:. ..
<br />.
<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFlCER 'vrnyn nr gnn,ln .. mn!m.em,mem .m nEn mene.m TELEPHONE DATE
<br /> pmp.M.Mer m}Elnc,lan tt+ugr,l"an In ~ane~.nae Ih n+}+4m M~jnN
<br /> m.vurt(b:gwIIllM gmnrl progH}p,ner .nd a.tlmtr,nr ln}armubn
<br />4 ~-' ~ J - ~
<br />I
<br />~
<br />'
<br />
<br />1 1 1
<br />f3 P
<br />'
<br />'i
<br />Q m
<br />minedlydnn m}Inqulp of ln}pmnwpnmu.nn mnnye lM }Plem, /
<br />',
<br />~j
<br />.
<br />(
<br />'
<br />~ -~,~ ~'} 11OO
<br />i)-L / 1G
<br />5
<br />O
<br />:
<br />1
<br />8 pr lhmegmmdlrer,y mgMbk la p:~erlnE Nrlnlorm.Unn. ,ne lnformntlpn ' .~
<br />f'. ~ ~:Af ~.
<br />~'- .~ -'
<br />~ /T1 ~ S
<br />:~'~I,Pr; '. ~.,,I '"d~u('i .wbm,uN4 bloc W:o}m}knnwktlp.M ntllr}.Im., na[.nle,nnd mmplele.
<br />Inm n..mu+unrn ore tl
<br />Mnam
<br />ndtl
<br />l
<br />nMN
<br />M1b
<br />l
<br />l
<br />b
<br />eIONATUAE OF MINC1AAl E%ECUTNE (./I S r
<br /> p
<br />g
<br />u
<br />ar m
<br />nE
<br />e
<br />n
<br />emu,
<br />n, A A
<br />TYPED OR PRWTED ~~++winE,ne pmmum,lu}n~.M!mprlonmen+k}~m.(nE,(nl.ums OfFlCEA OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY
<br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS lR~/ir~nc~ ~p ~thchm~nh h~r~)
<br />"~'7 .. ... ,~ ~, i ,..,..f."L~'~.'1 '. ., i1,Tf1 i (L '.•') ,. ,.° ~- i -°. )'l-N?Z PBECI' :.
<br />. .: ":.. .. ;.4, v.a "., ~.)~: r,ORD"+[ ~.• ~-., p. ~~, ,:, ., ~[L ~+`,. - ~ ~ ..~,... :, ~4GE 11.
<br />EPA Fam 3320-1 (Itey 3/99) Previous editions may be used. , ~t~s s, ~ 4-~a~n Iorm. PAGE of
<br />"_,._.... ..._ ,___--- .......,W.. .
<br />
|