PERMII'fEE NAME/ADDRESS pndJr FaWryNnr'Garnlaw yDl~irwv)
<br />NAME ~ Y
<br />ADORERS . - A . L ~~
<br />....., ~) a1b39
<br />FAaLrn
<br />LOG710NI. .
<br />.I i ~. . I' .. I. .. I `1 A '. L
<br />NATIONAL POLLUTANT DISCNMOF Fl1MINATON lYeTEM IVFDESI
<br />DISCHARGE MONITORING REPORT (D Rl ,
<br />. .i,
<br />PERMIT NUMBER dxNAADFNweFn _
<br />MONITORING PERIOD ~ •" ~ ^ ^ ~ ~''' ' ~ '
<br />YEAR MO DAY YEAR MO DAY
<br />FROM . 0 0 ..i O 1 TO 0 G I ~. ; -, .: .. , _ ....
<br />NOTE: Reed Inetruotlar befoFi eoenpletbp tl~b larm.
<br />PARAMETER QUANTITY OR Quality or Concentration ND• iAfO
<br />FL"D~ SAMPLE
<br /> E% D
<br />ANALrse TYPE
<br /> AVERAGE MAXIMU Ni7S MINIMUM AVERAGE MA%IMUM UNRS
<br /> SAMPLE
<br />MEASUREMENT
<br />~ ..
<br />~: ;X ..
<br />~ Q t
<br />0
<br />-
<br />L `: r
<br />( )
<br />` !
<br />~/? ~)
<br />~~.
<br />
<br />:: . -. ~!. i .' , '~ ..PERMIT ~ -~
<br />~ ~. .... ..... ~ -
<br />. ~ . i :: ':
<br />~. ~ ::..: .,.y `'
<br />
<br />?.
<br />y::
<br />~F'i.~
<br />~~
<br />+ILa2'V'h:;Y>?
<br />
<br />
<br />~
<br />'.f ~~'i:F.: ::::`':: ;::'...
<br />
<br />.
<br />
<br />
<br />
<br />
<br />..
<br />_
<br />
<br />.
<br />:. , ~ . ~. i, .. , :REQUIREMENT
<br />"::
<br />M ~
<br />.
<br />5i.
<br />~
<br />.. ~~ -
<br />..
<br />... .
<br />ul::.;, TOTAL
<br />~. SAMPLE
<br />MEASUREMENT .,: ... ..:~~:;: '"
<br />'ia:;ste(I I
<br />~y
<br />"
<br />
<br />. tip
<br />, '
<br />::.~~. 1 J II ~,~~::PERMIT .. :.;:.r, :r .. ~: ;.;:>t:_:. :~: tza-Yf K=X!.~.; :~.g ~7a~~~ ~ ;~i.~;;_! ,
<br />' ! L J e i .;k05' '1 ^, L::: :REQUIREMENT
<br />
<br />~
<br />~.;3~TUG ~~:~A'Y~t"~
<br />~": j:Xi;~'~;.y::r:::IR'.%
<br />."~;/1.
<br />~ ,:, ),T
<br />...I
<br />..l i'~, .,cTTLE4 ~L SAMPLE
<br />ME ... ~:x:'s4
<br />~
<br />L
<br />1 '
<br />~ ~~ ~
<br />~
<br /> ASUREMENT ,~
<br />, •
<br />+ ~
<br />• ~ ~
<br />~(1 ?,.~
<br />. ~.v•, 1 0 J ::: ;'PERMIT ~~ . ,
<br />.r :...: .... - <z~:{:it:.~k;y~~~:; ~~~~~~~~~"!n:'": ~~: ~:
<br />i
<br />; ~;~£:O
<br />;k:
<br />~~~
<br />`;
<br />: ~: ~.r~:r/
<br />
<br />..-r L.1 :':'i le r,GS:i tl^. i'J:
<br />REQUIREMENT.
<br />~:~....::. ~
<br />.. .
<br />.
<br />.
<br />.
<br />..
<br />2
<br />:
<br />L~..
<br />
<br />.
<br />~...
<br />.
<br />
<br />.
<br />P`i.°. : 1'k ..
<br />.
<br />~ : ~: , , ~ : ~ ~.
<br />(r :.)
<br />r SAMPLE
<br />MEASUREMENT .. ~. .. ~ ~~ •: .:::: i::y:,.. ~, , G 1 O. O ( 1 ,) `
<br />/
<br />V I Q / ,ice V!
<br /> ..: PERMIT ~.: ..: .; .. .r .,,' ..
<br />~ .:. :~;z;;;:*.:: ;:~:
<br />~
<br />~
<br />
<br />,.; ;
<br />~
<br />~
<br />,Y
<br />~~ :::: 3:N:{' ~~ Sr?n:'
<br />,~ .,. ..
<br />.. i.. ~ ':. r , REQUIREMENT
<br />.:.~~: ~~:....... .. ..
<br />~. ~
<br />:: ~ : ~~ ~.
<br />.~ ... :. ...:.
<br />~:.., ?hdi 3!.:?>1~Y:i ~`:r:)
<br />`~
<br />'.
<br />~ Nr/ 1'F'Lad.''1'.
<br />.. R'., .n:. A:iL SAMPLE _~, ... ~~. '-~: :.~. .~ ~~ ~;: ~: ~.::.. i ( 17~
<br /> MEASUREMENT )
<br />/'{
<br />U U
<br />:';;' l :..::':: :PERMIT'.•:: ~:: ~~~, ~ac'r!€t;:~a.;.
<br />.
<br />~:
<br />.., .,.
<br />'.a: i
<br />
<br />~,....
<br />~ .. i:: z: ft:}Ct
<br />
<br />
<br />
<br />: ~e~:.:::~::...:.::.: ~: ~::
<br />
<br />
<br />
<br />:
<br />
<br />"'-~~•-~
<br />
<br />5 .'Ill
<br />
<br />
<br />S
<br />
<br />.. , . ::.J.,:. ) a
<br />~~REQUIREMEN7~
<br />,: . ....::..:.... .. ..
<br />.......
<br />~~ ~. .-.: ~ ~ ..
<br />..:
<br />.....
<br />'. r.
<br />~,:;-~..~ .:~
<br />,.;.
<br />rr;/
<br />Grp:
<br />~.:
<br />' .. : , , : _'.i :~. U U :: 7 u SAMPLE
<br />EASUREMENT L.
<br />c
<br />y~
<br />~
<br />D
<br />csy ~ { ~ .. .. .~.
<br />d
<br />
<br />:. ,:~I~'.T hLr.t,
<br />'
<br />~
<br />.
<br />.
<br />~
<br />~'•' 1 U 1 :~"~~:PERMIT.:::: ~: ~.
<br />•
<br />... icF~k'i~~.; .;~:.:. it.~iUal~_. ... :. ~ .»„
<br />1 .. k'1 •, '~a L
<br />
<br />. :REQUIREMENT.
<br />
<br />.
<br />~~ ..3~i :k, .V
<br />T ~.
<br />~~ My
<br />.~~n ~t~LK
<br />
<br />~~ _ ?.
<br />
<br />:. T.I.
<br />..
<br />~~':7ti1::4.
<br />~:.`"~~, 'iiTA1 SAMPLE
<br />... .. ,...:
<br />.. ..
<br />:: r~:; ~. r: ..
<br />..: ....
<br />.. ... (
<br />ly)
<br />
<br />~
<br />_ -: • MEASUREMENT ~ ~ I v 7 ~ C~ .~
<br />f ..! ~ ~ '.i / ?:.~~:';:PERMIT-':~ ~:~ .~.: n:r ;::ia ~: . .. :;=re~.lefi r:';.. .. :: r:':::: :;[;r , . t :.
<br />.~~ c.a Iz: r':
<br />: ~ i k
<br />r• REQUIREMENT : ..::
<br />,. ....
<br />
<br />;
<br />.
<br />
<br />.
<br />J: '.~ 1 :, V P U ,
<br />,
<br />NAMERITLE PRINCIPAL E%ECUTNE OFFICER ' °^" r" `r p'""r ° I"'"" u e eowme"' oid .e •"'rn"."°.•^
<br />
<br />prtvrta nnaer rtr mrtennn p wp.
<br />r.uon In .pore.nrt.lm .
<br />ram a.a
<br />pa TELEPHONE DATE
<br /> g
<br />[
<br />to mart Ibl qunNOM pertnnpl prgerl/ [niter ona o•bMe IM1e Inlormnlbn
<br />r"Lpllletl
<br />enwa o
<br />,
<br />l
<br />f N / ~_
<br />~
<br /> .
<br />n mr
<br />ipu
<br />rr o
<br />e pervier peppy nho nun•[e lM Aelrr.y
<br />n _
<br />.,
<br />~
<br /> °r
<br />me prmna tlbecNr rtaponl6F fp plhrrln[ IM1Nnformaon, IbNnformnaoo F _ ~
<br />-
<br />4 ~
<br /> tulnllled b. b IM1e epl of mr Lm.leap •na Merf, Irve, nRV nlr. rntl mmpkn.
<br />I np e.nrt unl Inen.rt ap~ane.nl
<br />nnlNa t
<br />eMln
<br />ne
<br />I
<br />r
<br />610NATURE OF PR /~ I
<br />r) ~, '
<br />' ! 1
<br />/ /
<br />TYPED OR PRINTED p
<br />er w
<br />n[
<br />e
<br />n
<br />orp.ebe,,
<br />IMWInI IM poaabllllrofep and lmprb°mm~l f°rtmwln[.id.DSia I q-AL EXECtITNE
<br />OFflCER OR AI/FNORIZED AOENi C
<br />E NUMBER YEAR MO DAY
<br /> OD
<br />...........,.... r...v ~ ................. ~. r.... .............." Inoo mc~ w. ~u~"nmmo np.q
<br />l e ~ !.i. l'. _ MiL.. e;:3' ~ ` ~ L- .....~'.: ... :- kPFLi:.. i' ' -.. .,. ~F'1:CIP cycy^ .
<br />:...~, ~ IiLL.d.._:. ~:;LL_.: L'. '.ITS nAI7'.:ii F:..l >1~.`y'.,:~.~I; I'r.ii:it' F.'VtNT .;~I .J...: ;;) J?J;:h. OF PhGGP' r•. 1...
<br />E?aIFa.Iri'JBm`-U "~ 3799}~PrieciollskAilidns ~be used` i , : e , ~ .. r ...... Is. Corm. PncE of
<br />00003/OTliu~~~l~ 1
<br />_. ,
<br />
|