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PERMITTEE NAME/ADDRESS Qnclude Facility Name/Cocorion iJDiJfereny
<br />NAME
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<br />FACILITY ` i A I ~ ~% 9 3 ~ l t~
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI
<br />DISCHARGE MONITORING REPORT (OMR)
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<br />^ PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM O 1 U 1 '? L To U 1 ~ 1
<br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOOENC SAMPLE
<br />PARAMETER EX OF TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS
<br /> SAMPLE ~.'~~#C4:~ 4a~9ruCR .. ~.^,.{:n D ( 12) /
<br /> MEASUREMENT BQ O, 5~ Q ~ ~ /N1Ply!
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<br />.i )Li DS, TOTAL SAMPLE ~ ~ ~'r CC !=##4R0 np##i+# p ( 19j
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<br />J P h: R J t D MEASUREMENT p ~ (~ („p9
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<br />"'h'LUfN'[ GRDSS VA~L'JE REQUIREMENT ~ .~~~- .'kz:';'r j~~.. -=Igm ~ ._! ^'
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<br />i'lLI:lS, SETTLEAiiLF. SAMPLE ^`F 'kCCr ~rCC ##tf##C ( 25~
<br /> MEASUREMENT ~O. / 'LO, / . U /~ G,P~'iY
<br />..1 X45 1 U ~. ~0 '?-PERMIT' 'Arlf#~9t~"~~ --~x~3~¢~. ~ ~
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<br />''?J:J, TOTAL SAMPLE '"z*`:°= ... `,y h+: #40#~s" ( 19)
<br />(AS FE) MEASUREMENT 0,17 U. C7 U ~U 6,Pi4.rj`
<br />l U U 1 1 0 0 ''•'PERMlt ~ ' Ls. i+#:~!@+-~ " ~ #~9#'+R'9r ~ ` ;yl P • ~
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<br />:1L .4N0-GRE15E SAMPLE ••~ .':.-;:r~~'e C##k174` '.X 1s t. ".:: { lq~
<br /> MEASUREMENT /Yfj /yam iY~y ,~/~-
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<br />r' F L U E N T GRDSS V A IJ E RL~JUIREMENT _`- .
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<br />°:JN, IN CJNDULT UR SAMPLE (
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<br />!':`!{U TREATMENT PL9NT MEASUREMENT fJ,/ZS jJ,3s2 O /j /NAi7i7/
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<br />'FLUENT GNUSS VALU° Hk f1)HNT- J~
<br />M~~ ;. -. G9 , ,~ kr'~: y` '=
<br />,5. ,. ~•'.. t~i fi#r: ,.~ ~~,.. .. ~,.:
<br />:?LIUS, TOTAL SAMPLE ;.:-CFOC CnCMaC ka+YU#;t
<br />( 19) '
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<br />' E L U E ?i S G R J S S Y A L i) t" ANT 2
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<br />inciudin the ossibiii of gne end im risonment for krw violations. OFFICER OR AUTHORIZED AGENT
<br />NUMBER
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<br />-.S ~ TDTAL IRON LI9ITS WILL dP, WAIYED, RFD SF.TTL?AHLE SOLIDS LI"IIT AFPLIF.D FOJt <=l0YR,24HR PRECIP EYEhT-
<br />,r.r. !;UkDBN DF PiJUUF REQUIREY,E9T~ UNDER I. A. 3. TDS D~9ZTORING - I. 8. 3. OIL' E GREASE - SEP. I. A. 1.(D).
<br />E A orm 33 -1`( 99) revious e i ions may e e THIS IS A 4-PART FORM PAGE OF
<br />Form Approved.
<br />M I Y O k OMB No. 2040-0004
<br />(51J;;R tJW)
<br />F - FI"AL nOFAR,
<br />POND y2 1'U EAST PYEATT ~ULI~E{ '. ,
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<br />.`~'= tin DISCNARGi; ~ aF;t :,,~;.`t'.}~.i
<br />NOTE: Read Instructions befor~pleting this torm~ ';~ ` ~,':
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