PERMRTEE NAME/ADDRESS NYflltllfsWryNnY.JLerYlel yOlpb..vt NATIONAL iOLIUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI '
<br />DISCHARGE MONITORING REPORT ~OMRI
<br />NAME
<br />"
<br />"
<br />'
<br />~
<br />~
<br />:
<br />.
<br />~:.: is ?. C' i '; L ~~ U " 1
<br />:
<br />1 V
<br />( '. /
<br />ADDRESSUphR CFI D f'll!I fl fl /l7'+1 110 I,J S~ :+r:~
<br />H R Y D E !J C J d 1 G ,1 7 PERMIT NUMBER DISCNMOE NUMSER _ p r. A L g r-
<br />'
<br />_ M1
<br />MONITORING PERIOD ~ I S C H A k G E T U G^ ,15 ti Y I' k; r
<br />FAaurv
<br />YEAR MO DAI YEAR MO DAY ~
<br />Loc1ETIDH,;,;.Y`::!: C~ n16I'1 FROM 40 07 -.TQ ~„ J') v3
<br />.. DISCHARGE ~
<br />~ :.,,~~.
<br />~
<br />.
<br />--
<br />ud kltltruedoTr Mlartl eornpMElDp thb loan.
<br />~ NO~
<br />MA , .
<br />i) +
<br />'~
<br />' h
<br />l
<br />J
<br />: t 7
<br />= '
<br />i
<br />?
<br />L '!
<br />L r.
<br />~
<br />.
<br />1 .
<br />i
<br />; .
<br />,
<br />•
<br />..
<br />.
<br />A
<br />r
<br />~
<br />'
<br />~ NO.. rREpuENCr SAMPLE
<br />PARAMETER QUANTITY OR LOADING ~ '
<br />quality OP Concen on
<br />f
<br />Ex' ,' p
<br />TYPE
<br />ANALrss
<br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UHRS
<br /> SAMPLE
<br />MEASU
<br />MENT )Ct cln
<br />D 1~ a:p ~ I
<br />I ~
<br />V~ t„ p i RE ~ y (~
<br />:
<br />IJJJ i J 1 ;~::::'; PERMIT: ~::::'7I
<br />..........:....... ': :. .,'ki.ty 'al. ..
<br />..
<br />. x..
<br />f~ ..!.:.:. .t~•~.:; ~.
<br />R.,
<br />:?.~?T .l
<br />Y: _
<br />. !:-1 ~~3:
<br />'::a.~~. ~::. .::.:~:[. ":f:+~'~::
<br />:.L;~T~ ~;;°:.: :~t;l.;i: %cst:>.:~~.: . .....
<br />F:.kCt~ '7'Ij `1nL
<br />...
<br />•
<br />
<br />
<br />. 'REQUIREMENT.:
<br />~...
<br />
<br />... .
<br />.
<br />::':.:
<br />.. .. ~
<br />...:... .. .. .
<br />.
<br />_ ;:.:
<br />1.:
<br />~.
<br />
<br />,.....
<br />..:..
<br />.. ..:a~
<br />
<br />
<br />::;..... ~.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> z
<br />
<br /> !pEQUIREMENT ~ :...: ~~ ~ ~ ~ -~ :
<br /><.. ..
<br />.. .. ~"
<br />:)
<br />~:.
<br />
<br />
<br />
<br />..:-... ... ~:
<br />~.
<br />
<br />
<br />
<br />, .:...
<br />
<br />
<br />
<br />.
<br /> SAMPLE ~'
<br /> MEASUREMENT
<br /> .....
<br />... .
<br /> :AEQUIREMENT~. ~ :..:.::...:.:.::..:•,; :;;~,;,..,, :.. .. ,. :
<br />..
<br />~~~~..; ;
<br />!'
<br />;~I
<br /> SAMPLE
<br /> MEASUREMENT
<br /> "::~..:PERMIT:'~::~' :~'~~~~~:::~:;:'.~<,: y.~''z ~p.~.. .>. ~'~;is;r'f:!!;; :.
<br />..:... ...:
<br />.
<br />
<br />
<br />gEQU1R MENT
<br />E
<br />:
<br />~
<br />
<br />~." •........
<br />~::.
<br />~:
<br />
<br />
<br />
<br />.~.::......
<br />... :.
<br />
<br />q
<br />. .:
<br />:;.I.
<br />
<br />.
<br />:. .:
<br />
<br />.
<br /> . ..
<br />.:.. .. .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> :..::.PERMIT:::~:::'.. .:.:'.::•.~:::.~ :.....::.:.:: :~n::>,+: ~, <;.: ~:.":~.. ~:':..~~~:. ~.. ..~.
<br />:... ... .:•..::.,....;.:~~::..,. ~: ..::. 1~. :;. .:. :. .:....;~. ....,
<br /> REQUIpEAAENT .. .:.... .:.........:,....:. ...........:,::...:...;..:.::::
<br />,.:....
<br />
<br />..
<br /> SAMPLE
<br /> MEASUREMENT
<br />
<br /> REQUIFiEMENT: .~.~::.:~........: ..r.,:: ;`t!€.~';'~,.:: .. .
<br /> SAMPLE
<br /> .....
<br />::
<br />.....
<br />
<br />~
<br /> .AEQUIREMENT~ .. ~: ;<.
<br />~~ ~:'.: ~~
<br />~~::~::~::: ~. ~:~- ;:: ;:~ ~~ ~ :: .
<br />~~ .~:::<. :.> ~::. ..
<br /> ,
<br />.
<br />........
<br />... .,
<br />:.~~: ~ .::::.. ......
<br />~.~..:.:..s
<br />.:>... :.
<br />... .... ...: ..
<br /> 1 R1111)
<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER p,~,eb Y ff pen. l) O I.. IM1.1 N
<br />Yntl.r mT mRrnYn Yr alpe lf ARVIRn1.M NI.IINM1mrnLl ~eR
<br />RuYn lY ntturunue .on •,T.IRn artl
<br />Rtl
<br />~
<br />TELEPHONE
<br />DATE
<br /> [
<br />m mart IM1UI quullnN penunnd FI•NdT plher nn! RW etr IM1e Infarmulbn
<br /> euhM11N. Suety en m) InqulrT M the Frnun a penoro.he runup u. e)nlrn4
<br /> nr Ihts pram ElrenlT mpuntlhk fR [u1M1e11n[ ur Infurmepon, the InformullOn /t z~
<br /> wbItl11M b, lO IM1e bel Of mT YneY4tl[e nM heMrL live, uRVnle, u1N RmpFle.
<br />I em
<br />Y
<br />11M1
<br />0
<br />tl
<br />NII
<br />I
<br />ln
<br />h
<br />l
<br />I
<br />810NATURE OF -R11{p/AL E%ECUTIVE Q ' n
<br /> ,R
<br />Y
<br />e
<br />1R eR
<br />[
<br />Rn
<br />pnu
<br />a fer.Y
<br />m
<br />lnn[ r.ue
<br />nforlmlbn.
<br /> TypEp OR pRINTE,p IntlWln[IM postlhllllf of nne and lmplbunmenl fR hm.In[.Iwuuels OFFICER OR AUTHORIZED AOENi CODE NUMBER YEAR MO OAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rtl/~r~nerr d/ rrTf~chmtlnh htlr~) 1
<br />., i.t~;(+ i1:1I1'S w1:.L ,. N4fY~:~ L SETTLt:Ai'L: :'~i'LiC :.. ''~.I" Ft'El::i r'.:-. C=1~'11:,1~;i1:: YYIECyF~ 3V" t+'T; :SS,
<br />," ... SE~CLtA.PLE: SJLL'I'1 LIML'LS wAT.Y£J FO^. >lOTF',,.'.4? ._,.iF ..(i:Hf ..1;t.7F~"'1' '.7 al}ii:iEN OF tRDOF IN 1.h.1.
<br />EPAIFam'~320=1' A' r- "" V 1 3 u R l :r v i. n a n a•
<br />(Rev ~'/~1} PreBiSJs IuETLq be se .. ,
<br />~i, Is, a 3-pa orm.
<br />T-
<br />O
<br />0
<br />`~~
<br />~~ PAGE OF
<br />
<br />Z
<br />,. •~„1;~ ,.. :.. ,LO
<br />OI
<br />~
<br />O
<br />l
<br />2/yPUU: ~
<br />
|