Laserfiche WebLink
ME MIT~€ NAME/ADDRESS QrYi FriGyN~/Loeum yn+purtl <br />ME' "'G RA NU YdLLii ,"L)4{. .;;; SPA"y <br />ADDRESS RUNG6'R CANTON nlxg <br />P.O. BOI 7U <br />NATIONK POLLUTMT DISCNMOE EUMINATgI SYSTEM lNPDE$1 Form Approved. <br />DISCHARGE MONRORING REPORT lOMRI OMpB No. 0 0004 <br />n-r5~ r7-rsi ACUTE a ET T F'iT I NGApp~~i ~d°Qtdes-at-sa <br />PERMIT.N BER OISCNMGE NUMBER ~' U U R it C) 12 34 $ <br />P - PINAL <br />LO!IA <br />C~ 9152'!-DU70 MONITO RIOD riivOR <br />~y <br />FACILITY GRARD IALL2i CURL CORPId[ Y MO DAY YEAR MO DAY <br /> <br />LOGTION <br />FROM ~ _ <br /> <br />TO araDl Yp pTg!p E~(;E aS<r~ <br />thi• lorm <br />flo <br />a IRi67 <br />N- LA <br />R <br />T <br />ATT'! : J H !7 . <br />p <br />or <br />r <br />•• <br />E: <br />.131 !7~ 51 !76171 l78-791 /30-31/ RO <br />PARAMETER rd ONr/ QUANTRY OR LO !1 Grd On/r1 QUANTITY OR C CENTRATION pj fj. FREOVENCY SAMPLE <br />/A 91 1546N ~ !3R-A5 !4453 l5i5J EX <br />TYPE <br />KY <br />!37371 <br />ERAGE MAXIMUM M <br />515 <br />MINIMUM AVERAGE MAXIMUM UNITS rF:•ral lg~F-cel 16s-7o1 <br />LCSO STATRB 4RHti AC! SAMPLE as}#CS as#a?=:= '"~4+',`-=% .f.--. :`$ ( 27) <br />CERLODAPBSIA MEASUREMENT <br /> PE <br />MIT a " <br />TA.~f3B 1 0 0 R ? <br />~~1~ . <br />~~~ :';:;.:#>a#I~IIF~a #n~ y 171aQ4~#s. d#fFS#~~, LR- TRLi >HA8 <br /> .REQUIREMENT ~ <br />;~-~ <br />LCSO STARE 96HR ACS SAMPLE .;y a¢q ~ aaaaar - fiaOalC S: IP4?~## <br />~ Z3) <br />PIMEPHALES MEASUREMENT <br />• - <br />7ANbC 1 ~ U PERMIT Pia ~R!~~:;. '.#~asoa~ ¢~^• ~.. <br />lOC <br />R <br />. •. <br />~ <br />~:::.a~R?O~~#.:. <br />BR- <br />THLT <br />.R.AA <br />. REQUIREMENT . .. <br />I <br /> SAMPLE <br /> MEASUREMENT <br />C <br /> <br />.PERMIT <br /> <br />~ <br />~ <br /> <br />~ <br />~ <br />~ <br />~~ <br />~ _ <br /> :PEQUIREMENT ~~ :~=':. ;:~ <br />~ ~ . . <br />:. <br />%. S< <br />''?: <br />~ <br />..~ :. <br /> SAMPLE <br /> MEASUREMENT <br /> .~: RERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ PERMIT ~ .. <br /> ~REQt11REAAENT <br /> SAMPLE <br /> MEASUREMENT <br /> '~ ~ PERMIT': ~ .. .... .... ~. <br /> :REQUIREIiIENi. ~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMl7. ~ <br />.. ~ ~ ~ <br />~~ ~ ~ ~ ~ -- <br /> . .. <br />REQUIREMENT: ~:. ~ '. ~... . ~ ~ ~ . . <br />NAMElTITLE PRINCWAL EXECUTIVE OFFICER I CERTI FY UNDER PENKTY OF l <br />T <br />T <br />F AW THAT 1 NAVE PERSO <br />eM <br />TTED N <br />T <br />O <br />SI NNLY E%AMINED MD <br />EREIN <br />MD BASED ON 'f(:IEPHONE DATE <br />~' ~ • S ~~w AM FAMILIM WI <br />N <br />HE IN <br />O <br />MY INOUIM Of TNOSE IN <br />OSTNNINO THE INFORMATION ; <br />RMA <br />I <br />N <br />I <br />I <br />DINDUK9 IMMEDIATELY RESPON98LE FoR <br />, 1 eEUEVE THE SIMMITfED INFORMATION IS <br /> TRUE, ACCUMTE MD COM <br />7 <br />N <br />T <br />R RETF. I AM AWME THAT TNERE ME <br />INCLUDING <br />SUeMITTINO FKSE INFORMATION _ <br /> SIONIFICM <br />PE <br />K <br />IES FO <br />THE POSSIBILITY OF NNE MD I . <br />MPNSONMENT. SEE 13 U.S.C. 1 1001 MD ]0 N <br />TURE OF MINCNA <br />XECUTNE <br /> U.S.C. f 171 •, IFMrb'W. IuCw~ tlwr mlun. nNY L+FNF. /Nwa Ip ro S 10,000 A <br />I E <br />TYPED OR PRINTED ..a nmuxwelrorlsrnrrt aFMlwrn 6maneh.w6rwa/ OFFICER OR AUTHORIZED AOEN7 CODE NUMBER YEAR MO D V <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IR•lsnnc• d/ •rochm•nta h•rN <br />SE6' I.A.2, PP a-7, POtt DETAILS UP THST PHOCF.UURS. HEPORT LCSO - STATISTICAL POIRT ESTIRATE WHICH IS <br />LETHAL TO 50X OP TEST OHGANISRS, ANU ATTACH ACOTE TOLICITT TEST REP09T FOP.'; TO Dlld. COFTES OP ALL <br />3 • e D m e . • IREPLACEB EPA FORM T30 WHICH MAY NOT BE USED.1 PAGE OF <br />00314/961217-1206 1 <br />