Laserfiche WebLink
PERMTffEE NAMFJADDRESSP .. FaYryNsr'/<c.lfa. UDfO•rn.q <br />NAME .- L 0. ,. , .. <br />': (Y i1 r'.'.li'i <br />ADORE59 i; ~:.: ~.:.. ~ <br />,,Y; c: r. LO H1rJ~ <br />HAnoNDISCHARGE MONITOR NMG AREP~RT (OMR,POESI <br />': J r, <br />PERMIT NUMBER dscHMO uGSU - F I N A L <br />i ~ ~ ~ . , <br />---- . <br />MONITORING PERIOD ~' I '~ C H A q c.: 1 ~~ n u a D a n~ ~ o . 1 ~. ,- <br />FAaLrrr <br />YEAR MO DAY YEAR MO DAY ~. <br />LOCATIDNd +Y :%'5 CJ "i`i <br />'~> FROM OT .: TO ') ~; JO SaOI. ~ UTSCNAfI IBC II ':'; <br />. <br />~Ad MXEtrucUarw Wla~ PMtkp tilb loan. <br />~ <br />' <br />p <br />*r;l: di1D ~ t~)+u C.. :r ?n "ANA;,F <br />~,7~ <br /> <br />PARAMETER GUANTTTY OR LOAD <br />.. <br />QUd 11 ty OT' Conc ~' ~ <br />ti on NO. RIE°UEXJCr SAMPLE <br /> EX AM <br />Y <br />3 TYPE <br /> AVERAGE MAXIMUMn S MINIMUM AVERAGE MAXIMUM UNRS K <br />S <br />Jig Ati'1 .: K:;Ao t. SAMPLE ::1 ': :. ': ( r4) rx{:r}:; :.~:. .ai};: r: ~: .. .. <br />V I + 0 n I MEASUREMENT <br />. <br />.. ~ II .: ~~: PERMIT :. :.. <br /> <br />~ <br />• <br />~ <br />•~ ~~ " <br />(3G~i7.RP 1 <br />E =1 ...: ~ . .....: ... ...:. .. <br />Ktir#~It~+.4.. <br />;; .. <br />:;: Ys.=s:;c:~t: ` <br />::}rtrt <br />`;., <br />Yf1C"~!. <br />IT.$'IAL <br />r P J° , ~ :'; o" S'; Y " II~~ REOUIREMENT <br />~ <br />~:..~ ...~ .....:.... ~:~ <br />.... ~ :~.:.~..:m ,y.Y~. . n-D t~>3~'~i`'`''~ ~ ##~Y: ~~r::`IHmu . <br /> SAMPLE , <br /> MEASUREMENT <br />. <br /> :;~ ::.PERMIT : ~ ~ .. . .. <br /> REQUIREMENT ~ ~~ <br />:. <br /> <br />..,.. <br />.. <br /> <br />... <br /> SAMPLE <br /> MEASUREMENT <br /> .....PERMIT.: ~:. :.~ ~.... .~ ~~ A'~:~:~::~x"~~..`~:::.:~:.,:. <br />~ <br />~~ <br />~ ;::::: ":.~;...:~.~~::~::.::~::~:`:•.~ <br />~~ <br />~ . <br /> :REQUIREMENT. .. ~: ... ~ .. ~: ~. .. ~ ~ .~ .... .::: ~~:..:; <br />~ <br /><:~ ~. <br />~.:.~ ;: <br />~i~::.,::.::~:~ <br />: ~~:~.::.:~: <br />i. <br /> <br />.::.>. <br /> SAMPLE <br /> MEASUREMENT <br /> ......:PERMIT ~, .. .. ~.... .: ,... .. <br />: <br />~ <br />~~~ .:::::.:": <br />„P' ::::.: <br /> :REQUIREMENT ~... ~ ~ ~ ~ ~~ <br />:. .. ~ ~ ~ <br />~ . <br /> <br />.. .:. <br /> <br />.... .... . <br /> SAMPLE <br /> MEASUREMENT <br /> ~: ~;;.::~PERMIT..:;.. ::: ~ ..... ~.:: .. <br />~ ~ ~ ~ <br /> ~.REQ.UIREMENT~. :::... .~ ~ .. .. ... . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~::::PERMIT... ~~ .. .. .. ... . . <br />~ <br />~ <br /> ~,REQUIREIvIENT: ~ .. .. ~~~ ~ : .. . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> :REQUIREMENT: .:.:: .:. .. <br />a ~ ~ " ...:. ~ . <br />..... ,' ,,. <br />.~ <br /> <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER IRr111IY [r pfn. l)O /.IL.I II. <br />pRp.Ra YnX[rm alR[Ilon o.rv <br />r w h EOrvmrnl ..M /Y /Ilrfi..enU.[R <br /> <br />Rtlon In .RON.nR.l.b ..rn[m ea <br />.a / <br /> <br />~ 1 <br />TELEPHONE <br />DATE <br /> p <br />le sort IbNYNI11etl wronnd p.vwd) pIMr.M v.lu.le IM Inforsll.n ~~ <br />/ <br /> ibmlll.d. SX.N on mr In9u1rT K N[ moron R wows .A. m.n.Xr Uw.nRm. ( <br />t~ <br /> a Ihmr wrw.s ElrRlir r[.pbHe Imo wtbe.inT Nr Ind Iloq .M1e Infe.slbn / ~a..~ ~~ [ _ .~ !~ <br /> lubnXll[E b, blhe bmlNmr XmsYdX••.M beXef <br />lrve..m.nl[..nd Rmp4lr. ~ (/ <br /> , <br />I <br />m <br />In <br />d {IONATUIIE OF -RII <br />CMA <br />EXECUTIVE <br /> /m.w/nN.l <br />mm <br />p. <br />om pmlXn ar rvbmlltlnX nbr mrorvulbn. ~ <br />I <br />nrpm OR ppINTEO Im+YemX lbep®14Nry xnnr u.a lmp.lonmrm forXm.lnT .ml.llols OFFICER OR AUTHORIZED AOENi BODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANr vIOLAT10N5 (Rel~renc~ M •fT~ehm~nfs hurl) <br /> <br />;.., Ik:?fi LI"II'C~ 'I:iLL iiAIV~~.~, ~ 'i`:TT:..'4i•LF =.i 1.L: ~ [.' ".I I AV6~i; _. 1 ~=:Ji' ~~ ..:1.. ... ;i (iY?:If: Toy .. <br />I I'• LIi'?ITS 'JAIYi:L FGH >I:)Yf(/-'4'.iil. .";dCI1 .FV _fi". ti'.i;.. _ 'i'I ..Il~ -. .ii "r, r~~ .. n.~. ,; L ~ ~I:!.A"~ - SEE <br />1' • ' This.is a 4- form. PAGE OF <br />EPa•FormJ~zo-t (Rev'3/99) Prebious itions Trl~~ tie used. ~ 0 n 7 3/ ~~ U v r 1 7 -~1 ~ 2 <br />