|
PCRMITTIE NAML/ADO R[!! /In[IYdE NATIONAL FOLLY TANT DIfCNARGF ELIMIN II TION SYSTEM (NPDESI
<br />PECifiry NamelLonrbn iJdiffatnll DISCHARGE MONITORING REPORT /DMRI ,
<br />NAM[-~-'~'-I~CTi-'e•C-•----~--_--- 116 /~~ro ; L;.!_r. Farm Approved.
<br />ADDR[[[~~~L~S.y-~TMrci-ST~~r..-~~}F.--;'Y~ =~ __ !•n(1 ": ~ II
<br />(~ U 6 H ~C )gppBoval~az~pi0res06-30-91.
<br />--- ~Z~ rTIt ~C [T~~T~~y~,Ei _p~~_E~- PERMIT NUM B[R ~ olF<NwRCF NUMaeR t - pINAL •
<br />---~4-c~a^----"-~'-F~~-~2~- MONITORING PERIOD CNROINIC YET TESTIIrG FOR Linn
<br />rwcluTY _ _ _ _ _ _ __
<br />-------------^ YFAR MO DAY YEAR MO DAY
<br />LOCATION FwOM 99 01 DI To
<br />-------------------- D ',d u3 31 ~' ~O DISCKAF.GF ~ '~~'t
<br />a m T u . T T r c~Rn U r D (1011/ 11131 /)~~15/ (1637/ /;8~: fl1 /30.311 ~ FIlad InstruCSlOnf he}DrB Omn~lBting thif--r-~
<br /> (J COId Only) OU ANTITY OR LOADING (~ Card Only) QUALITY OR CO ~ MTRATION NO FREQUENCY SAMPLE
<br />PARAMETER (~d-JJ) (Slfil) (Jb~3) (i6.fJ) 1316!)
<br />EX of
<br />ANALYSIS TYPE
<br />1J2-J/) AVERAGE MAIM UM UNIT6 MINIMUM A
<br />AVERAGE MAXIMUM UNIT9 bI6J) (6168) (69-1U)
<br />::EFFECT STATRE 7CAY SAMPLE =l;`.irfj>:.: IDOIp4gy o s}s)aY:~t^' ~!~9~dIP ( 23) ~ 40
<br />
<br />' MEABUREMENT
<br />0
<br />AIODAPHNIA
<br />CNR CF
<br />T
<br />P39 S 0 O
<br />''PERMIT",
<br />..+17(~>~A*1>~'
<br />"
<br />°i~Ci4k°s
<br />e
<br />O~
<br />>Y
<br />!~«"a'
<br />~
<br />~
<br />§°%
<br />~s#
<br />iF'~~~
<br />'~ -.
<br />' .a~e ~
<br />~
<br />~
<br />Efl-
<br />$,~rt~
<br />x
<br />tl '~i°
<br />~
<br />~ "
<br />
<br />p
<br />C :RE(~UIREM ENT; a ..r
<br />.'w S ~
<br />a ~° ,
<br />,
<br />?
<br />a
<br />~ v
<br />y.i ~ .
<br />~ *b ° ~x
<br />A i.¢t s
<br />.e®,~e ., t~ '
<br />..
<br />tcC M "T DCT n < , . .
<br />+L "i
<br />+
<br />.+ - -
<br /> .
<br />.
<br />°.EFF>;CT STATRE 76AY BAMPLE yl]?T,Ett#,~ ~:q-,::r~;~ ;:::YS:~#r: rr0a>aa~ ( c3) ~
<br />
<br />MEABUREMENT ... ~
<br />CHd PIHEPHALES
<br />E
<br />0 G "
<br />"T WPERMYTq '
<br />¢~'~7y~~
<br />"'~
<br />~
<br />e;ilG$~'+Ril!<,
<br />It~,~ ~°~~,
<br />%H
<br />: ...._ ~.
<br />?~Q'
<br />~}I%b
<br />~O;ii
<br />:~„' "r,"r° ,_"
<br />':.~{?I~~e?3~t~
<br />:
<br />~
<br />FE9- .-.~ r
<br />`
<br />f -L°~~-
<br />"
<br />~°P
<br />TCP
<br />.C 5 ' REGUIREM EHT` .,
<br />.
<br />a :
<br />% : ,~;
<br />'
<br />~; !
<br />,
<br />,
<br />:
<br />- ~ "
<br />,
<br /><
<br />@5. :~
<br />,'"~ s ,
<br />.
<br />oy ~ y Yr,~«
<br />,:
<br /> , , °~
<br />,
<br />,
<br /> 6AMPLE
<br />T
<br />MEABUREMEN
<br />
<br />SNVQ~I~
<br />~ /
<br />~~~
<br /> "
<br />'
<br />~
<br /> q:" ~.
<br />°PERMIT>>!: 1 < ~,° "h ° s
<br />~•< <'z;'' ^~ e~b'i
<br />. +e€"1 "?
<br />f€°(ap
<br />° e ti
<br />>a." a5~
<br />"&
<br />a ¢ v~, z#qe .
<br />a$~ 1 x€
<br />#
<br />°
<br />O
<br />¢ e~n ° tz ~.ce•o <6 r
<br />~ ~,` >a xf°m(m;,s`
<br />~`
<br />a ~ c
<br />
<br />rZ "`Y~
<br />}&
<br />~'n~ g.a
<br /> xREOUI REN ENT°~ , ds,.
<br />«~.m g "
<br />.¢,, t " „ °
<br />„
<br />a,
<br />Y,
<br />~ x 0 ~'+
<br />
<br /> BAMPLE
<br /> MEABUREMENT
<br />
<br />.; .','PERM 1Tr<
<br />I
<br />v
<br />,.q..&H'
<br />" ~
<br />..~ :
<br />~ t
<br />.°P; ..°.~ q^
<br />'r:
<br />~
<br />°O
<br />5'ryq 9 ~p
<br />°
<br />"
<br />;~".,."-eXy%tl..,. ,..
<br />'
<br />"
<br />a.~,~sz
<br />#
<br />F« vn`x~~r.a
<br />a i`9«+~
<br />a',p°w 4°~xn
<br />a~ 1.~ r<•e
<br />"
<br />'
<br /> RE U REM ENT
<br />4 ! %s ` ~" ¢ ,".° ¢~
<br />°~°d<~°.
<br />«- "
<br />r s .. Yr" X+s #
<br />~.~~W: } .P
<br />v. ~
<br />a .d'P a,. x ¢" ~ak G
<br />~R:a o-L°°y°'L x°. «
<br />~
<br />4"~"
<br /> SAMPLE
<br /> MEABUREMENT
<br /> •k`.6 VEFMIT" f 4
<br />'~~
<br />°~ ,n r
<br />'~~ $ tllq n
<br />`yw"
<br />s ~d$~•° ~ l Sgp ~"$~~
<br />~
<br />~ J"E ~p ~..
<br />~s
<br />~re~ _
<br />')`~ T & ek~«~ffi
<br /> sRHOWREM 8N7" gn
<br />e
<br />ac a r
<br />~
<br />~ ~
<br />c
<br />0 •4.nhw R''~e nn ~ ~
<br /> SAMPLE
<br /> MEABUREMENT
<br />
<br />' s~'PER~.fiT ~,~.:
<br />° b <
<br />"
<br />
<br />F.. '
<br />"<a~n€~ms
<br />ay a.+ e "a"~a
<br />"
<br />f
<br />As, a ~.
<br />*t at°na~~~r
<br />f ~
<br />°
<br />"~
<br />4~
<br />d ,my..°a s~.'sam~
<br />~sYSms
<br />a~ x
<br />s w's ¢'s(
<br />' ° a " 1~+`
<br />1n~
<br />a a«' `aa aani°m „°°°
<br />9tia aat°.
<br />a~*
<br />n s
<br />.
<br /> REGUIR[M EN T ,
<br />e ~ a x ° : ¢,
<br />s
<br />o fr
<br />,H ,~,.¢
<br />°
<br />'
<br />'
<br />~ <V
<br />,
<br />r°' W
<br />„
<br />3i°.a
<br /> ~
<br />. Rr0` e @~. is x3H.F~ ~ hi°.av°il °..
<br />~
<br />f~¢?
<br />d °O..¢ : o
<br /> BAMPLE
<br /> MEABUREMENT
<br />
<br />'0 SPERM .,a '>• °,& °.~ °~s`},&x+° i° ,t~ f.„%r$"$ $ w
<br />LTxB'~: 7:° S$w.':.A & d~;~t#s 'Sx ~ $g , $ a ; ,~< x Rd a~f..,,~' ,b: n :i" ~, ~dx'y$'L~
<br />~
<br />'
<br />°
<br />~
<br />~
<br />~ ~'F >~ ~fy'.s p~~$r,1T»
<br />k° a x°~`.,~,e
<br />°
<br />a
<br />x a"^
<br />-REOEtIRE -
<br />M~E
<br />N, Ts ~
<br />"srm d:v.<;'" n'F,*~
<br />';iy Yx~^
<br />s¢, ;-~ a
<br />t~
<br />< ~;
<br />a: ~p
<br />"~«
<br />o ° +:+
<br />«
<br />+
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ~
<br />.
<br />.
<br />-
<br />TELEPXONE
<br />' CERTIFYF uMDER PENALTr OF LAw THAT I HAV[w FE1K,ANALLr [XAMINED D A T E
<br /> AND AM FI.MILMR WrtN THE INFORMI.TION SUBMMTTED REREIN AHD BASED
<br />s v~
<br />JE ON MY INQUIRY OF THOSC INpVIOUAL$ IMMCpATCLY RESFON$IBLE Fpi
<br />OBTAINING THE INFORMATION 1 BELIEVE THE SUBMITTED INFORMATION
<br />/
<br />IL-
<br />".iMJ I AM AWARE THAT THERE ARE SIG
<br />COLI
<br />T
<br /> IS TRUE ACCURATE AND
<br />RE
<br />C
<br />FOPMATON INCWOING
<br />FA G
<br />
<br />.~n_.Sf ~Cµ~
<br />'~ LSE M
<br />N61UNi VENALTI[5 FOP SVBMrTTMG
<br />rNE Po$Sr91uiY OF FINE AHD rMRR50NM[NT SE[ IB USC 5 rOOr AND
<br />/GHATURE OF PRINCIPAL EXECUTIVE /` /J
<br />~r/'J'T/V/
<br />~ 7-
<br />`~
<br />/ ]3 u5C 41]19 rPrnallrr. uMn rhr.v .ferutn mov rnrlydr /mr. uV n~ 114reu
<br />A EA
<br /> and „~mnn.rwr ~myn..n~n,.nr ..f Mluwnfim.~mA. and s.raru OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY
<br />TYPED OR PRINTED
<br />COMMENT ANO EXPLANATION OF ANY VIOLATIONS (He/oen[e nll uuuanmenD nrrrl
<br />SE:: Z.E.S FOR TEST PROCGGUhE. RPT RESULTS OF LETHALITY UERZVATION:i AS "~EeFECT", GRONTH E REPROCUC?'IOF
<br />Lr'RIYATIUNS AS "TOXICITY". RPT LOMEST EFFLA•S NHiCH STATISTICALLY SI))GNIF DIFF tsETYEi,H TEST E CUN'i'i2UL
<br />EPA Arrri.f{7- LF( ar.: p "ua 7Aias "'ybes`us • P IRTEe ES(F1wLI~RMaTraOjrNICE~LILYNO,T [VfEDIIL~Lj~. ATTACH CMRON TEST iACi TCoi~MF.
<br />0006~/940u12-1838 1
<br />
|