|
PERMITTEE NAMEIADDRESS Oud14 FrWryNnWleeenRr UDOIrn.e
<br />NAME LYf~hUS LP'IPIkt C:;xPu:.ATiuti
<br />ADDRESS U dUX bU
<br />MCKAIU CU n1bLo
<br />i
<br />FACI~i TV CYp,~LS f=MPIKL LUrcrL;kaT ill r+
<br />Locnno"I_rCAll. Ci, d1t25
<br />atTN r~icr,AEt 1.. 1~uuL~.+. ~tNE:hAL r,;:.P
<br />NATIONAL POLLUTMT DISQNMDE Fl1MINADON eYBTEM //IyP~ES'l
<br />DIBCHZ ROE MONITO~INO REPORT (OA;91
<br />' 4
<br />PERMIT NUMBER dSCHMQE NUMBER
<br />MONITO 1NG PERIOD
<br />VEAW • 0 DAY" '~ YE R' 0 DAY
<br />FROM - 0
<br />12071! /2 x131 n' (167)1 (28-291 (30-3E7
<br />~V r+Iv[ o ~,v-~1N TJ
<br />Sl%Uk NN
<br />Form Approved.
<br />QJLTB I~lo, 2~1~,~0-0004 ~
<br />A~p`piove~elr~i4e 05~~~•98
<br />F - FI>+.~L
<br />rI I dill:
<br />y~:,<rr ht, Lit ~t.hakiiE ;`;.. <`
<br />NOTE: Reed Metruetlolte M/ar. comp ~tlnp thb form.
<br />PARAMETER !3 6rd On1yl QUANTITY OR LOADING '
<br />~ gird Onlyl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE
<br />
<br />(37-sTl <663 164.61 ~ 138.46 1663 6f61
<br />EX OF
<br />MALrsp
<br />TYPE
<br /> AVERAGE MAXIMUM UN MINIMUM AVERAGE - MAXIMUM UNITS letea~ (64.681 (69-701
<br />rh SAMPLE r~F##k# v###i# ,v4fi### 12
<br /> MEASUREMENT
<br />U(.YLU 1 U 0 r: PERMIT:::': ;. . -~ti~f~IR~ig;:.: %.~~..
<br />~:
<br />: #6 a..5 :.:.;'.;::;:: L;.r;:.M:L~?k?~?~i': Sf,. ;::":: ;:`:: ItCIrJ!:`. #:i~`Ai`.
<br />'
<br />. ~
<br />LtFLUEI~l bkOSS VALU :REQUIREMENT. .
<br />.
<br />..
<br />.., ':'.:~. ~ ~
<br />;.
<br />
<br />,.....:
<br />.. - .
<br />t: .,:...,.
<br />w:.~,,::
<br />~L,L.I..5F icTTLEAt;Lt SAMPLE Qti•fi~74~:~ ###t##~ t<#ti<#a<~i z~
<br /> MEASUREMENT
<br />U L.~4~ 1 0 G ,~}.,.'PERfi14t:';ti~~
<br />..:.: ~ %+-#th.+i~~Y?~: ...
<br />.. .
<br />.. ~~:"~##'4 N~t1~l~: ~. ##4 - .:.. ..:.: ~~. ~-t:
<br />° .::<..
<br />5• :: ~: -: ,'.y ~'~ .. ..r
<br />~.~~~I~~~1,(:::
<br />.
<br />,..: ....
<br />~4~liFJ':~
<br />~r'<i::
<br />"~: '~':"~: -,.:::
<br />~''i~
<br />:~~~~i:'
<br />d1~;A:~T:;; ~:.
<br />FhLUtNf dkUSS YALU IiEQUTAEMENT: . ,
<br />~:::: _ - :
<br />::~...,,
<br />~;::.;,t.-;~., ..:. .
<br />.
<br />...:
<br />~, .
<br />,: .
<br />1L aNU u,KE A.SE SAMPLE ;<;. {, .y {<.: {.y>}y<>}.y ir1#« 11####.P 19
<br />intl,n cX TR~GKAV MET MEASUREMENT
<br />UC770 1 0 0 ;~.:~PERMIT~...:.
<br />: ...rtgl#¢yLy~
<br />:
<br />. r:;~Rtii4.~r?11''A#, iti>;~ '':#?~~~ ~^" '~~:r
<br />~f'
<br />%~A:~'
<br />t#;'~ :~~>~
<br />~,T
<br />:I~
<br />~
<br />:
<br />~i'I~~`:`i`'x`~; '~:~::::~ -(!lk~:~j::~f i2~.~.~i....
<br />{•f'LULhT t.h0S5 YALUt .
<br />`fIEQUIREMENT .
<br />. .. j<{F ;~,;< ?%~ .
<br />.
<br />.
<br />~'
<br />~ ~~ ~ ,.
<br />.
<br />:
<br />:
<br />:
<br />~`:. : A"~:~. ,y'/ :
<br />'-L.,nr Ih L;t;NGUir dk SAMPLE ~ ~j .:<####>• ##>ti.#4# ###,I~+r
<br />Thn~ TKCATNENT PLANT MEASUREMENT
<br />...
<br />~L.u~J 1 d U !^ ::::::PERMIT:::':
<br />:: ~~~:~k.CPE}R~T ~37 Ef!~Ci~'K
<br />~: ~ ::. .:. . ~I!~
<br />?~*F' ~!'f~l!7~yF!Qt'fk~k''.x.?:- -::~
<br />;:!~~~?y~+~~,'~. ?<i<ti' :~ : I~~~~~~:J~`.^: .~A++'
<br />ij~~l
<br />Frtt,tNT (:HQSS VALUE .
<br />f~EQUIREfvIENT ..
<br />~„0. 13iR f1~41G .
<br />.
<br />..CZAIZ'f i'1.( GU ~ .
<br />:
<br />,s'; ~s~..srF '? '~ :
<br />:
<br />,x` ...~"' ki#>,t iINTH ;
<br />.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> I ... F
<br />
<br />~::
<br />,..:: ,~,g
<br /> REQ .RE E...;
<br />,...
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~~~.~~PEF.MIS~, :: ~:>. ~~ ~ ... .. ...
<br />.:.. ..
<br />-
<br />,...:.
<br />:
<br />:
<br />
<br />
<br />
<br />REnUIREWIENT:,
<br />
<br />
<br />~. ~:.~~ . .. :.
<br />
<br />
<br />.:.:.. ... .. ...
<br />
<br />
<br />..
<br />.:
<br />,
<br />. .I ...::
<br />
<br />:
<br />.:...
<br />:
<br />.
<br /> SAMPLE
<br /> MEASUREMENT
<br />~:: PEPNIIT- : ~,
<br />........
<br />
<br />~
<br />~,. ~. .
<br />.:.... ..i,:::.. ..... ~ ~ ~:. ~
<br />ENT~ ~ ....:
<br />:AEQUIREM
<br />~.
<br />.
<br />.
<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER 1 CERTIFr uNOCR PENUn 6F LAw THAT t NAVE PmsDNALLV ExAMl neO MD TELEPHONE DATE
<br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD e
<br />MY INQUIRY OF .THOSE INdNDUALS IMMEdATELY RESPONSIB ABED ON
<br />LE fOR
<br />,
<br />OBTNNING THE INFORMATION; I BELIEVE THE SUBMITTED INFORM
<br />I :IC{ld i-Cl MIHs TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THE A710N I$
<br />RE ME -~
<br />~
<br />SIONIFICMT PENALTIES FpR SUBMITTING FALSE INFORMATION, IN
<br />;,:tl Vlr'On1!jP/Itel M3fl<l [~. F:Y TNEPOSSIBNTY OF RNE MDIMPIe50NMENT. SEE tB U.S.C.11001 CLUDING
<br />(
<br />MD G3 197 87~-2712
<br />N
<br />7 2i 9a
<br />
<br />TYPED OR PRINTED U.S.C. f 13te. lFYRN.Y. uMr eMSr mum. /rIEY Mchd~ lima W ro F IG,GW
<br />•nA UrmvYRlAn YnpvlAVVnnrorbMMn emmrbWSYMr+I sIONATURE OF PRINCIPAL EXECUT
<br />E
<br />OFFlCER OR AUTHORIZED AGENT AREA
<br />CODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY'
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRefrrence d/etrochments here/
<br />~i_I ILLA~LC S<:LIL; L1~111 wAit+t;; FUK iuY>• E14HR r'~LCLr' LVENT-~: ~ l,A.1F ~, iv, F„k rcLUJiNcMttriS. GIL ~
<br />L,I<cASt L,rtA[y ~Mi"."rL~ aNaLYSIS kcuLl~E.; IF YI~LuLL jhtLr~ L, i,d~•:.r,VcO. .nT<LY :,AI`II'Lti+b lN~TUCTIUhI~-I.(..ie
<br />f s
<br />EPA Fam 3320.1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) 0'J 1 on / 5 b lull i- 1 311 PAGE lOF
<br />
|