forth Aaprwad
<br />RRAtiTIEE NAMFJADORfS4 pr~l.sip+swrlwa. d0/ •Y NAT10MI1L MILVTANT pSG1AM1t ttlsaNATfoN T'4TOA INPD£Sl ONE rw :otaaoo+
<br />NAME F' i =.a'IR6 _ I•:r~. ~ .: •, f.1!_ ., ~.: ^tS DISCNAROE MONITORWQ REPORT fO RJ ~ .. .-.i,
<br />ADORESS~LI'n n:.:..~ ~J_~'. ._ _ r ~.~~
<br />~bGk L`TC uCJULES'ARL'. SUITE (~G?: PERMITNUMRFR psouwaruwu F `FINriI_ RLeU
<br />ENb"LEWOOD CO SGF: ~' ' MONRORWG PERIOD t~'CF•t I O KCIL L DTthf#Y3/TFit7U'i CRY(.
<br />FACRm EDNA MINE
<br />YEAR MO DAY Y AR MO DAY
<br />IOCwTIOIE,]AK CREEK .,. FROM - ~. • .. TO - ~ ~ ~ -
<br />~^- TEV£ LLr~`.:!+ NOTE: Ra ad YrwcHar Aalfxe eompNlMq thYa tam.
<br />
<br />
<br />PARAMETER
<br />gUANTI'TY OR LOADING
<br />QUALITY OR CONCENTRATION NO.
<br />
<br />EX Ntta~tNCV
<br />ar SAMPLE
<br /> u.Atrms TYPE
<br /> AVERAGE MAXIMUM UNfTS MINIMUM AVERAGE MAXIMUM UNITS
<br />=L)LIDn. fi TTI EA:i :.` SAMPLE
<br />N r:;. -. .
<br />~
<br />i
<br />~~
<br /> MEASUREME
<br />T ~ ~ "
<br />'0`':5 1 C {) PERMIT •#itrka Ra+~rFSe 0 1Fc~u !ar•xoo V_ ~ .hv .>.'
<br />.
<br />ErFLUHNT 6P.DS5 'v _ :a REQUIREMENT ~<-r-~; ?1F+I LY MK yr^'vT
<br />..`-
<br />i L AND GREASE SAMPLE
<br />MEASUREMENT ,.::. .., .,:- . ~•:. .. ,. :. .: ..:. . ;_: , - ~ /.
<br />
<br />'.:35H3 ! U V PERMIT +EAasca brt`~as ao~r a.o b<~ „r. _.-Si ..s
<br />T FF' vENT GRG'SS '.',-. ', ` REQUIREMENT _ MA7 ~ -_ ,
<br />~L W. DUIT '. SAMPLE :. -~ ~ -
<br />r-IRU TREATMENT PL i,'l ; MEASUREMENT r
<br />:?C030 1 O O PERMIT K Oir9iastt biro . :-:. xA'as + _. , i.. ._
<br />'LrF•L:UENT G7iO5`1 ~..-. . -• REOUIREMENT
<br />--- 30DA AVS:
<br />- DAILY Mx 1•,.:. .
<br />
<br />_. __-.
<br />_
<br />
<br />_
<br />, RL SAMPLE c •. - _
<br />! G1'S HOJ MEASUREMENT - .. _ ,_ -
<br />
<br />_.:900 2 2 !i PERMIT C4F R•)F 7F a:• tfH-mat se i ~ 4Q•3F~tbo TJ. OC9i 7 n_ , ~_t; ,
<br />[=FLUENT 6RCJS:i `.'~'•l{•: REOUIREMENT
<br />_-
<br />-
<br />_-- 3UCJA R`_r' CP2L`.' h1d
<br />-
<br />- h'~f~fT!-
<br />-
<br />_._
<br />-. -
<br />-L Y7 SAMPLE ..- - - - -
<br /> MEASVREMENT
<br />'4076 '7 ':) PERMIT tCFtS'!T '~ T, fFi. •: +.::. ... -:: c :,.a+lc+.-s -_. _ -. -. ,
<br />I_!P87R'cA(; MC1fviTi~F.S'r;- REQUIREMENT iUD•~ A4o IJA?LY MIC -
<br />
<br />
<br /> MEASUREMENT -
<br />80093 I a? .Q PERMIT _o Il ftr L, i1' $R tl r a s Nom: ,:L • r•. _.-
<br />Fc•FLUENT GROSS "A{. ~ RECUIREMENT _:GDA AVr., ^A'I •: HY
<br />-
<br />-
<br />rl SAMPLE -?. _
<br />',.I;A~_ MEASUREMENT
<br />_ ____ '
<br />:
<br />.. r .~ :1 PERMIT s k _ - +f '~ - . _ c
<br />„; ,. .. = c . , REQUIREMENF
<br />~ ;NsT MAX ,
<br />NAMERRLE PRINCIPAL EXECUTIVE OFFICER """' f "i""
<br />°n °"'°""""""'s'""r"' °'° "^ TELEPHON E GATE
<br /> rn*...s.r.. w.. ac,..,b. s .rr...1/s, :..,.o,a..,,..fn.. .n..,. a.+tw /
<br />. .f .
<br />~ - r U ~.1TM wrnr pr~nM r..y.nf t.nin w nW.lr J.r IHnsW„ ~. '
<br />~
<br />. rswn.J. a.w r. m f
<br />wwin M •Jw f.trwe p ~.rw~ wlp wY.(. 11v yV/w~
<br />~
<br />'
<br />-
<br /> nr IM. pr.w.w0irr. n. n.'wnlK fa t.n"n,y 1M Iw4r,tiUw,. IM MM1frwWMw ~
<br />l /
<br />... - wsr".a K Y M Mr J r. s..wrwes. w MN1, irw. rNnl., w elw7YM-
<br />t.....nor w.n... ss.mw+Mww"nMrMita
<br />hr iwW,wrUO.
<br />MyN1iTURE Of rRINCE'Al [X[(M1JTIVE - -. T
<br />~. •"
<br />~•. :,
<br />it
<br />TYPED OR PRMlTED q
<br />.
<br />~•n.oryer p.+w.. r mw w ",pn,."...", aw sne.s.s nr.e.r. OtFKYR OR A VTMORIZEO AGENT ~~ NVMDER YEAR MO OAY
<br />g;_TT'_EAI3LE 59LIDS LIMLT WILL EE WAIVcD FpP >1QVR.224FiR PRECIP EVENT-SEEI. A. 3. PG. 9. FOR RBQVIREtME:hTS
<br />:~F?TftLY `;>IMPLING INSTRUCTIQNS-I. C LO. PG. 1y
<br />EPP, -atm 73701 IRe+ 3'G91 Prevrous edAms may Oe used
<br />
|