|
;~f
<br />.,~. ~q:
<br />+ t.
<br />FERYIREE NAME/ADOPEB6 RMY Frw4Nr'Leal~Yer~.~y
<br />NAME ~.:~'„ JLI,! ~ ~ LJ4L I"~. iJ .: P.Y
<br />L. I .., _ .., o ;..7
<br />FACILRV
<br />LOGTION _
<br />xAnox,x. rouvrAXT oucxMa[ nIYlxAnoN nrtd rNPOESI
<br />DISCHARGE MONITORING RVORT DAIRI
<br />I-Ie I 19
<br />PERMIT NUMRER PFCMMOF NVMLq
<br />0 MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM ~;: 1•I Vl TO ~, t _ l
<br />130311 l33-IJI !3436/ 1363)I I]S-)91 lJOJN
<br />Fern ADPmved.'l' ' '
<br />U:dUEHGP.DUNO HIKE DM51ta•39~49~°R
<br />SUHR HL ApproWAle~;AAi16~188
<br />F - t'INAL ... ... •. .
<br />4%•4 `'Nr., ut scllacLE ) +/o* " ': .
<br />NOTE: Ree[ IMWatlelY be/olf oempb n4 Olle /arm.
<br />PARAMETER lJ Grl Onry/ CUANTIIY OR LOADING II GAOnryI CUANTITY OR CONCENTRATION N0. q[eugcT 6AMPLE
<br /> tl6EJ SLFI JNE .6-FJ SFSI OF ~~
<br />!>?-Jll
<br />AVERAGE
<br />MA%IMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MA%IMUM
<br />UNR6 E%
<br />3aa AMALYRF
<br />[etl.Cpl TYPE
<br />[Ff 3fY
<br />I'rl SAMPLE i44n i•444.• .?•., !•!:v •' Ii
<br /> MEASUREMENT '
<br />:. J4.L I .:PERMIT •..~ :' ~~444,4.i y
<br />~ .:.4 }~ta.•i ..
<br />~
<br />"' :. .r., lu~~.;' ".. ° •Ye+: 4,bb ,. tom. ;0;:: g.. ., .~`~~Y. L= LN$I Ti
<br />I r -Ll.: •1 ... V' REOUIREMENT ~~ 44... ;' 'N I37 T'MUN ~ ~ .MA'><IMUM'~ SU Li < '• ''~
<br />r " .
<br />.
<br />.L ILJI 11.+~ SAMPLE (.?. .: v4.;44} -bfba'i• 19
<br />iJbi'Lf:i~•i MEASUREMENT
<br />DL~JI. 1 rl U '.PERMIT.'
<br />' 4k }b4b:x. P>:44A40'}i t. p:,• Y 4b4}4b 'a .. .: ..'
<br />35' _
<br />"7U a y' y,_&,; r
<br />«
<br />GE~L~r
<br />6gAh-~
<br />L FI LLL':I .~'~„ REa111gEAlENT 4fx .. q
<br />~ 3J07.•:AYV IKtYA' l`-Y :}At nL/L %~ ° ~N4~7T
<br />Ir.Jllr IJf~L SAMPLE !i~4•:. i•fi••.%4f }}(.4,J.w !q
<br />n _~ MEASUREMENT ... .
<br />ul'•~. l U ,1 <PERMIT• I'4 }k•.bt ,4i+4444 • ei•: /'4b4}}' )'.j 7i0 ,«!'i-. r:.. ,~:. NCE/ GR~dj
<br />_h!~L „I_`+( :L!J:
<br />A REQUIREMENT: 44:•4 .. ~
<br />~ UDA ~AVG N `~.~ .w
<br />JIL if\:J ~.~
<br />+I. SAMPLE 7Y4n!. 4bi.:. (. .i 4
<br />4k4:. },~.}}:. 19
<br /> MEASUREMENT
<br />. .,
<br />4J:+;: l 'J V >r •sPERMITa <' .4~.4 b.J.1'..
<br />~
<br />~ x}4444
<br />:~
<br />•. i•+rv ..0.3.0}}4 :.
<br />. .y•444044 ' .'lA.' x`.~:%`°..
<br />"
<br />; G' "I' GRA:O
<br />,
<br />E FFL V:::f '.~<.]iJ !hL'I' REQUIREMENT
<br />' ~ `. ~ ;
<br />~ ' 44k'} .
<br />~ ' .'jNST'~'N+A~t
<br />'.:a NI.
<br />:/L ~~
<br />' ,
<br />~GEHI':. ,
<br />.
<br />rLu..[ 1 L.1~I,IUi1 SAMPLE ':J 41•f }.... 4%•444r 4iM4}P
<br />tni 'U Tt.: :.1 :1~.~iT i'Ld'+. MEASUREMENT
<br />•iVJ':t i 7 V ~PERMITi 3
<br />y I'. L•.Eljv T
<br />'
<br />. =F{SiPD~C.T; d44n
<br />'. 4. F 'r}k ^
<br />bt fi'
<br />:
<br />.g~p •4bb :
<br />Lr);
<br />FF
<br />i
<br />f' ~Z~]'i5 ,
<br />'REQUIRE7dENi. ,
<br />.
<br />'76!1 a'~A`VG ~
<br />OA[L7
<br />% , ,
<br />l
<br />'~'~' ~
<br />,•
<br />.1
<br />'
<br />,. 44}4 -': •.~'.°.~ 'a:•~':.
<br />~
<br />YA
<br />L
<br />LUL N HoV e
<br />, tt ' :,.
<br />SJLILSr T.11aL SAMPLE fiti.4fv 4f44•T4 44444:.• I9
<br />U1 S'.iLLVEU MEASUREMENT
<br />7Uc'Yi 1 U U ;'^PERMITx ::. 444.?44. . ; x~4 .i•b+,"}- 44f .: n4}a ri_F• 4T" 1fEP •?. ::
<br />~
<br />cFFLUL,'-:T DR;)SS laLU. PEQUIREMENT, .,V .. ..
<br />
<br />" i•4i•i. .
<br />'" ~ ^UR the ''AVG ~9A'IlY>Hd HL/L ~~' :; ~,~
<br />~:~''. .
<br />Ull PIrU yn:C l~Sc SAMPLE 404i••Y !'. •IS 04}4!,4 04}}4!, bf}4}4
<br />VISUAL MEASUREMENT
<br />~ '-
<br />llAU40 I ~ 0 ~ PERMIT
<br />'
<br />~ "4}9k.40 ,~Er•(j K.T. E) 1 :i '44b44a F s 4.4}•k;.. a'q n0 •4p0 .:
<br />'
<br />~ - ~ AL
<br />REAA
<br />ENT,
<br />LhPLLEIv f GRUSi YALUI .REQrUI g.~: F..'y. ~:..~ <. 3444
<br />"
<br />~ ' a >'~ '?
<br />••j HST' i+~b'd- NJ U ' .'
<br />~ •'`a~~i. :~ :':' ~;
<br /> .
<br />aF
<br />~~ rv
<br />NAME/fIfLE PRINCIPAL E%ECUTNE OFFICER ICgn
<br />/JI lN /'/IMDq.gHTY O/
<br />Ah1M M.nl TM[ INIOI NW TM,:TIX.tN FgFOMM1Y U1/YINq NID
<br />TELEPHONE
<br />'
<br />OIATOM tUFMITT[p XgDN: NID FNm ON' DATE
<br />'
<br /> MY WONII'/ O[ TXOp IM
<br />OFTMMIXD TM[ NN11WAnON pNDONF IYYTDIATRY 11L/ONiIL[ ql1
<br />. I L61M 1XL FUFMITTm INroR1AnON IF
<br />~. ~
<br />-
<br />~
<br />.~ .
<br />."
<br />' '
<br />
<br />/'
<br />l~ 5
<br />J TIIUL KCOMT! NID COY
<br />FIDNIRCNIT FgKT[F 1011 R[il. 1 MI AWMI THAT Tng1 M!
<br />IU\YITPND !/i{J! WgN1AnOM
<br />IMCLUOIND ~~
<br />~}
<br />fff(((
<br />,
<br />~
<br />~
<br />~I
<br />/~
<br />I.
<br />~IZfZY (
<br />'
<br />~ TNL rowpun of nxl AND I ,
<br />YRyFOxYgT
<br />F![ IF uJ
<br />O
<br />I toot ANO» _ r
<br />^
<br />~
<br />/!t[, .
<br />~ ;.
<br />y U
<br />f
<br />O
<br />L Iele
<br />e`MY. u
<br />Y .
<br />.
<br />.
<br />alun.
<br />w
<br />M
<br />H
<br />1/
<br />M
<br />Y IIO
<br />OM }IONATUIIE Of MIMLIF L E%Ea3TIVe - '
<br />' TYPED OR PRINTED .
<br />.
<br />.
<br />,
<br />N
<br />.rr.,..e... Fa•I~.~eM .
<br />ry
<br />~
<br />r
<br />/
<br />I y
<br />,
<br />Mrvr. e.Nnw MFYwI OFFlCER OR AUTNORNED AOERT NUMSER YEAR ~MO DAY
<br />''3G UAY AYLRALe li N1UHC'ST nJNinLY AV6. ICURi^1G PGRIUU HEPUk TED. TUS HUNT TURING - 1,.0.2. REPDki.ACUiE~MET
<br />~Tl S71NG e.E 'iliL T$ iiJ UHr' HARKED DUL H. - '
<br />FPA Farm 0330.1108-951 Prenow eElnone mry b. we0. IREPLADES EPA FORM TiO WHICH MAY NOT BE USED.) OGU49/960aZ4-0931 PAGE oF;.~~
<br />N:I ,
<br />
|