|
PERMITTEE NAME/ADDRE55 (GrY6 FsWryNr'Ia,Na, I/OrJJi.wJ NATIONAL PoLLIfrMT DISCMMOE FiIMINATON SYSTEM /NPDESI
<br />NAME
<br />-
<br />~ ' - DISCHARGE MONRORINO REPORT 1OMRl
<br />,~ • ~
<br />r -
<br />v c c •. ~. v •- c e T
<br />N ^ P•c ~G~IN•fG !1-161 17-191
<br />ADDRESS q° N i' L A '1 I B F ^'r ~1 n n •t L a n n n
<br />~1 ' U u N i °- ° ' `= ' ~
<br />6H3
<br />-T
<br />1
<br />f}
<br />t PERMIT NUMBER OISCHMGE NUMBER
<br /> 4 5• I1
<br />V
<br />s
<br />«
<br />u; "ne ~ev.~o~ "0 ,
<br />'" 101 $0131 MONITORING PERIOD
<br />FACILITY ., o
<br />• c
<br />~
<br />^
<br />^ I
<br /> 1
<br />l R
<br />eys r u YEAR MO DAY YEAR MO DAV
<br />LOCATION -
<br />J4tiT;)!1 / ~7 9I'J91 FROM 99 07 TD 9R ~9 ]~
<br />APT'1: ilau r _ ,, a~
<br />~^YU~7~n~E-~ vu cuaF M; Q_ !161/1111-23I 114151 11617/ 1T8-191 !36311
<br />Form Appr42ovg4eOOd.
<br />R(rYOFF Pr)ND R/PURAp novelezpiresP05~31~98
<br />F - PINAL
<br />M1VOP
<br />^NOTE t Reed GI trumlmi bdwsk.'611TR'IstlnO this form.
<br />PARAMETER l3 Grd on/yl QUANTITY OR LOADING. la Grd only! QUANTITY OR CONCENTRATION NO FNEDUENCr SAMPLE
<br /> 146531 /5457/ !38-45 !1653 15I-6I1 OF
<br />131-37I EX MALrsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s]-s]I /54581 /59-JOI
<br />PH SAMPLE oRRRRR R~kRQR3
<br />~ ..arc
<br />( 1 2)
<br /> MEASUREMENT
<br />
<br />I r
<br />~D~oD 1 D ~
<br />~ .PERMIT ~$xc.oa
<br />
<br />~ ~ Rcsa~R.
<br />
<br />~
<br />~ aaa 5~.
<br />
<br />~ A
<br />
<br />~ ~~ ~ ~ ~
<br />~
<br />~
<br />~
<br />
<br />r
<br />INSYT
<br />
<br />= F ' I : T rySS V e l ri , REQUIREMENT
<br />. ~~ .. ... :. ... ~ ~
<br />.. ~ ~ ~ ~ ~
<br />~
<br />:~ ~ ~.~~~~ ..
<br />:r.': ~~ :~~~
<br />
<br />....
<br />~ ~
<br />~:r:: ~r:!
<br />7.,
<br />~
<br />~~
<br />n '
<br />'~OLIDi, T. 1TAL SAMPLE RDOtF? aaRSaa O~pOpR _ .. ( ,~) _-
<br /> MEASUREMENT
<br />I-
<br />DO,3'1 l D D ~..:.~PERMIT ~.: ~~. ~ ~ :. ..
<br />
<br />saa~:e~a:R::::
<br />~ :.::.;:~~: E-~~: :;....:: ~.~.
<br />
<br />:,::`4.... ~~F:a...,#.
<br />~~~ '
<br />
<br />rRa
<br />
<br />~:::*:i11~~~110::';
<br />
<br />:~`j::' ::.
<br />3~'':
<br />
<br />.::
<br />
<br />Nr~/
<br />
<br />AB
<br />: 9
<br /> REQUIREMENT ~ .
<br />: .
<br />`i CI I.T ~)ir ':TI'LFA°f. L:
<br />
<br />, SAMPLE R~F R',kRR R4RRRR 'J4SaYtR _ - ~:>}Ot4a
<br />(
<br />) ~
<br /> MEASUREMENT ~ -
<br />UU5U5 1
<br />0 D ~ PERMIT.
<br />N ~.~. Ral><~8e.0~a.~'.'
<br />~
<br />' .~~.~ ~4 M. RICCS ~
<br />~
<br />~
<br />~ R: Xr ::'~L><~O p' ' ~:~ lt~i~i't .. . -
<br />?
<br />~
<br />~
<br />N.r`~I~ n
<br />r.pA:
<br /> REQUIREME
<br />T .
<br />..~. .; :
<br />..
<br />. ~/~ .
<br />.. .
<br />I e.7Nr T~'1T .tL SAMPLE aaaaaa Raa OII a C -._ -~ 191 ~ -
<br />(AS IF) MEASUREMENT
<br />~
<br />U1J45 1 0 D ~~:~-PERMIT... R#~p:~C R~?= ~ afiaa x R>t ~: 4nLAE%OQ ~
<br />3.5 ..
<br />'T.O:: ~' ,. ...~.,~~ ~ o
<br />A,
<br />6R
<br />
<br />'FFI rI F: !IT ':P1S5 .REQUIREMENT
<br />-C
<br />~
<br />-Z its c
<br />~~n :~rr ~
<br />rrn
<br />Y'
<br />rn~`" ::'~.
<br />.
<br />UIL Awl! ":REASF. SAMPLE OR 40 F'k O•aaR:r •k 'e C .ltr ~e•:!.t-,`. .': .- ( 19) -
<br /> MEASUREMENT
<br />J jyr!1 1 0 t) ::~.: ~:~~PERM1.7 ~.. ~..:
<br />~ :.. RR9~01:0 Lt: ,:~ M6:Op04g ~
<br />~~ RS: r: J.^-F its.^- ti isne'r S-~. ~~~ ~: ~ ..:~
<br />~
<br />'
<br />'~
<br />~
<br />
<br />~ .... ..
<br />s
<br />~'Y
<br />~ It I
<br />
<br />
<br />r Ar
<br />'
<br />_ P
<br />.. c• .1 F'h' S . Ile 1.'1 REQUIREMENT~
<br />.: ::.. .:. .:. .. ~ ~ ~
<br />.. . ~. . ~ ~
<br />:. ....~
<br />~~ .. ~~. ~. ~::~: ~::: ~
<br />~
<br />~
<br />~ e~::~.sl~~'JR f' t ~ ~
<br />'
<br />~, ~
<br />h'L)d, 14 ~7NDDTT 7R SAMPLE ~
<br />03) aaaraR OIR4~4R ~ -• Qa Ort~l4 - _ -
<br />-"fldU T{FATRh:NT PLAN MEASUREMENT
<br />., ,
<br />r
<br />„)OS I 1 D U `:: PERMIT ,
<br />
<br />
<br />RP.PDItT ....p
<br />
<br />
<br />EPO~IY:..:: -,:~r:F . '. ::: ~;:a.
<br />>,.,.. ...
<br />
<br />:
<br />::
<br />^src
<br />:
<br />_
<br />
<br />,:.
<br />~F:.p:~:^;..
<br />..::.~ ~
<br />.
<br />::
<br />: .:.,:.<.~r,::.::.:-.i:
<br />.:.;~: gLq,.~
<br />
<br />:
<br />e0r7a
<br />~;_,~'
<br />,,..:.....
<br />
<br />P!
<br />lC~
<br />'7
<br />~
<br />L
<br />,^A
<br />Iy
<br />:: F F , U P. q :' I
<br />~;RDSi PA 1 REQUIREMENT
<br />~.... .. ..
<br />~~ ~ ~ ~ ~ ~ ~ -~
<br />~~ :. .
<br />:, . :.....:
<br />:
<br />:
<br />~ ~ :.
<br />:•;
<br />...;:.;...:..::,:.::
<br />~
<br />. ;;;.:,,.::.:.:::,:. ... - ~ .
<br />.
<br />. ,
<br />-
<br />JIL AYD :.4EASc: SAMPLE F.i RFRO ~ 94) ';rCAa O;' st ttaaaa ^-t7Rf.d
<br />Y I C;11 A L MEASUREMENT
<br />tlgil l14 1 U U :~ 'PERMIT' R~.r 4ix R.
<br />~
<br />~
<br />~ RP,P09 T.~: F. i=1 ~ 40s1rAl rXXL
<br />~
<br />~ ~~ ~~ ##Op.4C ~~ tcG#tt'R~ ~ a::F Ir R>~G~I yI51iAf
<br />..F.FLUENT ;~R055 YALU REQUIREMENT
<br />~~._:-...__...__ .
<br />.
<br />~
<br />.._..- ~ ~
<br />.. ... :; O- ~
<br />:...w.~:_..._.._. ~.:.~...:-.:_:.;:. W__..::..:T_...:.. :;. ~sdn .
<br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIM WITH THE INFO UW TNAT I HAVE PERSONALLY E%AMINED MD
<br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE
<br />
<br />S - M ~V l1K r MY INDUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />TE /EVE T~ SA
<br />RUE
<br />"A CURATE F
<br />T "rr
<br />rERE ME
<br />A
<br />I
<br />M
<br />ME EDT
<br />~ ^
<br />'
<br />1 ,
<br />W
<br />H
<br />AND
<br />C
<br />O
<br />HA
<br />0.E
<br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING ~
<br />1 ~ ,
<br />THE POSSIBILITY OF FINE MD IMPNSONMFNT
<br />SEE to U
<br />S
<br />C
<br />t 1001 MD ]3 ~
<br />y n y
<br />Y ~ .
<br />.
<br />.
<br />,
<br />U
<br />S
<br />C
<br />f 1 ]t e
<br />F
<br />i
<br />f
<br />t 10
<br />000 IONATURE OF PRINCIPAL EXECUTIVE n ~ Q
<br /> .
<br />.
<br />.
<br />,
<br />. l
<br />YrwIW. W.l,I dMM r6M,r nwY
<br />ncAN,
<br />irm W ro N
<br />TYPED OR PRINTED ..e>muinun hrorba+vnrrrt orbrwwnsmmMaWeFr'.1 OFFICER OR AUTHORIZED AGENT CODE UMBER YEAR MO DAV
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference s!1 sffschmenrs here!
<br />i0 DAT 4VERA;F IS HC391'.ST "DlITHL! ATE. DUR[T~ PP.P,TQD PF,PO?TF.n, OTC. r. ;~."1`;F - "F, r' '.~ .7,•~, rl, ~TSS 5
<br />7pTAL IRp•; L[!IT5 JLLL H': YATYEDr AYD SP.TTLL:A9LE SOLI D5 LI"7LT~ A?PLT-'. ~~;~~< C-1:'Y~'„,"I '.- ~~C'Tn r ,•_
<br />_ _ _ vF4 SFTT.
<br />EPA Fo4m 370- '168.95 91b ou etliuon e e es s 1 CE EPA# R - 0 ICH' A OT BE US D.1 -' I ~ ~ pgGE• • 'OF E '
<br />
|