Laserfiche WebLink
ADFaESS k+y,l.. ~ tt~Ill:if G.I-L.L D11 S1~ lh laL r71LL4Ii4L~LL- - <br />---O.HE_E.AST~lII.Y_9uxE%~T3tF'FT ---- <br />-1AlLESYII,LE-- -_-_~Il 5.35.9L_ <br />FACaITY -- '-------'---=--- <br />LOCATION___~ "-~_____ '~ _ <br />A'fT'H: DAVID~O. HACDOUGALL. ESQ. ~ <br />_ PERMIT NUMBER DISCHARGE NUMBED <br />~' ', ~. 'rF I MONITORING PERIOD <br />= YEAR•I MO -DAY ' YEAR MO DAY <br />~; FROM - , ~ 70 <br />} ~ ~~ _ <br />'- ~ R 1147!1: 111=731 II11-111 ••~~ ~~~ '/1617/ /78.191 /363/1 <br />P1'I iS US(:Hllt; 70 GnA~S,Y. fiEEH <br />L I l~ q 1991 <br />,, - ' ~ Mined <br />~: ~ ~~. , r R Land <br />hIHDE tease ~H ii).? .~9~~$~Ation I11 <br />NOTE: Read Instructions belore completing this 1'orNil.Sl017 <br />_~ <br />Y ~ (3 CaMOnIyJ QUANTITY OR LOADING <br />' "r t% <br />1613 <br />~ r <br />lfil p :~ c <br />I <br />~ ,l~CardOnlyl - pUALITY OR CONCENTRATION ' ' ' <br />1 ll • <br />1613 <br />JI <br />~ <br />6 <br />~ <br />, <br />. <br />F <br />REO <br />U~NCY <br />S <br />I <br />E <br />PARAMETER / <br />(J <br />( <br />/ _ <br />~ .. <br />- <br />/38aJ1 <br />( <br />/ 1 <br />1/ EX <br />. ' <br />O TY <br />PE <br />(37171 AVERAGE', ,~ '• MAXIMUM? - <br />-o .~ }~ UNITS: ~ MINIMUM AVERAGE MAXIMUM UNITS <br />~. t <br />16168 •ANALYSIS <br />_ /64681 • <br />16P-70) <br /> <br />PH •. <br />.~. SAMPLE '' <br />,######~ <br />'- ~#####'+/' <br />,y ~y <br />~ S :~ <br />_ ##~### <br />~ I t <br />t I . <br />' I <br />'i <br />I MEASUREMENT ~ ~~ p .~ ;v ~ 1 ~ -~,4 ,-, i, 7,71 0, `-3 <br />/ <br />9 <br />0 Grab <br />G D 4 D D 1 D <br />- D ~ PERMIT <br />~ #####?R <br />'-. ."~,,,#~##~~ <br />` <br />- #~# .vj -6. S:. .:~.. ::t.# ~'' <br />' <br />~ 79 • D - ~ ~ - 3' .~.. ^ <br />{, <br />, <br />~Vrl / - <br />. <br />' ~B <br />- EOUIREMENT.- @ 'w y{ <br />` ' <br />,LY ####~ ~. .< . <br />r„-. -,F.}' t _~ U . <br />SGLIDS, SETTLEABLE ~ SAMPLE ######- ;~'~#~####~ <br />~ " <br />' <br />~ . ~ w i a ~3~~##;: <br />"~ ~ ###### ,. I ~ ~~ ," ~ ;. <br />~ - "' ' <br />' <br /> MEASUREMENT , •(~ L <br />r (/~ ~, _ .- -,2 ` a 0=. 3/90• Grab <br /> <br />OOSRS I O "O ~~ , <br />#~####ll ~~$ ### j~~?R~##>~# - ,31 #+"MM#~#~' ,r, <br />.y .r5; I ~C ~+ i YC$/a.~ HAB <br /> REOUTAEMENT <br />GIL AHD GSEASE - •: SAMPLE #####~xl ~ .71k####~t _' •. •###### ###### ,, - <br />FEEOH EXTft- <br />GEAY••dET MEASUREMENT ~ ~' -" p ~ t: .- _ - None _ <br />~0 ''3/90'•' Grab <br />, <br />00556 1 .ti 0 "0 ' ' PERMIT <br />~ #~###4# i W#-10#LL?r'i ### ~ ~###,#3•. ~' ~,?~#~~## -10'"' k OHTIY EAB <br />- [ REQUIREMENT ~ ,r ~ . =~ wT p ~ -; ~+ -i -; t+ i <br />IfiON ~~ '•' 4'~ SAMPLE ######: .`. #### <br />#. ~ :" P ~#~###'-} - ###### f3 I ~ <br />. <br />a -- <br /> <br />TCTAL FECCYEBABLE MEASUREMENT - ~ <br />- ' ` <br />~ ~ ~ <br />'~ <br />~ <br />' ,Q' L: <br />~ :z ' ,~ u <br />~ 1 ~-N/A _ _0~. ~~~ 3/90 - Grab <br /> <br />00980 1 0' `'0 i ; <br />• <br />-. PERMIT' ~i <br />~ <br />~#~#### _ <br />## - <br />;* <br />' <br />#~# ~ _ <br />~- •>0~~'~kyp#„ <br />~#~~D,~.~# r <br />~ <br />ORTIOd1~L'~ <br />~' "- <br />Q11TI~ <br />$AB <br />ti REOUIREMENT ~ >- -' ~? ~. r '" ####~ :~ ~ y"e k . -.~++ , ra, " Y". } _ ~ I <br />ELOif, IH .CONDUIT OR- ~~ SAMPLE ~ .-######' "'1 ~: 5 -~ at d ~ _, ;~#####, .' ###### ~:###~## <br />, ' <br />YHRL TREATMENT IPLAN MEASUREMENT ' _ ., -NOGe ~ ~ ~ - ~ -° ~ ' 0 3/90. Grab <br />• ~ ~ <br />SOOSO 1 O <br />O ~( PERMtf _ :#####~x '~ 80Bx. ~' ~' ##t#~#' <br />-~~ >#p?0$## <br />' i :,~#### ### "; E NC$/,~ iSTAN <br /> REQUIREMENT ^ J q ~t•. g <br />;j ~ ~> <br />y! ~,~~ t <br />~ - <br /> - # ## r^ <br />SOLIDS, TOTAL SAMPLE <br />' ? ###,#M#. ii ####~#~ ~, 9 - .;?F##### `~ ~##### ~ -= :, <br />DI$Sp LYED' '' ~ MEASUREMENT j' C' ~ - ~ .' 6' ~' ~~ ~ -+ ~• •. n, L 2216 , ~ b= ~•3 90~~ Grab <br /> <br />70295 1 -'O ,..0 - •. PERMI~ <br />~R <br />~ <br />r <br />~#-IP#Q## v <br />~'~h~?~7Q~ c ~ <br />#tS# a rt <br />;,k~'~#?'~#'a <br />#IC>~IL! <br />-+ REPO Y : <br />-~ <br />s <br />>~bY~' <br />8AB <br /> EOUIREME <br />NT <br /> <br />OIL AHD G&EASE ~ `_ <br />' SAMPLE ~ '; ,'##~#::# o •+' ~ ' ti ;~ <br />' ~. ~~ ' 1######3' <br />/ 'a ###### ###### <br />- ` <br />- <br />~ <br />YISU6L ~ MEASUREMENT. ~ ~ <br />- "NOne • , <br />- b U t <br />1 ~ - " a ~ ~ 0 '3/90 Grab <br />b4066; 1 ~: 0 ~ 0 T ' .~ PERMTG <br />~ ,# # -#~r •" <br />~ O,;f:r x '=` E5'=1'; '° '~'~#~# ~ a]]# ###'•~-- <br />' <br />~ <br />: ~ . #### #:, <br />~ ### :• ~ '.+j ti~/: ISOAL <br /> ftE0U1REYENT <br />i -. <br />' YI ~ ` _ r i I`; k l f t <br />. <br />'. ~a <br />:A ' _ a. <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER'f =1 CERTI <br />AND AM FY UNDER PENALTY'OF LAW THAT I HAVET <br />FAMILIAR WITH <br />THE INFORMATION <br />SUBMITT ERSpNALLY E <br />ED HEREIN' A IUMINED <br />ND BASED ~ u <br />~ <br />' <br />~ TELEPHONE OAT E <br />e '' <br />- - <br />_ <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY rRESPdNSIBLE FOR . <br />~ b• <br />F <br />~ <br />,7~ _ C <br />Rabtick i+ - ~ <br />Karla N OBTAINING THE INFORMATION. I-BELIEVE THE SUBMITTED INFORMATI y <br />` <br />~N""C./_~ <br />C ~ <br />I <br />. <br />~~ •- _ <br />` <br />Vice President ~ IS TRUE, ACCUPATE AND COMPLETE=1 AM AWARE THAT iHEBE:ARE S ~ <br />; NIFICANT PENALTIES FOR SUBMITTING ~FALSE;'INFORNATION~ INCLUDING <br />' -~ <br />_ <br /> <br />608 754-2291 <br /> <br />" <br />91 <br /> <br />10 <br /> <br />31 <br /> THE POSSIBILITY OF FINE AND IMPRI60NMENT:•SEE 18U.S.C <br />~1 4taot AND <br />C <br />tJtB <br />Lt U <br />S <br />S- <br />`- vl NATUREOF PRINCIPAL EXECUTIVE . <br />TYPED OR PRINTED . t <br />. <br />. <br />. lPenalrta unerr rA <br />svrura men!drrwe.:n.u <br />.P`m tlp.am, <br />onemmaaimum lmpr4onmrnr o/6erwarwemonrN and Jynn./ FFICER OR AUTHORIZED AGENT .NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS /R~(trtnrt al/al/arhmtnv henJ '- ~ ' <br />OIL E`GEEASE: SEE FOOTNOTE F/, PAGE 3 IN.TtlE PEBLIT.' FOEtlEIILY DISCHASGED UItDEH ti0-0035653. <br />EPA Form 332O-I(RBV.1t-eaJ P/BYIOV3 BAIlIO/iS TBy DB U9Bd. (REPLACES EPA FORM T-W WHICH MAY NOT BE USED.I pAOE OF <br />001;27/9]0123-1657 1 <br />