|
PERMfITEE NAMEJADDRESS p,rl,i FrNryNr~l~m.,yDllfG.wp
<br />NAME _"ILL' i.iUJ Ykp1PA CtiAL _^x!129' Y
<br />ADORE559I V=:= L, 15~ SQUTd, ;, ECK"'A~ PK
<br />l~Sl.`. RCR C2/
<br />OAK C1F.F~ ,..^. 80461
<br />FAaLm
<br />LocA71oNJA< Ca,'F:K ~'~ WU467
<br />. f:V: !!I~;10.HL LJULOr. ;~9 !"LNF: Nt~k_
<br />NATIONAL VOLLVTANT DISCHARGE EIIMINATIOM SYSTEM /INPDE$)
<br />DISCHARGE MONITORING REPORT (DMRI , / I .
<br />r ,
<br />T u (:.... _ .7r1
<br />PERMIT NUMBER dSCMMOENUMSEII.' c _ ~.n~ ROUTT
<br />r1 INGPERIOD wi~~' I . ~ I"U E Ti) FOI05L i RFE!(
<br />YEAR MO. ~ ~ YEAR MO DAY
<br />FROM U U TO O1 3I ~thr,: 'i) OI SC{~A&GF ~_~ "{~'!
<br />NOSE: Rnd klAtrif ar bdon eompl~tMp 1M~ 1orm.
<br />PARAMETER OUANTfiY OR LOADING
<br />Quality or Concentration NO. FREGUENr:Y SAMPLE
<br /> Op
<br /> EX ANAiYys TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br /> SAMPLE ;: -''~t~-~.
<br />~
<br />N ,.rpG+. ;: ,
<br />/ ( 12) dj y/3~ ~'~~r
<br /> MEASUREMENT ;~ ~ Y
<br />•p.+Ilu L '1 'J ::~ PERMIT::': i, ": .: ".fi'r"^<C>ti~T ~,~{..~aF:."..". .4 ,:~, •. .r.. ... .. ~
<br />w z:>`ekik#
<br />`` ..: ~~~ :~~$$ !',Str!1
<br />°FLI?"Yf ,1055 V. II" REQUIREMENT
<br />:.....,.... :. - ,..k,i: t?'i..
<br />ry p" ~
<br />j..T!kl:..:
<br />
<br />,:
<br />`.; ,& ;
<br />i)LL!15, TJPAL SAMPLE
<br />MEASUREMENT :- - .. ~ .~
<br />N ~
<br />r
<br />A ( 'I.1)
<br />I~
<br />N
<br />l~/lQ
<br />. ,~ ~ °, ,; J ~ 1, y ~ ~ -
<br />;~i•! J J J ~~~~-.PERMIT. ~: ~ ~: r.:^;~i :: .. ,. ... ..
<br />.,... .. .
<br />.:. .-~~ i~ '#.: {'T~:..
<br />(. G ~ ~#1CF/ "'P
<br />~; ., f. t. CO!I fS E'.`E t5 E3"(.^: :REQUIREMENT '.;..~.. ~ ~..~ .._ ~ t;.... ".~:4 iP:'! ~~A. "Y"~ :
<br />""~B.AT:~~:2'~.:-!4CE' "!G/L ~ ~ !?~C}VT~P
<br />';LL'JS, r'.~rAr. SAMPLE
<br />MENT
<br />ME ". mtp•a hr; r: •: •. •. ~ C 5 ~
<br />S ~( I9) '/
<br />3~ rub
<br />~" I , P c ~ ~ ~, ,, ASURE .
<br />
<br />
<br />~.)SJ'i L J J
<br />:?:: ."PERMIT:~~:;".
<br />:..:::.PR:k#xt+~, :. ...~ ,.
<br />:~. ......,r r-.az x
<br />r ,~
<br />.~: ~;:z r: ~;:
<br />''
<br />"'~~""~""~"
<br />?
<br />- ~: ,..~
<br />i F-F'C.L'. 4 .,rt~SS ~0.LUF ~REQUIf(EMENT.
<br />~:.:,: ~ ::. .:..:.:...... :.:..: .. ':. ....
<br />:..: ~ ..".~ ~:::: ~.
<br />~.
<br />
<br />...
<br />. .
<br />:'.:3:}T)k 'A:Ys.;
<br />.: ~;
<br />"I~ L . .
<br />:..(k:14'°N
<br />'LL^±, SETTLEA'~L° SAMPLE
<br />M s:Y~xz-- :.7.,> - ... ._. - .
<br />/
<br />Q
<br />( l5)
<br />N
<br /> MEASURE
<br />ENT V / ~R fVf~ ~
<br />J~!'. :) J U :%'.';'. ~.PERMIT:~<:~~: :":.C'#~q ~"Rt. ~ :...::M ^,.:Y h„6:.. ~. -.; .. .: ~;ai.'.•:f':t K'
<br />~
<br />~ •:-,.., a; >i.;h ::.' ;~.
<br />:=;:'~:
<br />"~ ~~ :~:~~:-~:
<br />;
<br />F.J~
<br />~.) ,FI: F N
<br />t: t: * REOl11REMENT
<br />:.:.........::....... :.-.~~ • "~ •
<br />..... ._.. ...
<br />:... .
<br />..
<br />.
<br />r: ': . .
<br />:
<br />::;i3:~..JGr `.:;tM1`9':. ML/ ~. ~"H
<br />'Lr: ,, :I:.rrLeA4Lq SAMPLE
<br />MEASUREMENT aaxr. :rF4;.'+ ... -...
<br />~ ~
<br />t ( 25)
<br />~ ~ )
<br />C
<br /> , 3 1
<br />t)
<br />
<br />' ~U`: i U U
<br />::'"s:d;iPER!:11T'.~'.~
<br />~::~:.:~S.g:i~4.~~tr~~`.
<br />:.: ,:;;ngc..:a.¢g.p~..
<br />r..;: r.: .....y.....
<br />:.: .,,,. ~:;t #:~X. ~
<br />.~r;e!c~~!%~r~~~~
<br />"~~~~'~~~:R"'':P:Ci:R~.'S`:~~~:
<br />
<br />~
<br />C.~f~:~~.
<br />..P.A'• .
<br />
<br />L~ :;^iI Y L' ~REtiUIREMEN7~
<br />:::::....::.....::.:". :=: ~ :.:~.." :.. ..
<br />...::" ...:.., .:._::..7
<br />'
<br />-;.h~
<br />-
<br />;:".D91.I:"C..Y.`:.tX
<br />iSL1L
<br />":
<br />: ~i12N ..
<br />I >'~, i./°4L SAMPLE
<br />MEASUREMENT >`^,..z~n:c ar:RRat
<br />// /a
<br />/U ( IQl
<br />N
<br />/V
<br />(4 ~ F s.) fj Na q I}
<br />:i1'i0.!, 7 7 O :':':;:,:PERMIT:{:~:~::
<br />.: ...... .~.:(aSaR:x~z:::.:'. .::.::':.'-0tti~;xt%;C::k:J~: ,~,r,;.~ ~ u,:f;T..;~:
<br />.. z ~ ~
<br />::: REP~Q"R'L'~ a....
<br />~ G~'.nD.;1.r:..
<br />~
<br />'.Z
<br />~:li"CH/~ '
<br />.RAF
<br />
<br />::J?"'IC::^5 8F oN ~REQUIREMENT.
<br />'
<br />.~~.: .~ .~ ~"~:. ':::. ~~ ~ . .
<br />,.::._....:;
<br />....;::~ -
<br />70.i?A".A'V"~; ..
<br />"DAa'.Li"'":+tX
<br />"'/:.
<br />_,
<br />.:~
<br />~:~1`q"ATN
<br />.
<br />:)v, `JT6L SAMPLE ,...^FS:t ~,,:°cac - :'; rl- ( l..r, f/
<br />(4 ~ ~ r; ! MEASUREMENT Q .250 ~, Z~C7 /~/ ~ ~ Gslj
<br />.'l U':" ! J p '~?.;PERMIT.::~~ ~~:::CZ?a~n3R.".~~ "?,<,.~IR.G #a~xu: . >r:: r: ~•: [x Lr~..:. ;::, 3~:.:5
<br />"" ::::
<br />... . ....
<br />~;:~Sf `
<br />: :
<br />: ~~C~
<br />~f ~5'Aa
<br />.
<br />r'FI.Jt";t ;rid" :REQUIREMENT: '~.~: .~
<br />...:.
<br />~
<br />~ .....:... ....
<br />..•. ~
<br />~.::..:.,
<br />" .~;r::~" .
<br />9R.r.:A AY.G" ,
<br />.
<br />~?'"9"1t:IsI;$..x.X. :^;1i. .
<br />": .
<br />.
<br />!!hi'al'a+"
<br />NAME/f1TLE PRINCIPAL EXECUTNE OFFICER ° rw rn.r M
<br />"`""1""
<br />"0'""l b °°"'"""'
<br />'"°'"""`""""°.rn TELEPHONE DATE
<br /> pnp.ratl"wa.rmlmr.rn°"°rmp nl~onu.ROra.nn.lm..pr.nad
<br />rud "~~
<br /> ,
<br />1" mun rMl qurlMed pronto P~°F•rll prba °M mtlutle IM Inf°ro.rbn
<br />b
<br />ll
<br />d
<br />S
<br />d ~
<br />~
<br />/
<br /> u
<br />m
<br />le
<br />.
<br />s
<br />on ml lnqulr/MMe prro"wpron.A°mrn.,e lM rnrrm, /
<br />i
<br /> ", rbw Rrom OlSertlS mp°Mbk ra prludn{ Me IM°munen, IM IM°mup°n ~
<br />`/ ' jam'
<br />~~-~
<br /> ab,rilletl4 r"Me Mfr°fmlk,wwlSE,°rnE bellrr,rnh lnvnle,.M nmplrlr.
<br />Lm.w.n M.r Men rn tl,nlnunr prndnu Mr wbmlmn
<br />Nb. rm°rnuunn EIONATURE OF -RIMCMA EXECUTNE ~/ (~ ~
<br />R PRINTED ,
<br />,
<br />I„SIWI
<br />rM
<br />rblll
<br />rn
<br />r
<br />TYPED O ",
<br />pm
<br />„e .M
<br />lT°
<br />mpm°wmrnr r°r trmwlw, .laru°~x OFFICER OR ALRNORI2ED AGENT CODE NUMDER YEAR MO DAY
<br />I.VMM[n I a nnu cnrlJ,nn nvn yr r... •,vcn uvna Irtal~rancl M arrlcnnlm(a nara/
<br />. i:i::ri41'`.' LI.".I I'i `G" '.'a ~., Ir.;v ~ 5`:TTLY!. '~L" ':UL In {;."' rJrl iP!1L~{ '1': L'( r' ~- 1)-°n, 21t-HP, PRf'CIP -'7 `.y"
<br />I~ CLAI11"U. SF'E L..4.4, P: 8, Fod_E31 IOfiV ".c PH~')F ~)'JI ~F~F,.'" [L .,- '43?-T'?';; PODTAUTE F/, ?G 2.
<br />EPA Farm 3320-T ()may 3/99) Previous editions may be used. ^ R 215 / 0 LEi~53~~ ~~ ~i~~ PAGE i F
<br />
|