Laserfiche WebLink
PERMITTEE NAME/ADDRESS pwdr47arWyxwW(ennaw IjD(Sirvn) <br />NAME <br />~r-. ^.U'i rUl_LS CUALf lf,U. <br />ADDRESS ~ ~ ~ I „F i :_ L :1 . ~ (,r' <br />L;.ACni:Ul. LL ~ULL'J-:%Ydy <br />FACILITY C.\LltUt I-ULLJ t.:i~tLr L:.L. <br />LOCATIONT LUr(C N(:L GJ UUa.LO <br />.:Tis :~~•,~ l I_ CI'. .;'F. lP-I:N.reTl. :a• <br />NATIONAL POLLUTMT Ot3CNMOE EIIMINATON SYSTM /INPDESI Form Approved. <br />DISCHARGE MONITORING REPORT IDMRI pMB No. }}040:00041 <br />1-l6 17-191 r',~IYU ~.-'~V N~.fr 1. r'T r,.L :'I1 .v.: 1 <br />-'s 'd` !;, '~L,L ~'. u:.. APprovgle py4s O~-31-88 <br />PERMIT NUMBER D19CMMGE NUMBER ~ 1 <br />(- - r 111 :.L <br />MONITORING PERIOD ' ~' L ~""" <br />YEAR MO DAY YEAR MO DAV <br />FROM j J4 vL TD Y9 '~cr 1Q t'kti' Gv ~LSLr1A,ot 'S'#•' <br />116111 117-731 111-I51 11E-771 I79-29/ !34911 NOTE: Reed Inetructlme before completlnp thb form. <br />PARAMETER !3 Grd only! QUANTITY OR LOADING !1 Grd Ontyl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br /> <br />131-371 la653 151-611 138-161 !16-63 16461 <br />EX of <br />MALr315 <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (rSS91 r6q-661 I69-701 <br />%h SAMPLE <br />SUREM i 044bi• t~4t~M •f C~ <br />~ 'k #.r t. ti.µ <br />- iC <br />' <br />ICe~ <br /> MEA <br />ENT / <br />~ L <br />R. I Q1~ <br /> <br />G4Ul/ l l' Q ..PERMIT:..: ,:. <br />... <br />$rY##aDli <br />'!~~J It'pl## ~. <br />#Y <br />111#1«#Ir[Q. :. .. . ~ .. <br />_FF LUtiil „<.Lj'~ VALU~ R..EQUIREMENT: <br />~~~~ ~: .. ~~ ._ .. ~, ~~ {. ~,y ~~. ..( ~.~ <br />. ~ ~~ ~. .i~t:37^.~~ :1 <br />.. ... <br />. <br />ULLUOI lUI AL SAMPLE Y4#YMF 9yd YY#if ~{~~~'«$ Lr/ ~ <br />L ,1.-:.:V`V MEASUREMENT ~ ~ 7 ~ <br />l- <br />M,Miyl , 1 <br />< rn , <br />/L'~JV 1 t. G ~;~:PERMIT; :,: -:.'Ylif#41*~:.::'.-, <br />~ ..8434Y+~w .~yi. g.. ~ +F.dC(s#*~fk~~~~ frj ~ ~ 7U ~ ~ ~~~, <br />~ <br />~ :~ ~AT~~ <br /> REQUIREMENT ~ ~ ~~ ~~ ' <br />. . <br />. <br />.. <br />SLL.LuIf ~:.TTLCAyLC SAMPLE vt#M44 {•M1Y tl'#N ar i•k~F4+f r <br />~"~ ' `~ <br />r ~ ~ ~~ ~~ <br /> MEASUREMENT ~`" ~ <br />J(,i•.7 1 L C .:J:..'PERMIT: ~~: :. $#I#N~~4~~:.: _: .~..:'!#'!I w'i*~ 4F #f: ~~~~i'a.#+~*!~~~.. ...FT ~.L~~. ~. <br />netzt:M7 ~ ~1 <br />:~:~~i !'c~#I~~: . <br /> <br />:FF tUtr. T GROSS VA UE EOl11REMENj.. <br />:$. ' <br /> <br />...... <br /> <br />$K`rA . <br /> <br />, . . . <br />' ' <br />k~l., TuTAL sAMPLE fAIY##,ka v####a ~t•#1(.•klA L•) ! <br />A J r t ~ MEASUREMENT - ~. ~' ~ Z 1 ~ / _+t}( ~ `L-G ~~ <br /> <br />/ iU `.7 1 L 0 <br />;-,:::RE;MIT-' .;:. <br />~ ~ .#'6.~d~+Y~R:#~~~' ~: <br />~: .:~+k~v1#Nrr4 rl!- <br />#~ <br />~:~ lk'ii.~>r Yf.~ ~ - <br />.! <br />~ e~tJ ~ <br />~ <br />C>~::;~::: <br />~ <br />.t4~~71~T5 ~. <br /> <br />_FFL.utr,T ~kLISS vALJE REQUIREM.EM7~. <br />-.: .:....~_;,..,..-.... ~ . ~ :. .. ... .. .... <br />,:.. <br /> <br />. <br />~~~k , .. . <br />_ <br /> <br />., A -. , <br />,1L ANA ,, :<LA SL SAMPLE b$#~p •A tr v,r ~kk <br />#tt #{r#4+k{• +v +ndir ti'{` I I <br /> MEASUREMENT rl /rte <br />)' ~..G L l: G '..'.'::: FERNIIT::'..~:: , ~:!p##?Ral!4, ~ .. ~:~.4#1~#ILt~ilt ~ 4t• ~:~~ #91 A:?9MP+il ~ <br />~ ~ ~tf~~k W.~N ~ <br />~ ICJ ..r:.. ~ ~ ~ • ~~~:P1~~"11.~ ~~M:Ti~~~ . <br /> <br />Cf rLL,tNf ~ri'JS:r VAL'UL REQUIREM .N.T~ <br /> <br />,..., . <br />..:.. <br />~ ~ . ~ . ~ ~~ <br />~ .. ..: ~ .. <br />~ ~ <br />~- -~ ~~ .; <br />~ ~ ~.>... ~~ <br />^.`~~;.T..' ..: <br />:::.::.:... .:. <br />L~.,F i,\ Lt;NuUIT L•r SAMPLE <br />MEASUREMENT <br />~ 03 -h####4 <br />~ 4%~hir {r ,;. ¢.}pr. ,,,. <br />L <br />[~~ <br />l <br />I <br />~ <br />~~t <br />I~~.~ T:~tAlr•,tr:T YLAIrT ~ Uc{ ~~ c. <br />- <br />- <br />h % <br />/nS <br />l.u... i v U ::.:.:~:PEAMIT..::: :?.' . ":R~:~~Ci.k3 ~~.. <br />~ ~ :: .:it~~PLa~'T. '. ~:.;y AlnR.+YYf ~. <br />~.. ..~ t.'b {r R.t4:.: <br />~ .. .M?lti#~~ti.~ i ., t. ..~ _ ~ I~~.L 1'.~~~~:~ i51Jt TA~rr <br /> <br />_rrLt,Llri un,i~S VALUL REOllIliEMENT~. <br />....;:: .:.;:L K. . <br />:~Ui1~::AYv .: . <br />':f3AI 'Y }!i~ <br />Gu .:: ~:: .. ... <br />.:;:;:.., .. .... <br />;•e•::~ <br />' <br />... <br />' <br />~~ <br />~iL AIVV ~Rta;,L SAMPLE 4i##A~~I yy ~}.}##+A4 #?~>}4 V{~ ,. :. t. ., .;. :. - <br />t ~„AL . <br />MEASUREMENT U ~ - !1{-~.1 ~:I~ r.(r. <br />~ti~oc, 1 u 0 ::.'?ERr~itr,:--. : _~i!~~I~~r ~. :: A~W~tf<T.''Y ~.; 1 ~lF##QI~A . '.'::#;QI+C~'R.~r1Y .. :' .~~'F.SrMMIF":'fl' ~ 4Y <br />•~L. iv.~ <br />rrLUtNI uxU55 trALU- f8E4UIREJdENS:; .;~. ~-~- :::~~•!'tS~~ <br />--tlA <br />Il <br />' <br />> U U - <br />- <br />. '? <br />. <br />'. ... MIFY4 <br />. <br />_ . ...., gyn..... :. ..:::. .......:. e:........ . <br />: <br />. <br />. .. <br />. <br />. <br />! <br />~~ <br />~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERn FV uxoeR PENALTY OF uW THAT I HAYE PERSONALLY ExAMINED MD <br />I TELEPHONE DATE <br /> AM <br />FA MILIM H. THE INFO RMATION SUBMITTED HEREIN; MD BASED ON + <br />) , <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR 1 <br />~ J , <br />K IG ~fd-~ /L/I IJUTs,jo-~ <br />- OBTNNINO THE INFORMATION, I BELIEVE THE SUBMIT7 c0 INFORMATION IS I , <br />'- <br />! TRUE. ACCUMTE MO COMPLETE. I AM AWME THAT THERE ME <br />SIDNIFIQMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~t r ~µ{r '>Q 1 _ ~r; <br />/ <br />~ <br />~ , <br />1 9001 <br />TY <br />FINE AND IMPR <br />SEE 10 U <br />S <br />C <br />T <br />S <br />F <br />O <br />ENT <br />D 33 _ 7 <br />/ ~ <br />~ <br />~ ~ / <br />~~ <br />t <br />~~ <br />I/ I [ ~~, <br />~ ~ / - -. ( . <br />. <br />. <br />HE POS <br />IBILI <br />. <br />IS <br />NM <br />. <br />M <br />O SIGNATURE OF PRINgPAL EXE(alI1VE - - ~ `~ <br />TYPED OR PRINTED U.S.C. E 1710. /nwWeY. ulMr rMw Nnrn, rnrY icAd~ rw. w ro f 10,ODD <br />x <br />M <br />rae <br />r <br />r <br />n <br />ss <br />d <br />l oFFlCER OR AUTHORIZED AGENT C <br />DE NUf <br />IBER Y D <br /> .,I <br />...~ <br />. <br />r..n <br />rlb <br />.., <br />d,e.. <br />M~Ylun <br />F..r. O . EAR MO AV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRelaence sl/ ercscnmenrs DeYe/ <br />T5~ s. 1L,iAl lRGiv LIMITS HILL t~ bAlYLur Ahu ST.TTLtAcLL o;iLl.;~ LIMIT AIPLILU i-ai. 1tiYkF~tiri!<. F'.c•.;Lr' Lv=.i- <br />:,L~ nL,rtu~n Gr i'rZI,L,F nkUU1r:~FttNTS UNOLK I.A.3r P. O. uIL ! „h~A]c - ]tL I.d.l.c,. ~G .,aY Ay~YnNC 1, <br />r c r r <br />EP Form 3320- IQ -9 Preeoue a itloM 1OeY bf Ue _ E 'CES EPA'FO -4 ICM MAY NOT BE USED.) PAGE OF <br />