Laserfiche WebLink
PERMITTEE NAMEIADDRE55 P,sb„ii«wpN~/I.rot..VMA!rrw4 <br />NAME ~; , ; Cn C6+T_. ~').'.'Fti f <br />ADDRESS D ! 4 z :, i, D <br />;.4Y:1~1. CD -lc.3b <br />FAaLm <br />LOGTION,I P. Y i? ::'i ,~ ~. ~ + J <br />A7:'~: rl'Jlt <br />NATIONAL POLIVTANT DI9CNAADF LAMINATION SYIT[M /INPOfSI <br />DISCHARGE MONITORING REPORT (OMR1 <br />PERMIT HUMBER d9CNMOE NUME01 <br />MONITORING:PERIOD <br />YEAR MO DAY ~-,-,°~'YEAR MO DAY <br />FROM OO D:7 Qj. ~'TO UC (, Y S p <br />..I. J_ ~ - <br />[t1..,:i:1..,_ Tu SAi;t. CF"cK f <br />.... '. , I ~ ~ I'. i N G t' 'c i'- <br />~~ NOTE: Itud IrMtruetloEr brrlori eomoNtbq thh Iwm. <br />PARAMETER QUANTITY OR LOADI~O <br />q[ ! ~ ~ <br />Quality or Concentration NO, rREOUdcY SAMPLE <br /> ~ oP <br /> AVERAGE MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM UNRS ~ EX ANI~vs6 TYPE <br />,~;~ SAMPLE <br />MEASUREMENT <br />~ ~ ~ , .;; L, ,,. y:+ / <br />` ~(h <br />r 1 1 <br />7) <br />C1 . ~[ I J <br />~) L.l <br />~ lZ~ <br />~ <br />~ <br />~j_S <br />•'l <br />~~J4UJ 1 J ) <br /> <br /> <br />.. . <br />. <br />. <br />' ~:~PERMIT '... <br />~~ <br /> <br />gEQUIREMENT ~ is ~.:::.::. ,.~~.. <br />_. <br />~ <br />. <br /> <br />t." ., <br /> <br />... <br />~ <br /> <br />:.. <br />~ . - <br /> <br /> <br />_ <br /> <br /> <br />.. <br />~ <br />; , ! <br />. > .. , <br />r <br />F 1.1 <br />1, n , <br />... . <br />.... y <br />ryGCt:~k. <br /> <br />~'. <br />... YK:'.w..rl v. <br />'. .:'~~ :... :'. .'. <br />'.::'~', :; Y".i•i;~'':''~' <br /> <br />~ ~~ _ <br />.51 <br />Yr'r. "".~ <br />' <br />., :iL 1'.. :;, ~~"l"nL <br />~USi':. !. Lt" SAMPLE <br />MEASUREMENT ~ .. ,.^;,y <br />'-~~^nyw,~ U#6##tt <br />~r~ <br />v <br />C[~ ~ <br />u j: <br />~ ~ <br />/l <br />(/ <br />I ~Y~ <br />~`I_ <br />v <br />U ~.,nJu 1 U 1. ~.~.~ PERMIT ~ ~:. :- <br />~ <br />~ .. <br />~ <br />.. .^:.t / - T n ,. <br />`' ~ F L ' ~' " " ;; n C ~ `~ Y r I. ~ . .REQUIREMENT ~ ~ ~ . .: '' . . <br />.. :, i li `.i ~ c T ^ L 6 . i.:. <br />~ SAMPLE <br />MEASUREMENT ~ .: ., <br />~ ut`.•#44# ( ~ ~ I ~ ~ 5~ U ~ <br /> ~ ~ ,;r ~ ~ <br />UL ~4S i J J `.::.PERMIT ~. :~~:.: ra i-' ''._" <br />•... <br /> <br />~.. <br />,..,. ' <br />'."i.": : <br />~ <br />:~ <br />~ ik:h iF F, :%X' u~v{•. <br /> <br /> <br />. <br /> <br />~ .G ~~. - <br />A <br />I. r M1. <br />... LUr:tC I~tiDS,~ V,LU, REQUIREMENT. <br />-: ... ....~,...: ~. ... . <br />. <br />. <br />.. ~ <br />. ...: . <br />. <br />. <br />.:.,. <br />. <br /> <br />,.. <. ,. <br /> <br />, ~ ~... <br /> <br /> <br />_ <br /> <br /> <br />.. <br />I.'Jh, iJ"AL <br />(~ ~ F r; ~ SAMPLE <br />MEASUREMENT .,.'..~:~ .... ..: .. O - ~ (L <br />7 D, l / <br />(') .~ 19~ D ~/3 (] Yvr .. <br />'; ? ..4 S 1 J J ... <br />:: PERMIT ~ ~. ::. :z :,: i;: ~:. «... <br />~ <br />~ <br />~ ........ <br />r. <br />~ ~ <br />~ :. t. <br />• <br />~ • ..{. '. <br />• <br />' <br /> <br />y:. _ <br /> <br />~'[~ ' 'i' <br /> <br />J ~~ a. I~ <br />P<~ 11,:•1" GF;1 Fitt VAfI , .REQUIREMENT <br />... <br />.. : <br />. . <br />.. <br />.: .. ~ <br />~ ~ . <br />~ <br />.. <br />., .. <br />''~... A"; % a li°ASE SAMPLE ,: : ': '. :< ...'e .'t $: >': Y..t `: +Y :i:: Y,t ::'*:~; 1 <br />a <br />~ ~ <br /> MEASUREMENT ~ -- <br />G J ~It l 1 U U :::~~~:PERMIT~:~ ~~ ~ .:~,: -r::. ,, ., t <br />.... <br />~ °:, ~ <br />,;•,: -. <br />~ <br />~ <br />~ <br /> <br />,.. <br />.. - <br /> <br /> <br />, •. <br /> <br /> <br /> <br />~ k';' L:. 1 <br /> <br /> <br /> <br />'' i <br />i <br />' <br />~. ~ <br /> <br />r I. i l •. •. T ;:. ~ I -. 9 v a 1. 1. :REQUIREMENT <br /> <br />~ .. ~ . <br />l~- <br />~k. <br />~~~y..r, <br />_ <br /> <br />'~. ~. <br />~. <br />.: ~ <br /> <br /> <br />, .. <br /> <br /> <br /> <br />>. <br />~ <br /> <br /> <br />. . <br />. <br />. <br />. <br />F:.7Si, 'N CJ"ILUIT Jh SAMPLE • I ( <br />~_']) ..'4#t?fci; <br />~::: <br />...:f":,. o~::oj;::A x <br />I / <br /> <br />r <br />• + ! I ", ~ S T. ~ r,; ti T P L A !, MEASUREMENT ~ <br />I <br />o /~ <br />C J <br />/~ f ~ <br />I <br />I'1 <br />~ <br />5 ~ J'x u 1 ~~ U <br />v ..::PERMIT.. .... ~ <br />}': i:'t~iJ!Si :. <br />Yl: <br />'t~!'~ ., ~ <br />:c.Ydh.#A: :`u:v: 7: i'~ . :' .... <br />' <br />h'u <br />v ~ <br />. <br />~~TA' <br /> <br /> <br />i. F'FLI;r ;.I L: RC155 YALG <br />REQUIREMENT <br />~. .. .. <br /> <br />9~..:'~A.~. t;Y::~ <br /> <br />~:. [; T.r J.~.,, .>, <br /> <br />,,.L <br /> <br />~ :.:: <br /> <br /> <br />. <br /> <br /> <br />. <br />. <br />8G <br /> <br />, <br /> <br /> <br />.,: <br />.. ._. <br />: <br />: . <br />~,iLIC':;, "UI'Ai SAMPLE <br />MEASURE ., ^.t,t ,:;[;j:i: s:~:##yt+: 1)) <br />( ~ <br />t l.i .iaLY c. i.~ MENT Q~~ ) V / ~Y <br /> <br />/L ±'l5 1 U 0 <br />PERMIT ~ <br />..5.ra.kt::g.-* <br />...:z:~ <br />.:... <br /> <br /> <br />. <br />.-..f~5:a <br /> <br />; <br />~'i 1 i~•~ ~ <br />.. > <br />:' <br />~~ <br /> <br />t <br />'~~ <br />t• YG <br />:>~FA <br />c . <br />' I ~ x. il. ,'I' !:'t f1 iS VAi.G REQUIREMENT <br />'. .... .. .. . .~. .. .~ ~ ~' ." ay:, ;. , <br />,:y:.. <br />~ *:y ..G~L <br />.~ <br />~ ~' <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER +°^'ry ° rr prn• Il ° •w U•I Ur d«a,«nt rIM W r:•cl„«nl• wrn <br />pnp.,ra.Mrr m <br />alnt,l <br />t <br />l <br />I <br />\ <br />TELEPHONE <br />DATE <br /> •n«mpm <br />r <br />m <br />l <br />n .a«a.,wr.I:b.q,lrm aeyE,wd <br /> to •aun:E•1 qu•IInM peronM Px•Pr,II V,Ea rM enN•Ir Ibr Inlarm•Ibn \ <br /> <br />w,b,rinN. Eaetl on ml llpulry Nnn pn"n«perm wb•m•n•Ee u».lrlem, I <br /> a.:EO«R,nm dlnclll lnp•,WbN f«E•Ibe,ln~:r,e lnf :IOn, rAe lnro,m•Ilon <br />mb,NIIN 4 b:Er Eel <br />I <br />k ] <br />C <br /> o <br />ml <br />n•wYd~e rM beIIH, :rve, •nwnv, •,tl nmplele. <br />r•m•.•nm <br />+:E <br />a <br />mn <br />/ <br />~~ <br />~' <br /> • <br />en•« <br />i <br />ra"I penrlnn r•rnbmlltlnE nM lnfonenon. {IDNATURE OF PRINCVAL <br />E7(ECUTIVE <br />TYPED OR PRWTID InAudInE:A•prelbmvorn«.,m lmprlanmrm r«M1,,..InE •~a•u.a OFFICER Oq AUfNOyI'[ED ADENi A A NUMBER YEAR MO DAY <br />COMMFNT9 •Nrl FYDI •YATION OL •NV VIM •Tlnue m_._-_ _.___._ CODE <br />"i ~~ .. lN;)N L1.°.1 f.; :ILL :, .. ,: .al"v t. E, ; 'pL~:AoL=' COL.: L_ LI'';T :1 ppLI t:D F!'~ <=1i;Yn,.'•. ~i': FRL'CIP °V~AT; I':3 <br />:::JN L1."~ii:i +AIY:.L F'ilh ?1:lY'•:,lurih. FF?:CIP EYENT SU:'J-:C^, 'PO bUkUEF 6F' Pii00F I.'+ i..'..1. OIL G GiiEAS - ', r. :. <br />EPA•Fonn13320-7 (Rev'3/99) PreGiod's'edilioris may tidu`sed:' ~ This ~s a 4- rt form PAGE t>F <br />