- ------ --- Form AppraeA
<br />FERWTTFE NAME/wDDRESSpd.blYd'ryN~/lwrwlr.UDIRrYY/ Nwn°Nµ P°tLUTA1fT dwIAA°E RwINAna+*yEt2M ((NPOES!
<br />DISCHARGE MONITORING REDORT (OA1R/ CMB N°. 2060-0004
<br />NAME
<br />ADDRESS ~' . :, .1 ..:
<br />r :. :i . )
<br />, y V X 1 . ! PERMR NUMBER ascN.A°t NtwuE!, _ } I :: A i. 17U
<br />, i ~ _ _ . ~ _. MONITORING PERIOD .., 1 > - .. ^~ ''>~•r ` :~ ;;i:L~h
<br />fltcnm AR MO OAY YEAR MO DAY _ _
<br />IOGTtpi -
<br />a "i r, i o
<br />FROM ~ _ TO _ .
<br />,
<br />:..17 !1~T 1. D r T is L.C _ C w r 4/': ~. 1~ ~.. - NOTE : Read 6fNructloiw brrlua cu!!pMtk10 thM ipm.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION HO,
<br />EX cnE°uacr
<br />° SAMPLE
<br />TYPE
<br /> µ,,
<br />iy~
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS
<br /> SAMPLE
<br />MEASUREMENT
<br />. .. _ _ PERMR
<br />REQUIREMENT .. .i ot+c~rt ~ ~'i .+:..:a. ;, 7.5 °!'6LY .5 i::
<br />.I ~ r - ~,, .,
<br />
<br />. ~. r ,~. I ~ _ ~ ... SAMPLE
<br />MEASUREMENT
<br />)
<br />, i ~ • PERMIT c vz. `Jcgee :y r.^4~1q vi i-~l.i ~.5
<br />- I:: ~.~ `:r
<br />. ~ ., .= i J r ~ REQUIREMENT _ _ - a
<br />. ~ ,, .. r.A:• .. SAMPLE -- - -. i
<br /> MEASUREMENT I
<br />i C PERMIT ~•:l OS cfyCL ra: h• Lat tt[
<br />A~ J f~ ..; 1~ ~G i+j jN -.^. %. ;•
<br />KU'~ ~ Y r' " :,
<br />1 REQUIREMENT % ~ ~
<br />1 ( _ _l.~- _ _
<br />
<br />IS yUV JYjI J: SAMPLE
<br />t~,
<br />~-.
<br />,
<br />,
<br />, 4,A19~+,1 ~., MEASUREMENT ~i
<br />I
<br />;
<br />.
<br />. ~ 1 G r~ PERMIT ::i ('-.7~•I -: i`.: ~,~[ Ct 6c •4> as4Aab ... ,: L-. ti_:.
<br />,,`,,
<br />~- .~
<br />a '.n .. _ . ~ _ REQUIREMENT
<br />
<br />_ r , ~ Y,
<br />~ -
<br />
<br />_
<br />
<br />'
<br />_, , l U : ~... SAMPLE
<br />NT
<br />AS
<br />R
<br />M _. _
<br />Y V v,J ME
<br />U
<br />E
<br />E --
<br />1 _ _ PERMIT
<br />T .a^rt -b'. ~'s ..., di. :. .. .. .. _ :.LY
<br />,~ r
<br />r' ,
<br />• REQUIREMEN r ,
<br />
<br />-
<br />..
<br />
<br />-__-
<br />.. a
<br />;.qG nJ' SAMPLE
<br />ASUR
<br />NT
<br />M _, ..
<br /> ME
<br />E
<br />E __
<br />
<br />Il ~
<br />PERMIT
<br />cic•
<br />-_a:
<br />46YVv.
<br />pc:a Jtr
<br />':a..°o
<br />r v4 I
<br />_ REQUIREMENT .. T
<br /> SAMPLE
<br /> MEASUREMENT
<br />--
<br />- --
<br />PERMIT
<br />REQUIREMENT -~
<br />NAME/TITLE pRINCWAI E%ECUTN[ OFfICEA r `°"°r ° "a'"'"' ° "'"° a.:l °w°"'"' itl ini""'"" "" TELEPHONE DATE
<br />pr.y.r.d °„a.. 4. u,..lr.•..n .,wrwo" r. r...a.e..l:e . r!YS a.ry~l -
<br />lo a.~ I.Y µ WM1N pnMwwel ~,uprlr IMNr .r ..Yy4t IM INbmnlblr
<br />I / ~ v~m,n..,
<br />a~.r .," .. r"yw.. d r.. a~•. > y.,.u..1w...".
<br />. n,.
<br />.wY
<br />/' i
<br />/
<br />J ... ..
<br />t
<br />.
<br />r
<br />.
<br />~
<br />: i
<br />, ..
<br />.., R
<br />G -..4 U .
<br />~.~.
<br />.
<br />++nk b,
<br />s
<br />;:
<br />.v m,
<br />.r
<br />n...
<br />.. i
<br />w
<br />w~
<br />w
<br />~
<br />.
<br />U
<br />'Jl. 1 5 -' J
<br />_
<br />ro
<br /><,
<br />y
<br />..
<br />p r
<br />ru
<br />"a 1
<br />e.
<br />..
<br />.
<br />Y
<br />:._
<br />.
<br />"
<br />u
<br />..
<br />r Vii. ; vndua ~, rou..aYm...-rev «.e e...r. r,....,..rY.. as w+aw.
<br />: !.;~
<br />~: -~.,'. t
<br />.
<br />r
<br />Nnr..r
<br />aYe
<br />~ {IONwTVREW FRINCIrAI E%ECtRIVE
<br />1'.
<br />..
<br />.a
<br />lrxn.
<br />r
<br />a.rle
<br />rr or
<br />w!
<br />. /
<br />,
<br />~ l
<br />.
<br />.
<br />r
<br />.
<br />n
<br />a
<br />n
<br />w ,.
<br />.l
<br />en
<br />e A
<br />w
<br />TYPm OR PRINTED rwm.R.r~>.ur!"r n..w a~nY...". a. t...l.a .l"1Yrea OFittE11011 AUTHORU:ID AGENT NUMBER
<br />(
<br />.OD YEAR MO OAY
<br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS (Rd~rmct, rrA' dbcMnrrnb hNd
<br />.,. _ ... _ r _ •.. in . aF ~1:. .. i ~ _.. '~ ~ F1 ..SP 1 L: I'. 1. _ . J<.
<br />.. _._, ..
<br />. ~ ~ Prn,ws edlEana ma he aaed. ~ .. ~ , ., ,. ~ , • ...• _• • J ' `~ .. -,PAIL` I, PAGE OF '
<br />EPA Farr!.3020-. IRer. YBB, Y ~IIS:15 A 3-~ (Om1
<br />
|