|
1fRM71'TEE MAMElAOOAESS cLr-r/rrgx~/t.rrw yDtpr.r/
<br />NAME
<br />?VI lv~
<br />~D S~biE
<br />FAC0.RY
<br />LOGTION- Ca dlb~:
<br />:•.RGOh Gh. E83- pN£s/.. r.tl f<A~
<br />rAiloNAl IOIIVTAN[ ps: NA.q[ fUMi/ATWN TfirpA lNPoESI
<br />DISCHARGE MONRORUIO REPORT lDA1R)
<br />PERMIT NVMBER pYJrMU[NUwa
<br />MONRORRYC PERIOD
<br />YEAR MO DAY YEAR
<br />FROM r--T--- ~_-_~ TO
<br />YIr~R
<br />~~U ~a 3~~
<br />F - 1'I~IAL
<br />FONO tl T
<br />form ApprovsC
<br />CMB No 20W-006R
<br />NOTE: Reid MwcMolr DAIo[~ coinpMWp UJ~ lam.
<br />
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• Nu ~Nn SAMPLE
<br />
<br /> EX ANKYAi TYPE
<br /> AVERAGE MA%IMVM UNITS MINIMUM AVERAGE MAXIMUM UNRS
<br /> SAMPLE
<br />MEASUREMENT
<br />' ~~
<br />. PERMIT rar.-p^ a at ,ice. ? ~. ~ ~+4F -.tr• 9.O r:.dLY 3151~I'
<br />- -~ ~,
<br />- REQUIREMENT
<br />- , «
<br />- „ _ ~ _ . _ SAMPLE
<br />MEASUREMENT - ~
<br />~ ~F
<br />~-E ..
<br />1 PERMIT _ .:. v: ~ t =~. atc. ; ~ 7 J v" :/ ..aA -
<br />T REQVIREMENT
<br />
<br />`
<br />' l• n ~ ~
<br />~ . ~ i i, ._ . SAMPLE
<br />MEASUREMENT
<br />_ ~
<br />~:i 1 - PERMIT -. ~aa ... ~'ae =
<br />" c:t ;l~[ LV~rlv,tix:. .. -.. ~...
<br />. •Si ~/ :h.~
<br />~JC.T REQUIREMENT - - .~~~ v •,?' i <•.eT•
<br />..,[ FU?r .. SAMPLE
<br />SUREMENT
<br />ME .
<br />~ ~ '~
<br />-
<br /> A
<br />. .J7 1 J PERMIT ....iOGV >v ny 4:l t,~ u=~ ~~, ).r !.. '. :-
<br />/
<br />~: r ~ o ~ .
<br />~~L REQUIREMENT ... __
<br />-- - _
<br />- ' I . _ .
<br />_'~ • ..
<br />
<br />. ,a~ :.k};Ao.
<br />SAMPLE
<br />..
<br />~
<br />
<br />~
<br />
<br />~ _ ._
<br />-
<br /> MEASUREMENT ~ -~ -
<br />... i G .. PERMIT :•r 4^L.
<br />~~ ~ d ~ ' ~'
<br />Ir coo; . AEQVIREMEN7 ~_. ~..,,-
<br />: b (, J Ci ~.~'3 1 i SAMPLE - .._ __ __
<br />,,: n?ML.; ;' ~ _ MEASUREMENT
<br />i ;l 0 PERMIT i-c ._F'i . ... _ .. ~. ~~-.o . ;.r I.:iil~
<br />_ .• T ., _~ REQUIREMENT i - i, Y 1 (. '~ ~ 2• __
<br />.. , , 1 : L L
<br />~ SAMPLE ~ ..I
<br />~: MEASUREMENT
<br />- -
<br />. ~ PERMIT al.ri~4 ~ G9oPA.p JI'7
<br />lv' •. iUES i aLY : NA!•
<br /> REOVIAEMENT .
<br />•
<br />~ ~kY~. ~
<br />- i LY CX
<br />_
<br />V
<br />' 'rr .) '*;. u
<br />•['""•"':' r s:::~.... w.. «ir... ~..,..,,,
<br />E OfF1CER
<br />LE PAWCIPAL EXECUTI
<br />NAMElTT7
<br />r•r•a .~r....1 a... n.n ,.. sn.••yo.++ r.w,....en . ,..,.~ ap..
<br />1 TELEPHONE GATE
<br /> ~.. a« a..+n.n a•-~••,•r ww,•7 [MM..M r.ruu a .nr~«yw ! !
<br />~ .. ,
<br />. ~~"~l i.n ..~
<br />ri
<br />ii;i L71,C . rMt.r1 [mot>.w. ~.p WrfMpa rrv «[nar .Ir wrM•J.,w.y
<br />a
<br />.4
<br />M
<br />•
<br />L
<br />~/
<br />.
<br />. «
<br />er w.«..
<br />rwc
<br />.n.[enn
<br />M[u
<br />n.~.M,Wree~a. wee.w4r
<br />
<br />F'roE<id~ttL & :;gr
<br />"~') sWn.l4 roa. M.~rS nrYw.I.A WMM(,rw. r..m.. r!
<br />n r.^w^.
<br />~';
<br />~4-440i
<br />;'
<br />Q4
<br />:6 Q3
<br /> ,.~»v.a.~,Mn.n.[NM+.1 [rwMrw brf.~./.4[I.Y, ..IwnwMw i10NA Tll11f OP /RV[G~AI fXE Gl7TNE _
<br />TYPED OR PRINTED ,
<br />Mr~a+Iw[,rwa,l«nw. w,gn«..,..yl.,.,.,f..n,u.~ OI[NiR OIt AVTHORIZ[O AGENT C A NUMBER
<br />44~._._ YEAR MQ DAY
<br />COMMENTS AND EXPLANATION O1 ANA VIQIA I IONS fAHM11,CI M I[fICATM[f ANTI
<br />' _ ... - :,I"~~ L...i'. ANAL IEG PO R <=1P YS~iudk PAECiY !V~ST-
<br />• ... .. ,i:.. - :._.3. OIL G Gk:.A.`,L - SEE I.a.l. (:')
<br />
|