PEAMRTEF NAMEJAOOi1F.6E Rw.vb Fw1 yX~(wrlr y0d1..q
<br />NAME
<br />AWAE55. .~ ,
<br />i
<br />:) bi626
<br />FAClIRY
<br />LOU7gN
<br />,6~5
<br />1LY
<br />>orm ApnawA
<br />MAT10MAl IOItVTANT OIfCMMO! RIMINATOM tYdTQ1 fMPDESI OM6 No 20d0.OOOa
<br />DISCHARGE MONRORINO REDORi fOMR)
<br />'Y .itJ
<br />PERMIT NUMBEfl ax'r~ wweM - ANAL l1U F 61
<br />MONITORWG PERIOD f 1 ' ^ "' ^. L : ° i T t 1 T'i '.. ~~ L'" h
<br />YEAR MO _DAY YEAR MO DAY _,_
<br />FROM TO ~ ;
<br />NOTE: R..d Mwctloro M}«: compMlMq thld lum.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.
<br />EX FAlO~wtY SAMPLE
<br />Y
<br /> AnAtr9s PE
<br />T
<br /> AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM VNRS
<br /> SAMPLE
<br />MEASVREMENT
<br />(
<br />. PERMR .- .c t•c -. 1 .J BOG=t•: Yd0 ''th:Li I~;,'i~l
<br />c .
<br />REQUIREMENT
<br />~ ,, ~,
<br />,,
<br />..... -._ SAMPLE
<br />M - _._
<br /> MEASURE
<br />ENT
<br /> PERMIT ,. ra .. s,4 ~„ ~ 4C9C~i y', l:' . i/ ,nA•
<br /> REQUIREMENT ~ ;I- „
<br />--
<br />_
<br />. ,:,' SAMPLE
<br />MEASUREMENT
<br />_ _ i
<br />-_
<br />
<br />. ~
<br />PERMIT
<br />..~• _
<br />SO -
<br />_~r 'ii .._
<br />t. .liV.1.
<br />'4'_./
<br />..}.p
<br />.,I REQUIREMENT +- s - _ :,N._
<br />__
<br />J i SAMPLE ,r i
<br />i
<br />~ ~
<br />A ~ MEASUREMENT II r
<br />..t~ ,
<br />-
<br />
<br />Z PERMIT ~ -
<br />~ i r
<br />J`-kI
<br />rtA5
<br /> REQUREMENT !
<br />i --y'
<br /> -
<br /> MFASUREMENT
<br />- ~ ~
<br />1 PERMIT - / . '. : t A
<br />. r ; ,, 4 I _ ~
<br />' REQUIREMENT
<br />-
<br />---
<br />---- - , ~ I ~ A I
<br />.r Ib C., '°~l: i. SAMPLE ~
<br />1 i r r.: .'.h:
<br />MEASVREMENT
<br />. -. .. i .. '.J PERMIT ',r':Si .,i' .. .. .... Oa~.~~.~~ .L`. -a:;ZA'
<br />:. • I .. REQUIREMENT
<br />_ } _li~ 1, w Y ., ° Y.
<br />__
<br />... .. r .. SAMPLE i
<br /> MEASUREMENT
<br />._-
<br />PERMIT
<br />.. ""9i ~vT •')+vJ• ',r C::J -. ~'Df3T i'i•L1' .isr}b
<br />REQUIREMENT __ _ •k'FF: LY f.'Y
<br />1 [ 1 • • Ffw ) w/]I• IMI OY dyul,l..l wed Yr~~IeeM1 wA
<br />TELEPHONE
<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER
<br />DATE
<br />t,r....ae,e.+..m...r~..e,.,...,,,da. i..[w.a..l. wuewr..w., wd~s,e /
<br />w.r.w a.r tw.wM r...w....l.nq.m tw[r. weA ...w.l. Yw Mdrrwnsw .~ j~
<br />.awd[..d •..e ww ,., ~.~.~.. a.sr n^m ., p.,wr .a..wt. ow mu..
<br />k:;::conC _.. ;+:r..,:r, «es.,..»o...e.....-+wlwi~...swiww......ww.+un.. ,/'~ i„
<br />..
<br />YTU:Ldeu[ S i;c,: y _ rMr.w.,umr~ier.~,....wn.•dra.r.v...rre.x...,.d~•.
<br />"s, ~ ZL-44^i
<br />~"' Irwwwrw Owl OwnwdtnlMaM .rwYM lw, wNM1AY ~~a+.w.~ ~10MATI/Nf OF P~1NC1-AL EXf CI(~M ~;. :r. ll;
<br />TMPm OR PRWTED aatiOM Aw/wdWn)Mnw nwt M.F.nwnw.wl 0w r.w-Let ti+~~+ OFFKf11 WVAUfIwRIZfD AOCNT C A NUMEEp YEAR MO DAY
<br />COMMENTS AND EXPLAnA l IVn yr nn r ..van nvna rnur rrc. M .rr.ciar~ nra n.rq
<br />
<br />.. - _. ..L .. ._. - ._ t'i
<br />EPA form 1320.: (Rm 3+901 Drmou. ddltioro nor W uaea ~ ~ T1us sS x 4-pan, form PAGE of ~_
<br />
<br />
|