Laserfiche WebLink
RERMRTEE NAME/AOORESS It.r,r nearyx~/E««,.. YO,A..W <br />NAME <br />ADO11EE5. .. ~ _ , - <br />... .:Jk lob <br />~G B1EiE <br />FAC0.ITY <br />LOCAT1pN ., „w n.. nn«,.... .. ... ..CG. ty14iJ <br />Parse ADPb~ <br />NIITIONALPgIVTANT p9CNARN(LLIMINATpI !/fTD/ //NF'OFS/ 018 N0. 20C600WI <br />Dt6CNAROE MONRORINO REPORT lQA1R1 - <br />PERMIT NUMBER IrscNARO1 NtMSfR ~ ~ ~ ~ <br />- iLSAL 1lUt6i <br />MONITORING PERIOD ~ i ~ ~ 'r. ~- ~ ' ii 1. r <br />rY1rAR _ MO -DAY YEAR MO DAV <br />fROM~ TO ~ _ . <br />NOTES R••d In•tn/cNm• b•}na• coinnMt{na 1hM iwm. <br />PARAMETER QUANTITY OR LOADING OUALRV OR CONCENTRATION NO. <br /> <br />EX Nl~~c`' <br />of SAMPLE <br /> <br />Y <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNRS ANKVSIS T <br />PE <br /> SAMPLE <br />MEASUREMENT <br /> PERMR c-,;pa7o c7..: _ C .,c aF:s *,:a :f •G r.k£L: i1~Fi' <br /> REQUIREMENT _ ~~I„ __ <br />„ _ _ , ,_ . SAMPLE <br />A <br />R <br />M <br />NT <br /> ME <br />SU <br />E <br />E <br />1 PERNNT ~_~:G ~a>>aa ~; 7il t;._'~/ iiAG <br /> REQUIREMENT ,I~ .I ,I„ <br />- ( - ,. SAMPLE <br />MEASUREMENT <br />- _ <br />1 PERMIT .vaD)n -At.r,, .. ., ~:.. .. .._ itvt~Q k? ,. . <br />.~.r REQUIREMENT t. .t M <br /> <br /> ASUR <br />M <br />M <br />T ` <br />~ <br />(A_ E <br />E <br />EN ~ <br />. I <br />1 PERMIT ~~ii xu ..! nv. a <br />L 4k'•iLr.. t T•Q ~. <br />' . <br />,, y, ~~. REQUIREMENT 1 -, . _ _ 4 t <br />_. ;,,y :, _ SAMPLE - <br /> MEASUREMENT -- <br />i PERMIT ~ - .. ~ n 7 <br /> REQUIREMENT <br />_ <br /> <br />_ <br />n• <br />- <br /> <br />_--_ <br />_.v ., JUavi, SAMPLE <br />t ~.p. ~ y ~ MEASUREMENT <br />- 1 C PERMIT <br />RE <br />EMENT ~ _ ,.. ..•,t.ccr `rril!' !.s:A <br />~ : = S <br />~ QUIR ~ I ~ , <br />.. : <br />'J :. F • , .:. L SAMPLE -__ _.._ <br /> <br />. .~ MEASUREMENT <br />_ PERMIT -, -. - :.J6q va .;.I 1aiVhL KF. ~'OI1: .., :. ~! :SAd <br /> REQUIREMENT ..~ U A t LX ~~ <br />NAMElTTTLE PRWCIPAL EXECUTTVE OFFlCEA ,rc nt• yeM,>.t~. ;iii ui: Anivwr,+p,eMm«sa.wt..ere <br />TELEPHON <br />E <br />DATE <br /> F..•.,.e .,r.. n. «.nNm w vF...tno„ I...co.a.....,m . gppw •rltt•• <br /> N•wnrR«~„MeN Wn'w'M r~TN)tpMraM,.Wpr lM Uf Ilse <br />', <br />t <br />V <br />• <br />. <br />~ ~ <br />( ~•e•ttM. •,•,0 0„ ,n. ti~•! «•,r Fees a Pnt.p .1e w+n.te •„ tptw ~ <br />/ <br />- <br />• <br />. <br />. <br />. w fAae yerm «tt~e. rt,ry«ti fa I,tAnt.~t N.Inh„ulloti ,?. Iwlon,ptM„ v ' <br />i .... fl <br />l:e ;+. d:-~.. ;, _.. ".-.. <br />- - ,.•MU.a`.etn.{.pu.n.,,..,Nat..r w.c m......,,.p...,,a, <br />I,ewNYp tMn anft«l+rt y„«II«le. nhMent ls4 N,(wms,ls,~ <br />{IONATVRE Of /11~1CI-AI EXEL'VTM ... .n ,';r-44!~. LS ::~ ~z <br />I.~~~-RINTED tr+,mgtr•r•ea«en.r,e n„Fn.e.n.,.l re..,..e,y .kasa„w OFFICER OR AVJNORITED AQENT AEI NUMBER YEAR MO OAV <br />COMMENTS ANO EXPLANA I wn yr ~n r vl VlA I IVN, IrF•rrMC• M IIFICMNMr! nV•/ <br />EPA Farm 3320.1 lRtrv. 3~'~1 Gle.wu• rJta:. naf ce uscE ---- --- ~ Tlt: s 1s a d•Pafl form PAGE OF <br />' L_ <br />