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PCRMITT lE NAM EIADD R[SB /(ntlud< <br />Faeili(y Name/Lomlbn if diffnenfJ <br />~~-=* <br />~i-+''EiCT-~-iri-C~ - _-- <br />ADOR[ffTan~Tu ~y~~I~eT,u_r~~1€y __y,~~~___ <br />-wu ur+r <br />LOCATION <br />m T e cD ------ -- <br />N wTIONnL FO LLVTANT OIICN ARGE [LIM INATIOM tYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT lOMRI <br />1-16 l7-l9 <br />rn 7 o A <br />PERMIT NUMBER one ww RCE woM•ew <br />ONITORING PERIOD <br />YEAR MO IOAY YEAR MO OAY <br />FROM 9J J7 TO 98 U9 3U <br />1101/1 /11231 /1AI5/ , IIh~D/ /18-191 130.311 <br />H I h ~ i< Form Approved. ` <br />(S U d 9 4 C }UMB~lor2~040-0004. ' <br />F- F I N A LApproval exp(res 6-30-91. <br />CHAUhIC ~?T TESTING FUh OU7A <br />'%'~'~ ~C C115C jh R~F I~ ### - <br />NOTE: Raed Instruetlons fore plstinp this form: ~ ) <br /> (J Card Only) OU ANTITY OR LOADING (1ICRrd Only) OU ALITY OR CONCENTRATION <br />EREpUFNCY <br />PARAMETER (16-J3) (Jd61) ('J8-13) (ISdI) (SIfi!) NO. <br />EX OF SAMPLE <br />~'~ <br />(3337) AVERAGE MA%IMUM UNIT6 q~~L~ <br />~1TINIMUM AVERAGE MA%IMUM UNITS <br />6161) ANwcrsls <br />(61681 <br />169.70) <br />9:EFFECT STATRF. 7DAY SAMPLE fi;:s}>Op¢ .yy#xsO OI(:#.l(al} >r:a#r,;r,:# ( ::3) <br /> <br />CHR CEhIUDAPHNIA MEASUREMENT <br /> <br />TCP38 5 0 G <br />a.:PErtwIT.*; <br />wEqulaENenr`~ ~ <br />;:,;+ii <br />Otlr} ~e, <br />1°~~r'`t~,: <br />$`a.~ r ~y <br />~, "~1~4?{'-'. <br />~"` •"°':R•,•: ,~ ,. <br />°"-~ *utl((A°4; <br />,A <br />PER- <br />a-x~°~ <br />~YaR~:',Ya'. <br />mi~~1eP~~ <br />+EFFECT STATRE 7DAY SAMPLE '-}a#o#a aooa~l*.= - -~- ae#~ioa t:#a>::,:_# ( ~3y <br />~ <br />CHR PIMhPHALES MEABUREM ENT ~ <br />TCPbC S C G '~^RSitrAn"r°°:-a. <br />~RHOVIREM~HNT< <br /> <br /> <br />° gz m1d;"=C~IQ'~f~ <br /> <br /> <br />" <br /> <br />, <br /><. " <br />n <br />a ~ <br /> <br /> <br /> <br /> <br />. <br />° ;, <br />. <br />~ r#uo ~. _Nk-p°a,, ..-•. <br />~°•x.'eq <br />~f a <br /> <br /> <br /> <br />a s ~~i i„ <br />g~~.~~1~~'A <br />e <br /> <br />{~~a <br />a#uar,~,~,„.xG <br />~~ <br />pER~ < <br />~'• <br /> <br /> <br />q~ <br />~~~% x ~«~ <br /> <br /> <br /> <br /> <br />;%° I. <br />~°~ <br /> <br /> <br /> <br />~,~ <br />ccc c Dr a <br />. n_'«, , <br />. _ <br />. . <br />, <br />., <br />>~s°- 7 E . ^ <br /> SAMPLE r ~ -~ <br /> MEASUREMENT ' <br /> '. ~:` "'s a' 'R <br />N <br />` x •w 3s <br />" <br />~ a,, <br />.. <br />y <br />~ •l<y • W• <br />° x~ <br />° ~ 4;'~.y,x^,m <br />e ~ E$'~i <br />~'" 4fi~ s'x ° <br />° <br /> 'R60UIREM~E <br />T <br />' <br />~ ' <br />y•$)) <br />~I~ • ° <br />: <br />p <br />( ; <br />e^~ <br />~ .p~~ <br />Jbro .~ <br />9 <br />° y <br />~~ <br />1°a4E <br />~ <br />~ ® <br />a~gr'~ <br />s <br />R <br />a <br /> e •'3+i <br />_e?a. <br />~ n <br />h 'S4lRL° <br />nw <br />;° <br />n'Q.`PS'.Y`z . e.$e <br />J•Y"d °v2la.~?i '3 <br />~` <br />xf e '.~. <br />, . s <br />m <br />. <br />< <br /> SAMPLE ~ <br /> MEASUREMENT <br /> ~'°~CRM/Ta3:°' <br />`A EOUIREM ENih ,,.., ,,-,°k:'y'. E?~,i <br />~~,. ~ s~6~' r <br />s "~ x'<.~'!t`~+e- °p.•~<„z °p?~•gd" <br />¢ Y y~ rR ab <br />S ` <br />S %;<n"°.,c~ <br />yv4 °~~~yyf° <br />° <br />` <br />A ;Ne %, ..~%N, e~a. <br />¢g %`r xa <br />SK.<ay'+F 4 ~ .¢xy'ss <br />s <br />e': <br />s~ °)g"s'b;.1,c ~..~„ax°~ <br />i a .~e <br />$ `} S~ <br />4 '''~+ <-. <br />"`~ ~w <br />~°P' °~~"~ <br /> ~ e A i,m ° ~ Sb <br />~ ^.~d w <br />. W < <br />°kx „ <br />Y <br />~~ p : <br />' <br /> SAMPLE <br /> MEASUREMENT <br /> • ~. . ~#<• <br />~ PER IT,.. ''>WZ "s8, ~ <br />~ d' °~`' <br />~-~ .~ spy. .. ,x <br />°.3gr ~rvYe <br />`.^~;, °>. <br />~$ <br />`;~ gkryV°~n .. ° •" <br />> as. <br />vs "v ~-W°n •:a` <br />n»~n s' <br />~° m <br />" `%.•~p& ns °r r`.'e <br />apsVk°' ~s~ <br />a~~> <br />i N <br />b~~. <br />r ~ ,.;~ .p~„. <br />, R ~ <br /> <br />~ <x .x". <br />~•°x °'S°' <br />`w .¢ ~ xa~i <br />' <br /> F~M EN7a <br />RkA.VI ~ <br />~ ~'s ~ <br />' - <br />. <br />3 <br />m <br />a <br />¢F <br />° <br />' <br />~ <br />~ <br />~ „ <br />a~ <br />° <br />~ ° .. <br />° 7 s <br />~ <br />i <br />~ i y <br />}° <br />s'~~`` #m w. <br />x'b <br /> s"~ ~ . ,, a <br />as ~ ' <br />: <br />~ <br />« <br />°`a <br />. <br />,~ s a <br />~s, <br />s <br /><= - <br />e ) <br />k ~, <br />. <br /> SAMPLE <br /> M EA6UR EM ENT <br /> <br />f a :PERE.IIT~° E~' <br />& a ~' " %1e y<.°,fi, ,,~~44 <br />c ~ '<i¢; .'a11W° s <br />'' <br />s ~ .~ & > ° s~~>3 <br />~ <br />`s g kk ` s~ <br />' <br />~ &E <br />a 8 } <br />8x~ <br />ej~ <br />~ ,, <br />~~ry <br />T~ e ~ a~ <br />~'»iP~~a l <br /> .RWUmREM,ENT~ z`.. ~..;s~>:^.'+e:.~:°~°z. °'~H°.~', <br />;L : <br />~~44_ <br />~s ` . ,{ <br />" <br />~ <br />`,• <br />~`a <br />+z <br />' <br />' ';rF?` .~'ae ~,'ar~T:xa <br /> ; <br />. ^ <br />~"e", . <br />.- <br />~g <br />F <br />~ <br />u . . <br /> 9AMPLE <br /> MEASUREMENT <br /> <br />?RCOti REM ICNTi <br />~ e~`- <br />~ v~g <br />~¢Yf <br />a <br />e <br />~ $ e%`i <br />' <br /> <br />8 <br />f~E <br />g~ ~~¢~a~af <br />II ..°s~, «c`, <br />.}~j{}~ Ie <br />V <br />~p 6`j#'"~'-r~.^~,° °F y"e <br />~ ~ ~., <br />~ <br />a <br />~ '8^r <br /> <br />r~~~ n twi <br />{~$1 <br />~ <br />r <br />~ ,.°w~,- ny!nv <br />~yn~~ <br />$Ffi$'~ <br /> ~. .•.;p <br />~ „ <br />~ <br />'': ¢ '~x:" <br />~~`. <br />< , <br />.a:.,~°:.Y <br />° ° <br />. <br />° 9~+Y'° <br />a <br />° -c 3:<e+ <br />.ys <br />~; [ ~ <br />4'm ,:. <br />. s°• <br />NAME/TITLE PRINCIPAL E%[C UTIVE OFFICER I CEwnFV uNDew PEwlrr of <br />LAw THAT I NAVE PERSONUCr EXAMINED TELEPHONE D A T E <br /> AND AM FAMILIAR WITH TNC INFORMATION SUBMITTED NERErN AND EASED <br /> <br />rr -{(~~/ / <br />S~oJE/2 <br />~•C <br />~ <br />~ ON MY INQUIRY OF TNOfE INtlVIOUALS IMMEdATELV RESPJNSrBLE FOR <br />OBTAINING THE INFOIIMIT101 I BCLIE VE THE SUBMITTED INFORMATION <br />IS TRUE ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE SIG <br />NIFICANi VENALTIE$ FOR $IIbIITTING FALSE rNFORMATION INCLUpNG <br />G <br />r <br />) I <br />• <br />L <br />, <br />rN[ POSSrBILJTr OF FmE AND rMPPF <br />ONM[NT SE[ IB uSC f 1001 AND 9~ Z¢S-¢/ol qg ~~ /Z <br /> i <br />1 <br />1 <br />l SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br /> <br />TYPED OR PRINTED 1] <br />33 USC <br />9 rPrnah•rx uMrr rAr.- mrurr. nmv mr <br />udr /•nr. ~V n, t14rXn <br />r <br />o.d... Naumum mlp.wnnnl+•n n(A+m.~~AmenrA. mdS Var.' <br /> <br />OFFICER OR AUTHORIZED AGENT <br /> <br />A"A <br /> <br />NUMBER <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS IRe/rrrnrr Wl uvm hmrnrF here) <br /> <br />SEB I.E.S FUR TEST PkCCEDUF.c. APT RESULTS OF LETHALITY DERIYATIONS AS NAEFFF.C1"', GRONTY. E ABi'HODUCTiUh <br />DERIVATIUKS AS "TOXICITY". RPT LOY~ST EFFL AT WHICH STATISTICALLY SIGNIF DIFF dETaEEN TLST t; CONTROL <br />EPIA1FOr 20.1 p .. ua 'Boos/(ia~S6Fus $ • flPTIR[ea:A ES~EIALEFIIEMSJl1WM(CMYA.YNQT euseo.jiC=~.1w. ATTACH CHRON PEST iaci TOor7Y.R. <br />0019/940412-1939 1 <br />