Laserfiche WebLink
PERMITTEE NAME/AODRESSO~.I.uigN~/t.rrt..UDIU.rw:p <br />NAME SF,N~CA f'U?.L CG."'~ra}iY <br />ADORE55 P• V. tl G y (I ] O <br />HAYL'EI: i:0 b1o39 <br />FACam <br />LocATaN 4 A Y v? N ..: ':1 o S ~. <br />r.T:\: ;ri~.v.-, tI'f~~t:N, i, i:tiS ~'AL '!AKAuF:A <br />NATIONAL POLLUTANT DISCNMOF [IIMINATION SYSTEM /NPDfS1 <br />DISCHARGE MONITORING REPORT (O Rl <br />(~ ;:' -, f; .., J1 ill ~ A <br />PERMIT NUMBER IMSCHAADE NUMSEII <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM ',Ol U I 01 TO O 1 U S i <br />{:~:. . <br />I ': ~ F. <br />(ti i~R JC) <br />F - FIr:AL <br />Oi.•C:?A':G^ TG ;9GE CF.i.EF. <br />NOTE: R~~d Imtruetlorr b~}a~ complHlny thb lorm. <br />PARAMETER QUANTITY OR LOA,'D~IN ~'~ <br />. <br />Quality or Concentration NQ. RIFOUENCW SAMPLE <br /> _. ,:~ <br />., EX oF, <br /> AVERAGE MAXIMUM UN~S MINIMUM AVERAGE MAXIMUM UNITS ~'~n r TYPE <br />~/ <br />PFI SAMPLE <br />MEASUREMENT .. .•: :. :.. ,p r.:: ::: rep <br />~ Z <br />~ {::f .i: •: :- <br />• v Z ( Imo) <br />Q ~ <br /> • rj <br />rl ~ ~ <br />~ J L 1 ., u ~ ~ PERMIT~~ ...: ..... ...:...;:i.~ <br />.. r. d. ,,. .: ., <br />4:...F ::. <br />.....: <br />6.-'n <br />+: <br />.;;4.,:: ,;: <br />:: '. <br />O <br />: <br />- e i <br />~'1 t <br />~. ~'`i ~ ~ <br />IJ <br /> <br />l <br /> <br /> <br />.:' <br />.. ~['~ ~ <br />LYFLU ctSi '; h']',,S YALIif REQUIREMENT: <br />.. <br />.. ~~ <br />~ ~ <br />~ <br />~ <br />~~ ;: r. 1_ u F <br />, <br />. <br />n <br />.,.T'V~_"I!~tS~~!'.:" ~.: '""'I?;;' ..'i (- <br />_,.sa <br />.-~ . 6l~olYfrl <br />:i:7LID3, T.UI'Ai, SAMPLE . <br />-, ... .'. .~._., <br />• <br />.,: ' 1-P##PI? ~ <br />~ <br />~ ~ ( .:) <br />~ V/ <br />, U .- ~ :. r• <br />F ~ MEASUREMENT ' <br />~ (~ I <br />, ~/ Tvu <br />n <br />UIi~Jv 1 U U :-:PERMIT .. ,....:;;:~;;, . :. xar'r.,.:#.r. e ...,,: .nlii ~ 7:~ ,.;,.. ~.... I. <br />eFFLGL5'T .:FUSS VAL'J: .REQUIREMENT. .. ;•. :.: ?:3C~i*A p'Lj~ .~sA <br />~ <br />' ..'a':. <br />SuLIL?S, _ t.f'."LtA'ILL. SAMPLE .. ? ST r: F.xz:}r rp K:u~t~yr <br />~ <br />( ( <br />i <br />'/ <br /> MEASUREMENT ' <br />.~ ~A ~ O~ <br />~ ~ ~G1 yon <br />UU535 I J U :.'..PERMIT ~ : ...~..-, ~. ~•<~'`.:: .~ :ev 4:i "; ::: <br />: ~ ,f,. ~ryiF':7{~.;''' ::' :L<'_L'ct.?r: ~.:~::5 : ::~..;~ : ~, ~F ~,.,. :(:L/ <br />. ?~~f4z <br />cFFLJGhT '~'tiJSS YALU: REQUIREMENT. .. .;::,:.} fi:: <br /> <br />•.. :::.:.: ;' .~~)A:.:R;r~ i;i. :'.: <br /> <br />.~., •:. <br />L <br />?^I/ <br /> <br />:~.. ~ "E:;AI <br />I: <br />, <br />InG?I, TOTAL SAMPLE <br />MEASUREMENT .,. <br />.., t: ;: ,•:: ~•.. <br />.. aCL44RIF <br />~ <br />,,, <br />. <br />~~ ~ ~ <br />d ~~^ <br />' <br />' <br />~~ l~ y <br />~ { 14] <br />I/ <br />(•. ~i rr) . <br />.. <br />~ [J <br />, - <br />D <br />` ''O <br />J~ `- 3c~ /Y..v 1 <br />~~I.r4S <br />L '' .. ':'C .. ~'.. :: '.:.~ <br />:,,.IT: { i:... <br />r <br />~FFL'i`;•. ;n:J_;: VAL'ut .REQUIREMENT. ~ t: ~i";~ <br />3.';)A -. .. ' <br />.Y S~, <br />ice: a.. :~. <br />FIG/L r <br />'I;x <br />T.I <br />GIL AirD ;,;ISA3 SAMPLE <br />MEASUREM <br />NT krl~t ,+7 ::: .., ,;,t;:n:y:f #.~ t'ny '^\ <br />~ 19) <br />~ /'~ <br />~' <br /> E . <br />I j v - <br />J 1~r 1 1 U 0 :. :, .PERMIT.. . ° ~:. .:~ ,.i ::. ~. ':.r ..'.., .. <br />; <br />.. : <br />.v q~::~c-:: <~a ::~ ~ ~:~~~1:.J:R~,'::':.:.1.. <br />~ " ~ JP, ^.I" q a l: <br />..i''LJ~':T U:,::)j5 VALt1. :REQUIREMENT .I:.:~Cl'~7Si•~t~'"'. ~ <br />/ <br />~J-.'7 ~ ..I %:;;.~.":~i~ <br />• ~fiLL ~;.'.ir:v~I~ <br />F'L 'M, I1: CJtl f)U:T JY. <br />~. ~ - - ~. ~ <br />I.-~.nd T.i L.4t", c::T PLA ".~ SAMPLE <br />MEASUREMENT f/ <br />~~ I~ ~ <br />CJ- <br /> <br />n.3 3 ( I.?) a, ~:::r ;:: =r:: r, ., ~l.i {, t-AI#>b1M <br />1 <br />~r <br />1q. ~ <br />6 <br />/9~ <br /> <br />~ S <br />`GJSG 1 7 U PERMIT. .. i':-'lE,' <br />. '.. <br />`'; <br />,•ta <br />.. ..F4M1tu~ <br /> <br />~ G,¢6V•ra. ..> .:~~: Z'#ir# ' <br /> <br />zs+ S.r'i'NLY iR TA' <br />I c,t,. ., c <br />cF F'i! :,nU~_ YAL'J REQUIREMENT. . <br />"1Cl.:': ~ 44:: . ;1s...L.Y <br />~if~ ~.~:L ~ <br />. <br />~.:. <br />. <br />. <br />~ <br />. #,r#A <br />...: :. <br />S ri L L c_, 7 ~! f A L <br />JI550LV i~~ SAMPLE <br />MEASUREMENT .. ,. r,: •.~ <br />~ ~ ~: ~. :x <br />--. 4~nnu+iJ L <br />I <br />~ <br />~ ~~ <br />I <br />( 19~ <br />~. <br />/ <br />701yS 1 J J ,:PERMIT ~ .:::;~z~.:a.;= ~ <br />..; ...,.r :: <br />~. .. ,. <br />..,..; n.. .... ~ x;':•:a:C•`~ '_,Pt2~FJ~M:~;i~._ .. F;~~P:O:'."':~ <br /> <br />:~... <br />>:. <br />~ <br />~ ;i:7~RI,Y GHAri~ <br />.- ~ <br />~'~L~1~ t': .,kU55 1ALU REQUIREMENT <br />~ ~ .. ~ ~ <br />~.~~ ... ~ .. <br />~: ~. <br />.a <br />~~ ~ ~ <br /> <br /> <br />~ ~ ~ ~ ~ <br />r1~RTr'i e.4:.: <br /> <br /> <br />..'~ ~ <br />':?~x':`..~~ <br /> <br /> <br />~ <br />S/L <br /> <br />>,y ,.. <br />~~ <br />' <br />:LL~::`.i <br />NAME/TITLE PRINCIPAL EXEGU7NE OFFICER ' aennr n a roe• ry e l•w mnl u <br />pmp•rtd Under ml dhar,len er mp l. d«umrm •nd •u m.cnmrwu wrrt <br />nWOn In •aurdnm wI,M1 uplem dd <br />nrd .'. <br />/ TELEPHON E DATE <br /> [ <br />to m~rt,M1n, qu•IInM pemnM proPrdl plher •,M e•hr•h IM Inr«mnlbn ~ <br />, <br />, <br />/ <br />/ <br />\ <br /> <br />wbMI,H. need en ml lrpuln of Ne Pemn «pervu whe mnnn[e the rya,r,n, ~ <br />, <br />r/ <br />= <br />~ <br />\ <br /> or lhmeroromtllraall>mronbbM f«[.Iherln[uelnformulm,lhe lnfemullen " <br />~i <br />( <br />_~' <br />1 ~ <br /> <br />Wbml„rd b, m,M1e bnl el ml LrowYdp and bellrf.Irve, naun,a nb mmplele. <br />~ / ^ <br />( <br />O <br />n Z <br /> 1 •m nwm u•, then •rt d[Nllum pen•ule r•r nubmlNl <br />nl.Inrorm•Ibw 610NATURE OF PRINCIPAL E%ECIRIVE l <br />OR ry <br />, <br />ImlWl <br />h <br />dbnu <br />rn <br />l A A <br />TYPED <br />PRINTED na, <br />e pm <br />le <br />«.nd <br />mpA.nnmrm r«Lm.ln[.Id.unl~ OFFICER OR AUfHO111ZED A0ENT <br />CODE NUMBER YEAR MO DAY <br /> <br />wmwlenla nnu enr~wnn nvn yr nn. .win nvna tron•~ne~sn ~rrsenmPnn Anil <br />T`" .. IhUa LI,IIT:: .i:.L '+r ~nIYEu SF.TTLEAULF. S(iLi^° L:"I; APPLIED F'Uh <=1GtF:,f'.'+HF: Pr;bCli~ YE6T~ :S:i G <br />L~S LIYITS NAIYiiU PI:F J1aYFi,.:Uir:~Pn;CIP EYtNT Siii:Jt.CT 'I'0 tiURDEN OP PI:GiiF IH I.A.2. uIL t.GFfi:ASE - SF.E <br />EPA'Fam'3320.1 (RCV'3/99) Prevlous'edlhons may be lisedV ~ : This is a 1- n•form. PAGE loF <br />.., GD110/0....,ld-~~,,,, <br />