Laserfiche WebLink
PERMITIEE N_~PMEIADORESB O..YI.isWryNw./Lerma:/DIE:...q - <br />-NAME POilOERflORN CC.4i. COliPANY <br />ADDRESS NUNDS IDt 7!ISE, N !; 5 puH'TALS <br />P.O. BOX 1~3U <br />PALISADE CJ 81526 <br />FACILITY <br />LOCATION <br />APPN: JOHti A. I".CN6ti~, F^ESIDP.NT <br />- - __ i _ ~~I~DESI ___ fogpAPProved, , ~•~~~~~•'•, <br />DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM U TO <br />!70.711 l1L731 !14751 /761)1 178-191 !36311 <br />(BURR fiC) ~""""-1£7u5 <br />F - PIIAL <br />MINOR <br />J' <br />NOTE: Rud Irntrudian befae mpbtin0 thu form. p ~I <br />PARAMETER l3 Grd Onryl QUANTITY OR LOADING !/ aro Onlvl QUANTITY OR CONCENTRATION ND FREpUENOY SAMPLE <br /> !46531 15/-6/1 138-/51 14653 151-611 ~ E of TYPE <br />131-371 X rss <br />MN <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 163-s]1 . <br />151-581 189-701 <br />"h SAMPLE .#O### OICA### #9###;7 ( I2y <br /> MEASUREMENT - <br />U4U0 I U 0 ~ .PERMIT: ~.:: ,. :.:~%~ 171~L#~LO '. ~..~#IONC~#[4 OQG e.5.: ~~.: ~ .:. 'fi1C #7p7~`.4t ~~t}. ::.~ ~'~1C ~L4 .k.SITi~ <br />'FFLUENT GROSS YA.LUf RE4tliREMENT;:, :. .. :. ..,..-.. i##t tFI:-li. <br />~.: <br />~. <br />- ULI D,S, rUTAL SAMPLE ;' r}#E!4#ri <br />' 4II06## #•#### ~ ~9~ <br />.;USp6NUED MEASUREMENT <br /> <br />JJ7JU I 0 '.0 e.:..... <br />a.;c:::.PERMIT;'`s:": <br />~:~~Iki01@E~.~4L#~~'~'' <br />:°;;~":4~'~!~,IQK.: : <br />0#C <br />:..~.0:: <br />.#`'~~?OI~:~~~: <br />:~5 ~.~'' ......:.......~ <br />'t:~:~.' ~~ V-.. ~~~::.~~~~~~ <br />- ~ <br />~~. <br />.~CE~ <br />iRA,D <br />~F'YLUENT GROSS YALU REQUIREMENT: :: #;Gb .. ;:3.g$ 1 ~ ~ ii <br />-UL1US, SSTS[vEAf?LF. SAMPLE #=kGtr4# #;k##4# 4###4# ( 25) <br />- MEASUREMENT <br />U]45 1 ' 0 0 .PERMIT =~#~,rTi#3 ##4x:#? ##O Y"##444 RBFQR7 REFt7RT t ltCE/ iiJ1$ <br />:FFLUENT 1iR055 YALUE REQUIREMENT ##:;~ 30DA rG N S N <br />CitCN, TOT L SAMPLE :<`+-# r:r .}:=##fi# ###:## Z ],9) <br />(8$~!•E) MEASUREMENT <br />LU4S 1 0 0 PERMIT ##>4#"s# 37i44## #: #####4 .3.5 T~~O ~~ ~ ~xeE! ">i]-D <br />.FFLUENT (.HOBS YALUE REQUIREMENT #4## 30DA AYG AI !IY RG b :t <br />JIL AND O,REAS;i SAMPLE #####4 tv###$# ###### ( .19~ <br />~~ MEASUREMENT <br />-'3562 I 0 0 PERMIT at#4Ff'Y# C!R.$$#4 4 #r gi400.44 $EEl3fl~ 3Q. <br />:<.. ( O~i'TIk i.HAU <br />('FLUENT GROSS YALUE .REQUIREMENT #### <br />~ 30GA -i1~G .. <br />1NS:S !1.lZ. !fG GSk <br />L(1 , IN OMDU I'T OR SAMPLE ( 03) #>t,9#44 ####44 ###~#4 <br />i1RU TREATtlEdT 1LAVj' MEASUREMENT <br />~UUSU 1 0 O PERMIT- RtPOft~T~ ~ RE~POR2 .. ~. #400!10~r ##AQ#111 ~ #~7k.IEfl~$~.. 344 E£KLY. ~`I$TAN <br />F'YLUENT GROSS YALUE: REQUIREMENT jOD4 AYG .DRILY lJY.. ![GD ##4# <br />ioL DS, ~tOTAL SAMPLE r##### ####a# ####~: ( 1g) <br />LS$OLYED. MEASUREMENT <br />7U~~S 1 0 U PERMIT #.###'t#: <br />~ ##444+0 :?I #0 ~#44## RE @qR.T lYL".IrORT TRLI ARAB <br />FFLUENT GROSS YALUi ,REnU1REMENT: : ,~ .:.:. .:..; <br />.: ....~... .:~~ ~ O~z# ~ ~ ~. ~.RTR ~~.YG~ ~~~.~iR3~i~ RAY !!G/L <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICEq I cERTI <br />AM FA FV uNOER PENALTY of uw TNAT 1 NAVE PERSONALLY ExAMINED MD <br />MILIM WITH THE INFORMATION SUBMITTED HEREIN; MO BASED ON ~ TELEPHONE DATE <br />~a <br />J E ~ Y~Z MY INOUIM OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNINO THE INFORMATON, I BELIEVE THE SUBMITTED INFORMAnON.15 <br /> TRUE, ACCUMTE MD COMPLETE. I AM AWME TNAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITTING FN <br />SE INFORMATION <br />INCLWING C <br />/i <br />/' , <br />. ~ <br />- ~~ <br />~YJ ~ /D <br />G THE PoSSIBIUTY OF FNE MD IMPRISONMENT. SEE 1B U.S.C. 1 1001 MD 7] IONATURE OF PRINCIPAL EXECITTNE <br /> u.S.O. F 131e. fheYW, I.rlr N,r mrvn. nl.r Inc0.d, r,r„ y ro t IO,000 AR A <br /> <br />TYPED OR PRINTED <br />rq s~merinvn f~prlaemvleWMewwn smmrAargsYrr+l <br />OFFICER OR AUTHORIZED AGENT <br />CODE NUMBER YEAR MO DAV <br />t <br />•~ <br />t <br />t <br />,fin <br />COMMENTS AND EXPLANATION OF ANY VIULAT IUN, 1Rerer/nee en sttsc8q)enfs hare! <br />SETTLEABLE SOLIDS LIRIT APPLIES ONLY IF <=lUYR/14HR FRECZPI2ATICk PYgpT IS CLAICED. FEftDIITT°F. HAS <br />I:UkUEN OF PROOF NREN REQUr,STING RELIEF FROIS SETTLEABLE SOLIDS PPItiARY LIMITATIOAS. <br />EPA Fam 3320-i 109-951 Previous aditione mey be used. (REPLACES EPA FORM Td0 WNICN MAY NOT l1E USED.1 G 04 T 9 / 9 B C 2 2 3 - Z 25 6 PAGE I OF <br />