Laserfiche WebLink
PERMITTEE NAME/ADDRESS f7n~ird•FrW4NaW Iocme• dDlEbwd <br />NAME .. ,....- ` - 1 : ;. .. . :... T <br />ADDRESS J ~'~ ~ ^ ; ~ : <br />.~ f i.:. `• .-. '1'x.19 <br />FACIUn <br />NAnoNDISCNARGE DMON TORINa REPORT IDMRIPDESI <br />(1-75! f7-79 <br />PERMIT NUMBER DIECHMGE NUMEEA <br />MONITORINO PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Y 1 L. ~ TO !'% L <br />l20.Jf1 l2A131 11d-151 //6271 l15-291 !3631/ <br />Form Approved. '~ <br />• - + , ~ ~ , , , ; ~ , O,A~B No,., 2040-0004 <br />Approval sx9i,~rpp OS-31-98~. <br />F~ ~ 7 i. P. L <br />t ~ <br />NOTE: Reed Inetwctlaru before eompletinp thb form. <br />PARAMETER !3 Grd Oaryl QUANTITY OR IOAflING f4 and only! QUANTITY OR CONCENTRATH)N NO. FREQUENCY SAMPLE <br /> !4653/ 154-611 !38-45 1653 1545/ <br />EX DF <br />TYPE <br />/92.371 MALY5IE <br /> AVERAGE MAXIMUM ~~+' ;,.UNITS MINIMUM AVERAGE MAXI <br />MUM UNITS !s2-sal (5x551 Is9-7o1 <br />r ;'. SAMPLE . Y , . . - ,- <br />' -7 [[ C~ M <br />"~,( 1 ~ I , ~ '~ <br />r <br />~ <br />~ <br /> MEASUREMENT ~ <br />..: j • J V :.1 + ! -~ _ <br />`. <br />•.. - ', PERMIT <br />, <br />,=r:•;k;R:y <br />~ <br />v.r .. n. .a <br />.n.. .-• <br />:.: <br />. . .r. y=. ..4 • i^ : N.. ..Z: <br />i'i ...!:. .. :` .. 1:.. i. ':r REQUIREMENT. ~ ~; ... .. ~14 ~~~' <br />~I I N' <br /> <br />~ "fir. 1-'•t'i~t"i ..~ <br />...IL: ~:.,, T^'. SAMPLE ..:..: :: .: .. .. <br />~ ~ ~ ~ ~.Ay,.~;. ~ <br />' ~ ^, <br />J ! <br />~~~~ <br />I 1 <br />~ <br />' <br />,;:. I'; ': ... MEASUREMENT j <br />T f ~t7 LLG <br />t• <br />.. ,, <br />~! _ ~ J . 1 <br />..:. 'PERMIT .... <br />Lw ... .. .. r. ~... <br />.: .. ~ ;r <br />:..;, <br />.:::3k ~:O:dAt..... <br />3$ .. ~ . <br /> <br /> <br />~ <br /> <br /> <br />~ <br /> <br />,. <br /> <br /> <br />, ., . <br />..r: !.'J .. ., ... .. .. '~ sl. ..r .REQUIREMENT ~ ~~.~ ....: ~. ,. ~. ~ ~ .. ~ ~ 3130 .i VSi <br />A ~f4:L~. <br />.l.!'.1-LX.~ _ ~ ~A'.'i.',? . <br />.. _. 1. L.i, .. ,. ~ i" I ~'. ~ SAMPLE .. ~.. <br />~ <br />~ ~ ~~ 1 ~ <br />~ i ` -. <br />1 <br />' <br />~ ~ ; . <br />~ <br />=' <br /> MEASUREMENT (~ a . ~ :.. ~ <br /> :PERMIT v. ;,:.. <:,.i-:: 4 =:.. ;"-,N°.- ~¢:PO~t T. <br />~ F:.kQs ..t i :+y: s.~ <br />~ ,y:.: <br />, <br />. i:~i.C: ~ ~,r. ..e "r~,, ,: REQUIREMENT ~ ~. .. <br />'~UDA A1'i ~ flRI~LY .~R~ `1.%'. _;'~.. .;~:' <br />..: r. , ... SAMPLE .. .- . ~ :;:: t h <br />~ <br />~ [~ <br />~ - <br />~ S ~ t <br />I l <br />L: <br />Jr. <br />'~ <br />1 <br />~; ~ F : j MEASUREMENT . <br />V • . ` 1 <br />7 ~^~ <br />i _` PERMIT .: `~;,a. .. .: `~" .S .U ' +: L: t:f .:^.. . <br />~ <br />.. :.~.~~ .. .. ,_ '. REQUIREMENT ~ .3~Uf1A AY: ~ ~ i1n:.LY~ .~%~ RG1L ~i~?+;i'€'-~ <br />_~. .. ~ ~.:.. SAMPLE <br /> <br />MEASUREMENT <br />. . , .. <br />,. .. .. - <br />,.. <br />~.. .. ...: ~+ ~ <br /> <br />'' ~ I'j <br /> <br />D <br /> <br />-' _.. <br /> <br />- <br /> I v <br />j <br />.. .. ,. ~~PERMIT ~::... .- :r •. .. '4'S=i =F-7-#kt Y>.^.. :~~ ~ L °~'1'!'IAt'~' 't: ll; <br />- -... , .. REQUIREMENT ~ ~ ... ~ ~. ~ :.j :: ~:, ~« .~ *.3C ! ! ? f. 7. ~ . . <br />., ~ ~ , ..I : ' . _ ~ :r <br />' <br />: <br />? SAMPLE <br />MEASUREMENT .. <br />(I <br />~~ <br />• ~ lJ _ r ' <br />~ d <br />~I <br />`~ ~ ( ~; ~ - . .. 1-. <br />( <br />/ j <br />i <br />I'k~ <br />.i , .. ., L <br />. , <br />. . <br />, , <br />: <br />) ` /~ <br />_ . _ .i - ~ PERMIT 4.Y.'(>:i `~~+ n ;?3R T' ~ .':-::~{"~ ~: fi%;: `:. :r. `~I,Y~ .'i'~,'??:, <br />. , ...'1SS 4., :. :- REQUIREMENT .1 +I',; .5 AV(~ JAid+T :1d .1~ <br />_, _ ..,, ~ .. I, <br />~ i SAMPLE <br />MEASUREMENT ~: ~~ .. ~~ ~ `, a <br />b <br />~i~U { i .+ ~.. <br />~ ` <br />'~r~ . <br />~.~ <br />_ . - ~ <br />, ~ <br />._ <br />- ., <br />y <br />I. . i .. PERMIT .. .ter+~+- •rvv°rv °:l Ei .. <br />! .. c~•..i, '.i - ~ta,l :af i. . <br />.._ ~~ i~~ 4J. ., i. .REQUIREMENT ~ ~ ;; ~1 •.,~ i'i 'J .. ii :'i C~L Y. r`.. 3:: ~'... <br />NAMERITIE PRINCIPAL EXECUTIVE OFFICER + CERTI <br />AM FA FY UNDER PENALTY OF LAW THAT 1 NAVE PERSONAIIV EMMINFD MD <br />MO EASED ON <br />MILIM WITH THE INFORMATION eUEMITTED NERDN TELEPHONE DATE <br />' ; ~ <br />f <br />L <br />r ~ r. c <br />`~++~ ~ _ +' + J ~ <br />L7 k '-- <br />~ MY INOUIRV OF TNOeE INDIVIDUALS IMMEDIATELY REEPONSIELE FOR <br />I BELIEVE THE SUBMITTED INFORMATION 19 <br />OBTNNINO THE INFOMIATION __ <br />~` <br />~. r <br />/ <br />~ <br />- <br />~ 1'-' , <br />TRUE <br />ACCUMTE MD COMRETE. 1 AM AWME TNAT THERE ME - <br />( <br />~Rd- s~.rt a ~. , <br />~ 1 <br />' ~ I <br />j , <br />T1 <br />CL <br />N, <br />U <br />l <br />0 ,~-, <br />_._~ f (, <br />1 <br />I <br />)+('Ff ~~ I <br />( l <br />V=' i~-'~~" I ~\ -.L. <br />~ti '•jL i <br />' ` <br />~+ <br />U <br />ID <br />37 <br />THE POSSfsILITV OF RNE MD MPRIEONMENSEEN e <br />U5 C // <br />SroNATURE OF PAI <br />pPAI EXE <br />UTIVE ! 1 ,. <br />,/' <br />~" <br />t ,.' <br />, <br />TYPED dR PRINTED u.s.e. f f a,e. IPxrltl•. uw eN•,. mem. ra•r l"Npe• n,., w ro sto,aQO <br />rwn mutmmlreMawnwN Pr O•Iwwn e,..wrn,wsrw.l N <br />C <br />OFFICER OR AUT~IORIZED AOEM AREA <br />coDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRe/arenas e/l ettechmenm here/ <br />.. ,~ .: .. ~• LL ~. .. ...1Vi .. .. ?'i;. i. 11 f _. ... ~. i`. i.. ~:" ` <-1 . ,. ~ { "t, GIF' h:V P.N.: >- , <br />. ,.~. .. .. _..'r .. .I i... 1.l ..'C .. >; ALl ..~ ... >:„Y :, ~I tt t, r„t:~Ii. ~~ryp .i; ., - ~ 'v ')! r <br />EPA Farm 3320.7 108.961 Provious editions may be used. /REPLACES EPA FORM T<0 WHICH MAY NOT BE USED./ D n / I -r ~ q .~ t, J). ++-0 92 3 PAGE OF <br />