|
FEIt WTTEE NAML+ADDRESS R+.AO Yr.WY "'.«' G.rrr..e YP(A^y+)
<br />NAME ' .. ~ i, i.
<br />ADORE SS - ~~ ~~- -
<br />-.. i %. ..
<br />;T )4 nT
<br />FACRITY -~ .. L 7L MIN E
<br />LOCATxNr, ~ .1~ CJ
<br />Fan. APpro"sd
<br />MAtIpNAI yU1l.VTAYT p9CNMOF RMtY1AMN srartM lNPOFS) ~ ~ 20b-0001
<br />OtBCHAROE MONITORWO REPORT /D 1 ., _ q .l .,
<br />i ~:"%Si :)~~)
<br />PERMIT'NVMBER a<ewMOlNwarn - FT N11 i, j,At
<br />- MONITORWG PERIOD ~ .,
<br />YEAR MO OAY ~~~--Y-f---A-~-R--TT M;-O ~7---D--A--~~Y~~
<br />FROM ~ rc L~~ " • I ... b
<br />' NOTE: R~~d tn~truttlwr Wla• tomPMtMy [hl~ lam.
<br />rt: a:..
<br />NO
<br />tnto~tNCV
<br />SAMPLE
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . OF
<br /> Ex TYPE
<br /> MlV.Y99
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM VNtTS
<br /> SAMPLE .. ~~ ~ ~: - ... ( ~
<br /> MEASUREMENT
<br />
<br />:,J
<br />'.
<br />PERMIT
<br />asoa•4.
<br />-organ s ..^
<br />;S anomcn ^
<br />y..: r?.KAY N52T~
<br />.
<br />.'r t'I.-.:~.:.: REQUIREMENT +~~' }iI 1 0 hAXZKU!! _
<br />.[ i1JP I;:--_ SAMPLE ~ ~ .. ...::Oo. { - 'i'i
<br />~JL'MOiD MEASUREMENT
<br />
<br />.~ !:j I PERMIT CRP.at9 0971lQB h ~ 40816 r. 3j N~Q/ RAa
<br />r'i LUGN2 7 t REOUIP.EMfNT ~ 3^[3A 4~ _ CY ;/: ?3!i'CH
<br />'iLI%S
<br />SE7:LEn',- ~ SAMPLE _ - ~ l 1
<br />F MEASUREMENT
<br />~~ 1'. I 0 0 PERMIT :bia• ocOdO: a - r, ~eba9 a00 an •.~ Nc ~'..'liT a 4C i!/ RA!s
<br />:.J E. ~tf 3jt0$S Yh'"~ REOUIREMENT -
<br />- L~AT'.T rY _~ !'GN~B
<br />IrF I. 1L SAMPLE .. -' . __. .. ,~• ..r ,... ~
<br />A,-
<br />~E) MEASUREMENT ~l
<br />(
<br />e
<br />. i~ I U U
<br />PERMIT
<br />npoR Y
<br />a64PSeC t
<br />~ ,
<br />O? '. ~;rl t.
<br />~
<br />;. `,i
<br />j.(+ _ ^
<br />'---/ ~
<br />•
<br />•-: Ld..;yT 'vk055 YALIi• REQUIREMEM" __ V )J0~ ~Yf: ~A7 i.Y MY '".~• '.r`+2E1 __
<br />S _. A40 ;:RtiASii SAMPLE - .. ~ t^.' -
<br />~ ~- .
<br /> MEASUREMENT _
<br />-
<br />_
<br />S7Hl L D 0 PERMIT u040ao Ovsd 96 a •(„_, 600="'- OR4t 1'.i ~; !1 T, Ili "r r.
<br />-
<br />V7 ;;RJS5 'v :. REQUIREMENT lf/ •'{Y i ':"7 __--
<br />Y ': ONOU I~ SAMPLE s ,,) - - '- -
<br />~~, iS 17 NE t; T F : MEASUREMENT
<br />1 0 0 PERMIT R~POSf i!f.?Jii1 eO4O0II :~.-*.a.: tat+e.R •... ;g~tj„' -`I';""`-~
<br />..
<br />+:?:ROSS ~' REQUIREMENT 3UOb lY~o nt.ILT CI _----
<br />_ --
<br />._
<br />... ~ ._ .. E.... SAMPLE ~~-'c?~. ( -.` eb'.... ~...._ ...
<br /> MEASUREMENT
<br /> PERMIT 4• ,... P e a - .~~d .
<br /> REOVIREME NT i!! - _
<br />TTTlE PItINCIPAI EXECUTIVE
<br />NA OFFICER ' "^" °` T "` °i ° '~~°"°""r `~~ `" "'w0."
<br />' "° ems`
<br />l
<br />ti
<br />W 6F
<br />/
<br />%
<br />~ /' TELEPHONE DATE
<br />ME/ an M
<br />yvP.M .+,Orr w. Mrw>+r w.n`Me. ,e r
<br />.vH.r. ru. uP
<br />F, j
<br />,
<br />' •
<br />
<br />r~ :e ' ~
<br />• .. e .W. n.N M.e'teF Pr.rnwr, PKM^S fear .ne e•M,e,. ,M telr„wrMe
<br />r:MNnM [«rA « wt .+CM N,w Frn,w r p.w .o.....n u..~.r,w
<br />J •
<br />~ /'.
<br />/ ,
<br />,• • ,,
<br />~
<br /> r ,LS M.w abaw.>t TFrMYr fr [.Yrlq IM INw.u1Wa 1M 12M - ~
<br />J
<br />• a ~ ~.'!r, ~• .~ 1, ~:
<br />~
<br />.
<br />~'~ :~
<br />~ .._
<br />r
<br />'
<br />V
<br />ter rwwnN4.e,M MN dwT \rn.MP.M 4Mt.ub raver.. Wee„/kY. T
<br />E OF F1IINCRAL [XECUTIV[ ,
<br />/ '
<br />v
<br />N ` t....r.o.rw..r..~.n,w F.wMlw Mr wa,r,uq rx. l.h..wgsw afOMA
<br />VR
<br />tfR OR AUTNOl112E0 AOlNT
<br />OFi NVMaER YEAR MO OAV
<br />TYPED OR -RMREO M,r10u[,M Prm10M)N9r rE rgn.o.rr,k +r "nr..l~rowrWr 1 CODE
<br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS IRd~r~nc• d/ HtAtMnwrd Awq
<br />- ~ ~ .. ~~ i :, .~:~: J'."~'. Tie :~ ~ .. _ .. ..
<br />SPA Fprm 3]241 ;R~+ 1991 Pr<yqu! edbans TTY CO used - .. _ - _ . - 1 .; ~ -.. TMe n a d-p~gF1 form vA0
<br />
|