PERMITTEE NAME/ADDRESS pnel,b fslYryN~•'leealen UDl~,..wq
<br />NAME Sr: 'r?CP. CJ.SL CG''.F'A7f
<br />ADDRESS Y• 0• A J X ;; 7 U
<br />aA~u:;~ co tlln3+
<br />FACILT'
<br />LocATIONFI A Y D: ': '~ 0 '~ l a .i
<br />AT :'ve .,pr .; i'f i('A FI I:_ l:•~•: I. D1. PoN:. !:PG
<br />NATIONAL POLLUTANT 014CHMOE ELIMINATON SY9TDA NPDf$l
<br />DISCHARGE MONITORING REPORT (D R)
<br />~' ~ ? . r.
<br />PERMIT NUMBER gscNAAOENVMeEn
<br />MONITORING.PERIOD
<br />YEAR MO DAY. YEAR MO DAV
<br />FROM ~ - 'TO U ~ U'i 3 v
<br />r.
<br />- FII+AL Nu 0„
<br />1.-'.-r.a~r ~o ea+~tir.F,:,l,~ .:LLC.i a
<br />:f:x:z NV UI Si'I;A~JF )°~ :xr, rf
<br />NOTE: R•rd InrrWetlanrr b~lw~ complr.llnp rhb 1wm.
<br />PARAMETER QUANTITY ORL, Quality Or Concentration NO. fl1E0
<br />UFNCY SAMPLE
<br />
<br />AVERAGE MA%IMUM'~
<br />NITS
<br />MINIMUMI AVERAGE MA%IMUM UNITS E% O
<br />AxKras TYPE
<br />P.: SAMPLE
<br />EA
<br />ME ,t Y~Pp RP a:ta*p,t 1, 0 ~
<br />~ 41: r:~=~:- n .7 Z
<br />~ v ( 1 :) i\
<br />CJ
<br />~1
<br /> M
<br />SURE
<br />NT • o - . 7 1 ~,
<br />9uoUC i U C •;.RERMIT;..;?:: ...:. rs'?~tt.rEv•Y: `: :'r:#.°-X-rr4"; r, :y r. ~; "::.rS`.' ;:.:: +:~`u)3fi~A`: '~,'A. ..' ,.ir,a~/
<br />
<br />, 1~,.
<br />"
<br />,.. ... _.
<br />;,FrLUFIfl „It0» Vd..Ut gEQUIREMENT,
<br />......... ... ... ;'': ". ' .
<br />.... :: ':" ..
<br />.. .. e:ca r,
<br />::~:.
<br />I•~{EMIf.,. ., .:
<br />,:
<br />~.r.. .~::~::. :~~:::'...i%:: p::'.: rM:.
<br />'~:~3RA$_s!.Ii.., `
<br />_`i' , p,.:
<br />.r :1, .
<br />ci ~'LI DS, ;:)'AL SAMPLE
<br />MEASU
<br />EMEN .., :: r,a.' ,: ,t,x It •:, r., G4#R#O
<br />6
<br />6 ( 1~f) :
<br />' ~ J
<br />`
<br />5 u J Y c :1 D L J R
<br />T Ci A) T,• ",
<br />D
<br />r PERMIT' ~ f.::ri , ~~.::-;~,:,,. e : ;;#:~~k~d,R~.
<br />,
<br />". .
<br />;
<br />:.f:: .,. .
<br />~ s,:I
<br />
<br />l
<br />t /;
<br />F'?LUL. T :;FtOS° VALG :REQUIREMENT
<br />... ~
<br />~ :y:-. _ .:... .
<br />.~3UUA .;AYO .
<br />..
<br />`JPi1.I-.':1':::~'X "._/L. it~t::ti
<br />;iOLIDS, _!:PTLF'4UL.i SAMPLE
<br />MEASUREMENT :.:~:::':'.. _. ~^., ::radq
<br />~o
<br />L,
<br />"LQ
<br />/~
<br />1 ~~)
<br />~
<br />I/
<br />v
<br />7
<br />4
<br /> a
<br />• „ ~ .
<br />i ,Y~~
<br />o
<br />J'.1SJ~ 1 U U :~:... ~:PERMIT: :.:~: :f:'~'°: ':`^'`. 1:..' .r„',. r.~:cr~. ~ .,. .. '.:&~Ti,'gl ~l?.. ,.~.,
<br />~ .'..'~LII~ '":'k~.''
<br />N:S?:i
<br />T:`. ~" 1'IdCL./ ~dA;~.
<br />-: `'LU r,:i l' vNOSS Y.i i.U .REQDIgEMENT: .., :..' .' ~.. .:. .. '. '.. ... ..
<br />,..:,:
<br />
<br />~,.
<br />-e:,.
<br />;.7t:Y'3: ,
<br />.
<br />jlj":.:'[.::~ik'
<br />~:: . °L/: .. ::!!!v 2:'C!i
<br />
<br />
<br />
<br />~
<br />T :i JI, IUTlIL SAMPLE
<br />MEASUREMENT .,... .. '::/;.xr,: ;:~<::: ~.
<br />~ ~ O
<br />A~ O'
<br />~•~ ( ~ ,) ~J ~ ~
<br />~
<br />(.4 5 P E f T .
<br />1 ( v ~,~
<br />f
<br />i.l~ir ., 1 J 0
<br />C(.~~. PERMIT.:; ...
<br />.~: =x i:i.<:: c, •~..
<br />~ ..xc:-.. •, ._ .
<br />. ..
<br />'~:~~~=,.:.4. G.Yr~it'~.r
<br />x +: ~~~-
<br />~
<br />
<br />~r::~C`:~":::.;.:..:'.;:::
<br />
<br />::.:
<br />
<br />'.{~i;'k:~f.
<br />
<br />~'r.A;'
<br />i:'r'LUtNI' DROSS VALU .REQUIREMENT
<br />.:.: ::.:..
<br />' ..
<br />..
<br />~ ,: -:: ,. ii,. ~-:VG: ::;~~~.~`.LY:::..rL7c: !^GiL : ::: ':E!:V:tiin
<br />JIL A.+ii oI{EA SE SAMPLE ~ ~~.: •; •.: ,:.. .: ., ....:<(: r..;r .^.ri'40urI .;+ ( , `))
<br /> MEASUREMENT ~. v
<br />
<br />63`rH= 1 U 0
<br />':.PERMITr:: :
<br />,k'a;4 ix rf n'r.
<br />.rE ~: ;<.,,t':. e: ~
<br />.,.... ~.
<br />Sri:Rmtild::'
<br />:,;,;'.....~~d!4':#.:.':
<br />rjy.E~.:.: %;::„r::'::':i '::i
<br />'~.''Ii: y'IN
<br />~n.AS
<br />cFi'L~c`+T' ,:hOS3 YA..U .
<br />REQUIRENIEN7~ .: `: '~::. :' .~~: ~ .r. :~..:. *b..'I 1^~N'S;1':~•~AIt• :; •.,/I. .: L,L~i?. .
<br />FLJN~ Ih :_JNDUIf UN SAMPLE
<br />MEASUREMENT
<br />J G
<br />~d C~/
<br />C)
<br />3
<br />/ ( ,_,{) ~~.':t::<•^- ~ Rif:,#r;. :f r:~s+'cy~?
<br />~ r
<br />~
<br />~
<br />C
<br />'i'!::U 7:S i;?I"GVT YLt; N' (
<br />l .
<br />1
<br />10 •u
<br />~
<br />50JSU 1 U U `~~.:PERMIT:::. ~.. ~.. :. 4F:~E'U~;tT~~~~
<br />:'
<br />i ~*'It.':
<br />~~ ~'.aF. Lia '. ;i. ri ;..k rtlr' ~ ;:•..~:: 4fcR0!'C!.~Y.,#.:~:. .~:: ;!IE1Fr.¢IM'.: ti:;tJ . :E«~ ~.LY T1; ~.,iA'
<br />Jt'pLJi_%? ~~ZO:;S YP_i,U ':REQUIREMENT'
<br />.. .:.. ... .
<br />..
<br />.16~G.A~ kVG'. ,
<br />~ UAI~L.Y '"X ',G I; ~
<br />a
<br />~
<br />~..:...:~ ... ...
<br />SOLIDS TITAL
<br />r SAMPLE
<br />
<br />MEASUREMENT ,:;tl•:^..- r:,t:r:r::•: :.3;u:i:
<br />!!
<br />~
<br />~
<br />
<br />~ ,~ ( T'i
<br />
<br />~
<br />
<br />^
<br />vI~bJLYb•u O yV ~
<br />,~~
<br />/UL~!~ 1 J U ~<::.'PERNIIT~.',~'.
<br />:':.: :.. ~. ":RY~R{rS ~
<br />
<br />:
<br />
<br />.
<br />: :Ya'la~x~'.:'.: r ..
<br />
<br />.. 'r.rt#n.;l#~' :?S~1?.y~~~y~~~A'~::: ~: ;;::JF''#(~~.'3~it'T' ~ '.~'y21;Y ~~:Au
<br />
<br />`,°FLUL::T ~HOSS YALG
<br />.REQUIREMENT::
<br />:.'''.... '' : ':`. .:
<br />:::::.:....'.'.::
<br />~,,{,`
<br />W:,~~S.R:^ ... 4
<br />..'13.,k:ILX':...'S:X
<br />r,/i
<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I temp n er prn• I) a •. m•I Nb don,nel,l •ne m nl.cnlrewp .rrt TELEPHONE DATE
<br /> prtv,re nna.r m> el,.cnen e, wwrtlfon le .ao,a.nrt.lln ..).nm aaima
<br /> to apart IM1•I qutllnM RrtenM p,vFrd)laner •nd rnlutlr Illr InlMmab,l ''
<br /> w,Dllal,nl. eQa en m) Inqul,) eI Ne prnm w prnpu wne m•n•ie IM a].lem, 1
<br /> er IDOp, prromdlrtc,y rpp•I,Ybk fa r•IDrrln~ Nr Infomullen, IDe Infomp,lon ~, 1
<br /> wDmll,ed b, le ,De Da, of m) l,nwktlpe •M D•IIH, I,oe, •m„nlr, •,IE tomplrle.
<br />I •m vrt un mm m e
<br />lununl
<br />n•Ina ro
<br />b
<br />lln
<br />f
<br />tr mm
<br />b /
<br />610NATURE OF /III/
<br />p-Al
<br />E%E
<br />UTIVE 1
<br /> p
<br />r.e
<br />np
<br />rm•I
<br />m
<br />~
<br />n.
<br />r
<br />I '
<br />}
<br />C
<br />TYPED OR PRINTED ,.ul,alnr,De pe•aDlll,>ornl..na lmpn»nme•I ro.km.lnr .lel.u•In OFFICER OR AIffHOg1ZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND tAYLANAI1VN Vr Arv~vwLA nVNS IR~r~nnN N/~fl~c~m~nre ~~r~/
<br />.. _ Ih:ia Li^fITS .ILL :i.. NAIYEU E SETTLEAr-L° >~)LI[!.' ..:'I" b~'k'LIEU Fun <=lUY:cpll+Hi: PkECIP tiV~tfT; T:,~ c,
<br />L°:Uti LI.,I"5 IIAIYEU PJh >lUYN,l)iNP. Pkt:CIP VEhi SU,JECi T:~ %.:'i;~~'N Ur' ri.GuF I:. I.A.2. 1~IL E GDtAS~G - :;cE
<br />EPA'Fo7m`~'20.1 ''))
<br />31 •j feblo s ~ 1 ~ ^ ' a' D'
<br />i8onsmay used.
<br />D415iiJOTlhv~sl~+'~=~ar~°.lln PAGE F
<br />
|