|
PERMITTEE NAMEIADORE55 QmWb FrrlgNa/Locanar JDlpweN)
<br />NAME TEnH:1N ~NE.'.( ~JyFAHY
<br />ADDRESS TEHRJR CHEEK LOADOOT
<br />1840 HIodYAf 133.
<br />PaoNIA co ainae
<br />FACIUTV ~.~
<br />tOCA?ION
<br />~aTTN: F:ELLY FRITZ6F:i, J~ddATI0N5 !(G3
<br />NATIONK POLLUTMT DISCNMOE ELIMINATION 9YSTFM (NPDESI
<br />DISCHARGE MONITORING REPORT /OMR1
<br />l7-lel 17-191
<br />95850023 D2 a
<br />~' " MIT NUMBER DE NUMBER
<br />R
<br />FROM
<br />MONI TO MIO'PERI b
<br />YEAR MO DA Y - :YEAR MO DAY
<br />
<br />rzo-rl rva31
<br />!Z8-Z9l /363!/
<br />Form Approved.
<br />D U~~ J T P D N D T] N 4~i11(°• ~RR~O N
<br />(SORB YC) Approveistcp~#505-31-98
<br />F - FINdL
<br />9'~ 3~
<br />"f ~' '
<br />~a# No Dlscesace xx c#~
<br />p~ I__I
<br />NOTE; 1Ritruetlona bafora;eomplatlnp >hia form.
<br />PARAMETER 13 Grd On/rl QUANTTY OR LOADING,' Nl QUANTITY OR CONCENTRATION O,
<br />' FREQUENCY SAMPLE
<br /> x6531 ~ 151-67! 13Ba61 !4659 ., I5L6Fl ~~ i~r
<br />¢ OF
<br />/3Z-371
<br />
<br />AVERAGE
<br />
<br />MAXII~Q. _
<br />
<br />U
<br />
<br />MINIMUM
<br />
<br />AVERAGE
<br />
<br />MAXIMUM
<br />
<br />ONITS~
<br />S`Ci
<br />+a3
<br />MKV515
<br />/5a-5Bl TYPE
<br />
<br />r59-701
<br /> SAMPLE .~:##r 2 #'~$ 2# ( 12) "
<br /> MEASUREMENT
<br /><"
<br /> .;..
<br />-
<br />UD4UU 1 U D PERMIT:. ##.$$# _ .:;}r.. - '-,e{t
<br />;:.:
<br />5.5:;:
<br />;;;:
<br />:
<br />.
<br />._~~~~::#~..
<br />9,=u
<br />EE~Lt
<br />Nslro
<br />FFLUENT ~R]3S V~LiI' ,REQUIgEMENT
<br />
<br />, ... :, .-r:
<br />
<br />
<br />~ ~-k## ,
<br />.
<br />.. , ,
<br />....f:.;':a
<br />>. „
<br />:. ,: ,,
<br />
<br />:..tFdYIM031
<br />
<br />SU
<br />DS, TJTAL SAMPLE ###C## ''
<br />-O$Grr=.`- ~nRyK .. ( 19)
<br />USPENDED MEASUREMENT
<br />...
<br />
<br />00530 1 J J PERMIT. = ## .% C##:.t¢.. ~'-y ~`. ~.
<br />.;~f,.: :~...:: :. :...
<br />T:Q
<br />" .:: NCH/ ` rRaB
<br />FFLUEN'r oi{J.iJ >I GLD, ;REQUIREMENT ' ~ ~~~ ..:
<br />:
<br />::.....
<br />I , .71iPr ~ .. LE SAMPLE „'•.-.-~.- ;,'>::#G# #$#OtaR ?#3 ( 25)
<br /> MEASUREMENT ~ -
<br />
<br />0545 i J D PERMIT r-`rR'fr# ,:~>rxx:- r~ ~
<br />~ x;'..~I~cg;. tx.. p,5 .. NCB! RAB
<br />dFPLUdgT :;?J33 YAL'JE REQUIREMENT
<br />
<br />Y ~
<br />y:
<br />,
<br />. "~ '' ,
<br />DAILY ?7%
<br />'1L/L
<br />F10NTH
<br />.
<br />J , ~ A SAMPLE T,-.- r„#`.r# ;
<br />.
<br />,
<br />'.~.~ : ~ ( 19)
<br />(AS F'3) MEASUREMENT ~
<br />~~ ,.
<br /> .
<br />1045 1 U J PERMIT 'I~Y,RfN Y ~:.~. ~~
<br />•:
<br />~:.;... A':: ,..... 60 N.CE! RCB
<br />FFLUENT ~3]SS VALUE REnuiREMENT •-;:~~ '''~'.
<br />`:::.: izr<i:
<br />``30D1 :.YG::
<br />:. DAILY BI.
<br />tlG/L
<br />.: :
<br />.80HT$ .
<br />-.:t .:AS SAMPLE rRxS:R ,-YFX i-: ##9L~i ~~ 3## ## ( 1.g~
<br /> MEASUREMENT ~ ,
<br />
<br />35j2 1 U J PERMIT' `v:~'i,;X## 'r` ##r,s #:
<br />Px:~.
<br />r
<br />~~~%:~..
<br />10
<br />ONTIN
<br />~RaB
<br />FFLUENT ;d]SS YALU 9EQU.IREMENT r~r
<br />~ ~ DAIL.Y 11Y t4G/L .G.81bT
<br />J il, _J SAMPLE { U3) ::itC
<br />## #r# # ."-#Y4rr
<br />rHdU TREAtBENr ?LI+NI' MEASUREMENT
<br />
<br />UJSU 1 0 0 PERMIT 7PTIJ9AL REP2Rr ¢#~#>~#,:; ;.:..ix~##:~ ::; ~~~~~~ : #=r EEKLt: 1f5TAE
<br />F'FLUENT .+dyi5 YALD .REQUIREMENT
<br />~ 3UDa aYu UaILf lLY:: NGD ~"~+`-#
<br />r SAMPLE ~_~ -r #F# r #~' ( 1
<br />I~SOLVF.D MEASUREMENT
<br />
<br />7U1y5 1 J J PERMIT'. T '+T~' ~-. ^ : >2'^ ~$ oRT rRLY •aae
<br />'FFLOENT ::12]33 V1LJF., REQUIREME11f.
<br />
<br />
<br />,...,.:
<br />
<br />
<br />:....... #-":# ~ . :c~.•
<br />,...,.
<br />
<br />
<br />iLx.:nz
<br />D
<br />
<br />
<br />G/L
<br />NAME/i1TLE PRINCIPAL E%ECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PFNKTY OF l
<br />MILIM WITH THE INFO AW THAT I HAVE PERSONKLY E%M11
<br />RMATION SUBMITTED HEREIN
<br />MD BA NLD MD
<br />SED ON TELEPHONE DATE
<br /> ;
<br />MY INOUIIfV OF THOSE INOINDUKS IMMEDIATELY RESPONSIB LE FOR
<br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORM ATION IS '
<br /> TRUE. ACCUMTE MD COM0.ETE. I AM AWME THAT THE
<br />AONIFICMT PENKTIES FOR SUBMITTING FKSE INFORMATION
<br />IN RE ME
<br />CLUDING
<br />X p
<br />8
<br />2
<br />10
<br />21
<br />Kel 1 Fr i tz l er
<br />Y ,
<br />T 97O 9-5
<br />55
<br />9 99
<br /> HE POSSIBILITY OF RNE MD IMPNSONMENT. SEE to U.S.C. f 1001 MD 77 BION E O INCIPAL E7(ECUTA/E
<br /> ~j y ro rIO,D00
<br />ns~a~n a7
<br />r
<br />W ~
<br />~
<br />~a
<br />~
<br />mmA ~
<br />' TYPED OR PRINTED F..
<br />i+N
<br />n
<br />in,rivnrr.
<br />rw
<br />e
<br />a OFflCER A
<br />UftlQRREO AGENT
<br />CODE
<br />NUMBER ~
<br />YEAR
<br />MO
<br />DAV
<br />cumIYRN I s ANU enrr.nnn I Ivn vF nnT vwLn I wlvs 1rTa»nnca en arrscnmana oars/ - . °~~
<br />SEp?LEABLd S]LIDS LI1Ir A?PLIES ONLY IF := LO-!R, 24-RR PRcCIY BYEYT IS 'L'L\IBED. IF CLAIFI APPROVED Bf
<br />NQCDa TSSs IR]N LI`fIT3 PILL N]T dE APPLIED rJ $EPORTED ~EaSOFtStlHl1TS--S H I.B.la, PG 5 s11D I.B.1D, PG 6.'
<br />IB-951 Previous editions mey De used. IREPLACEB EPA FORM Td0 WMCH MAY NOT BE U$Eq{ .;.,. 12 S 4 ~ PAGE lOF
<br />.-FVf-.r ..--r -:> ., .- ~ _ ~,-+l.~Wiesk;. ,SS-8'.~a~:&..'~w~1F~'~9 ~~. '~'7..t~a~~~ ~ .
<br />
|