PERMnTEE NAMFJADDRESS pwebJrFwWryNrlecwra. I/DIC..wr/
<br />NAME SLh::Cn .'UAL C071PAriY
<br />ADDRESS 1' . U• r J Y +~ 7 U
<br />N H Y Dc. N C U 816 J'_~
<br />EAGLET'
<br />LoGTgN},AYG:-N CJ Ciu J~1
<br />A°I'fi: ; tt:.'~- hIl :'~, i. !J, °ti •',AL v^;v A. (, ,.
<br />PARAMETER OI
<br />AVERAGE
<br />OIL n%!1 G.-: .'.A:S :. SAMPLE ~~.',: rt.-;ryra
<br />'V I ~ J A L MEASUREMENT
<br />d 4 J b b 1 J i ::.-..!:PERMIT::: ~~~~:` "':':'>It:Qil.)C?~'b.„4..
<br />h: }'r' L U c'i T ~ k J 3 , Y ;. LU c p~OUIfiEMENT: ' :>
<br />SAMPLE
<br />SAMPLE
<br />SAMPLE
<br />NATIONAL FOLLVTANT DISCNMOE [UMINAPON 9r8fflA ((NPOESI
<br />OISCHARCE MONITORING REPORT./OMRJ , I ~i ~ k
<br />I
<br />'1 (';OJa JC)
<br />MIT NUMBER ~ . ilAnaE NuAeEn ~ _ F I ~ A L 3 'l T
<br />MONITORING PERIOD C I 3 C H P. ~ ~` 'I O i; ri A~ S Y C tt£ E A 6
<br />YEAR Mr10. ~ DAY ~~; YEAR MO DAY
<br />FROM D Ub V sK'k ,,":(i CI5L:HARGE ~~_~ •iK+r.
<br />NOTE: Rud IrMtruetlo[r bdarr compbtlnp thb i«m.
<br />TY OR LOADING ~ Quality Or Concentration NO. fiIEDUENCr SAMPLE
<br />- OF
<br />EX ANAtyss TYPE
<br />MAXIMUM UNI ~ MINIMUM AVERAGE MAXIMUM UNITS
<br />ES=1
<br />U ~I,~U UL
<br /> ~
<br /> :REQUIREMENT. : .,.: ~.. ~ :.. .~.. ~. ~
<br />~
<br /> NAMETTLE PRINCIPAL EXECUTIVE OFFICER '°""I° "v'n•Ile .. In., Nb de[emenleM W.I,«Am.nb.ert
<br />prtF.M UnEer ml tll,«rlen«wpnlfon In ertoN.nrt.bh °°),bm tl.ftned /
<br />~~
<br />'~ TELEPHON E? DATE
<br /> r° m~rt,b, quellned «ron«I preFrtl/ pll,«.M mnr.b IM Inrenn°,len
<br />wEmluad. [eeA en mllnqulry~or N. p,Ton«prsw wM mngelM,Ttrm,
<br />m ~•
<br />~~
<br />\
<br />\
<br />
<br />
<br />e.
<br />oN p.rtew mrt<n„aFe,me,.r«nm.a.t u. lnro.,..uen. m.lnrem.ue. `
<br />_
<br />~1
<br />J
<br />/~
<br />
<br />wnmll,N b, a me nur er ml [rowbdR .M l.Ilrr, rrvA «'<nn1e..,M °ompblt.
<br />I.m...rt u.l In.rt.rt stnln..°I F.n.lue rer wnmlrnnt r.be lnren,,.,lee
<br />~
<br />610NATURE OF MiNCMAI EXECUTIVE
<br />. O I V Z3
<br /> ,
<br />lne
<br />mnlllr
<br />rn
<br />R PRINTED IwlWln
<br />a l
<br />l
<br />r
<br /> t
<br />pe
<br />l o
<br />«.n
<br />mpr
<br />wnmen,
<br />«L,a.lnt .la.uea
<br />TYPm O OFFICER OR AUTHORIZED AGENT CODE :['W{~IBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rdrarmerr d/ ANAehmranb hrrrrrl
<br />r'~ f':_~:, :.~': ~ AiLL _ i•AI V!:b L :,=ilL~n L:. .::)L rl„ LT.'tI? AF'i'LI tJ fCi; !=1vYi?, .:utin pB FCIP EYERTi 'I55,
<br />lo.I : G Sr, ~if L`'A'.,LE ~ULIU~ LIM.C
<br />S nAI'!'r'.7 }~):~. ?10Y:;, 24'i~ i °ECL
<br />:
<br />~
<br />' ^ ~
<br />i d'YE6T ;~UrJ:'CT 7J }. JF:6Em i
<br />F
<br />PRY)OP Ia I. n.2.
<br />.
<br />+
<br />EPA'FY,[m
<br />33zo=T (jtev 3%9~ Pie us'CBiiions m
<br />a
<br />y DC used. 1 T J ~ i ~
<br />~ ~ ~ ~ ~ ~
<br />t F
<br />r
<br />~
<br />b~ PAGE
<br />O U-004 / l)TI'IV 551ad'~~a OF
<br />A
<br />L
<br />'
<br />.. ~ ,. SAt. Sid' •f ,.itll'16Witd[.'~tiJ•.i..rv..._... r_.. ... ~_urrr::.:r"~£HNi'}i1~:_... l
<br />
|