|
PERMRTEE NAME/AODRE55 pebi F.vNryN../lrrre., ynl~G..n/
<br />NAME Sdhi:CA CDP.L C0;1PANY
<br />ADDRESS P• U• B U X 6 J 0
<br />HAYDEN CiJ `11639
<br />FACIIT'
<br />1OGT~+HAYD.N i:U tf1b30
<br />ATT'{: ~HF.G~ dI:,:NE;{, C34F'BAL "ANAGF;R
<br />NATIONAL POLLUTANT DISCNMDE EIIMINATON SY4TEM II/VPDE$F
<br />DISCHARGE MONITORING REPORT (DAIRI
<br />-rl:~ ~ 0 „ ~ _ u n
<br />jPEPMIT NUMBER tii,-sc ARDENweEw
<br />F g.
<br />~• MONITORING{?E.O~.
<br />YEAR,~IiAO DAY _Y.EAfI~ MO DAY
<br />I'
<br />•. I n J I+ ~t
<br />- i t'.iAL T
<br />;i:,iA;Gc TO T4I6/FI:;h CFiEK
<br />`°:Flk YO DISCHARGE ~__~ #~~
<br />NOTE: R~Ad In~trucdotr b~for~ eompbtinp thl[ fwm.
<br />PARAMETER QUANTITY OR lOA ~
<br />• O `.
<br />Q.ua _i'ty or Concentration '';NO~, rREOUENCr SAMPLE
<br />
<br />AVERAGE MAXIMUM ,t
<br />NI• S
<br />' Z~"
<br />MINIFsAO~""^~•~ ~
<br />I AVERAGE MAXIMUM UNITS. ,
<br />.X
<br />.~ oP
<br />ANALr414
<br />TYPE
<br />PH SAMPLE
<br />MEASUREMENT C444rs; ~'rt!1aE'' _
<br />7
<br />5 ~
<br />" ##': ~I:+..
<br />~
<br />~
<br />' ~
<br />( 1 /~}
<br />E/
<br />y(
<br /> „ 7
<br />;;
<br />~. , `~ ZV •~5
<br />U J U U U 1 U 1 ~`:'; f?ERMLT,.'~::}•:~: :::r'r to lj ¢:(c : ~ ~ ::::.:?2q~ftiVr' ':y ~ .! ; ,7: _.: .: r.; ... .;..,~ ,. ....:...:. ... ..~, -
<br />EE'tLUcNT GHUSS YALUE
<br />
<br />REQUIREMENT,:
<br />' .:.::..::.:.:.....:,...
<br />
<br />::.:: >; ..
<br />... :
<br />
<br />r.nx.- ...
<br />;`..... .•:<t..;,..
<br />
<br />s?:k r:
<br />#
<br />
<br />!'(:I:d1L!tiJK. ;:,:...
<br />
<br />
<br />..... .... .
<br />
<br />"I A.$ :flfE'#5:;
<br />
<br />SU
<br />s.
<br />%..`:'
<br />
<br />`:!~!.(1H'S'11
<br />SOLIDS, TUTAL SAMPLE
<br />MEASUREMENT ;';. t:#Cnr #r?tr rk; 0
<br />~ sF##;:^~:
<br />- 1
<br />~ ~j
<br />I ~ ( 113) '\ (
<br />~
<br />L
<br />SU:;FENU[.D - , (/ ~~ ~y„
<br />GUS3U 1 J v ~F.~~~.PERMIT.~.~:-~ '.G14L'.R1p6r .:::ea#VI~:~4~~.r, lOr#4'ei ~afl# .~
<br />,. ~,"j.7~~' ~ j~::..
<br />7`;):~'.:~~
<br />::~
<br />~.~ ~: 1~tC.E/~ ;HAn
<br />EE'FLUEN ~ GROSS YALUc REQUIREMENT. ;:: ... ;. .: rilar,a - >j'
<br />''.~
<br /><' ~1
<br />DA AYE
<br />3G .
<br />:
<br />:
<br />i:~:A
<br />Y;:
<br />:
<br />:FW'
<br />aY:Y riG/L -
<br />' d
<br />iO:ORT
<br />:
<br /> .:.
<br />: :.
<br />: ,
<br />:
<br />;
<br />:
<br />. .
<br />r :
<br />.
<br />:iULIJS, SETfL'dAe•LE SAMPLE I•, ^~~74 I`.4#Wi4# #400x4 '• t
<br />r' t
<br />~ ( 25)
<br />~ I
<br />I
<br /> MEASUREMENT ,~ !(O. I Q• ~ 3 r) Gym
<br />O'JJ4S 1 I/ U VERNIIT.::.,'
<br />,... . :-:crrr##T:::: .:i!"1`:tq k t :. - '::rA.~l?k4`
<br />
<br />;~ '. .:.y
<br />
<br />~~~" I,
<br />~i :;a:;;:...
<br />
<br />~~
<br />.
<br />'.
<br />x` .
<br />:~ k '; ".
<br />
<br />~~ ;@Ab
<br />E'f'~LUF NI' GF.U`iS Yit U :REQUIREMENT: :':i:~,.:: ~:.: ~: ~~: :..: ...:~ ~ ~ ~ ^.
<br />; :
<br />.
<br />.
<br />., ~?!~t'6
<br />i::JN
<br />TUf?rL isiCOY:ikAbLE SAMPLE
<br />MEASUREMENT . . .. ...r .''c ..~.;:#1Y
<br />,, ~'~-~f a
<br />Oy LI ~
<br />~ I9}
<br />,/T
<br />VV
<br />I/
<br />3(,
<br />`
<br />,,,y`~
<br />UUY9U 1 U 0 :PERMIT:":'; arc'@:;d{tA :eY.(.R=yr t ~ ":'y13itF:~#jx:':: fn„":. c':'xiaFi:< """:::1>'. ,~?... .. tr`
<br />' 'Hn6
<br />EE'PLUF.ti'f GROSS YALU :REQUIREMENT :,; ::: e::3i~i~~1?'Ii '31AT'f:<~?~ tti;/L ";<':? ~~31~'[H
<br />0IL 3ND GREASE SAMPLE '..v:.~; ,: .1 :.: ,: r:k## ##t=###
<br />N ~
<br />~ 4 I)~
<br /> MEASUREMENT 1
<br />~ Q - ~'
<br /> 1 •
<br />.'r ,
<br />JJ~J1 1 U 0 ::.~.PERMIT.':::~.:.:. ::::}ttF.'rs:~4rrr ~~ ;z::.:~t~~4:4".i ', ~ r'`'.r:r»~.'kF~ ~.
<br />: ~.•~~~+~aeYr.iC761;0}i:" i~~~.i;'?,:°„ :<~~
<br />:
<br />; S:N
<br />~11~~ Ji.AH
<br />.. I .,,..
<br />..EtL1F.lri GH05S YALU .REQUIREMENT:
<br />i.....,. ~~:.:~ ~:~ : :~.~ :.
<br />
<br />.. ... ~;~..:~~ ~~ ~ ~~..'.
<br />
<br />......... ..
<br />
<br />.: .. ... :.:
<br />.
<br />~: ..
<br />..... . ~~::.. :. .
<br />
<br />...
<br />.::~~ .~~~~:.:i~:::~i;~;;: ,:.::
<br />•::.
<br />,.rr~:' :
<br />>;.,
<br />'.;
<br />'~0.::~t .
<br />.>:• ~
<br />S ...~~
<br />
<br />.
<br />F l..i vi, IN CUN DUIT UN
<br />' SAMPLE
<br />MEASUREMENT
<br />~I+Sr
<br />D
<br />1
<br />t
<br />5f ( .:{~ {~::+.1.r:fit: #~'tkc #u ##+Y :Ybk
<br />~
<br />'/ /
<br />Td''.U TiIAT
<br />:16N2 i'LAS ~
<br />, .
<br />.
<br />~
<br />l ~ .
<br />d ~S
<br />S:1J';U 1 U 1 ,:;.::PERMIT: ::. :':: BP:i+uHT :. ::- ii;r.ixt`3.(?j'T: vtr,'"..:Jl;:tx
<br />..
<br />•. ~rkki~~~:. ?i~A!.1xTs±~< #t[# I .IIC!`l Ii+~TAt
<br />t'Ft'LU6't+T GROSS YALU 'REQUIREMENT; :.. :3 ~1J.A..~hYta~ ~~.:1h:L:L~Y ~'NY L':.L ~ ~~.~::.,~ ~ ~ ~ ~ 4000: ~'`::"" `~iC:'~~`H .
<br />S1iLI05, TOTAL
<br />G..i :iULYf:D SAMPLE
<br />MEASUREMENT ; ~• :: .: c:t, r .. , ...
<br />~
<br />t ~'..C.Y 3
<br />1!' ~O
<br />{ '
<br />~..
<br />'~3 (~ /
<br />lTv..~
<br />1U1i`, 1 0 U ` `s<jiRERNIITr):::' :;:::pRrz>'i:rt:G!t.'.. ..a,Y.IS>'•!t: .Y tzs`dlxk;k'~': ~i'Tlofi[AL::. <:r{~;:~Y;(jR~:. >;..:• !iE:
<br />:~;Y' GHAB
<br />°M1FLUEhT GROSS YALUi
<br />
<br />.,. AAEQUIREMENT
<br />
<br />-:.. ::::i:. .::..
<br />
<br />:., ...:... :. :: .::.
<br />
<br />:..: .. :.::::
<br />:.
<br />: ::
<br />.
<br />;.,_.:,
<br />...
<br />.
<br />-..
<br />~:~:
<br />.:::,1:iLh::d:fl>a
<br />
<br />`:.~3'A~'I:Y`.:~'SY r-/
<br />
<br />~ L.. ~.:1>
<br />
<br />.i::':!: ..:
<br />::<::::
<br />:::~,:::.::..'.
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1°^"T°"r. Prn.I)n ..Innr N N a"nlle•I.nd w.ll•cnl.a•ry.rn TE
<br />NE
<br />
<br />Pnp.na nnar. nT ell.snen waup
<br />nl~•n ln.aare.nrr.Im.nrNm are
<br />nrd LEPHO . DATE
<br /> [ ~
<br />-
<br />'
<br /> to .Hurt IM1•r qudlnN pennnn,l proprdl [ilnrr •M rNmle Ine Inrwmtlbn
<br /> mhM11fE. ee.e an mT npulrT •f lnepmnxpnoni .no mange lM flrNn, 1
<br /> •r 1ho~Rra.etll.MlT mp•MnNJm plnetln[Ine lnform•Ilon.lb lnf•rmnl"n ~
<br />J~Q~M.,.
<br />
<br />••mnlw and ..m lnN.
<br />R
<br />"
<br />tl
<br />. I~
<br /> •I lnr
<br />.n
<br />s[inom
<br />r~aur, re
<br />i.e.N
<br />il
<br />bn
<br />mr
<br />em ~
<br />610NATVRE OF MII pPAI EXECUTIVE '
<br /> p
<br />n[
<br />n
<br />•mu
<br />, A ~
<br />~
<br />TYPED OR PRINTED
<br />___. _ .... ...__ I"nwmi n.
<br />peelgllll or nne •na lm Nfnnnenl rx Lllo.ln .Id•IISP. OFFICER OR AIjTNORIZED AGENT A
<br />cOOE .
<br />NO '~ YEAR MO DAY
<br />..vmmcn I ~ nnv enr u...... rvv ... ..... ........ wn~ rnnaranw wr auarnmanra Hard i I7 F'"
<br />~'::, Lf".IT BILL L`. '.AIVr.J dND SETTLEAt'LF SOLif7S LII!I': At'PLIL'Dr'Uk C=1GYr,~'~.iii rFttCIY $. ~~T55 G
<br />:; e:T'fLEAULt SUL1U_ LI.91T ~AIYEU FUR ~10Y2,[DNN IPkCCIP F'YENT SUdJLCT :0 cUk:~iiV OF YBBOt"2rN I. A. 2. OIL f
<br />Lay Fie used. - - - - - - - - r - ,rw~ : , , . s • a 4- i -s~°d"~. vaGE loF
<br />.. ~y~,. ~.l - ..,-I.. ...f il.ah;e1.yY..n4.M."r ... ' v
<br />
|