|
<br />PERMffTEE NAME/ADDRESS prA:i £rmry N~.•lx.na /OIC..•p
<br />NAME _„'U~ Y'. Id J.~!.e.Y ::GAL CJRP.
<br />ADDRESS h1.~CS 1, 1'v .J .. '.i i, f r., ~ LCA'1 A. r~
<br />910 c+tiT .:1 .:.:'..L :.I d~LL
<br />' '.GL~;.IO~J G. 8u1'~',
<br />FAal.m
<br />LOCATION
<br />'-lkkl:, iI. .<. -. :,L'.t_ .; '''.h CitA L. ~ ihY
<br />NATIONAL POLLUTANT DI9CNMOE EUMINATON SY9TEM /YPDf$l
<br />DISCHARGE MONITORING REPORT (D R1
<br />CiiU0271~4 001 A
<br />PERMIT NUMBER D19CHMOENWlD1
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM UU it ~~1 TO UU li 1U
<br />PARAMETER QUANTITY OR LOADING Quality Of CDnce
<br />
<br />
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />' .)3{ SAMPLE .. . ~~0~ ':#>;-`tr :: i:4:}r,..y
<br />` 19)
<br />C MEASUREMENT ~~+.22. C r 2 ~ ~ x/30 ;-i~~.a
<br />inL s
<br />OYERA oLL
<br />~; . +_ ; 1 0 0 '.PERMIT .: ~. ~.',trr~q;4d~..: .~..'~'k~:r:~'~:~ :;
<br />
<br />~ =ix~3 ~'=::#i'.w-:.iN 's.,...u:' ~~~n:'~u';~~r;~~~~:
<br />•' ~Hli~6E1
<br />C o:(AcJ '
<br />
<br />_
<br />`,'L:!r.~~^ OdU55 YALOI .REQUIREMENT :~:.... ~..:.::~. .:.~: .:.';::::
<br />as#t ~ ~.':){)DA~:9:`'x"".f ::~~~';l1ll~!:~t'~`7! E!G/L ~ ~:54?El''ll!
<br />.; :.LYL;+, POTtNTIALLY sAMPLE ;k~303# as#a## as+a#a# 1 ( 19)
<br />
<br />`' i i 0 L Y. U
<br />MEASUREMENT 1
<br />•~ OrpQ, ^w
<br />~ 1 ~I h
<br />I J
<br />,~~'
<br />pcQ~
<br />I~ijuu 1 U. 0 ,~; ..PERMIT :. ~'=z'R~O'.t:x :... CLS.#.dICQ..:I '4rA;t :.'A#iF'##'0
<br />; it+P!:[t~`L`.:• '~ `:~'Rt"±TYAi~~'
<br />NCE - 8
<br />
<br />uR
<br />
<br />
<br />-r'f'LU f: t.T X4055 YALUJ
<br />
<br />:REQUIREMENT
<br />
<br />:...~.. ~. ,.
<br />
<br />.::;:. .;'.,: :. ':'
<br />
<br />rP0#n
<br />;.
<br />.
<br />.. ,. ;:: ~
<br />
<br />a"3(}DA~'~A~>'.1~:
<br />
<br />...:!5~87.ri: ~.'~:'::I:.X
<br />
<br />MG/L
<br />
<br />: '`
<br />
<br />~~~Et~~ei.T.N
<br />..I`,/PEK, POTENTIALLY SAMPLE
<br />MEASUREMENT ooo' _' ;*a#aa~, A4at9:r;=
<br />~O~
<br />L
<br />l
<br />L~,~ti ( 1°)
<br />Q
<br />3/~1
<br />~~
<br />.7: 550„V ED (
<br />•
<br />j
<br />,):.100 1 U U PEFlMIT ~: ~. 'k: S}'. .7 ~,,:'..~~:. ~yr.,:.:. ;':'~. ~~:':':~~::~ .': (:9 e:~... G$X4...
<br />[: :'E'LU;: ITT GROS.i YALUI . REQUIREMENT ~: ~..~~: :., ,. '.~~. ~...:
<br />y s:': ..
<br />
<br />... . .I 'DA ".~.t:%r; '. :: :T~.:::'t~. ';r~;~
<br />
<br />.. ,_, YG/L
<br />
<br />.. :,!i li
<br />
<br />..
<br />~~ `b
<br />.~t :c r. SAMPLE ..~4.:Y ,. ~,:.;: :: ar.:i': c: :r
<br />
<br />.t ''.'.JV.lntiLC MEASUREMENT ~+J7 L -i
<br />• n D ~ )
<br />~ (~~
<br />1L11i 1 0 ~ .'.:''PERMIT.:.... :.'::.•-~:+'s.'Y~:r't'r: :'.,_:::{:;rek:'F' ? ::.:p..~ ...n:Z>s":.±•: aS'Y`~:::~r:'L~':
<br />'
<br />..;;::•
<br />''1.': :'::.':`.Z..:yY 6RA~B.
<br />~tE'LI/F.;;T :;dJ~G YALC ,PEQUIREMENT': :,'~r ,.. .. ..- .;,.. x,., .',I: /L
<br />r.. ;w, .N ;:i ".JGI-i '~.a SAMPLE
<br />MEASUREMENT -e.'~
<br />21 I'~~~
<br />I
<br />' ; ~. j) {:::: ;arp;; :: ::5 +aa~ .:.rte::
<br />L
<br />1~
<br />~(~
<br />- .. r U '~.t :..: ~~ . _ h P i' Li, d' ~
<br />O' 1 O r
<br />y7J
<br />J i -
<br />
<br />~ ~GS(i i)
<br />~... PERMIT ~: ,... :..
<br />~ ~ .. ~ ~~: .1..
<br />., ,.:„,;~~~~
<br />:,a.:z's:'
<br />„„ I;,R:..3.:;.
<br />.~:.:
<br />~c*„
<br />.:
<br />~.~~ .
<br />'S TAr
<br />;r'FLUE L ': i~:, YALU REQUIREMENT' :. ~rl;?< YG 'AIi:Y ''X '-;i'
<br />
<br />,...
<br />,.... a#oa
<br />:~ : L d 4 ,, ~_ .: S F. SAMPLE .:': r. ~.;..: •:4 } C4r+::: .: ~. . •?'}k-''~J.ta 3 #q#~# '
<br />J ~• J A i. MEASUREMENT I~ Q 1 (j' (f"JUiM~
<br />•' J 6 c _ :; ,~ ~' PERMIT..' .' .. .~ ...... _
<br />
<br />~ _
<br />.5-,.
<br />"ir.;7r;.;a
<br />r':'rF=".4*:Ei:
<br />::it:.
<br />~:~
<br />k`,E:,
<br />Vi~UA1
<br />v~L~;:. ,•:J.;S YALU REQVIREMENT .'~..~ .. ~ ~:~~ ~~",_aT.';!$74 hU=~~ ~ ~:~#~•
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~~:~:. PERMIT:.: ' :.:. ~. .. ~ ~.. ~ .' ..~ ..
<br />~
<br /> REQUIREMENT' ~. ~ .. ~ ~ .
<br />NAMElTITIE PRINCIPAL EXECUTNE OFFICER ' nnnr u• rr wn• Ire Irw m•10b aorvmem r•a m nl.rn•w•r. "`n
<br />pnwna ••arr nr al..rn•• w w:wr.Hen In aoranr. wlm . gnrm adEnd TELEPHONE DATE
<br />
<br />t.Ie:nr~ °.iifs ,••wnrn,y.nnre pr~•nnH prvwtlr p,nn rna r..w.k,br lnr•,mabn
<br />wbnluea.e.reo.m>Lqm.rwmrw=.nnorPr:~...n.rv.n.F.u..r.u~n ---~ i-
<br />) j~
<br />.: ~
<br />~
<br />,
<br />I
<br />~
<br />970-379-2712
<br /> or Ih
<br />dl
<br />~H
<br />~N
<br />E
<br />n
<br />tl
<br />I
<br />a /
<br />/.
<br />~' ~
<br />'
<br />~
<br />'
<br />S
<br />'
<br />^
<br />' '
<br />I ~ ,
<br />y-
<br />r:i
<br />r•~^
<br />+ID rI,:(~
<br />C I-
<br />t~ ~ penen
<br />rn
<br />r mp
<br />r
<br />w En
<br />e
<br />nF Ibr
<br />nrornr
<br />on, IDr Infernua•n i
<br />,
<br />j
<br />i
<br />i. -
<br />/ %
<br />[ >
<br />~
<br />,
<br />.
<br />Yr.n
<br />,
<br />suDMUed 1., to Ine be, •I mr Ymwkap rna heart. ,rve •mintr,.M mm,kb. - ab .-J ~~7
<br /> Irm rvn Nrl mrmnaENnr•nlw^.Dlv for wbmlalnL rrb lnrer.mbn 610NATVRE OF RIINCO'AL EXECUTIVE
<br /> ,
<br />TYPED OR PRINTED IMWIni lbr yombnlry ornw.ra lnynnn,nenl ro. n•o•I•r.ld.u•.. OFflCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRr./~rrlncrl s// ~mcAmrrnrs h~rrr)
<br />..,. .. .ii Lli91 Y, F'Ud ':55 ., Jc; ._.... !:L, _;JLIJ~ (LC; r-.:~ ) A.r r':,Y il\LY is ~_ '. c,-Y:'1, 14-d=r t'.t E;:1 i• :%:JT ..
<br />_. -',: ~i l:v• .i6L I•A. L, _., 't .I, ril}( ~. rinUc~: OF~ ?ROOF fi L. ~ilVi ;f :~~' V': J. UIL v vRLA`~C.--J", Y. FC'~IT RU1:, f/, 1-'- ...
<br />EPA Farm a~20-1 (Rev 3/99) Previous editions may be used. C ^ ~ 1 G / ~lhyls~ 14=Pi L norm. PAGE OF
<br />'?AJUR
<br />(~ildk n.1)
<br />F - .'i NAL
<br />::C:..'79I: ~ ?Uhu
<br />AOORT
<br />n f.J "r'C1:. ~ ..nc.~ K .~y'
<br />a;
<br />NOTE: Rrrrd hwtruclloRS M1or~ compb11n0 fhb loan. '
<br />ntrati0n NO. RIEDUENCY SAMPLE ~
<br />of
<br />EX ANA~rsls TYPE
<br />
<br />. i
<br />•9.
<br />ry`.,
<br />
|