Laserfiche WebLink
wino fDifjerext) <br />.e :.r.RGY, Lh~. <br />3'rJ1 ')ttftPY h'C+A±° b5 <br />FAC7UTY41t.'t3L.° .~ +-1:,`I; <br />LOCATION <br />iTI'~: .iBtrF U.i`~dY.kT <br />NA77gNAL POl.L27lANT iN5CHARGE EUMMiA710N SYSTEM tN-OESJ <br />DISCHARGE MONfTOAtNG REPORT IOhfR) <br />^vrr ~N~~ nr <br />PERMIT NUMBER OtSCHAfiGE Nt3MBEFi <br />r MONtTOTRi-11G7PENtOD <br />!YEAR MO t?AY ' + VEAR MO DAY <br />FROM 1 . J I J I TO '71 U 1 31 <br />Form ApProwd. <br />OMB Na 2Da0-DI <br />I'% J:t <br />(`su3R A;N} <br />- Fj4AL <br />.JA-1 L`lavavl'n <br />ro R~'G f+SH <br />~NOTE: Read tnstruations befom'L$mpleting ttti <br /> 4UANTITY OR tOADiNG QUANTITY OR CONCENTRATION NO. fHEO(lENt <br /> EX OF <br />PARAMETER AVERAGE MAXIMUM UMTS AttNIMUM AVERAGE MAXIMUM UNITS '~v'~ <br />~"~. ~`9S1' SAMPLE :+`Sr`r ;: ::r~:r#;: #~C: yt -.`.:? { ;•} <br />{ l V U .`' ~ , C } MEASUREMENT <br />U.JS;.J t J U ~ F'EAMlT~-. -'4##1W qt. ##At•~#, '.::%`,: '* ~#711-' .~~?..:.`~. ~~i 45?;-.. ~ tft_•E~. <br />c't'FL'1•.'NT ~'~~2iS YaLL't REOU(REMENF : - ~- ~ ~ t#_: ~'u ~;3$ ~ ~' '!~ 'T9 Y ris!`. K, <br />~~~~'~ SAMPLE '.aa~: ~:= e:olt ;y ;t ;~#+k n~k:x ( L, <br /> MEASUREMENT <br />U J':.. J I .J I d'6RAtf~r. ~. -r.4A#F,#°~ r, . _r ` ^ x=' ~...• , .r'~..' , M EElL ' <br /> <br />..!C.'L' vrJ::~ vxLt'^ <br />~RE041tREMENT <br />~ ;a z:~ <br />''~,.~;. <br />,~.c <br />~~L~ZkZ Pt <br />a .r. <br />..~~ ~ <br />Ott <br />- +3 <br />S'titi.>, ~.UCAL SAMPLE •. ``s ~: {:.k i::'< .':a^.::: ( }4} <br />.J 'i ~ . fi L L J MEASUREMENT <br />V : , .i U I J U -~::= ~P~Ml3;' l`.~!aT~t96* .s _ <br />. • # '. ~, ~ .>` ~~ *d,..,.:. _. d .... - ~~' ,. {_. <br />.r'f'E.J@::S ,;.J:i`% Y.9LJ AE0(JQEMEN7 . <br />. ~-~ ~: .,: ..< ~ X M, +., <br />J 11, :.: rt L.L ~ SAMPLE ,. ,..::n ~: , <-":: .r s 4c;; V.•x X# .^,. r,,r:~ ~:-.; ( ' ') <br /> MEASUREMENT <br />a u t,'> , 3 ~ GI ~ :~ ~RMtT' -., ~' ~ ~" -° #~tMIt+IOk+II .. ik +k+s: a>'~~~ar>x°+a ~. q ~ ' <br />:. e::,JS.~r ;,a~» YAl.U R~oulpEt~!>Nr ~.,: ~ r~s~r pax '„ : ~ <br />(~... .e i'J?'AL SAMPLE ..; x • ~- r ..`•,:: '::; t t ~} <br />{ A g i' ;; ~ MEASUREMENT <br />t, 1:: +ti 2 J Et ~ -'x?ERMIj' - ':*#AEgrss.' '•atetksan~e .-. <br />' ~ aQt~tEf#Ik ,~ <br />~ 3~5 7.a .`:J~ <br />~ ; <br />!: r r' 1. J c '~ 'i' 1 r, J J 5 >: A L U r. REQUIREMENT ~ ^ <br />: r .; <br />' Sj ~° ~ j _: <br />,t , <br />Yi,J•e 1N C.J'i +,•UT.T .,~t. SAMPLE ( 9.!) tXa+Y'k## ###~~~~., .. . <br />'! i :~ l! r ;..'?,i T ° `::+'f 7 L { ti ~ MEASUREMENT <br />! J -: ~ I u t> ~ ~ -PERMt'~'>:, ~ ;7 ~~t~ <br />s!~ RCP~iI~~': ~ ". a ~ a>r a+sa~~ •;~ ~ ~:: <br />rE'i..t1F:':f ~nJ~~ YA:..i;. AEQl7lAEMEt~}T _ <br />3cfu+r, try; . <br />~ <br />a "t • <br />n,~ r <br />r"~> e ''~~:' <br />w. <br />;:~x- - ~. <br />^t t..)t%L 4:., 1-')".AL SAMPLE .:: 'x tr. '- ;t :td¢4'9 !S-:~h'F k'--~ 'F ."i.:`, •.:: .: { Z,.t} <br />+:. [ U EI . i. MEASUREMENT <br />1 7 <br />J7aJ L P~RMR . ~ : #C#+CrCQ! .~eM~¢:Al+illk~ ~ <br /> <br />.. .; :.. <br />„-- .. :AL'Ilpf~+A - ~ 4u`b'l1rRe~a ~_ <br /> <br />` <br /> <br />~ 5 ., __ _.. <br />a <br />JSS fAL4t <br />I' <br />i'F'i <br />U AEQi1tREAtENT .._-. .. <br />~- <br />-'-. <br />#`^~.' ___.,, _. .. _ ..__._ ,, - - <br />!2 <br />ati: <br />~ <br />~* <br />~.c <br />..- <br />• 1 <br />NAME(fITlE PRINCIPAL EXECUTIVE OFFICER ICendy unaer penafry dbwthat mtsdxument end al atlacMnents were <br />i <br />i <br />i <br />iN <br />i <br />G <br />d <br />tl <br />i <br />d <br />d TELEPHONE 9 <br /> <br />~'/~~-~ <br />~ t>~ <br />~'f t an a superv <br />on <br />n accor <br />ance w <br />a syAwn <br />Bne <br />prepared un <br />w my <br />~rect <br />es <br />s <br />Iaa9sUrePW gLli4Aed pet90rf/197 tNapefl)'QA'hY &9d QY~iHB Etta 69.QlfrtlehM <br />J <br />t. <br />~c v emSmrcted. 8aaed un my inyurty ar dw Person m pwsons wbp manage EM system, <br />- Na inWrrtialiat <br />pr tlwse Pereona OlmcUy respIX191Y,b Ip! gattmrmg the intotmel'Nxt <br /> <br />~~ <br />' . <br />true <br />bne <br />itt <br />Cell of m <br />knowled <br />e a.W t~e7 <br />eccwm <br />aM ccvn <br />b <br />d Is <br />to U <br />~' _ <br />L <br />~' <br />) t ( <br />~ <br />. ~ (J y <br />g <br />, <br />, <br />p <br />. <br />su <br />m <br />e <br />, <br />a <br />a <br />f <br />I <br />i <br />' S(GNATUAE Of PA7NCIPAI FJ[ECUTIYE ,lG ~ ~.S Q t <br /> <br />TYPED OflbRtNTED a+se <br />nSermet <br />on, <br />t amaeare mat NrtXe ara siprtr6aaa Penm+ies br subm:itim <br />E <br />includ~n the ibdi or fuw ar+d' IscvvneN for AVOW' viotaf~ore. OFFfCER OA AUTHOARED AGENT <br />NUMBER <br />YEAR <br />1 <br />