|
PE RMITTlE NAMEIA ODR[aa (/w[IY(!r
<br />F[ciliry NemrlGomrbn IJdlfferrnr/
<br />RAM[_C2P='J~ Yd't=. V.•LL_Y CCdL CU n:.__
<br />woolsESS7.L y_..=~. ~'•-'. .JCI_h_ cC~I1=h PI•__
<br />., ...I.
<br />PwesurT_ ..
<br />----------------
<br />LOCATION
<br />n L':I. G.I:.G ?. J.:L: ..-. L:-. :. i. ~.GJ, ~I---
<br />rywn orywL rouorwNr Dlsc NwwG[ u+MwwnoN [rsrEM /NPDE31
<br />DISCHARGE MONITORING REPORT /DMRI
<br />OI-l6 17 /fl
<br />+..GJJLliJ11 ~Ll) \
<br />PE RMIT NUMBER olscn wws[nUM.[w
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DA]'
<br />FROM J u 1 TO J
<br />nn.Tn nzltl ne.)u nw. nl na.TYI Ixnnl
<br />- "~' Form Approved.
<br />i y- ~ -~ - ) OM84Jo.-2040-0004.
<br />- - ..: ,.. ~. Approval expires 6-30-91.
<br />_._ _ J.f cC i. •~ C..~u ~.. L:.
<br />NOTE: Read instructions before eompletinp this form.
<br /> (J Card Only) QUANTITY OR LOADING (4 Card Only) OU ALITY OR CONCENTRATION FR[GU ENCV SAMPLE
<br />PARAMETER (46-33) (31.61) (l9aJ) (46-33) (J4fi!) NO
<br />E% OF
<br />TYPE
<br />(31-37) wNALYSIS
<br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IM UM UNITS
<br />blfiJ)
<br />lP LNI
<br />169-]U)
<br />;.'vLuCiIY.L'TY MEASl1REMEENT ,•iir~+.:•+f ir4i~-.i'=i ~ ~ .>r':iY`ii:~ IU.
<br />J`
<br />~/~ ~ JQO ~ llj O ~/~I C-).nA~
<br />IC
<br />r v
<br /> . -
<br />~r., 5 a i J ~ ° x - - ~ ° ., x
<br />~PERMtS °
<br />( ; ~.,~.,~ act>°." ° x ° ~~~> R~: k ° ~ =: ~. aa>~;°:~, . A
<br />,~.
<br />.. . rA.88A>~"i~ • ~ '., m ~ °
<br />dy-+4 ~~9T tv ,'
<br />• ~~a
<br />~s ela.f iy I l G
<br />/ t[ii w° c
<br />~E• fi~ ~
<br />~ ,
<br />yyIi~
<br />•i
<br />!
<br />J[
<br />ir'1
<br />1 l;
<br />U~: Y
<br />LJ REOU.IAEMENT ~
<br />°
<br />1 xa x,x
<br />°s~
<br />~}v~- ,
<br />ag 'ear
<br />° ,I
<br />
<br />4rT1
<br />~
<br />fz A
<br />i
<br />KG
<br />° a
<br />
<br />1~
<br />~'
<br />°;
<br />4t~
<br />`
<br />
<br />C
<br />i
<br />'?i~
<br />'~
<br />K'
<br />'
<br />=
<br />,
<br />.
<br />.
<br />:,
<br />„
<br />_ 4
<br />a ,
<br />as
<br />x ~ r~
<br />°°
<br />.b, " .
<br />~
<br />~
<br />,
<br />" 4,
<br />1
<br />~
<br />~ .
<br />° a,.
<br />. .
<br />t'f SAMPLE r'. ~
<br />}~~'~ 4:-3 :. a :I~ (
<br />~ Q GI i:~=l ir'~ ry+ /7 /
<br />{
<br />1Z~ /
<br />(1
<br />~
<br />'
<br />~
<br /> MEA6U REM ENT T r I yr L Or I
<br />
<br />. 1141Ji V U
<br />'" °
<br />(
<br />tl ..AA ~~~~.g~~aa 44
<br />wTTln'1; ~'~TR l~ss..JJye~.. ..yy
<br />YsN~°m'VY'L~.T,°'T
<br />r'v :.(
<br />~.°P)<°'y"rn 'a a'4
<br />°x
<br />-° ~• y..
<br />° <~~~nXF~rJ:7R'j~'am
<br />a
<br />i" ,. ~r,.xl.,e
<br />Y
<br />+
<br />•
<br />5
<br />' yy
<br />yy~~
<br />~8i`~.k~
<br />@ pp
<br />pp
<br />~t1 YY~ p
<br />
<br />'
<br />'LUr
<br />I+`i GHL`SS Y=
<br />J
<br />iJ~ .RffOU1RffMffNT 's.. eRtl'a °.
<br />°
<br />'rks:~+ .
<br />., ^
<br />?I(x ;~
<br />3
<br />'~~
<br />`~l
<br />is~ nxg.q
<br />
<br />"
<br />"i~j4°
<br />` , m
<br />r
<br />xe
<br />'!4
<br />L~ °:
<br />¢
<br />Jl'~7'
<br />IL
<br />s
<br />9[
<br />
<br />SU c
<br />t
<br />~
<br />' <°a F
<br />cr
<br />:
<br />.
<br />_
<br />. .: .. ~• °^ ~,l
<br />.
<br />°
<br />~
<br />Y .
<br />i
<br />c
<br />:
<br />,
<br />. ,
<br />~.e 4:x s
<br />a ~
<br />E+
<br />,
<br />y
<br />r,
<br />r.
<br />.. 1
<br />JJ ViDJ iU~+•i
<br />r -
<br />SAMPLE ;I Y,cQT,r~a jt y/i<~'.:3
<br />ae ~ I ~ ,L
<br />- +i:~r `
<br />
<br />NI
<br />
<br />~ ~ 19j1
<br />
<br />~
<br />
<br />~~
<br />J.)F :ilJc ) MEA6UREMENT A /A O /A n
<br />~ ~ 7.1L U L ~ •. .. n
<br />'PLRMfT .. ' ~dmFr,°?fii~NN
<br />Ty
<br />
<br />~ ' ~d)°'y.3'r~~~°
<br />£
<br />`" ' +:: iY ~6 $#v^~/Afl'wFw'
<br />~ ~T ^g'4 a.; y
<br />T'
<br />s ~° x'f. ~, F"'
<br />sx3xL 6
<br />
<br />~ '; R#' ~qe~h
<br />~°~. S-6.~5.}'p
<br />
<br />< ,.
<br />-w
<br />Ix2`+~ ~><.S
<br />~'
<br />.~.~1 ~~'ie~x``
<br />.
<br />CO
<br />i
<br />tL
<br />° °REOUIREM ENT ¢
<br />g ~
<br />'cx ?
<br />¢Ots a
<br />• se
<br />°s?$
<br />° °
<br />4~~t1'~
<br />~ ~'~°
<br />~~
<br />L ~
<br />. '1
<br />v
<br />L ~°' ~
<br />~t~"
<br />"i ~°
<br />.
<br />v
<br />: v.1
<br />:;
<br />. c N a ~ - ,
<br />: .'
<br />(:
<br />li
<br />°
<br />. .
<br />:
<br />/ ... %
<br />i s
<br />.,JL) ll:3r L(~i YJ. BAMPLE : Y.Ij
<br />.;
<br />+t ai)i-i ~:#:- ~ ~ LF4#L"sTh ~ ~ 19 '
<br />'J3FEhD..J MEASUREMENT ~5 J O / I ~r~f
<br />('~
<br />JJ+J-1U 1 L L °'sa PERM 1'f.b>•
<br />~ m~..~?~'"!Y^'1+n •. ~re•~L~
<br />°x ~{.YId~%."T ~~,; $+
<br />`P {:.:T ~ ~iy r,
<br />~ aa~~
<br />i~.~f,., x9s~~ `ee°•. f.S/° ~ y[e. ,°i,Fa
<br />~ `a ~{p
<br />3r: '~a ~r~~° x
<br />~i~6 Fi en
<br />
<br />' RE WREMff
<br />7'
<br />9 h "s ;x1;, %x
<br />x
<br />;°
<br />~
<br />'
<br />~k-~:~: ee .
<br />iay
<br />;~ g s a
<br />lj
<br />'a
<br />`~"
<br />1~~
<br />"~° .y
<br />Y
<br />~-)'i
<br />L
<br />K
<br />~/L
<br />~4~i~k~`ii' A
<br />4LJ„
<br />LFF].U~Ni C.7G5~ k g ;
<br />,
<br />>:y
<br />. , .
<br />ds
<br />.*
<br />t
<br />'1 e
<br />;•
<br />s ~
<br />'JL10:i, ~r;1iLEa..L. SAMPLE Y^
<br />'i+-~'=k 60{+r3~,+ ( ) ~F=.•;:~Y# N
<br />/ ( ~5}
<br />~
<br />~
<br />/
<br /> MEABU REM ENT /
<br />~ , ~+
<br />/\ O /
<br />A a
<br />J ~S45 L U U °.°¢TPERMIT, •',
<br />~ +~la°
<br />•x"g~'~~i ~x~• ~~IY :Q„''~°
<br />'W,I~
<br />` °}y: (I <. ~°YYy's~.0?v'Mx~h~
<br />° .[
<br />~
<br />, .~Z«~*[~~+.'~
<br />' ~~°x te9
<br />+`` )
<br />y
<br />$]E~.E;gJf >i ~y
<br />.~~°
<br />n~P-iln<°
<br /> R~QUIgEME T
<br />K
<br />` °
<br />,-,: a
<br />r,
<br />=
<br />~'
<br />"°. I
<br />say-
<br />:#i:4 y°
<br />;, °
<br />p
<br />x •
<br />° s
<br />z
<br />d1
<br />1t
<br />~
<br />~ .
<br />s
<br />.
<br />~7
<br />~~~'LY
<br />
<br />F
<br />L/L
<br />
<br />"
<br />r
<br />fi 'q
<br />'r,':
<br />_~;. COri:;ENTS BELOW .
<br />s.Y stM r<^.
<br />;
<br />A
<br />Po I
<br />n :
<br />,
<br />1
<br />. °>
<br />'
<br />Q.. . :
<br />4k~
<br />±f° ::
<br />JLlil:ie 56TTLEA~yLE eAMPLE +Ct~#Cr>DI{/ x=,.~rMJ ~ ) #:s::,.-#r ( 27) ~
<br />
<br />ME
<br />R
<br />M
<br />NT ~Q
<br />l <O
<br />1 6 7
<br />I C ~A$
<br /> ASU
<br />E
<br />E r r 3I I
<br />/rtT
<br />. V
<br />15(15 1
<br />} iT«p
<br />"'PERM 3 ,;tt
<br />~~+a-.
<br />x~~V-r ~e 6yg
<br />°e~'T
<br />^.r~
<br />~~'C+ QI iT~ ~.y ~p
<br />°,! T~~>n:<<
<br />iap :
<br />~ ~yL [. r%
<br />~~'TjO
<br />`~~e'3f~~+C.{Y ~5 6y
<br />n 'fS~'4OY,CI'1''~
<br />°' Y '~"ly. °~w,
<br />~S SY
<br />f'
<br />~?JI tR '
<br />.
<br />,
<br />t.FFLUdt.7 ~HOSS YALUf .
<br />~gEpgIREMENT°
<br />&
<br />a ,
<br />.
<br />°
<br />°a ~ ,
<br />;
<br />~
<br />'
<br />° A~><3':# .; •
<br />''-S43~f~Ya~df>ia°• ..Ci142"~~ r~Y^' ML/L
<br />° ,
<br />A$~"It`£ht• ° ~'
<br />JLL ayNl; VNEA~t. BAMPLE C•vF}OT}:i >kp'}Ak#%J \ ~ KI+%X:XT:::} r#44%;
<br />~ ~ ly) ~
<br />~
<br />dt.GN EAT ~-:; i(P'I ". ;.7`N MEASUREMENT /~ O /1\
<br />/l /~
<br />JJ756 L l .
<br />'PERM(T~~'.• ?t~jr
<br />~f~+~°, ~Xi .. .S•i
<br />~~~~f,-'f Yi`r ~: :=: .~)1.~~~~~"
<br />" '~nSF..; RS'S°<'^ qq °
<br />S~». ~~ .`
<br />°
<br />'y v~
<br />-r.~~tt
<br />~
<br />Y+S }( .n,
<br />3Pt A
<br />-~
<br />FFLUhtIl ~hOSS YP.LL'P .
<br />IREOU:IREM,EN7~
<br />~ "
<br />x¢
<br />1; >~'a a
<br />°'k°= :.•}IFS .y
<br />.
<br /><A'p .~~:..~
<br />«v.a x~s :
<br />.~°1~.~i'~i4'
<br />9J~;~° ,~/,. .
<br />4
<br />G,i*1S"` r
<br />'~I
<br />NAME/TITLE PRINCIPAL E%EC UTIVE OFFICER I CEwnFV UNDER PEnwLTV OF LAw TnwT ~ NwvE PERSOryALLr EzwMINED
<br />•ND M1M F,TMILIIIR WITH THE INFORMATION SUBMITTCO NEIIEIry 1ND BI,SED TELEPMONE D A T E
<br /> ON My INQUIRY OF THOSE INDIVIDUALS IMMCOIITELY RESPONSIBLE Fpi
<br />OBTwINING THE INFCRMITIOV I BELIEVE THE SUBMITTED INFORM1ilON
<br />/
<br />/ ~
<br />
<br />E
<br />l2lchard i\gill.,
<br />IS TRUE wCCURPTE AND CdAPLCTC I wM wWIIRC TN/,T THERE M1RE SIG
<br />H61CANT VEN6LTIC$ FOR SUBMITTING FwLSE INFQRM1ilON INCLUDING ///111
<br />~ /! 'M ~%
<br />//., /~
<br />A ~/J r/JJJfVV/- c
<br />
<br />E!ivircnm,.ntal hlanac)ar ~
<br />TnE POSSIBartv OF FmC wnD IMPRISONMENT SEE IB USC S IDOI AnD
<br />33 USC 11319 IPrnaruv undo IAw mlmr. no nrl,dr pnr. uu u• Jln nr,
<br />SIGNATURE OF PRINCIPAL E%ECUTIVE
<br />3?O)I
<br />77-L712 rr''
<br />Y
<br />?/ Oo
<br />9C
<br />TYPED OR PRINTED n,d,..m[+Inr,.ml..IPrI.n^n,.Ilr „/Arlu..n /, m..mA. nnd.i .ra•.I OFFICER OR AUTMORIZED AGENT AR A NUMBER YEAR MO DAY
<br />COMMENT AND EIPLANATION OF ANY VIOLATIONS lRrlnrncr ull uwuahmrnrt here)
<br />ALTtAtJAT~ LI"IYS F~~r :~5 L :it:T1LiASLL ;ULIL'S (J.JC 'Gs) Il:•f1).' C'1Ti,Y ~. ._ _.-:;~ :'+-c; F:._C1~ ;Vct.1 I_
<br />L1.hIl`:.1.. gel: I.P.."r Y~~ 1Hr FOn hUf;9!;N Ot FLrJut ht~lUlrih."::.:._. iJ... _. ..I.i..-_~ ~:IC. ~... -/
<br />r .,
<br />(Rely. Y•88) P/svlDUJ editions maybe used. IwEPLwces EPA PoRM r-ee WHICH Mwr nor Bc use D.I • PAGE of
<br />
|