Laserfiche WebLink
-[RMITTE[ NwM [IA DD REff (Intludr <br />F~celty Name/Lurrbn !f dlJJrrent/ <br />NAM[-CY._+~~? Y6[.I__A.:,,eC Cv:rL CJ_1L.-- <br />AOD11[q'~l[i=..1 hLLS ~~: fl ~,~ G Ll: ;: -13 ~I r_i__ <br />_1--_311_ tAST c:Iti=.t4., Cln::Lt_ __ <br />_--r.IIGL~MOUL-----__ CO ~L15 <br />Pwcl urT <br />LOCATION <br />N ATIOM AL PO LLUTA MT OIiCM nRGE ELIM IM ATIOM iYSTEM /NPDESI <br />D ISCNARGE MONITORING REPORT /DMRI <br />zre n.r9 (• N.lu •1 Form Approved. <br />C~ ,.127154 ~u7 n (-11~It1; .I ) OMB~NdI2040-0004. <br />PERMIT NUMBER pluRwRCE nuMirw F - F 1 '.,.1 Approval expires 6-30-91. <br />MONITORING PERIOD -'AI`L '• dJVC P lV FCiiItL ~.. %; E, <br />YEAR MO DAY YEAR MO OAY -~ <br />FROM y ~J - TO . ..1 )':"~ nl. J l;~ti dil .IL +__' <br />rzazn rzz-z31 a4-?v rze.z I Iza-z91 130.311 NOTE: Red irntruetiom Wfora completing this form. <br /> (3 Card Only) QUANTITY OR LOADING 14 Card Only) OU ALITY OP CONCENTRATION FpEOU EnCY <br />6AMPLE <br />PARAMETER (46-JJ) (3461) (38-IJ) (46~f3) (J161) NO. <br />EI( OF TYPE <br />(31-37) •NwL Y515 <br /> AVERAGE MAIM UM UNIT[ MINIMUM AVERAGE MAxIMUM UNITS <br />6563) <br />(646N) <br />(69-]U) <br />}(t)h SAMPLE ~rX ,: :Ii~v 'v ~'yF 4~T: fj / <br />\ ) z: Tl;. rF :::~ ( 13) I <br /> <br />IUTeL tj-.-JY£HAC'L!. <br />MEASUREMENT <br />O/ 3~ <br />Ur ]~ <br />C <br />/3I r <br />c1 rl A~ <br />U <'- <br />m' <br />E <br />^ Jr& <br />` ~~.. 6', ..i ~? e ., a; .¢g'~~~~P.r31~ ep x~~x~'~9Li "`Y': H;e. <br />' <br /> <br />{t 1 <br />U <br />~ <br />; I~ <br />A <br />~J; <br />` P <br />RMI'T <br />~we0u~n <br />ENE(aT' ~ <br />«s <br />r}{:;.rf a <br />" <br />:Y~ <br />e <br />'A 1j <br />' <br />; <br />~ <br />f <br />~ ~ <br />'01'~~l'• <br />~ <br />°~~ <br />' <br />: j$ <br />f1GIL , <br />~i <br />~~!$ : <br />~ s <br />a <br />L <br />. <br />si1 <br />~ I <br />OS <br />. Y <br />L Po <br />°. . 6 <br />° ° <br />9 . <br />s <br />l <br />y. <br />. <br />r; <br />, <br />, il <br />. <br />,. <br />, <br />~ . <br />° : <br />, ° <br />I Lti C1{r ~.7:EN7 L/`.LiY 'Y .'>f :fk :~ =}1`1 <br />+}1: %Jl ~f ( ) ti:'~~~v i~~ ( ly) (/ <br /> <br />JjJ:1 \%LYL1! 6AMPLE <br />MEASUREMENT <br />~Or~~S ` r..~~ <br />`OrL„(,~/ <br />O <br />(,31 ^Q <br />~~^p <br />,l.}t~ - 4 <br />~ °°PERM'13'%`. ^ <br />'wF <br />'Kiiii~~KV<'` <br />0 '~Y~ ~KI;~kA~.p ~ L=~Jtf Y' eY~M;~Y St.3P>y~^axx '.~°Ce ~'G~~.q .~~E ~ <br />e~~'ia'a`I'.y'.r+ <br />a `: <br />s A <br />S{. s: $°.&" <br />~ s% <br />~gry.° <br />~ <br /> <br />F: <br />J <br />Vk <br />~R60UIw EM $Ni'. ~ <br />, <br />"; <br />0#Mr <br />'" <br />;6 <br />` <br />a <br />~ <br />"'A <br />~ I (° <br />`6 ,FF <br />T <br />° <br />Z4~ Po <br />J <br />` <br />~~° <br />~° <br />!1G/L q ., <br />3~° <br />" <br />I~' <br />Il° m <br />. <br />$ <br /> <br />L <br />;. <br />JSi <br />i:ti <br />L:.i: <br />'. " <br />~ <br />,, <br />F <br />, <br />, <br />, <br />V <br />s; <br />., <br />1, . <br />R., <br />. <br />r <br />° . <br />, <br />, <br />~ <br />• e <br />°. <br />_UtiGHr '_JO"iiNTIALLY ewMPLe ~4a' <br />~F'f ~~~`"'x'' ( ) ,Y "fa~uir~. ( 19) ~ <br />12r~JLYLV MEASUREMENT I <br />Q/OOl O/QQI h <br />l.~ ^~ <br />/J) n <br />2A(j <br />t y v <br />, 1 (. li ~ C .#.. .~ a .., <br />• <br />t <br />° <br />° e~~4+ <br />~5K'~e <br />E"'r.V <br />lC S",q., <br />,s ~.+'.L,'+?w <br />s <br />" <br />T' <br />T <br />y f.: <br />F:r o~4~FJe"i1F"~.x <br />X <br />' Y r; <br />~h ~.a <br />~'.~ <br />^ sae '' <br />~~h,]•&. <br />~° . <br />x~.a <br />fIM.T`~~~~ ~ <br />.sl, <br />A. <br />fi <br /> <br />' <br />l <br />T <br />' a <br />PCR <br />IT <br />< <br />R$QUIREM $NT~ p <br />xa~ <br />~ tl <br />. <br />. <br />•.a°, ; <br />' <br />:r;l: <br />>: 'm `•'. ° <br />` a <br />,x <br />e <br />t<:°# <br />, <br />~ <br />Ei& <br />~ ~ <br />~a <br />. <br />~ <br />'~ <br />'~ <br />~~ <br />@ <br />~}k <br />'~G/ --( <br />~~ <br />~~ sJ <br />. <br />L„'•' <br />~" <br />JS G, <br />IL <br />L <br />lcNi G' <br />LPF n <br />° a _ <br />. <br />° ; s <br />A <br />° ~, <br />°~ <br />. <br />~. ~ <br />° L <br />+ <br />, ~d <br />a , <br />. . <br />, <br />.• e. <br />rtLNC•Aflt.~.., ICI A.. SAMPLE -'="4 f~~ +YO'JS}i d ( ) AY+IPi-I;< ( , `~ ~..... ( <br />GI,.LYLF.A„Li MEASUREMENT o <br />QI lJ 3 c <br />~ <br />~ O ~ /~I ( <br />' <br />(~^W <br />Lr1Lj .1 L G '°PCRN17° ° .yI'XI;90]r.v+)'F'" ,'~. Jdr~k~... µ,, .. ,e~"Ai "Y~w~,' <br />Y'I Tk <br />~~:L ~'~~ <br />r ads e` ~ <br />g <br />~°' ~'F~$a.?" ~'~* g <br />. <br />+/q~'. <br /><.' <br /> <br />I <br />h0» V P LJ f <br />F <br />Uc <br />. ' RE4wREM ENr <br /> <br />' <br />~ .. <br />< <br />~'n ,'4° <br />' <br />cl..~ a° <br />> <br />"'e <br />%sI <br />` <br />~°~~3Si <br />a~.~~l~ <br />" "J s <br />YSA'~ `~~ <br />~ <br />' <br />° <br />I7G/L . <br />°S:" <br />°' <br />• <br />^ <br />J <br />F. <br />A <br />FL B <br />.., <br />V s <br />,. <br />e <br />tl <br />a <br />a <br />Po. I «. <br />A <br />< <br />~ <br />. <br />. .^ T <br />° <br />< <br />., <br />.. <br />°< <br />1. A. CC21CU1T (.'!~ <br />LON SAMPLE ( L3) ~,~>Gi:;:>:: 04~oxlo ,I#~+~#O ( ) <br />, <br />~dYI~ IFLuIrEiaT rLI.~.T MEA$UREMENT O1151~ O/~12H ~ /~( ~NS~^ <br />E <br />JUfl JG L V V e ° ~ a <br />a <br />F;1}~~, <br />•.'Iw <br />1~ O, _ <br />~@~~D <br />Ti ~,' <br />XCP iFn ,'"° <br />s ~' JY"~ a <br />' ': ~', ~R'i~" ~~•'•iI ~X"e '~ <br />n <br />s° t # TF <br />F"E.Fs,~:~' <br />.3(. '~E <br /> <br />k.FFL'UzhT GNOSS YALUE PERM IT <br />Req° UIREM MT° <br />. ;A~ <br />...„ , <br />y <br />!(1'>`A~`.'~~~~', r <br />.^.iY1°k(:T,r<f:'X: <br />`1".;L < <br />~':a^,°, ~a ' i~l <br />" m <br />°° ° `_ s~ <br />~ -~» <br />° <br />" <br />•:~~` .' i'' <br />'LL ANU GREASE aaraa>t ( y4) )ti4~J}fk'J# n~:0+}#Y ra#:;. <br />r: <br />>,+ ( j ~ <br /> SAMPLE O O /3j V~SVAL <br />Y <br />f I 5 L A L M EASU REM ENT <br />G ~ <br />~1 <br />l %s"« <br />rt <br />~ OI~: ; <br />.Q~05~"k T (f•;~a;.°:e.,-- «I~`•e~~ E~=1 1?b~~f ~~!^iR a <br />9 0,~~`•~P'°'.. ~ ;tA'4b,S'~# 't r~: ~g;E'~l~°~ ~~~h~ <br />D a <br />~ <br />V M1 <br />PE <br />;REOUIRE~E <br />ENT' , M.` <br />C <br />~ <br />NO=u , <br />:.; `s <br />+¢ . ` <br />'~ <br />' e <br />°~ <br />°~' ~ ° ~ ' <br />s <br />.FFLUENI GFOSS VAI.U£ , <br />~: ~~A . <br />e7r~Y~d~~ <br />~`.: ~ , <br />s <br />- <br />,_ g <br />, a, a <br /> SAMPLE <br /> MEASUREMENT <br /> "~P <br />T 'a"~ ~ ° <br />e <br />~ <br />A e va s~e n ~ ~F^ $^ ss. `~., <br /> ERNt <br />°R54UIREM 6:N.T~ a <br />q <br />SS <br />' aa <br />°s <br />=° `.a'a:•x my°~ <br />"~s <br />» <br /> rc <br />tl ¢ . a -, <br />r ~ <br />NAME/TITLE PRINCIPAL E%[O UTIVE OFFICER PENALTY OF LAw TNNT I RAVE RERSONALLr EIIAMINED <br />unDER <br />I CERTIFY <br />MATION SUBMITTED RCRCIN ANO MSCO <br />IT <br />THE MFO TELEPHONE D <br />A T E <br /> AND NM FIrMILIIrR W <br />H <br />R <br />ON MY INQUIRY OF THOSE INpVIDWLS IMMEp6TELV REBPONSrBLC FOf1 <br />OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFOPMITION /^/ // ^~' /~ <br />/ <br />// / <br />" ~-'~ <br /> <br />Rlchar(i ~,iills <br />IS TRUE ACCURPTE ANO COMRLETE I I1M AWARE TRAT THERE ARE SIG <br />CANT RFNALfICS FOR SUBMITTING fALSC MrORMATION rhCLUOrNG <br />F <br />N / <br />~r/ <br />~ <br />..// "~ ii//((~'////"."EE~~/// <br /> <br />En• Ironrhntal illarlac!er• I <br />I <br />THE FOGSIBIUTT OF VINE AND rMPRISONMENT SEC 1B USC S 1001 AND <br />rl <br />tlr / <br />n <br />^ <br />JIn MVI <br />41 <br />IA <br />9 <br />h <br />d _ <br />SIGNATURE OF PRINCIPAL E%ECUTIVEi <br />97G/ <br />R7U-2712 <br />4 Op <br />?f <br />rJrl <br /> . <br />r. <br />v. un <br />rr <br />r.r Rpmo. may m <br />u <br />]]uSC <br />T <br />IPrna <br />p ur A EA <br />TYPED OR PRINTED e.d...mr.~^rum 1.nOrr.rrn^;.nlr•/Arlu..nAmr.nrA. nnd.:.ra..., OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AND E1(PLANATIDN OF ANT YIOLAI IONS Ingrrrnrr mI mmnrm.r...+ ..rrrl <br />AL"1 F.RNA"io ."Lt1IT~ r -r, ') ~_ :r ~. :T L:.F !'.L ~G L. ,,, ,, (t:L: rC'j .. 11`,.L u...Y I: .= iv-ihr ~4-i:t i, _:.1F ..JC.. -~ <br />C'LiL1rIGD. SF.;: I.i...:i 1~: Ltlr F'uh ~i!:JC:r ')r' :bu(.F ni~kLl6cr.LAL.. C;.L ., „RGhJL-ac1 Fi:~~InC1E F'/r k~:. ... <br />EPA Form 3320.1 (Rw. 9.88) Pr[vlous ditions maybe used. IwE.Lwaf c.A FOwM T-t0 WMICN NAY NOT E[OSED.1 GVb9C/5}:, ~,J-ltr L4 •AGE - OF <br />