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P[RMITT[E NAM EIAODRL!! (lnfludf ' <br />P~dfify Name/Lofarbn lJdiJJfnnrl <br />?!JL-r_ir_1~= YkC2n '~.iLL=I~CLAL COnP. __ <br />---Ji:_ .:AST ,lr r_i e.:_.,C.. _____ <br />-- ----- <br />PwcILITY___________ ______ <br />LOCATIOM <br />ZTJ. r J ! i :1 _i <br />Nwn oNwL roLwrANT oncN AwcE LuM,NwnoN svsreM /NPDEJI <br />DISCHARGE MONITORING REPORT /DMRI <br />1-/6 1719 <br />PERMIT NVMRlR olscHwncE N,.MSEw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM J U.] ,.1 TO JJ J J1 <br />iao vl, ivi xl na_vn .Tn.TO. ian wr <br />~' "_"C `' Form _Apprrfoved. <br />~JL.',.N hN)OMBIaO.'GO4O'0004. <br />t- E I h A L Approval expires 6-30-91. <br />.~. ,_ ii "JAJ :! '~t: :;LLI:Lt l:i•IC <br />NOTE: Read instructions before completing this form. <br /> (J Card Only) QUANTITY OR LOADING (I Card Only) QUALITY OR CONCENTRATION Fq EOU ENCY <br />SAMPLE <br />PARAMETER (i6-JJ) (Ji-6f) (JB~J) (16.f3) (Jldl) E% ~ TYPE <br />(J1-37) AVERAGE MA%IMUM UNITB MINIMUM VER E MAXIMUM UNITS <br />ilfiJ) rsls <br />ANw <br />( <br />Jtl <br />A9 <br />1 <br />t <br /> <br />-~.iLUC'Ll iilY <br />' <br />SAMPLE <br />:r`'P i`.'fJi=i, <br />=iJk"rv°.: <br />~ ~ <br />=%:r {:{~i'=. +~.~rs~~ <br />Y(+^~ ' f /'~ <br />~`~VO / <br />1 al~ <br />O <br />r / <br />l~ <br />v <br />n <br />~'I~+I V. <br />°I <br /> MEA6U REM ENT SJC <br />J aV Jf1 <br />V ° <br />.° <br />t ~4 :ec~m <br />' +d.;'~ ~ ..fem. ~.... 9• <br />o t; 3p S,~ wl ... y, <br />V+. <br />7R v° ~a`e. ° <br />, <br />'s'y(°s;` <br />e ' <br />°.e e..ill ~:~ y{ p <br />$ Lr <br />Y <br />~'~}~ `g~ <br />= <br />iI Iv <br />/ V <br />6~~°*.,.,Q <br />_~ ~ ~° r <br />+4• a <t <br />i <br />' ° <br />ts <br />Pff RM <br />REQUIRHN ENT <br />°s, <br />» ^ <br />a <br />a <br />{: {:~13 ^ <br />a <br />lew <br />"} <br />'Y6° <br />~ <br />~ <br />~ <br />~ <br />~ , <br />z <br />~A <br />~° <br />911~66 <br />C <br />' = <br />°~, <br />~Fe <br />Li,L~rl ..)U$~ Y. ..i1t s s <br />° e t <br />e. <br />. <br />1 <br />< <br />' <br />, + <br />a 4 <br />r ~ <br />e t1 6AMPLE <br />s ~~~ : ce~il X:'.J a:=r:~ ~ ~ t7 <br />L r e`.:~, :t /,/ <br />~ ~ l~~ D -f <br />v~3 yRAa <br /> MEABUREMENT I f D <br />f 1 <br />A-+LL 1 LI I'.'PERMIT,r a "3', ~yl~/,.~"+6~t''.`.~ ' «~ '.~LX1~6~ i~:==:~ ~~sf". 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U:)i Jij1LLr:_L.: <br />6AMPLE <br />-rv i~{I {i is <br />~I~>Q fl ai i~ <br />~ ~ <br />~>b*I(f'+F v` I <br />fyl I <br />( /)U) <br />(, I/ / i <br />~ LJ/ <br />i/r~ <br />I ~+ J ~J, <br />l~~r/ <br /> MEA6UREM ENT <br />, <br />~, X45 , <br />i U ,.; " .; <br />PERMIT. a ,..a <br />m'l~n~C C..Ly~' •a+ a'"r. <br />..r ~'"Yfrf~-~<~ <br />se = v <br />a~~i-0~'~°~,°n .no <br /><~ <br />~.3 ~ <br />3°" n: "" <br />+r`e-e~°';' <br />i.; ~r~'°c i+°A <br />~,• <br />',y~i5°.fe., <br />: <br />- ~..°,• <br />~rSi f,„ , <br />'S'°.• <br />, <br />.. ttEGUIREM ENT" . <br />i <br />: ,s x <br />' , <br />, <br />3 <br />`w <br />~~ <br />A <br />° <br />' _ <br />r• <br />~$^I ' <br />!` <br />° <br />~P~x> <br />~ L/L ~' <br />3 '< <br />5 4 <br />~~r91°F~ `~ <br />tt'FiUctw`_ LanOSS YF.L,:! <br />L ~ ~ : <br />l:, x <br />: <br />a x <br />..G <br />° <br />FI <br />fi. i <br />$ <br />. <br />. <br />Y C i ? <br />. <br />LL AhL .:aLA`~E 9AMPLE •~'i4a•I ~: <br />'r <br />.' ICf IY4~/#~' I ~ •7>C4CU~ .. :i .k':::;I <br />~.~ `~ <br />~V A ( 19) rr1 <br />V ~/~ ti/~ <br />H-GnAV ML.d <br />[t f <br />Lh L MEABUREMENT <br />w. <br />: <br />VEJJb J U ~~ <br />'°~PERN'I{°» <br />aAF~~16a~b~s <br />•:°•f~?R#4s~~'~y ~ <br />iufi <br />•~:k~~'°e <br />w,'i~~~,~i~A"`s .~e' <br />a~~81n a°,.;~4 sa ,~y <br />~~~yL 6° g~ <br />^P r~Y1 <br />.. a <br />%BHOUIR[N 8N'T< a <br />n a°, <br />° <br />G <br />~ <br />e <br />` <br />=tlw <br />" <br />~#>Y <br />>~sg°; » <br />°``_«~ <br />e <br />~ <br />'[ <br />`~°X <br />CG/L <br />~t1~T'~ .. <br />' °°°> <br />eFPLUENT GRO55 VALUE i~r f <br />, <br />> ? <br />,.._ e <br />~,~ x <br />• <br />° f <br />tl F <br />- . <br />, <br />r. <br />+e <br /># <br />LUb, IH CONDUIT UN }ry{ <br />O <br />ooN OI <br />`~-~~ ~ C3~ -J .i•JY:SICr '~}fFO~f CTS ~rf fit i<O ~ ~ O ~/YI <br />/ `J INiTAI+ <br />d R U T fi E e T H E N T PLANT' <br />i MEABU EMENT • <br />V <br />. <br />iOSV 1 ~ (] <br />"PERMITx `~ <br />v' <br />° ~t ~~yy p <br />'°d <br />T <br />C'Gh <br />0."Z, <br />( <br />„ ~y~sr a <br />L, <br />.~ <br />>/ <br />) <br />~ <br />r <br />.T. <br />R ~•f <br />'.f':E'~s~~~.pAw, Ry. p, <br />.a«,:~'''F SF~:pn~, <br />,%.~~r a]Fe>~ <br />,°p'l <br />~l~lf` <br />s g <br />1• <br />e}6w, K~'. +~p <br />''•.>ES,}~"PS, <br />J1 <br />f:FPLUEbT (:ROSS YALU^ <br /> <br />J . <br />RERlJ1E1lM EEi T <br />g, ~, " <br />, <br />p~ <br />Al <br />va <br />. <br />~°~bl~l~°_•M~V,° .« <br />.e <br />y <br />n <br />q; <br />Y <br />c <br />.^i~E CC'11~.°zl rr+,`~ ~ibL aSr° '+ <br /> <br />e ~.g n <br /> <br />° °r°x$r <br />I•`% <br />tl ri~k~a <br /> <br />°O 6 <br />`° <br />'• <br />° <br />JLL ANL Lr C. L•A`,- SAMPLE Vm #~~rii 3= O ~ Jf{~ ti i=~=:~L= <br />O a:%>]<~I'v i= l(i OAF C~{~=f ~ ~ ~ ~ ~ <br />1 <br /> MEASUREMENT " )~V~ <br />Y <br />IJUAL <br />- <br />'fUbb L l V " <br />'PERM ~r,, s~.~y <br />'• e?C~'!r ~~°;~_: ,,,~~YI ~.~' 7:} <br />IT e' `'27(1'~f~rf~• <br />"°° °:~L$=1 °e'~$`~~~ <br />Q. `. <br />" ~S l'a.~L~ ~.~°SI~A~~i; <br />. <br />J <br />REODIRE <br />~ <br />~ <br />' F <br />. <br />. <br />. <br />M ENT= °sa x'I 'e., ~'sa` x'-Ima g <br />4=x¢e '~s Vie. ~.` x. J ~~+`a <br />a <br />~~~ <br />"¢ <br />` <br />'f <br />~ <br />~ a g <br /> <br />~ <br />YA LU E_~ <br />1 1~r:~J <br />L1 <br />I' <br />f 1_U <br />° . <br />1 <br />. <br />a <br />« <br />« <br />~ Po <br />NAME/TITLE PRINCIPAL E%6C UTIVE OFFICER TELEPHONE <br />eEREIFr unD[R PEnALTY OF Lww THAT r NAY[ PEwSpNALLV E%AMINED <br />l <br />AND AM FAMILIAR WITH THE rMFORMATIOH SUBMITTED HEREIN 1ND BASED ~ <br />~ <br />/~ <br />r D A T E <br /> ON MY INQUIRY Oi THOSE INpVIWALS IMMCd1TELY RESPOHBIBLE FOrr <br />OBi AIN WG THE INFCRMIITIOY r BELIEVE THE BUBMITTED INi ORMAiION ~ <br />/ <br />i <br />/~~ <br />/ <br />/ <br />- <br /> <br />Richard ,.1iI13 <br /> <br />IS TRUE ACCUPATE AMD COMhETE I AM /,WnRC THAT THERE ARE SIG ~ <br />1BMITTING FALSE INFORMIiION INCLUDING <br />Tr <br />T P <br />NA <br />$ FOR $ / <br />i <br />/ <br />% <br />~ <br />~ <br />/// <br />~ <br />C <br />X[ <br />/'L <br />(, <br />_ ((~~ ~~rE+ <br />j~1y~ <br />~T <br />~ <br />, <br /> <br /> <br />t <br /> <br />/ <br /> <br /> <br />^ <br />onr~ental 1Yia,~acer <br />E <br />l E <br />l <br />NIFICAN <br />E <br />L <br />E AqD 1MPgr50NMEnT SEE IB use f r001 AND <br />rv <br />F Fn J (1 <br />L <br />„J <br />r <br />nv r <br />rHE posslBN <br />O <br />m Jln Mn <br />nmv nrl <br />dr l <br />nr+ u <br />11319 <br />A <br />tl <br />l <br />l <br />S <br />l <br />M SIGNATURE OF PRINCIPAL E%EC UTIVE <br />TYPED OR PRINTED v <br />, <br />y <br />rprnv <br />rr r <br />rw <br />w <br />u <br />rv <br />C <br />er. u <br />3J U <br />and.,r mvam,r.nl mrpru.u,mnrr .r/M~n.wnfim.rnlA+vnd.i vvru <br />OFFICER OR AUTHORIZED AGENT <br />AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS ,rtrfrrrnrr vu mmurmrnu nr.rr <br />.r <br />_oT'..L..ALLG SOL:L'S LI".I: LS HAL`lci. (Lf_l: sbs) Jhii _. )4.~-1Fi .- -. _. i , .A.i I ~ it ..._1 .: I, ---..liR .. -l•n• • <br />JG 'i f JR ~U f.7l .. vl' Fr UUh 4c,JU. Ht:i ttr'LJ• CL.. i. ... :_:i.-.;LL r'CGi :fi_~ /F -- .. _ :~.2 t ..-. _. , <br />EPA orrli 0320.7 (Rw. 48ti) Provloli4 itlitiDfSs may tie used. "' (REPLACE! VA FORM Tro WNICN MAY nor [e use D.) FwGE OF <br />•.+t r., 'f%:.. ~ 1. -_ _ _ <br />