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". ""n":
<br />9 er R~,~ag $~w•.`+r.° ~~~~'a~~x s° ax ~i S: l':.~•T{°d ~~9i;'r'A
<br />
<br />'
<br />' RffOUIREM HN:7'
<br />`
<br />%`?~`
<br />~
<br />°L~@1Eji4»
<br />'
<br />~~
<br />"
<br />$°~
<br />9
<br />°e'
<br />"<~ft'PL°~'~'l~rj'
<br />SU `~" • n"` °
<br />.LJ,.
<br />i VFOSS VALUE
<br />te ~ ° ^ s
<br />,
<br />' " «
<br />
<br />,,;.,10_.i -..iTLEkbLE
<br />SAMPLE
<br />>rKi>X##
<br />v
<br />.::~;~.<#
<br />( }
<br />4C~{=:I,::
<br />,1/n
<br />1`f
<br />~/~
<br />~ t])
<br />O n
<br />~/
<br />~/A
<br /> M EA6U REM ENT '` /\
<br />/ c' . I .e gpERri ti °; » ':+^a~ts~":'," •« 2x $$:~ ~':," rf;k 4~ ~ ~wf'
<br />°aa ~. ^','• ° ° k "~" ~
<br />d '•':~~' ~ ~",a; ` ~dyn; ~.~:
<br />. ~RffOU1REM"~NT.~
<br />~
<br />'
<br />x
<br />G#ay' s
<br />s s ai
<br />°~ °:
<br />-y':e°` °
<br />~r
<br />~~~:;
<br />`~~'~
<br />~~;
<br />>°i9
<br />'~'
<br />ML/L ° a,
<br />~~:"h~~i~
<br />CUr; .:h i~ HELO:T ;°r,. ;
<br />-_
<br />°' r
<br />~
<br />'
<br />a .
<br />: x
<br />- p
<br />
<br />J iL 1. 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 />
|