|
-[wMlrreE MAAre/ADDw[fa (fnd~r
<br />£~rllity NLmr/LacEtbn if diffrrentJ
<br />Hors .:ti : _, •. ~ _~ i.:_,==~ ~ -----
<br />wuoRm'a_-- -- I r;'-
<br />!Aa uT•T_ -- ----
<br />LOCATION ----------
<br />NATIONAL -O LLV TANT OIICN,.RGL LLIM IN nTION lYlT6M lNPDEJI
<br />DISCNAROE MONITORING REPORT /UMRI
<br />z./Is n,(9 "' ` Form Approved.
<br />.. • ] _ '~ ~ (~ -... • i OMB No: 2040-0004.
<br />PERMIT NUMa1CR RncnAncL nuMlrw r - 1 ,. Approval expires 6-30-91.
<br />MONITORING PERIOD ~ r I ~ I ~ V ~ • •
<br />VEAR MO DAY YEAR MO OAV ~~
<br />FROM l.: TD _ .. 1 .. _ _. ... .. .. .- i.~~ I ..
<br />rT~.,ll rn_Txl rv_x, nA.nl ,Ta.~m Ixn. x11 NOTE: Read imtruetions Mfora comDlatine this form.
<br /> (J (.c/d Only) OV AHTITY OR LOADING (~ Card Only) OU ALITY Op CONCENTRATION Fw fOU ENCr
<br />PARAMETlR (rb-JJ) 0161) (J8-rJ) (1661) (1161) NO.
<br />E% or SAMPLE
<br />TYPE
<br />(37-37) AhALY515
<br /> AYERAGE MA%IM UM UNITE MINIMUM AVERAGE MA%IMUM UNITE
<br />676-0
<br />(61681
<br />(69-1U)
<br />1 1!., ~.. .. _ 6AMPLE
<br />ME
<br />UREM
<br />NT ~ .. ( ( ~ v~:%l:
<br />~
<br />O
<br />Z g \ -~'i I
<br />13
<br />~
<br />~-
<br />/~
<br />~, -~ AB
<br />E O,
<br />~ , (/ /
<br />i
<br />veil °ds
<br />M'
<br />'i
<br />etla
<br />H Ya aRxes
<br />x4a'~'~0tl' ..qq p.
<br />x3.1~x'w ~lA"a~ '. e
<br />xra.YP'~S~•
<br />Val'F~~ `
<br />.4dl'
<br />~
<br />a a:
<br />` «x4
<br />°
<br />° e a'.x
<br />xv.ep„&..
<br />y
<br />9
<br />.x't$S .'~ y
<br />:Iy1~iAi
<br />Le y
<br />ys84a~`re
<br />., . ..
<br />
<br />' R
<br />i
<br />,
<br />R
<br />RE017iR$11EfrTe ~
<br />,
<br />gs
<br />ga ° R
<br />~
<br />.
<br />•
<br />a 4 y
<br />&
<br />„
<br />R
<br />~
<br />4saa
<br />a
<br />x
<br />R l
<br />y
<br />e
<br />s k a+~
<br />>
<br />$'
<br />~
<br />' r
<br />@'
<br />F.u '
<br />~1n«
<br />-
<br />sx gx
<br />
<br />~
<br />x
<br />:.([
<br />i. '. ,i= ~ %- n , p
<br />a
<br />e 'ei. d
<br />a{da d~~~
<br />.," s
<br />.
<br />3
<br />,('~.~i,
<br />•6.~ ~/I m .
<br />.
<br />~.°
<br />e tC~ ~
<br />
<br />
<br />~
<br />6AMPLE .. .t. .'.: .:':' , I..
<br />
<br />O
<br />~i
<br />~/
<br />
<br />'
<br />I
<br />..~:'~ ,.. .. Li ' MEABUREMENT //
<br />~. DaD o. nofi? .l~ GV
<br />ns
<br />
<br />.. - ...
<br />a.
<br />.PE'RN)T` x y+~ x
<br />)~
<br />a i
<br />~~'g
<br />°a
<br />P S~rR~'i •y
<br />'b"ix
<br />!°YY y14`a vim y.« °
<br />k
<br />~~ zA. Y,rh~S: rer[ t .
<br />~
<br />a e~°r~':w~', pJ".v •~
<br />~
<br />Te -5'
<br />bw ~ .
<br />ell
<br />° . ~4~q y
<br />&s{
<br />d-WN~ ~K'>A °Y'x
<br />~.b ViN
<br />- - S
<br />aREtlY1REM:HNtx. ~
<br />I
<br />l
<br />l
<br />..
<br />>>33 ,F,
<br />~
<br />~ .
<br />~'~
<br />e
<br />g .x
<br />r x c a'I
<br />« a'
<br />ss~ ` e
<br />lY V
<br />y
<br />~
<br />".
<br />a¢
<br />~
<br />l g I
<br />4 x
<br />°y. a
<br />a
<br />>a s 1
<br />_ FI
<br />4'. > P V ~
<br />:., ..
<br />a y
<br />a
<br />a
<br />„kTwA{~&" `>3~YRD. c~R
<br />N.`>.Y A°
<br /><xYS S. <
<br />s :l ~.a L e Z
<br />. a
<br />Y
<br />x
<br />g
<br />x ..
<br />>. Y
<br />Y q &
<br />s ra
<br />. ... ... .-, .r. 9AMPLE ~. i:.~ Av1 .. ( jU) .. I ~`i -.
<br />r .., ( ~ ~
<br />I
<br />~ - II > MEABUREMENT ~/
<br />V 0 T/3D (~J~
<br /> " ~
<br />' s « °~4ma"r'
<br />a'i :~k~~ ` • ~`
<br />e
<br />e
<br />x°
<br />g
<br />p '
<br />= e`
<br />z ~`~~,`~&r*
<br />e,'s~.
<br />x : :«°+F 3®!~.!~1~'za s`
<br />~, e e'95 g
<br />At `d~ p ° ~ ~ ~
<br />° y
<br />8
<br />:%g: y',
<br />~(i°fl ~
<br />:, r ., . i _ PLRy IT
<br />1
<br />O R
<br />° a
<br />»
<br />'
<br />F
<br />'
<br />A
<br />s ,
<br />._ p
<br />•
<br />a
<br />s,a `xs'ia ~.' x
<br />~°
<br />'
<br />°
<br />°
<br />°x; R
<br />s
<br />e
<br />'- a ,
<br />. .
<br />.
<br /> UIR$N EJ7
<br />,
<br />sN$ .
<br />x» R
<br />r
<br />x ~
<br />,
<br />„
<br />bw
<br />s x
<br />»
<br /> °
<br />
<br /> 6AMPLE
<br /> MEABUREMENT
<br /> ~` P$RM
<br />1Tx' ma gz«° a sx° "5 kVx ~ .axb
<br />x .'
<br />`
<br />`
<br />'
<br />e
<br />R -
<br />+ ;«s~a sa ,soya
<br />e xa
<br /> .
<br />'R~tU1REM CN7. _ m
<br />p
<br />«
<br />.e%
<br />s wal
<br />sw
<br />g y`> °es sstl.
<br />xzg xx x'R 0« »
<br />g
<br />r
<br />S
<br />,s>
<br />x _~. -.,<
<br />~
<br />, s '
<br /> a
<br />e
<br />r
<br />¢
<br />x l
<br />a a .
<br />tl
<br /> 6AMPLE
<br /> MEABUREMENT
<br /> , ...
<br />,
<br />'..
<br />1
<br />`'
<br />t ° y.
<br />e
<br />e
<br />B
<br />x _
<br />t 4&_ °
<br />°
<br />° w x
<br />°
<br />a
<br />x
<br />n ti4a r°w.
<br />a a yl y pp4
<br />age h`.,
<br />
<br />x
<br />"
<br /> °
<br />P
<br />=RM
<br />?
<br />JT'
<br />B
<br />i R
<br />a
<br />ti+x,
<br />.
<br />x°
<br />x ptl
<br />q '
<br />4aT a5
<br />°a ~
<br />a
<br />s
<br />;
<br />x x5» °
<br />s
<br />~ & R
<br />.e~
<br />°' ~
<br />'
<br />«
<br /> REM EE
<br />aR
<br />;Dy
<br />'Y
<br />°'9 y
<br />fa;"
<br />r
<br />r ~g "
<br />= s s
<br />s
<br />, .
<br />~
<br />s n
<br />~p
<br />x °
<br /> a
<br />S <.;
<br />,
<br />x
<br />. -s >
<br />I rc
<br /> 6AMPLE
<br /> MEABUREMENT
<br /> °'sP6Rb it x a .~~x .s; °-„r-°8., _ _
<br />~ `~
<br /> R gpUIR$M EIjTf .~
<br />s"
<br /> s
<br /> 6AMPLE
<br /> MEABUREMENT
<br />
<br />a :
<br />•~ `a '
<br />E
<br />°~ O x
<br />ex s,e °'x a °
<br />n
<br />1
<br />°
<br />•' ~ "jg n•e a` Ix p
<br />;#
<br />a&6•'x x~V ttp:
<br />x
<br />'" .'~~«wx `e 4
<br />s
<br /> P
<br />RMIT.
<br />M [NTa
<br />RL
<br />U
<br />~ '
<br />Ya s
<br />'
<br />x °
<br />R
<br />M
<br />~
<br />' x
<br />'
<br />'
<br />'
<br />R
<br />x e
<br />tt
<br />#
<br />'
<br />~ ' #
<br />>
<br />°
<br />m°
<br />~tl
<br /> ,
<br />g
<br />)?e ,
<br />,
<br />'
<br />° ¢
<br />`
<br />. s
<br />x
<br />x
<br />° :, e
<br />x
<br />x
<br />s>
<br />n e'«
<br />°s a
<br /><
<br />,
<br />x a
<br />* s
<br />s
<br />A
<br />°
<br />
<br />r x
<br />x x < <
<br /><
<br />A
<br />~ .,
<br />I NAVE PERSONALLr [AAMInED
<br />uNDER PENALTY OF LAw TNAT
<br />l CERTIFr
<br />NAME/TITLE PRINCIPAL E%[C UTIVE OFFICER
<br />AND AM FAMILIAR WITH THE INFORMATION SUBMITTED NERCIN AND BASED /' . TELEPNONE D A T E
<br />ON MV INQUIRY OF TNOSE INdVIOUALS IMNEpATELY RESPONSIBLE FOR _
<br />~ r"
<br />OBTAINMG THE INFORMATp;r I BELIEVE THE SUBWTTED INFORMATON , / ,' J,7 /
<br />',
<br />-'
<br />(t(C.(~r(_, .II(•~ IS TRUC ACCURATE AND COMPLETE I AM AWARE iNAT TH[RE ARC SIG
<br />NIFICANT PENALTIES FOP SUBMITTING FALSE INFORMATION INCLVOING /~~,.-~Jj(,n~ {~
<br />;
<br />_,/~/
<br />^!
<br />~
<br />~
<br />
<br />PD551&LITY OF FINE AND IMPRISONMENT $EE IB USC 11001 AND
<br />T _
<br />~ ` / ll
<br />^7'~f `` ~I
<br />1i fU .L ( 11
<br />1' I (~
<br />LI%
<br />rli
<br />HL
<br />Env(rrr,)ix,a~(, Lmarf:;r ]3USC \ 1]19 sP.mlarn undrr rho.
<br />uomlr. nla. mrhyr /mr. uu n, LIU IxM SIGNATURE OF PRINCIPAL E%ECDTIYE ' .
<br />mAr
<br />i
<br />.
<br />.
<br />/A
<br />E
<br />d A EA
<br />.
<br />.
<br />rfuvn
<br />mn
<br />an
<br />F
<br />.,
<br />TYPED OR PRINTED a,d .,rminmwn,mprv,mmnn ,. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY
<br />~'.
<br />(
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS IKrirrrn[r all ulWanmrnls nrrrl
<br />eLTERHr... 1. ._ ... ~, ,i . r _l.L '.:L. .~. X11.., (~_~ E-r) r. .., ..: LY _. t- _. ,r _ ._..__ s..r-
<br />CLIIC!at. _ ... _ :'u.- L .',1(. ,i z(.t r n ,_ , -, L:.. ~__. _ i t .;, -.,. ..,.,: .-. .!, _ _.
<br />EPA FOiin~~932dt'(R[ir. 9-88) PI[V!O'ue odiUDri9 iney be'usod. ~ ' ` " ~ IwE-LwcE6 EPA rowM T•a0 wMICM MAY MDT EE ulED.I ~ - PAGE of
<br />
|