Laserfiche WebLink
FERMH'TEE NAME/ADDRESS p.eYJriNIryNw/laanm!/D~i..y/ NATIONAL POLLUTMT DISCNMGE EDMINATON SYSTEM /NPDE$) FDFR1 Approved. <br />NAME -tii v A :i ,) Y ;. 1,L 1 5 " • . =. ' C ~' `- = y ; Y DISCH~ R6 E MONRORINO REPORT /OM9I y r c <br />I': 1: rT ! D <br />CHG O np 0004 <br />T:7 ~ <br />~ <br />~ <br />ADYRHSS ;IU AvEH CA!!YDS ?Id . <br />. ., d~ <br />b <br />Ap <br />505 31-98 <br /> 1 (SI7 fiR WC) 1 2 3 4 <br />P.O. BOY 7U ,,• R n UMBER aSCRMDENUMBER F _ FINAL <br />PAOIl11Y ~ .~ s~ MONITORING P H I MO H <br />LO#AIi1SN 0 DA YEAR MO DAV <br />pQ pp ~~ // [- <br />~ ~~ FROM ~ O1 __~ TO y U 7 3 31 r <br />f <br />h T T N <br />l I <br />ny <br />hi <br />in <br />~ <br />~ <br />n <br />vu <br />s <br />orm. <br />; J <br />ti <br />t <br />Rud i <br />ctf <br />be <br />_ d ,. ., ;, LT t <br />NOTE <br />e <br />! 111-131 !141 ! !16171 l18-191 136311 <br />PARAMETER l3 Grd OnlYl QUANTITY OR LOADING /.1 nlY7 QUANTITY CON TRATION ND. fREOUENCY SAMPLE <br />l31-371 (48.53/ l5F811 38-~i51 l~6-53 51-61 of <br />EX <br />TYPE <br />- <br />MALYStS <br />~~. AVERAGE MAXIMUM UNITS NIMUM AVERAGE MAXIMUM UNITS <br />lel-6]1 184-881 !89.70! <br />D y SAMPLE <br />MEASUREMENT aa,~a#a <br /> <br />` axr-~ ,a j <br />( <br />OU-tUU I 0 U <br /> <br />... r• PERMIT <br /> <br />`~HEQUIREMENT <br />,...... <br />vICO~ <br />. .:... <br />~ .: ~?~' .. pp>IY;.pYA <br /> <br />.. ~ ;ur,~r <br /> <br />.6~g':-:>::.^?~:~~.~.. <br /> <br />~ q'bC.>B#fi~ <br />~ .. <br /> <br />.gr: }).. ,.:..:~.:: . <br />. EEkL F?3a7'f; <br /> r.Ye. ,. . <br />. <br />:;GELDS, t'i)T~L SAMPLE ./=i6p~ p::CCr: a~tl~faa ( 17) <br />SUSpENDF;iJ MEASVREMENT <br />` <br />UUSJU 1 U u <br />L. . ~ .. .-, ,PERMIT <br />~C <br />(.q <br />~31REMENT <br />: i.*R+cr#aa <br />" <br />~ <br />' a-+tl „. d^ <br />; , <br />: ::.~~. i <br />.. ~ <br />~ <br />.. <br />ar. •:r -.f <br />:. .. <br />_: <br />i8U!,, TJT4L MPLE _..-:r.3 Or^a-1x fiC#a0: ( 17) <br />(A S F E) MEAEME(JT <br />UlUV y 1 p U PERMIT . . ..:.. <br />~~~ ~.~~a.' <br />Ri'`-014°X.i+91.~1 <br /> <br />„.. <br />.. <br />1=.~IFQ:R'A~ ~:: :.: <br />~~:'::;: <br />~ <br />~(-~ <br />:'~ <br />k <br />:'~`~©~'.~~ <br />~N.t <br />° <br />/ <br />,RFl9 <br /> SREQUIREMENT sF . <br />. <br />.:.. <br />. <br />;> <br />:: _. <br />. <br />UIL ANll GN6118E SAMPLE ,,;,.~a., <. <br />#EI#p~'.=~k "~''"~`"~ JXI#a#:: ( 19) <br /> MEASUREMENT <br />V3Sb1 1 U 0 ;.RERMIT <br />REtUIREMENT i:: rt;; Lr .. 3i:y{'., II(IR Rfi*x #pa#as p'Sti0!'XQ ;: <br />.~~:..::~.. ~:.~1.;..... <br />1, Q~ ~~~ <br />~ <br />Odl?I ll <br />,RAN <br /> : a . <br />FLJJ, IN CONDUIT Js; SAMPLE ( U3j :_pa--`~.; ..,.;;;;~,~; ;xgwa;,t <br />1'HF{U THEATIIC~? pL.{I+ MEASUREMENT <br />' <br /> <br />SUOSO 1 U 0 PERMIT <br />'.: .:. <br />` ~ <br />dk:ndR1' . „ .. . <br />:. ~...::. <br />RSl-~iAS <br />*vz~cca <br />x^~~~=k3x <br />^,~14v~1e <br />co# <br />EiKLY <br />i•NSTA: <br />~ ~ESEQl11REMENT . <br /> / F- <br />:iULIUS, 'C07AL SAMPLE ;. ': {:.;: `,x C4#aaa ;/#' ( ~q) <br />DI'uOLYHU MEASUREMENT <br /> <br />7UZ95 L 0 0 <br />PERMIT <br />,,..,., <br />~`~",._"` <br />'k~•'.'rfia+x <br />0••: <br />_' <br />"°T`p## <br />-•v <br />n <br />KF.T <br />3ST REPART 7RLY ,HAt <br />' r }' >: M •~ :REQUIREMENT <br />? r-+^•C . <br />. . <br />.11E AvD ::RF.ASF SAMPLE .x ;: -,:~;- <br />( 9 V) <br />• v'x'` '`~' y <br />~ ~ <br />" - , ;; r; # <br />VISUAL <br />MEASUREMENT <br />~.V'7LIf, 1 0 . D PERM/ 4'r, u:x# '?''OUF^ I''..=1 tc>xYk~rx!e <br />04C=#pCr <br />#IG ,'I :;x:= <br />fip'~1 <br />PE7(LY <br />'.:T tiR <br />t.PFLUt.'V7 G Y :REQUIREMENT: _ _ ~ .. ~~ gr,,~~ <br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF L <br />MILIM WITH TNF INFOR AW iNAT I NAVE PEflSONALLY E%AMIN <br />MATION SUBMITTED HERE <br />N <br />D B ED MO <br />ED TELEPHONE DATE <br /> ; M <br />I <br />A <br />MY INOURV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIB S <br />ON <br />LE FOR <br />JOHN M <br />WALTE72$ OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFOM1A 710N IS <br />. TRUE. ACCUMTE AND COMPLETE. I AM AWME THAT THE RE ME <br /> <br />MANAGER <br />F MI <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INC <br />LUDING .~wnn <br />' <br />O <br />NE SERVICES , <br />THE POSSIBILITY OF RNE MD <br />MPRISO <br />E <br />T <br />EE ]O 858 - 3BO9 98 04 3 <br /> I <br />NM <br />N <br />. S <br />1B U.S.C. 3 1001 MD 73 - SIONATl/RE OF P111NCIPAL EXECUTNE <br /> U.S.C. f 1 ]1 e. IHrWCI.a I.MN /Mw .byes AT/Y III[AA11 rAArs Ip ro S IO,OOd AREA <br />TYPED OR PRINTED .Mwmv:nrnr Anplwwlwne orbtwwn sArerdls rH SYwaI / OFFICER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAV <br />I,VMMCIYIJ /•PIY CArLI11YI111 V1Y V. /11YT VIVLMIIVIYD I/le/BIepCI I//IrreC/Ie/e/I r5 ne/6/ <br />,~UAkTEkLt fwnNlT'IFitiE;-;: i.::.t', P. ~). 30 /}~Y AVtRAG't; <br />3~•L ~ GRt:ASF_ - SYf: I.~l.1.C. <br />EIF 3320.1 106.951 Previous editions mey be used. (REPLACES EPA FORM T•4~ <br />[S FiI :%I h'ST 9U NT HLY ?V(;. ULI Ht'+r; pgFt7D BFPnH7°G. <br />~F at Ose0.1 <br />00286/461217-1206 <br />t <br />