PERMITTEE NAME/ADDRESS (/rYbFrWryNrr/laeRm UD/Uinnp
<br />NAME lYYlrtl,S ~:M t~IKt (, L;,-I~LyKAI IUV
<br />ADDRESS N :-i GIiX bd
<br />,~y -, ~~. Ih :~iu GU bI02fi
<br />FACII{i`/ LY?riUS cMPlflt U.ii<Y LIKAT (LN 4 ,
<br />Lou~~~llIFFFIIION~~AIu C~ ~1~L:
<br />A(I~w NICNAtL we Lt1uLLti. Lt'vfn.1/ .......c
<br />NATIONAL POLLUTMT DISCHMDE ELIMINATION SYSTEM ryVPDE$1
<br />DISCHARGE MONITORING REPORT /OMRI
<br />Z-f 61 f7-f91
<br />PERMIT NUMBER ~ o1scHMOE NuN1eER
<br />MONITORI ~ ERIOD
<br />.YEAR MO DAY YEAR MO DAY
<br />FROM „ TO y'1 r 1 .~ i
<br />o recen /JR-1.91 /9r11L
<br />Farm Approved.
<br />O B yo, 40.0004
<br />~'pp~o atte~plrse 05=~3~1-88
<br />SUdK Nd 1~54~
<br />F - FItiAL
<br />r.IivLiK
<br />~'1U AISCHAItGE ~*+~
<br />~~ NOTE: Reid Inetruetiorw before comp etinp this form.
<br />PARAMETER 13 Grd OnlYl QUANTITY OR L O (~ Grd OnlY1 QUANTITY OR CONCENTRATION NO, FREDUENC'I SAMPLE
<br />191-371 146531 150-61/~ - ~ (38-151 1663 IW-6/
<br />~ EX °F TYPE
<br /> AVERAGE MAXIMUM •
<br />NRL~.•;
<br />; - MINIMUM AVERAGE MAXIMUM UNITS •
<br />lele]/ MALrss
<br />/61-Bel
<br />I6g701
<br />L1L Af.L1 ~ItEASE SAMPLE p,;.4*;.{.
<br />~f
<br />%~A~4##i ;, t,4tir.,., ;.;,t„ra,}
<br />Visual MEASUREMENT :
<br />o4Ub7 li ~ '::..PERMIT
<br />,.
<br />##aqL##
<br />
<br />.:.
<br />:,.
<br />::
<br />
<br />
<br />5 1 ,,
<br />
<br />
<br />.
<br />.
<br />..::..
<br />:
<br />
<br />;
<br />*»t1u~s#' ~.
<br />
<br />
<br />.. '~~f'~*;
<br />
<br />
<br />hb#
<br />
<br />.
<br />
<br />
<br />~~C>w.,t.::
<br />
<br />
<br />,SIiAc
<br />- ~
<br />tFFLUt,~ i ~KOSS VAIUE REQUIREMENT
<br /><:.. >:::.:.: ~ :
<br />....
<br />itl~~r
<br />hiU J ..
<br />:
<br />.
<br />> .::. ... .. .
<br />.....
<br />,.,~..
<br />,. . ...:. ..: .
<br />::~~ :~ ai44 .
<br />;:
<br />
<br />
<br />
<br />:.:<:
<br />
<br />
<br />:
<br /> SAMPLE
<br /> MEASUREMENT
<br />'
<br /> .:::
<br />,. .MIT::...<.
<br />::~ ;:PE.@,.. .. .
<br />
<br />. .....
<br />,~.:
<br />
<br />...:.
<br />.K-, ..
<br /> H ..:. ..... . . .. .
<br /> SATNPLE ~. i C
<br /> MEASUREMEIQ3
<br />~,~
<br /> PERMIT'. •'e:. ~:-.,. :.::;~',i8.~ ~.; ..~... , ;
<br />.;.:
<br />:
<br />);
<br />
<br />.
<br />i
<br />
<br />.
<br />~
<br />
<br />
<br /><r3:
<br />
<br />:A~EQUIREMENT ~:rr~.
<br />~ ~ ~. ~ ~. .:~.,~:::.~: ~~
<br />:". ,:
<br />:
<br />~ ...
<br />..»
<br />.., ...
<br />:::ii
<br />
<br />.
<br />: f ,.:;.: .
<br />
<br />
<br />:s.:
<br />
<br />
<br />.
<br /> .
<br />.. .....:x:-.:. .. ... ..
<br />,. ,: ...
<br /> SAMPLE
<br /> MEASUREMENT
<br />~ ~ '
<br /> :
<br />.. PE MIT
<br />~...F . ..>.:..-. :::
<br />~~'::'::.:: .q.... . ,
<br />:.,:~i:~ ..
<br />
<br />~~~~~
<br />
<br />
<br />. ..
<br />
<br />
<br />....... r:.
<br />
<br />'
<br /> .
<br />:REQUIREMENT
<br />.. .. ~ -ai:.~`~~i:i
<br />.........:r._ :~.:: ~: ~:f.:~
<br />.:~,:,.. ~: :: ~ ~ ~ ~ .:~:i`'.
<br />
<br />...
<br />....... . , :..
<br />
<br />:.. ..
<br />.. a:.
<br />~::
<br /> SAMPLE
<br /> MEASUREMENT
<br /> .....:
<br /> .RE~t]UIREMENT~ ~ ~...... ~~:: ~ .....:::.• ....~
<br />
<br /> SAMPLE
<br /> MEASUREMENT
<br /> .....
<br />,.
<br /> REQUIR.EMENF
<br />. .: .. .~ '::;:.
<br />. .. .... .
<br />';::`a,'~jr~ ..' :::~~:.
<br />>:..z:-:. .. ..
<br />..
<br />
<br />~
<br />..
<br />~~~~~~~~
<br />... .
<br />~
<br />
<br />~~~•~~
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ..: PERMIT:: ~. ~
<br />, ~ :... ~ ~: ..
<br />
<br />
<br />:REQUIREMENF: .,
<br />;
<br />.. ...;...~y.
<br />~ ~:~ ,~.:,» ..
<br />..
<br />.:.: :......
<br /> .
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER 1 CERTI FY UHDER PENALTY df L AW THAT I HAVE PERSO NKLY EXAMIN ED MD TELEPHONE DATE
<br /> MA fA MILIM WITH THE INFOR MATION SUBMITTED H EREIN
<br />MD BA SED ON _
<br /> MY INOUIRr OF THOSE INDINDUAL9 IMMEDIATEL ;
<br />Y RESPONSIB LE fOR
<br />
<br />Richard Mllls OBTNNING THE INFORMATION, I BEl1EVE THE SUBMI TTED INFORMA TION IS /-
<br />~
<br /> TRUE, ACCURATE MD COMPLETE. 1 AM AWM
<br />SIGNIFICMT PENALTIES FOfl SUBMITTING fALSE INFO E THAT THE
<br />RMATION
<br />INC RE ME
<br />LUDING ~ 19~~~87 ~'~
<br />7~ II Z7 ~~+
<br />Environmental 11.'f cl!la er
<br />9 ,
<br />THE P
<br />IDTY
<br />9
<br />0 .
<br /> OSSIB
<br />OF FlNE MD IMPNSONMENT. SEE 1
<br />U.S.C. F 1
<br />01 MD ]] bIDNATURE OF PRINCIPAL EI(ECl1TIVE
<br /> U.9.C. 1 1 ]1 e. //rrme Ier/er IMr Memo Ia.Y lrAAe /ewa y N f IO,DDp
<br />TYPED OR PRINTED eMnmuYnun irrprlAavwNer hrween Bmarrdu end BYee.a/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV
<br />OVMMCNIS ANU DAPLANMIIVN Uh ANT VIVLA IIVNS I/feTllenCe a//erteCOmenfs DB/I/
<br />~tTTL~AuLt SI,L:u:, Llxl( NA l'+tu rUK 1JYHP24nK PrttL1P r:Vt;vT-S~~ L. 1e S, P;, iJ1 rLr( ;:EdJIxL:NtNI;, uIL
<br />~h~w:;t Liao SA`~rLL A/~ALYSL~ I~tJUIrtCJ IF vIVIdLE SNEtN iS Cs:,u:rtG. 6irT;LY SAMFL1t`b INS (Ii I/CTii~N~-I.L..Uf
<br />. /-
<br />EPA Fwm 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T30 WHICH MAY NOT BE USED.) JOZuu1y61U01-1311 PAGE IOF
<br />
|