|
'ERMIT7EE NAMEIADDRESB p,rL.. F.eWry Nwr/Lx.nw UOId.,.,p
<br />VAME CYrrc t,~ ~~;rlh: LJ,V'u:cAl a~:~•
<br />4DDRE=5'~~ J u L X b O
<br />Gr?A1G CU ti161G
<br />FACILITY (.YPkUS LMNIkc GIIkPUKATICN ~`
<br />LOCATIONUKAIV ~ CU C)1CZJ
<br />aTi,- MIY ..n CI W_ 1.11111!.r_ LG MGaJAI k1.1
<br />NATIONAL POLLUTMT DIBCHMOE D-IMINAnON 9VSrW_ JNPDES)
<br />DISCHARGE MONITORING REPORT O RI
<br />Z-1e 17-/9
<br />4
<br />PERMIT NUMBER DISCMMOE NUMBER
<br />ON170AING P IOD
<br />YEAR ~ ,DAY ~ ~- YEAR MO DAY
<br />FROM TO 3
<br />nn.vl ro » u/oeiaG /9RATr /OXJ OI /3n-.1J1
<br />Form Approved.
<br />,in/4 )1 O'v-ylw (u0"4BA ~OaQ-OQ04.
<br />SUdK NN APProve eXP~i~a d55~T-98
<br />F - F[.~INAL
<br />M 1 N LlT•
<br />~°4+~ N.. ui~CriAI:GE °''*r
<br />NOTE: Reed Instrucdorw bef om MNnp this form.
<br />PARAMETER 17 Grd Onlyl QUANTITY OR LOADING :e+' < 4 ~ O~lyl QUANTITY OR CONCENTRATION I,1D, fIIfOUENG'Y SAMPLE
<br /> 16.63 161-61 ~ • 39~ 6. 1663 61.61
<br />EX DF
<br />TYPE
<br />l82-371 ~ AVERAGE :MAXIMUM UNITS M .IAQ • AVERAGE MAXIMUM UNITS !s7•eBI MALrsla
<br />!6}.661 169-701
<br />r'n SAMPLE ti~{•R~444 44###ra 4r}#~F44 1L
<br /> MEASUREMENT
<br />
<br />
<br />
<br />
<br />1.4LU i 0 U
<br />
<br />
<br />5:.>::PE MIT::.'.:::
<br />
<br />
<br />,;:... R.......... ,.
<br />
<br />
<br />:,..: ~' ..
<br />
<br />
<br />~i~#+~>~ .::.
<br />~
<br />~
<br />~
<br />
<br />
<br />..~:~k71. .,
<br />
<br />
<br />::.:...: . ~!.t>(1:~
<br />.•
<br />
<br />
<br />
<br />
<br />#,
<br />
<br />:.. .... , :.
<br />
<br />
<br />
<br />..5 .; ..:: ;...;
<br />
<br />::.s ............:..
<br />
<br />,.
<br />,.
<br />: ;.: ,.:#li4?le!::.'
<br />.:.
<br />
<br />.. ..
<br />
<br />
<br />
<br />~-~!'f': ;;;;. ;` .
<br />
<br />...
<br />
<br />
<br />
<br />
<br />
<br />(:k:1
<br />.
<br />
<br />
<br />
<br />
<br />
<br />~'Aw:
<br />r - -
<br />~FrLUtnll vKUSS YALUt REQl11REMENT.
<br />:.:. .::
<br />.~:.::~~
<br />~~ :'~~~.
<br />: ~ ;:.;;;: ~~<~:::~ ~~~ ~:: #~"k#
<br />
<br />;;"4I:1NL?41JeM' .
<br />
<br />i,>"5'3`":;>:`:_::
<br />
<br />:: ~ N:.:
<br />
<br />L
<br />Mt
<br />
<br />:.. ,.
<br />~..L ILK/ ~cTTLEABLt SAMPLE ti•#Art••i 404ir#~F 4•.•t><*#iY '. 2~
<br /> MEASUREMENT
<br />'
<br />
<br />. -
<br />
<br />a, i47 1 U 0
<br />
<br />
<br />:.;»:r~fiEF~M1T~.;~.~
<br />
<br />
<br />:~ :al+k#01~~1F':. ~:;
<br />...
<br />
<br />::,'1<rA.l,!R!6711:~
<br />~i
<br />-
<br />~
<br />
<br />
<br />~
<br />
<br />
<br />IP*a'~.il#~k
<br />
<br />r. .::.... .. . ...... ......
<br />~:.~... ~~
<br />~:: ,.
<br />
<br />. :.
<br />..
<br />~~iF~l .:. .:.:.:.:....~
<br />':
<br />.
<br />
<br />
<br />':~:::
<br />
<br />
<br />~hC.~'..':/~~~::'
<br />
<br />
<br />K
<br />~~~:~
<br />rrLUt::I L"kUS~ VALUt REQUIREMENT:. .
<br />~,
<br />'i #:•(. . .
<br />.
<br />.
<br />,FIl:
<br />ML ..
<br />IL. Ahu' UkEA~t SAMPLE S•8~#fy 4##~F 1'•A O•vPti•# ~~#>/rM+F 19
<br />kL-a.i l\ t.t (k-GkAV ML:( MEASUREMENT
<br />~»r5. 1 v O PE
<br />MIT ~.:
<br />:~.::~ :~{i3"~9!/~YidF:; ;';: ::`~'?IpIF. ?l!iA1-~. tier .; ~.. ~~#8~+k~d1& .. .Ilr. .. ~L .:.:.: ~.~ ~u,~.F. L~1:1 4Z~~~
<br />Fra_LitinT iikUSS YALU ,
<br />:
<br />:aEQUIRE.MENT:'
<br />. ~lE;:..:',:i.;..: YA{•~" 'b::~ °th'~'i:.:?.
<br />,, ::.: ~.. MAX MG/ 'tL.T .
<br />L::wF 11~, (,ND11IT a~. SAMPLE G3 #rtik:•:' #~01-+h# ###yit•f
<br />1T:ItU T1(tATMENT PLATJT MEASUREMENT
<br />
<br />J uai'7G L li D ,.:
<br />PERMIT:~.:::..
<br />~'<
<br />.
<br />(V'
<br />~NU~~T~
<br />~::::. g
<br />•
<br />;:.:~}~FiOK~T~ ~~
<br />~~~:..~~Ii.1Fr4?•SI~aF~
<br />....~.~
<br />~':~~
<br />~:
<br />~
<br />:
<br />~;~#~~11~'~+l'~.:.~
<br />:~
<br />Y<4 ti•
<br />~~~
<br />Nt.:~/•''
<br />I~~T di.
<br />
<br />FrLUty( GkUS$ YAL,Uc ..
<br />.REDUIREMEIJ'C. .
<br />.
<br />.:
<br />~iILR..:IC~IF.G.:. .
<br />INT. ~1C
<br />bL .. .
<br />.
<br />..
<br />:
<br />-`.`...»~.~ .
<br />.
<br />..~..
<br /><.:.la
<br />
<br />~#"Y~•
<br />ME1NT}l
<br /> SAMPLE.
<br /> MEASUREMENT
<br /> :~:.-PEFIIpI1T .: :~.; :~.. ... ..:~,~`::.~:~~.:~i. ~~<.;3:~.. ~.:: ;. zr. .. ~e.::~g::; .::::!!,,,.7.:..^~: au'~~I
<br /> iiEQU1REME~17 a ;. . " i:... , ::
<br />,
<br />.
<br /> . ...
<br />I ..
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT.'.: ~.
<br />~:::: ~. ..
<br />..~ ::~;: ;~.::..: :.
<br />
<br />~
<br />,:
<br />...,..~.
<br /> .
<br />REQUIREMENT< .
<br />~. ~.~~: ~::. .:~.:~~H 'F; ;=;::~...~ ... ;- .
<br />~
<br /> SAMPLE
<br /> MEASUREMENT
<br />~
<br />~
<br />A.EQULREMENT, ~:~,:..
<br />.~~ ..
<br />: .
<br />NAMElTITLE PRINCIPAL EXECU7NE OFFICER I cERnFY UNDER PENUTr DF uw THAT I HAVE PERSONALLY ExAMINFD MD TELEPHONE
<br />AM FAMILIM V6TH THE INFORMATION SUBMITTED HEREIN; AND BASED ON DATE
<br />MY INOUIIIY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR ^ '
<br />N,ichard Alilis OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
<br />TRUE, ACCUMTE AND COMPLETE. 1 AM AWME THAT THERE ARE (970)870-2712
<br />!:n VlrOrlfllC!ntDl ''.~i1 n8r~J?r SIGNIROMT PENUTlEB FOR SUBMITTING FALSE INFORMATION, INCLUDING $ :7 9e
<br />THE POSSIBIL17Y Of RNE MID IMPRISONMENT. SEE 10 U.B.C. E 1001 MD 37
<br />
<br />~
<br />~
<br />~
<br />~ ~ ro t JD
<br />~
<br />3
<br />~ g10NATURE OF PItINgPAL EXEgTTNE
<br />A
<br /> ~
<br />l
<br />•
<br />~a
<br />~
<br />~
<br />~a
<br />rr
<br />~ OFFICER OR AIlrNORRED AGENT E NUMEIER YEAR MO DAY
<br />TYPED OR PRINTED ,e
<br />u
<br />yw
<br />.
<br />i,..n
<br />rl.
<br />.,
<br />s
<br />>m.. r,Op
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IYrerrnnn ed ercsenmsnrs neiq
<br />,LI(L~AdLt SULL~S L['l( .rAIYtU FLik lOYK,L4nk P~tLIr' LYCIaT-~Lt I.A.J. F~ 1Vr hUK I;eWULktN~hTJ. 1~1L G
<br />L,IitASc ~1{At; ;iAMPLt: A'raLYSIS nt_eUIrct:~) IF Vl~1dLc ~HEcli 1;, I~J~Lh~LU. .kT.«Y ~A"'FL111~ lnSTRUCT1Lrr~-I.L,.d,
<br />EPA Form 3320-7 108-961 Previous editions mey bs used. (REPLACES EPA FORM T~0 WHICH MAY NOT eE U6E0.1 U J ~ D 4 / y v 1 G J 1- l 311 PAGE 1 OF
<br />
|