Laserfiche WebLink
<br />PERMITTEE'NAME/ADDRESS Qnclude Faciliry Name/Gocarion iJDijjerenq NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) - BOfT App/OVe(I. ' <br />NAME ;RAPPER I7 i N I N G~ I fl C• DISCHARGE MONITORING REPORT (OMR) tl I N O R OM6 No. zoao•nooa <br />ADDRESSTAFPQER MIRE <br />(SUBR t1Y) <br />P . 0 • a H O % I. ft 7 ~ <br />~ PERMIT NUMBER DISCHARGE NUMBER <br />P - PINAL <br />`' Mt~FAT <br /> ` <br />FACILITY CRRIG CO 81b2' <br />~~ MONITORING PERIOD - AISCNARGE TO <br />G&OUSE GULCH <br />f LOCATION, ~ YEAR MO DAY YEAR MO ~ DAY ~ - - `~ <br />I <br />FROM <br />0 <br />1 <br />TO <br />00 <br />2 <br />1 <br />~# NO- DISCRARG:E- ICI ##+P <br />. Hurt: ncara rymuwu~na voiv, o.,~uiNicuuy p,u ,..~~~~. <br />~- • J. J oGr• _ <br />J <br />" <br /> QUANTITY OR LOADING . ~ QUANTITY <br />OR CONCENTRATION ~ NO: FREOUENC ~ SAMPLE <br />- ~ P <br />RAMETER ~ ~ ~ ~EX - ov, ~ TYPE <br />A AVERAGE MAXIMUM UNITS MINIMUM AVERAGE .' l MAXIMUM `UNITS aNA!"~!s <br />OL4 ANA'.6'REASE SAMPLE srxa~..xo ( 94) tt#rpavl* paaeaol noa#~t# <br />YISOAL' MEASUREMENT ,., ~+ <br />: <br /> <br />tlUU66 7, ", 0 U <br />~ '~~ <br />• <br />- ip, <br />~,° ~~; <br />E5=1 <br />~_ <br />. : <br />~ <br />l11~ ~;~ <br />liFf LU$N! CRD55 Y U ~1 <br />E „@~.. ~" r <br />-.. _~", ~ <br /> <br />- fG <br />M <br />SUREM <br />T <br />1 <br />',~ "c' ~ <br />x "~ ~ ~ g r. <br />~i '" '~ ~:~ ~ <br />~ :M1'r <br />. <br />- EA <br />EN <br />. - f~;~, ,• ,~, ~,;:r , .r :• r v` fit:{~ s ..: <br />- <br /> tJP <br /> <br />- _ ~; <br />._ . <br />' ~ SAMPLE ,.I O ~ ~ ~ " <br /> <br /> ~ .... • . <br />- ~ SAMPLE - 1 <br /> MEASUREMENT <br />. . y~ <br />_ c: ,k t R ~ ; <br />. ~ _ <br />~ ~ ~. - SAMPLE <br />' MEASUREMENT <br /> <br /> <br />- SAMPLE <br /> MEASUREMENT <br /> <br />ti a/ <br />' <br />Y . <br />' SAMPLE <br /> MEASUREMENT <br /> a <br /> • <br /> <br />_ .u~ , <br /> <br />r r <br /> <br />~~ '. _- <br /> <br />L <br /> <br />,. . <br />.. <br />NAME/TITLE PRINCIPAL E%ECUTIVE O FFICER- JCediy under pdnaityot law that this tlocument and a0 ana <br />' <br />' chments w6re TELEPHONE DA TE <br />on <br />n accortlence Wilhasysleo).tl¢Signed_ <br />_ _~_ _ Qapdretl under mytlired~nori~aryis <br />- <br />--~ - 'y - -- <br />- -- '° - ~ _ <br />to assure that qualifieQ'pereonnel proparlX~ather, antl evaluate the lnlormation <br />' <br />~LYIi '~ - ~ 'submirted.BasetlanldYlgquiryAlth•pasonolpereonswnom&1ag6thesys(em, <br />W G <br />O <br />rQ~-H- <br />~ <br />P <br />or thO5a <br />146n9 ~IfeClly mSpgneal•fOr <br />alharingg thO MlfgdpaGOn <br />IhB'NfOrmaUbll ~~~ - <br />970~:.884~,44U1. " <br />(11 <br />Dl <br />'1 <br />, <br />pQ <br />Q <br />I <br />, <br />J <br />/ <br />} <br />PlesLdarit~Q{QrIBL ~Iitl OI~ <br />t Of <br />t <br />a l <br />b <br />k <br />l <br />d <br />tl <br />N <br />f <br />t <br />d <br />~ <br />ll <br />l , <br />now <br />e <br />srbnl <br />s,tg tha <br />my <br />e <br />ge en <br />be <br />a <br />, <br />we, accurate, an <br />comp <br />le <br />ea <br />e. <br />' " <br />~ ~ <br />f SIGNATURE OF PRINCIPAL E7(ECUTIVE <br />lam awaza that lhnre,o <br />esgnificaiR penalties forsubmittin9,falseinfgrmation, <br />~ <br />;TYi!ED Ofl'PRINTED including MapaeSibJlry offne and imbrisonmerM Nrknowing violalbns. - OFFICER OR AUTHORIZED AGENT <br />-. <br />COOE_ NUMBER_ ~ <br />_ YEAR <br />- _ MO <br />_ DAY <br />COMMENTS ANR EXP(~NAT(ON!OF ANY VIOLATIONS (Re/eYence al! attachments here) <br />TSS L T01~xLr=T'RDN.-).IAITS MILL B& RAIYED• AND SETTLEAflLE"SOLIDS LIlfIT APP6ZED POR <=]OT8.24ltR PBECI~ EYENT- <br />SCE tlURbEN Df PRfiO- REQFRL'M8NT5'UNDER I•A.3. TDS tlDNIPORING - I. B. 3. OIL 5 GREASE ~ SSE I•B.1.(b). <br />_ _ _ r, ~ . _,~ - _ - THIS IS,A gPART FORM PAGE _ OF <br />