JY. ~- s.,ri.
<br />PERMfrn:E NAMFJADDRESS (Ii.dJIFsWryN.wtr.rfd. yDlSir.nq
<br />NAME SESn~4 CnAL L•l.SrbNY
<br />ADDRESS 1• f~ • U L) F ': 7 0
<br />NATIONAL POLLUTANT DISCNMSf RJMINATON SYBTEM IIVPOf$l
<br />DISCHARGE MONITORING REPORT (O R1
<br />i ~. 1
<br />f
<br />FAaLm
<br />LOCATION!! ;1 Y a r. . ,;'~ , L :. ; :i
<br />~'rTn: .;nr.c; e)rr,s ..~., el :nc::F:,
<br />PERMIT NUMBER pscNAAOE NuMeER _ ~ ~ .;; ~ ~~y, Ll T ,
<br />MO ~ E R70b ~~ 'IO HUSd??F.;Gh ~;ULCtI i
<br />YEAR.. MO fl' .EAR MO DAY
<br />FROM 1 ~ J ~ ~'~" hL UI SG!!-RGt ~ C~a
<br />NOTE: Reid lmwetlons b~fw o pM11n9 thl~ Iwm.
<br />PARAMETER QUANTITY OR LO ~ O
<br />Quality or Concentration NO. f11E0UENCr SAMPLE
<br />
<br />EX of
<br />TYPE
<br /> ANAirsts
<br /> AVERAGE MAXIMUM ~ 5 MINIMUM AVERAGE MAXIMUM UNITS
<br />JIL nI'IJ ,h EAS;: SAMPLE 7+•Y ': ~: ,, .:: -. +: •: 403::•:•. <:~:."'t<~
<br />V ::i U ~. L MEASUREMENT
<br />P4 Abu 1 U •.1 .:. PERMIT: ~.:~:-
<br />. :~: :. ~ M: k~k~
<br />~ ~~.'..:.: ~
<br />~~EP~'~I
<br />~fT ~~~
<br />ES=1
<br />::~:?3:'a,~+ji'~O~C:~Y
<br />~ ~;r.,::i,::g~~.<;.: .. ..
<br />:~.:~:;x_r~:~~C:;,;r~+~.:r~
<br />r,:#a
<br />"<~':
<br />~Str.Y:'~~
<br />,~ISUAL
<br />
<br />c. }'f~LUI'HT i;205:; VA1.U: ...............
<br />..
<br />'REDUIREMENT
<br />~ . ...... .........:.. .:: :~. .
<br />. ~:..
<br />~::'.: ~: ,
<br />::
<br />~:~~~~ti TT::r A~y~
<br />NO=O ..
<br />;'.(.:: ;:'f: r`: ~;: ~:.:~: .
<br />~ `:.
<br />6f %, {~/A
<br />~~;.:;
<br />~:~;Oa.2 i1
<br /> SAMPLE ~ .:
<br /> MEASUREMENT
<br />-~
<br />'i _
<br />~
<br /> .~ ,..PERMIT - .. ~:
<br />; . ..
<br />~ ..
<br />~
<br />~~
<br />~
<br /> :REQUIREMENT .~ .~': ~~ .. ~.:
<br />~
<br />~
<br />:.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~.::.:: PERMIT .:. ~ ~: ~ ~~ ,<..
<br />
<br />...
<br />.
<br />:
<br />~: :`~~ ,..:.
<br />
<br />A
<br />
<br />.
<br />::: i.
<br />,;
<br />r.:
<br />~
<br /> :REQUIREMENT.
<br />::~
<br />.
<br />~
<br />~':
<br />'
<br />....
<br />'
<br />.^'
<br />'
<br />. ~
<br />
<br />t .
<br /> .... ... ..... ... .. ..i. !
<br />:.:i': .
<br />::.i..
<br />' .:..:::..: :i.:.:i :: :.. .::::. ...: .. ..: 3 ~ :Si.: a.. .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> .:... PERMIT:"..:. ~. ~ ~:~ ~. .~:... !.:. : ::<:::. ......::~:~::~::~::: :g~:..^.:~:.::..: :~ :&e:.'i:~:.;~~~..~
<br /> REQUIREMENT ~~~ ~. ~. .... ...
<br />,. ~::. ~: ~rf ,::~:':~
<br /> ...:.::..... ... .. .5:::9 : ..: .:..
<br /> SAMPLE
<br /> MEASUREMENT
<br /> . .....:....:....
<br />v:~:•;~;.
<br />. ;;
<br />..
<br />.. ..
<br /> .,RE~UIREMENT~ :~:~~. ~.~~:.: ~ ~... . ..: ~: ~.. ~~~ ~:. ~ ~ ~ ~ ....
<br />.
<br />~ :~4:Y%~
<br />:
<br />::.::~:.:::r~::
<br />:;:
<br />
<br />?~
<br /> .
<br /> SAMPLE
<br /> MEASUREMENT ~(
<br /> ~...
<br />.:...:: PERMIT:: ~:~~
<br />~..
<br />~:: .. ...
<br />..: ...
<br />.. ... .
<br />
<br />..
<br /> REQUIREMENT.. . ..
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ..:::.PERMIT; ~. ;'': .:.~::.: ... ... .. :. ~. •. ~.
<br /> :REQUIREMENT~. ':~~~.:~
<br />._ ~~ ~~ ~~~
<br />
<br />NAMERITLE PRINCIPAL EXECITTNE OFFlCER , [<rttl) ., pen• 4 ^ .• Ibl N
<br />~ lf Entv,nnl nM •II nl•chmen4 Overt
<br />TELEPHONE
<br />DATE
<br /> pnpm.a nnarr mT alRrn•n•r wp mlyon In •aavN.me wl,n. q,frm eelin.a \
<br /> 1• mart Iha qutllnetl peronnN p,vprNT plhrr •M enlu•le Ibr Inlerm•Ilan \
<br />' '
<br /> abMUrE. !qA on mT mqulp dNe Peron or pv>ae wh• mange Nr.Pfem. I
<br /> ar Ihow pm•m dlrea1lT rvps~dbM Iw (•Iherln~ the Inforvu,lon. ,Ar Inforvullon l
<br />
<br />fubmllleE 4 b the bnl oI mr linwYd~e •nE beX•I, Wr. •arenlr. •~ nmplrlr.
<br />I •m Dart u.l men m g
<br />nhlnm
<br />en•mu ror mbminl
<br />nh
<br />mf
<br />m
<br />/
<br />SIGNATURE OF MIN AL E%ECUTIVE L O~
<br /> l
<br />p
<br />.
<br />orm
<br />on,
<br />n[
<br />I
<br />TYPED OR PRINTED naueln~fhr p•mblllUof line and lmprlsnmem fortmwln~.lol•UOIS OFFICER OR AUT RUED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION VP ANT VIOLA (IONS IFN~rmCP s//ifhMm~nH hn~l
<br />. ., _ I•: _' l.f^.1?':i nLLL 1L~ dAiYcJ .. ..,;L.^~~r'Li, -~:IL.iL'_~ Lf.1Ii AFFLIh:~ F'Uf•. <=i C:Y'n.2++ar. ~HECIP F.Y};tiT: i55 z
<br />Ik.)m :'ll?i npiVEU t'..+ >iJTa~~4lt:, k6~CIV ..i. ~l,l,: ti; :.O ii ;, ::. :; t' ir.::'1r' ~ _...,~. OIL E GREn:,~, - 9.~c
<br />EPA'FwSrf3320-7 (R'~r'3/99j Pfebl{ousjeQillons may 6e'uscd" 1; , 1', •~/lThi5~51~4 qaa ~'(~m.. PAGE OF
<br />f
<br />
|