Laserfiche WebLink
IERMI'TTTF M1A Mfg S5 :!jai l~lfryNr'[sr.rw QD//irwy <br />NAME <br />_ r : .. . <br />AODR[g5 : . _ ~ ~ . . i. :..~ <br />}U <br />GG Eti51b <br />EALxm •lUt NUfl2k1 G Si;UTH RihfS <br />LoGTION ,AUE CL` Cl~lb <br /> <br />RAnoww~>~:1 v*..~ AAOE etP~atAt7oR {rrr[M /NPOfSI <br />DISCHaRG ITORINQ R£-ORT 70MR1 ~~:. <br />~ '~ . ,.-.. <br />~ 1 ~~ <br /> <br />PERMIT N!INRER 7T9CMAAO[MtM{fR ._ F•1 <br />MONITORING PERIOD - <br />YEAR MO DAY YEAR MO OA~ ... <br />FROM ~ TO ~ - ~ <br />NOTE: Ra{d hwwcMona baler ~~ <br />comDMlhp flrla f«m. <br /> ~ <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX yR[arxxcr <br />or SAMPLE <br />TYPE <br /> ARNrg15 <br /> AVERAGE MA%IMVM UNITS MINIMUM AVE{IAGE MAXIMUM UNITS <br /> SAMPLE <br /> <br />MEASUREMENT <br />-1 <br />.. PERMIT <br />E -_,;.ti>w .... p6~ .:;.z., },U EiXli GSf11 <br /> REQUIREM <br />NT I , . Y <br /> SAMPLE <br />1 <br /> <br />~ <br />~ MEASUREMENT <br /> ~ ~ ~ <br />1 PERMIT .-~ ... .. ~aN ~: <br />.. ~~ 1': %U Nl~/ Fd^ <br /> <br />. REOUIREMENT 1- . ~ 4.• ~ <br />_ <br />_ - ~ , <br />_ _ .., L n , :... SAMPLE ~ <br /> MEASUREMENT <br />,. ., PERMIT ...~ +ao~ -e0h'i h:.k'v I:? ~~~~~/ l•7i~c <br />~i <br />- REOUIREMENT _ ~ ~.- ~ _1 ,• <br /> <br />r SAMPIE~- <br />71 MEASUREMENT <br /> - <br /> PERMIT ., ~ - s Z.Qa}rLC• y.] />';i 4L:./ ~:.. <br /> REQUIREMENT } L,, ~ 11 -~ <br /> <br />' i_, :.1 ... SAMPLE <br /> MEASUREMENT <br />.. 1 U PERMIT ... e:) e': 1 J <br />r_.hT' brii;~.- <br />_ REOUIRf.MENT _ is .4 ,` 1;; ~1 LJ. _-- <br />- --- <br />- _ <br />- <br />_ <br />atl CC!.L1:1• SAMPLE <br />::.n~:,,,.:,r MEASVREMENT <br />1 ., U PERMIT „_ } ~, .; i~t. ~'r <br />? .. - _... ~~ } <br />r.Ni;1;:~5 REDUIREMENT Jt~~f. <br />._ iiY ",X <br />-_. <br />-_ _ <br />_...__ <br />- <br />. : `. > i i, 1- h i. SAMPLE _ _ _ _ <br />~ MEASUREMENT <br />. PERAAlT ~ ~ ~ ~ - ., c. t C S i :. ? ~ n f.:~. <br /> REOUIREMENT <br />_ <br />,r•iih FAJT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER ' °"' 7 °"'~" !Y. 01" 01 16°'""""'°'~ "1rOn '"~'^' TELEPHON E DA TE <br /> >nMM rrt. n• 61m+Y..n or Inw r•ben 1. raerd.wee ~IIT ..n4n M[ad ~_ <br />". _ - In wre rM F.aM~r Prr^^M>^'Pr1! (MM .M...Ar.le IM InM1rMl10. - . <br />• wMlrwt. aW s m. IpWr~ b rM >.rw a prar..M wrw.(. rlw tT4n, <br /> <br />d 11~ prnv d...ey rwpw/K rer p[MMn( ear Mrorwr~fen, rw IM«~YV> _ _' <br /> <br />~ <br /> <br />~ <br />- <br />` rMIfM h w rM 1..1 Min. 1rr.IrA~. m6lwMf, r+lr..mr.rr, w tw.(kle. <br />Ir...r. onr lMr..ny.re..r >r+VMkr r <br />lrine <br />re. r.r <br />.we ~ <br />` {IOMATVRl O>Fe«MAI E%[CUTM • i ', <br />~:~~~: ~' _ ~~ (~''. <br /> q <br />r <br />e <br />.r. <br />TYPED OR -[tINTm <br />- IsJ.Nry rM>s61~ir~Cll4. w[Igry>wrrirp M\re.rR .M.rba fNT!CER OR AUTHOR72[b AGENT ~O~ NUMBER YEAR M O DAY <br />COMMENTS AND EA1'lA%A UVn w nn. rrvu+nvna (na~a+anca M.rr~crsmm~ n~r~( <br />EPA Form 332!!•1 (Rav 199) Prevbu{ sdlaens may ba uaeo 116 IS34-~[ (plfi. PAGE OF <br />....../:~ .. cal-. <br />