Laserfiche WebLink
PERMDIEE NAME/ADDRESS (/echde Faciliry Name//acanon jDlgnem) NATIONAL P <br />NAME C0604T0 CDAL CONPA.tiY L. P. DI <br />ADDRES~OL04TO BINE ~ r`nrsu <br />5731 STATE N.T68 VAT 13 ',`01PER <br />f1-__ <br />FACIUTVt1EEKER CO-81641 <br />LOCATION ~ r .~~~. YEAB <br />FROM <br />ATTtl: J. D. NARt70N, 6ENoRAL BAR X21) <br />(3 Card Ony) QUANTITY OR LOADI~ <br />PARAMETER (49-53) ' (59-61) <br />(32-3n ~ AVERAGE ~' MAXIMUM <br />7IL ltlD GREASE SAMPLE ,'s}k+76k#a <br />TISUAL MEASUREMENT - <br />B J) (16 6 I 0 D G~ ' PERMIT" '~14#1'~ ~~f~ <br />EPPLUEKT GRO55 YALUlc EQUIREMENT ~,~ ,~~_ 9i <br />SAMPLE <br />SAMPLE <br />MEASUREMENT <br />a.v*PERMIT,~ ? v x= <br />REOUI•MEMENT~ _~~.~~, <br />SAMPLE <br />MEASUREMENT <br />y~PERMI~~w"..~ 1 <br />REQUIREMENT ~;.t~.'_ <br />SAMPLE <br />MEASUREMENT <br />REOUIREMEN )+ <br />SAMPLE46 <br />MEASUREMENT <br />rPERMIT, ~'~ ~ a <br />RE~UIREMENT~ u.¢1 <br />SAMPLE <br />NAME/TITLE PRINCIPAL EXECUTVE OFFICER <br /> J <br /> <br />fAM DISCHARGE ELIMINATION SYSTEM (NPDES) _ <br />Fortn Approved. ~ <br />IRGE MONITORING REPORT (OMR; <br />61 l17- Bl <br />" OMB N0. 2040-0004 <br />t <br /> <br />" ~ ^^" I X10 R <br />(SOBR 4M) Approval expires OS-31-98~ <br />t <br />DUMBER DISCHARGE NUMBER F - PItlAL HdFti'AT <br />' MONITORING PERIOD GtILC!! A SlDI POAD/GOOD SP!:S CR <br />10 DAYt :''~ YEAR MO DAY __ <br />t f0 T4 ''9a Ai it aC: r0 D*SCFi <br />R <br />d I <br />t <br />NOTE ARG>' 1 1 ~Y.~ <br />thi <br />l <br />ti <br />f <br />i <br />ti <br />t <br />~z31' .. szfi rzfi~zz) - (zsze) r3aa r) ns <br />ruct <br />e <br />ng <br />orm. <br />: <br />ea <br />ons <br />e <br />o p <br />s <br />'~ ~(d Card OnyJ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> r 39-45) 49-53) (5x61) EX OF TYPE <br />UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(6as7) ANALYSIS <br />64-68) <br />6370 <br />Qy) ##S91>pl>Or : r01tr1kt ~# tGk~C3 <br /> <br /> <br />CNFLUCa FUH SUtlMII IIrvU hgLSE INFOHMArIDN, INCLUDING THE <br />R ~ ,,.~ ~ POSSIBILfTY OF FlNE AND IMPRISONMENT. SEE 1e U.S.C. 4 1001 AND 33 U.S.C. £ <br />-~ § 1318. (Penettles under these amhrtex mey Include hoes up b Ef0.000 entl ar <br />-TYPED OR PRINTED mer/mum impnsrnmerrt plbameen6manms end5yaers.) ;9 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence ell evechments here) '=~'~ax; <br />SeTTLEABLL SOLIDS LIrIT APPLIES ONLT it C= 10-11R, 2A-NR PREC~ <br />MQCD, TSS 6 IRON LI1fIT5 VILL UOi BE APPLIED TD REPOF7ED hEi <br />EPA Form 33261°(08 9~S) Previous editions may not b~used~~ (REPLACES EPA FORM T-40 WHICH MAY NOl <br />DATE <br />OF PRINCIPAL EXECUTIVE <br />OR AUTHORIZED AGENT <br />YEAR I MO I DAY <br />YEKT IS CL1~I1!FD. It CLAIM APPROVED RY <br />E)ITS--SLE T.B.xb. PG 4 AND I.B.1D, PC 5. <br />BE USED.) PAGE OF <br />0006/990211-10k9 -~ 2 <br />