HYDRO29513 - Laserfiche WebLink

Home Browse Search

• Y~,.~.-ti...~r PERMR7EE NAME/ADDRESS 0•drJ•FrWryNa/ I arlm IfDlsires) I NATIONAL ppLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDES/ Fprrn Approved. NAME : 1 DISCHARGE MONITORING REPORT IOMRI OMB No. 2040.0004 CYPnu~ EMi'iRE CURi~UKAitUN aa r7-161 n-lsl Cr~ni1NIC rltT T.t~Tfp~ AI ~~~ ADDRESSN U JI7X bti ~.' j31' ~. (-E,r ~~ .~ 14 J hit. ~ 'Approval axplFee OS-31-98 IKAIv x.; / PERMIT NUMBER s)ISCHMOENUMBER SULK NH 123'. LG nlo2o -:1 ~~_ r~~ F - FINAL 4` ' r MONITORINGGjBERIOD 1IIt[L2 . FACILITY CYPKU~ eli l'IkE CUKF'uRATIUN YEAR MO DAYI '~ VEAR MO DAY ~'r~~'~ Looo~noNCkAIG CJ 11161°~ FROM~~.3 ul J~j;TD 'T9 03 31 vPV. UISCHAkGE ~*~ a T i h M 1 t: H A E L w. L UU L (, w• v 1: N t K A L M is ~' ~l261' e11 l11-131 17I-251 176-771 178-191 !34311 NOTRead irntrueliau before eomplstinp thu form. PARl:,METER 13 Ard Onlrl QUANTITY OR LTOA ~ G. ~Gid Onlrl QUANTITY OR CONCENTRATION NO~- FREQUENCY SAMPLE I31-371 /46531 15461 138-451 !46-53 154611 EX DF TYPE ' AVERAGE MAXIMUM "ITS MINIMUM AVERAGE MAXIMUM UNITS-~ is7.6s1 ANKYSIS 164661 16&701 ,[1~FECT ~TA1RE 70AY SAMPLE MEASUREMENT ~y{„p{,py „4,;~,;,,f ais~ral~ 4vk•}ti'4 y,~ L n ~ 1 I9 < ,hn CEKI~UAF'HNIA OO ~/ U f„~ - LP tS S G V .::^ :.PERMIT::.::'. ~ +F lr40$IK:i:"r ~ ~ .. .... .... ... ::~~~. $ ` ~~ ~~ k.r •: 1. ~. ; ~ )Et L HM[IrT a cll.',~r: REQUIREMENT ~ : :'` ;; :~:;~ . . .I ... .n,. :.:~so. •r ::.. : . EFFECT STATKt 7UAY SAMPLE MEASUREMENT .•.:1.~{. {, {. ;#dd S . : `!i~r~~< 4M1A46+A Z3 j1 ~ I/ ~ .Hti PIMti'HALES ~00 , 1 / - / l/ ~O ~,,' TLNb(, $ V O PERMIT.. tY+.r'BA+k#:.:: :.#4AFYA •I: ~ ~ Nf~ _ . r. '.... ~ ate ir4 tl4>H .: '. i.101>N:>s ,k G..i Sri' Y.. ~hP! 4.1 ~[e LUMM~NTS dELLiK REQUIREMENT ~ ~ ~ .. ~ ~'~ ~ ~ ~ ~ bi ~ ^~~ ~ ~:.'t;.: :.: ::: .. -~k ....:.... ...:...... . SAMPLE MEASUREMENT : ~ PERMIT ~ '::::<;?" ~ :~ :::.:. ,... ~ . ' :REQUIREMENT ~ : ~~~~ i; .. . SAMPLE •-'"3' , Tw: MEASUREMENT . f ~~'"'.~^•4;, .PERMIT ~..^ea r: . F~.<:: ~ ~ .REQUIREMENT . ~ ~.. ~.. ..•' . . ~.F;.:... . ~ ~ .. .,,.~. ~ . SAMPLE MEASUREMENT ~~~::.:. PERMIT ~ . ~ ....:; ... .. ~.......: .... ~ .. :REQUIREMENTS ~ ~~~ ~~~ SAMPLE MEASUREMENT ..:~ PERMIT.... :... .... ... ~.. .REQUIREMENT. ~ ~ ~~ SAMPLE MEASUREMENT ~PERMITr.:~: . .. _ .. ... ~REQUIREMENT~ ~- ~ ~ ~ ~~ NAME/i1TLE PRINCIPAL EXECUTIVE OFFICER I CERTI AM FA FY UNDEfl PENALTY OF LAW THAT I HAVE PERSONALLY EXAMIN MILIM WITH THE INFORMATION SUBMITTED HEREIN: AND BA ED AND SED ON TELEPHONE DATE MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR ' Richard Mills OBTAINING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS TRUF ACCUMTF AND COMRETE. I AM AWME THAT THERE ME .. ~ '~ ' , ( ! ' , SIONIFICN/T PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING ~ _ ~_ , 970-87O-2712 4 IB 99 Environmental `Manager , THE POSSIBILITY OF qNE AND IMPRISONMENT. BEE 18 U.S.C. 1 1001 AND 37 610NATURE OF P111NCIPAL E%ECIfiIVE U.S.C. E t 31 B. IRrrw•• rM•r sr•• means rn•Y MreA.d. Fn.a up ro d 10,000 AREA TYPED OR PRINTED •nsrmu4m.rr 4nPSOnwrr •IMw•m 6m•nNa Anse r•IVA! OFTICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference ell ettechmenta here/ SEE I.d..i FUK UtTA1LS. xLPUkT LcTHALtTY iicklVATiUh.~ AS kfFFLCT F GKUi,TH/KtPkUuUCTIUN AS TdXlC1TY RPT lt:.+ESi R EFFLUttTT AT rrHICH STAT St~N1F UIFF fitTdEk%~ TEST t: CuNTkJL SAS ^dSERYEG USING TEST CUUE S F ICES ~f• T:'fT n • tea. .rr -nG U.Trn4 tr f` '1 EPA'Fam 3320=1 108=851 `Prevloue editions maybe uBed. ' ' "' 1REPL'14CE5'EPA'FORM T-0b WHICH'MAY NOT BE USED'.) "`^' " ' , ~ `~-" - ~ `~ ~ PAGE OF Q0636/5tb1,0,O1~Z3,i1 1