Laserfiche WebLink
<br />PERMITTEE NAME/ADDRES$(/nclude Faci(iryNameJLocahon lDBer~U <br />' NAME s.'+t7h'I~DpALPpLLIIfANT DISCHARGE ELIMINATpN SYSTEM (NPDES) <br />.M~, DISCNARGE MONITORING REPORT (OMR) ~ <br />' ~ - FOfm ApPfoVed. <br /> <br />T.RAPPCF. IvI;:G, <br />INC. . <br />dINOR OMB No. 2040-0004 <br />ADDRESST;R1PQdR CLNE <br />_ <br />[SUER Nil) _ <br />Pv~: HO.K 1:3/ ~ PERMIT NUMBER DISCHARGE NUMBER F _ FINAL ~ ~- lIOFA* <br />FACILITY :.~R~-IG ",~,`A 91625 MONITORING PERIOD 40ND tl TO 1iT2 "GULCH _ <br />LOCATION " •.~ YEAR MO DAY YEAR MO DAY ~ ~ " <br />-~ ~ FROM To 0 2 31 alto HO DISCRk~R6E~_ ) #a+k <br />A f l 4: ~.N y G O 3 D 0 8 P h T E R S `P R S/ u' E N M G A" - ~ <br />• NOTE: Read Instruc(ions beforg completing this form: <br /> ' "-QUANTITY „ !, <br />ADING ~- QUANTITY OR CONCENTRATION . ~ <br />~ <br />~ <br />• NO." FREOU~Mc SAMPLE <br /> 'r PARAMETER ~ l." <br />~ ~ EX: roF <br />- TYPE <br /> '_ ~ ~- ,;.AVERAGE <br />~ .;MAXIMUM.:. ~ UN17~f MINIMUM ~ AVERAGE MAXIMUM UNITS - , : <br />ANa1.YS15 ' <br /> OIL AN'a - EASE ', <br />i. aaEapo <br />SAMPLE " <br />( ~.#'~, 4r4:RiCCr'Lr <br />fb00#O~ <br />RAP Ya4#O <br />' <br />d VISUA6-Pf:F ~ _ MEAS¢1REM NT - - ~ ~ - <br /> tiu766 •::,'r.,9 .Q r, {:, ~ 5?L Rai! <br /> t:P!'LDCN <br />~'''~8?SS ;; 'y ~ QaO: #ari~s <br /> <br /> ~ <br /> ' : l~~i <br /> <br /> ~' „ <br />r ' `~ SAMPLE ;,'. <br />MEASUREME F •;~ <br />- '` ~ <br />- <br /> 1 ^ 'y; <br /> Y'?t +~s; <br /> . , <br /> ~. ~ <br /> ~ <br /> G <br /> '. `~ LE 'a:,,.: s: ,. <br /> ':... - M ~ REMENT <br />i i <br /> r.. <: <br /> SAMPLE` • _ .,; . . <br />' ~ ~ ; .~ MEASUREYvTENT; ~ ~~- ~ - <br /> <br /> .p..t <br />' T - p, i~ A ~Y~" <br />{ F i . <br /> y i - ~. i <br /> ~• <br />!~ SA~1PL~ ~ ~ '. , <br /> - •~."~ MEASUREM NT - <br /> <br /> t <br /> NAME/1f T4 (PAL E%ECUTIVE OF FICEp (Certify under pena'ry Ot law that tlw <br />d s dOCUment and all enac <br />'a <br />' hmenls were <br />-- - <br />--- -- TELEPfiON E_ "-0A <br />- TE <br />- - <br /> -_ _ - n,. <br />un er mYdilEn'an ore.+nm <br />negprdanCarv <br />_ - __~r are <br />t <br />fe th <br />t <br />ualiGed <br />er <br />d <br />th <br />' <br />r <br />l ithasystarndesyne0 -- - <br />t <br />i -- --- <br /> W. Gor. tare <br /> <br />PTe8laneldL MRna q <br />o assu <br />p <br />sonn <br />proper <br />ry ga <br />e <br />a <br />antl eva <br />u <br />subminetl. Based On myinquiry Wiheperson orperaonsw <br />er Pr those persons dkadly responsible br gelherin {he uROrm ate Nain <br />gn <br />orrnat <br />hq manage the system, ~ <br />alion; the iNonnalion ~~/ <br />C ~A ~~T <br />~ <br />J~ <br />~'SZ4~A~ <br /> <br />~ <br />{OI <br />()I <br />' <br />~ <br />I <br />I <br /> g d is <br />b <br />itt <br />t <br />best <br />t <br />rh <br />k <br />M <br />tl b <br />i <br />d ~ <br /> .. , <br />su <br />m <br />e <br />o <br />a <br />o <br />na <br />trry <br />e <br />e[true,a <br />ge en <br />L4 <br />h tturate, grid mmdale. SIGNAT URE OF PRINCIPAL E 7(ECUTIVE ' <br />~ <br />' - <br /> {am aware t <br />at Nero are eignifcant penalties br 5ubmittirg false information, <br /> DOR PRINTE6 indutl' t 2 os' i4 of Band' tlor krgw' valatWre. - OFFI CEFI OA AUiHOAIZEO AGENT NUMBER YEAR M ~ DAY <br />COMMENTS Af+J XPLANATION.OF ANY VIOLATIONS (Relerence all attachments here) ~ - _ <br />T'i5 E T£V~L IRDN LINITS itILL ee NAIreD, AND 56TTLEABLB SOLIDS LIRIT APPLIpD POR <=10TR~~4flR'PRSCI~ BYENT- <br />18R HDA15 (1Y PRODF kcQUIliL'nENTS ONpER I.A. 9. TDS MON.i,ORING - I. B. 3. OLL 6 GREASr - 5Eg"E.g.l.(D). <br />~ <br />EPA Form 3320.1 99) revious a Itions may be used. ~ ' ~" ~ _ _ _ _ _ rulq rc q w epor ~.,..•. ^A(`^ -- <br />