Laserfiche WebLink
' Pewwrrree NwM[/woowees (fndude <br />PIMYiry NaBre/LoLVrbn if diryerrnr/ <br />," <br />ADORRft ~ !------ _ --------- <br />---=~--=1 ------- ---- <br />~. L L ______ L_ . <br />~ACI UTY- <br />LOCATION <br />RwnonwL rouurwNT OUCh•wce uIMIRAnoR •YSrcM /NPDE$) <br />DISCHARGE MONITORING REPORT /DMRI <br />1-)6~ .. ~ Form Approved. <br />- ~ ~ / - - '• ( ~ • " / OMB`N(i. 2040-0004. <br />-ERMIT NUMw[R . qcr ..Mr..rR - ;. Approval expires 630-91. <br />MONITORING PERIOD ° -' I J ~ ~ ~ V ~ ~ <br />YEAR MO DAY YEAw MO DAV <br />PROM i TO r ..~ .1 "' ,... ~ ,. - <br />_ 1 <br />/anal/ /zza3l 17~~u1 nn- n /1R. 91 /.ran NOTE: Heed instruDtiom before DomDletinp this fmm. <br /> (3 Card Oniy) OU ANTITY OR LOADING (r Card Only) OVALITY OR CONCENTRATION Fq EOU ENC+ <br />BAMPLE <br />PARAMETER (rb-J3) (Jlfil) (iA-rJ) (r6J3) (Jrfil) NO. <br />% DF TYPE <br />(31-37) E ANALrs15 <br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IM UM UNITS <br />6afiA <br />(drdAl <br />(69-]U) <br />~Ti ~tTf <br />'/L ... ...}.:..::~ I ~ <br />a~ <br />r <br />. BAMPLE \ ~ _ <br /> MEABUREMENT <br />. <br />. 1 ( u 8's">P' "°° <br />l' <br />' °si~arr~:~~~A< <br />° °'t~~+~«.;~~<~" <br />' _:. mmr,,a01t~~:~~:. <br />' ~b~5 ,m °~.,~. <br />' ~rm;~et:~~£;"®" <br />A <br />~ ' °;i~<~%~ ~~~'..° <br />. <br />G 5' e <br />Y A ERM£ <br />t <br />sa <br />'REUW <br />R[M <br />EM7^ . <br />a a. n s ; <br />` +sN,a - <br />.a '.a ~ e <br />tir ;i r <br />: ¢x <br />.~. ,, <br />' a ° ~% <br />as; am <br />" <br />7f i <br />~'e <br />~ <br />~ <br />~ ee <br />a ,, <br />a ~e~ <br />~ ~ <br />; <br />~ ac e~$' <br />~-~ <br />~: sac <br />e <br />~ <br />, <br />U ~ <br />a l <br />p e o- <br />~ , <br />,. , <br />A , <br />y <br />$te <br />. <br />• AS <br />' 4 3w <br />,'.~~ C. °°~ <br />l <br />: ¢ <br />' ./i'i`.:rv. xiQQ <br />}:1 ~ ' 'br: ': +}'v ~ .<) <br /> BAMPLE <br /> MEABUREMENT <br />,.. 1 L <br />..: ae '" °^: <br />°P <br />ti C" a~s.n~i }°i"}4 ~;rx~~ <br />~ ,a.,''{. "°i'r~~~°~, :'~ d-.<°m~ asa;: <br />.~ <br />.E 'n'~BL~e~A}':.°m <br />~ n8'ngsa~~e <s'® <br />'nt <br />' <br />~. qi°;s <br />t@ ~~~y <br />wy~j <br />~ <br />t ~'s°3a <br /> <br />' ERf <br />:REgVIRT.M ENT ~ y <br />n ID~ <br />rr, ,. e'x F° <br />Y <br />- °m ca, •¢ <br />Asa ea <br />o- e. . <br />~o- a« <br />°"g <br />E r»' a': <br />i,'.or a' <br />m <br />%" <br />c R <br />x . ~; <br />. <br />@~ ® <br />' <br />- as <br />,e <br />l ~ <br />°°"x'4 <br />§ <br />. <br />` kR.u e.° <br />sa <br />L: Z.J t(. <br />1 ~n~il: <br />dJ° b' a8°e® <br />a • <br />Ea` ar-n , <br />3k ~ ~ µ~ <br />y <br />~xa <br />1i£~¢ U4J K. <br />,~~ <br />^ <br />° &S..m• •e ~ <br />m <br />'mc ~.R ~F%~)~• <br />l e , <br />~ a <br />a <br /> <br />~L~U1r •.-IL <br />BAMPLE <br /> <br />..- .. J. <br />.•.' <br /> <br />I..... .. <br />. ~ <br />` ~ <br /> <br />.. <br />rvl~: ,: ff <br />( <br />.: I/ <br />. JF,EhLJy MEABUREMENT <br /> <br />Tr_' U <br />'ef_PPR'M £Tn tlx <br />a.P.$~s 9Jar: Y;, ;-•~ <br />, <br />•.•^~%'~~u'-`x`Ae R:: <br />°'z~+s.RF ~.:e'•.'x~a, <br />'m yiw•~:i'a}`~~ t <br /><, <br />~~~~nw <br />«& t FA <br />t a <br />.a a <br />'y °, <br />~ <br /> •NEQUJRl:MENT x <br />;e.cx °'i':a°m gin <br /> <br />s <br />e <br /> <br />- <br />~' ±~:«x.~p; <br /> <br />: <br />a < ~ £< <br /> <br />~ <br />" <br />' <br />? <br />' s <br />; <br />nag~me.g <br />X <br />' ° <br /> <br />~" .. <br />m <br />l <br />~"Y•a: S <br />m, <br />.,vl. i.ch_ ..0+ <br />J ~o?.w.rti°".°° n <br />: <br />e <br />' . <br />~4r:;iF ~'°a <br />d`s : <br />, i.-~g~: <br />' : <br />~ <br />i°•¢t <br />l <br />F: <br />ix-s ,'•fPr~~t,i.~~: <br />1:4 .l .. s Nr year ~~a ~A <br />JL_ J <br />r ZUT6L d5 <br />SAMPLE : <br />oj:}Q lba~; v: .... t <br />~ 'r i'f ~Q' - 1 -i <br />r ,. -L J MEABUREMENT <br />~)_V ~ ~ lJ °`PERM'IT`~°a?-' f;i:~3'A"l, ~i :Y.`f s.,. °'1~~9C~d;-0i:m 0~= aa~`a~.XP'C:.`~+. <br />{ ,a aesr na <br />~.la < „~4.nag°o "s •e'a 'tea .tC <br />'S ~ <br />J <br />~ °a <br />~=~ <br />, <br /> <br />: <br />~ <br />" <br />' `flGVO1RCMENTx s< ~, x,T <br />" °a <br />"' °a s.a+8 fd °6 f6ri <br />p <br />Ofi ao-xa <br />°Y¢•, <br />a.,~ <br />°'° . <br />¢ b0•° <br />o <br />~ <br />~ <br />~ , <br />ylpa a¢a®a <br />a <br />' <br />~ <br />~ <br />° .. <br />~ <br />. <br />z" •° <br />*>; <br />., <br />_ <br />Lir <br />L GftQ <br />- .;I -asa <br />rC° <br />~ „ <br />~e <br />* . <br />ama= <br />e ysi <br />d. <br />? <br />~~.: <br />.5= .°/ <br />!~' <br />= <br />":~ <br />~a.~ :IV/L ° ':« <br />s9e ~" <br />w. <br />.,.~_.~r JL'~1~^": BAMPLE VaV1/if O ~ 1 -%:4' ~ ll'I <br /> MEABUREMENT <br />.~ .. ~ . .s°PERMLT. ;;-°° fix'?,: ~P;A~~Q~s °,e.":a~i A1a~`,tiy'~S°~,: .:. s~~a~~~X%~f s' +};~.b~~.adsi~, <br />` <br />i~• ~a'~~~¢°q ~ ~ <br />3 £~.~ <br />` . <br />s <br />e%~ <br /> <br />w <br />v J ... <br />.Lr i.l A6Q~/HFyM1Ep7a <br />... r <br />~aa zae ag". °~a §; ¢. .a nam .a„ ®' <br />.'¢ ~ a' <br />~ a„ <br />'s6¢,xaaq~~. <br />~ ~ "~~ <br />~:~ <br />' °~ ~ <br />~~; 4 ~ <br />J Lj D.'. <br />~ <br />L v 4i}': fY .-. r ~ ' v V~. <br />. ~ <br />.)~ <br />r . <br />i... BAMPLE . <br /> MEABUREMENT <br /> <br />.) 5Le J _ I <br />c a 1![RM iT, a< <br />ae: ¢•'g,;K?:n"'!a; ?S°'w' <br />b <br />` <br />l tt <br />r 6£}b~-. T.,e"8 <br />{:'-'I q <br />. ¢'o- lY 8" 4se' <br />Kg ~ <br />~ pg. <br />"°.bt~ d:'S+,rG~ . P <br />s'n o'a am+&'&°~'~s 0 a <br />s <br /> <br />L <br />ri~~ "j° <br />~,^' <br />x <br />n'~~a"a <br /> <br />'h'iJ:: ;. .: _ ;L; REg4£R[r!£ENT' <br />a, R <br />a ~, <br />a' :ae~ na<r °a se o-x <br />.a<ea° <br />:::~, n <br />e n <br />s ~ <br />ae~a®~ aware q <br />s°ffn ms <br />~~~,~>~~'°~;1c~~ 'a q ~a <br />~.~wm~~ ~~$e a <br />.~~~ ¢ <br />: e <br />a <br />r~:~.;~ ~ ®.a <br />~,g <br />I .... .. <br /> MEABUREMENT <br />I £-` ,' J ~ <br />l <br />.l_I :I) °PERE /IT.°a. e,e'~w4a a'L'k'er'c St °~s".S'&x4°x'~ <br />a :: ~ ,<~•~'~~,a <br />~ m>~:Se3:iE'&+i~ti a° a.~'x <br />,t a.a ,. <br />e a <br />° <br />~'" ~',xr ~m~ e• ,.. <br />~ <br />~ <br />~ <br />L( REQU£RE MENT` an°• a"m< , <br />® <br />, <br />8 <br />n. g <br />ab® ~ ~a <br />acs ~ <br />~$ <br />&b gg <br />~4 <br />y <br />y <br />~ <br />S r ~ ~ <br />~ <br />r Y <br />_ <br />f • <br />... .a 6y 44 YSn eee E8m na ae <br />g <br />n9 H6.am AxID <br />' ®ce<~pp~ <br />„ .S YA~i~¢' 4:6yt°'1 .t .. e <br />.a <br />n' V, I[i <br />g ~0~ <br />NAME/TITLE PRINCIPA4 E%[CUTIVE OFFICER ' C[RrIFr urvDER PENALTr OF LAW THAT r NAV[ vERBOrvALL+ E%AMINEO <br />AND wM FAMILIAP WITH THE INFORMATION SUBMITTED HEREIN wND BASED <br />^ r TELEPHONE D A T E <br /> ON MY MOUrgr OF THOSE rNpVIOWLS IMMEprATELr RESPON510LE FOf1 ~ <br />,_ <br /> <br />1 '1 <br />r <br />[1)~r <br />A11~1 <br />OBrAINMG THE INFORMATrO.V r BELICVC THE SUBMITTED INFORMATION <br />r5 TRUE ACCURATE ANO COMPLETE I AM AWARE THAT TN[RE ARE SIG ~ <br />~/ <br />/~ <br />LT <br />vi <br />~ <br />_ <br />NIFICINT PENALTIES FDp SUBMITTING FALSE rNFORMATON INCLUDING ~ /n ~ <br /> <br />c:wironmenYal IHrl~ll Fr <br />THE POSSIBarTr OF FmE AnD wPR50nM[ryT $E[ IB USC f IODI AND <br />3JUSC E IJ19 /yvn.llu'r undr. IAr+ rlPlutr. n nr(Wr ( <br />rP. <br />n <br />flu lFllr _ _ <br />-616NATURE OF PRINCIPAL E%ECUTIYE <br />;47G <br />1C7G-?7l. <br />02 <br />)£ <br />^a <br /> <br />J <br />TYPED OR PRINTED . <br />. <br />•n.. uV <br />n.d..rma.rmun. mrpn.nunrr.U../Arm.rn6m..nrAe and; vr••r OFFICER OR AUTMORIIED AGENT AREA NUMBER YEAR MO DAY <br />A,v..r+cr.r wnu ur~wnwrnrn Asr wnT Yra~~wllONa Inpornrr nu uuu.nmrms nrrrr <br />Lam. _ ..L. _. i.n.-, _. ~, i'... I .. ~,_. .- .. ,, ,,. nom, ... ., .., .. '1L ..._ -..-_ ~:....... rJ. .. <br />EPA f°Orm 3320-t (Rw. 9°!B) PAVIOUS ediflGns maybe used. (RV~ACea e.w PoRM r-ae wNICN Mwr MoT ee uaeo.l , 'l , j ~ __ - - . .. Pwee of <br />i, <br />