~RMITTLE NAME/A DORtl! /IRCIYdc
<br />F~eiliry Name/Loclrbn if difJenntJ
<br />~ti-CYr_'.:_ YA"Irn 44LLc'[ C-LgL CGn}, __
<br />ADDR[EE^7=h_.=j=~ :i_i'J Tti_ EC;hYA~ d_--
<br />_--9=:,~ i.nS'P laER_4L '~I:((.L_; _
<br />-- -- ----
<br />~wgurT_
<br />----------------
<br />LOCATION
<br />IIT'T1.: G S. k:1.•. L rL C,.J..JLL--
<br />N ATIONIIL FO LLVTA NT DIICNAROF FLIMIM ITION {YSTCM /NPDESI
<br />DISCHARGE MONITORING REPORT /DMRI
<br />116 1719
<br />CL~vul715G :C3 :1
<br />PERMIT HUNKER orscN ARCC NuM{FR
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO OAY
<br />FROM _ ,, G v 1 TO J - G V
<br />1101/1 /11171 /Ia.131 /16171 118191 /30~ Il
<br />is A J 0 is Form Approved.
<br />~ ~ ~ '~ ~ ~~ d I OMBJJo 2040-0004.
<br />F - t'1 .r>i Approval expires 6-30-91.
<br />.'. 6L 1, ~0:.,, J IG r':1J^L Cr.K
<br />NOTE: Read instruction! before completing this form.
<br /> (J Card Only) GIIANTITY OR LOADING (9 Card Only) OU ALITY OR CONCENTRATION
<br />PARAMETER (16-33) (3161) (J8~3) (1673) (3161) NO, FREOO`ryCr SAMPLE
<br />(37-J7) E% ANAL V515 TYPE
<br /> AVERAGE MA%IMUM UNIT6 M
<br />I
<br />NI
<br />M
<br />U
<br />M AVERAGE I
<br />MAx
<br />M U
<br />M UNITS blbJ) (bd6N
<br />l (6978)
<br />t 1 SAMPLE is{: :~.;; I,.:,: .'I: iI:;: =x:': /
<br />t
<br />\ / /
<br />r
<br />'`
<br />/
<br />/
<br />~
<br />L
<br />'f' rr `
<br />~
<br />7 ~ li
<br />~ a
<br />~
<br />/ '~
<br />
<br />MEABU REM ENT
<br />1
<br />rVJ ~, DJ ~ ZD
<br />- (Z/,
<br />I
<br />. J':1.v .. L «`PERMIT.;.
<br />~ <~;a5+ti Y5'x~x, .~~9:~p 9:: ;LY ;_~;::.~ ~.~~ °'°n.;b n,.« Q.;g ~Ffi'vl'~jC4. °.~. ~. As,, 1;8 8 ,°~ ~~~;L~'~ #n~y°.
<br />I•f LU:
<br />'1' ,1 c
<br />[
<br />:05
<br />YALU= RfOUtAE,M ENT°
<br />a `I x
<br />'
<br />r.+~~:;= q~ ' °.
<br />"
<br />s
<br />~'~
<br />~
<br />°q
<br />~
<br />•
<br />1
<br />~
<br />~e
<br />. asset'
<br />.
<br />r
<br />.] a,
<br /><a
<br />tl
<br />tl i
<br />$
<br />@k
<br />~as
<br />° X 1
<br />e
<br />1 .~[:
<br />^
<br />~!]LI LJ, 111:AL
<br />'Ll i]: t. II IJLI: BAMPLE
<br />MEABU REMENT T}~•:-<<ir }r1 iFYu~:f ~ ' ii :•~Jtvi- ~j ~/~ ~ it/~ r~ ~
<br />
<br />-!J SJti U . Q
<br />.a .. c.a,.,
<br />"PERM'IT~
<br />~
<br />y~i`~Zi+y"•Rxs
<br />"'8?y;~,
<br />~"i3-~
<br />4:: it ° ~Si ~+r-..
<br />: ~;
<br />~s ^k ^` z' f.:
<br />AC
<br />~ <
<br />'~
<br />~e ~#&~
<br />f
<br />e
<br />
<br />°s ~{'A~'a
<br />'a
<br />~°g
<br />~ ~~>J ~LS
<br />b
<br />ti-~dF~g a
<br />a .n - RSOVIREM~EN`i"
<br />
<br />« a
<br />] &k~.°~taa
<br />g ,
<br />•
<br />$~{S.<
<br />1
<br />e
<br />g
<br />~
<br />f~; a
<br />;~"
<br />A'
<br />:
<br />x
<br />
<br />~ ~
<br />
<br />°
<br />~~
<br />a
<br /> ° °
<br />"" @ p - ;' .
<br />p ~
<br />F
<br />A
<br />•YR• ~~
<br />A,iT
<br />C;
<br />~... t1~ L
<br />/ ~
<br />s ° tQ
<br />. ~ R _ay e
<br />D')L~ JS, i(i i %1 L SAMPLE IrX . , ~ ff=~~.r-.eV,F ~ ~ -4it;>On /
<br />i[~~
<br />i1~L'L~L:-U MEASUREMENT CT Q Q C1 \ 1 ~1Q ~
<br />
<br />rJ].Jrt _- ( ~ °r
<br />CRMIT $skyr^d6,«i•
<br />a.+~k°}gi0. y{~,a~
<br />v
<br />4L`=:
<br />y~s~7a',~"`9 Q[ w~J x s ~ R'~
<br />I
<br />. '~'~8 s
<br />aej<°w '"„
<br />yw~
<br />~p
<br />f<
<br />~ Y•'a'~~Y.'
<br />
<br />l
<br />f FLU
<br />: Lt
<br />Y
<br />G:
<br />"
<br />REQUIREM ENT
<br />ea z
<br />#
<br />GC40 ~
<br />A t
<br />,
<br />p, '
<br />At~~
<br />`
<br />L' .
<br />e
<br />F;y
<br />1'
<br />1F
<br />I!
<br />L ,
<br />~
<br />n
<br />t~°
<br />~"
<br />,
<br />].J
<br />.
<br />..
<br />r a
<br />~p. 2:A
<br />t . Yea f. °~, "
<br />,Dt/.
<br />, <p~EE
<br />:
<br />+71.~ ,/
<br />al ~1 '
<br />m'3V~"
<br />]OL1.Ir, JL :TLE..DL_ BAMPLE its: f::,•-. .: NI Tl9.9<9t ( ' /'f :}X-+'"-=r=. ~ ( y
<br /> MEASUREMENT A
<br />" 1_~ O ~ Irl
<br />
<br />~JJ45 U ~ u
<br />«P,ERMI'7.<'~
<br />`
<br />Sf Cl 'r J,r'S~'w
<br />
<br />e
<br />°ki ~~'4i~v~'s~
<br />r~:4=
<br />afgY ~Y({1~~
<br />~Srt,
<br />~Y
<br />~ t' ~~
<br />~
<br />~A )r e8 b~s~a
<br />a ~~
<br />`'
<br />a f;°£ tt~~
<br />L'!°z ~
<br />n~
<br />s
<br />1
<br />"' RERUiREM'EN7 a
<br />°s ° a~ a S
<br />K+
<br />~~ n g
<br />~• „
<br />~ b
<br />'~~
<br />t
<br />t ° ~ ,
<br />m y
<br />5 JELGr'
<br />~IT
<br />~E.: COC @
<br />as
<br />a
<br />W
<br />A C s
<br />~ 3~7t~~°a
<br />s~~G ° '
<br />=
<br />lY7F
<br />e NL/L ° }~' 1° `
<br />a
<br />1I L111J, -/::.:LZA:LC BAMPLE ;:l~t:i{-Yi ~Y ~}'nl ;: %i:`n /
<br />t
<br />\ 1 ikiS~~~~c ~ `7~
<br /> MEASUREMENT
<br />~
<br />J
<br />~
<br />{ZA8
<br />J~4S C'
<br />i `.° s WE`RMAT-'s
<br />P °~$?ilmCi:l.'~.~° ~ gY~' :i I{t
<br />'~-<,~+
<br />°
<br />~ +:~
<br />k;. A'".°,Fg4]~.T ~.~s
<br />a
<br />'
<br />~ ~^ '°w
<br />i°i2eil•~cx
<br />~b~ .l
<br />>
<br />~° TSPGif~:"«'
<br /><I
<br />'1PL-:~~; ` ..
<br />~;ax
<br />)
<br />I
<br />kOSS YJ
<br />I
<br />' RSQyIREMEN'f« e~ gasp' 'v '
<br />sx„ems"fga
<br />'js»a`
<br />.~:
<br />:: >a
<br />~=
<br />,
<br />»;~
<br />~ar~•asaa
<br />%
<br />'
<br />° ,
<br />a IV
<br />d
<br />"
<br />~~ $
<br />IE~~"
<br />°
<br />~
<br />~
<br />'
<br />~
<br />R
<br />'>
<br />;
<br />•;
<br />.
<br />J
<br />I
<br />tFF
<br />LUctvi (;
<br />A
<br />°
<br />°" .
<br />; L
<br />e
<br />. F. Y'±.°-,,.,. ;..
<br />a
<br />i:Cd~s
<br />dr L
<br />;
<br />~
<br />3
<br /><T NL/L !
<br />}°ir1~'F; .
<br />;
<br />P.t'~,
<br />JLL 4:lL J<iiASt. BAMPLE #4#Jlt•# ff4sS~..:lµ ~ I 91+6##iT# #49W0]S ~ ( LU) nI
<br />'[('.I14 Ld Lli-GkAY MF'TH MEA6UREMENT /
<br />
<br />V SJ [] 1 l- 'v
<br />' °°.PERMIT°. «
<br />«~'m~iK~~l.`#w~ Q'~ ~S 3
<br />~eax~
<br />~,7"sY,"fR~Mwi
<br />s
<br />{/SIv
<br />oYee~J;~.~.,s~ ~q.
<br />~°S~~IE6ilit l'; «,
<br />R~~
<br />+ }y~
<br />a
<br />'. ~°-e ~~s°.fs a,'
<br />d5`r' a
<br />C~'?1rLa
<br />si~F
<br />«'R~ r
<br />«
<br />:C'FLI1hNi L. :115:; Y: LliL ,nEVUtnEMei+T
<br />@ a;°
<br />x
<br />Po ~
<br />x+
<br />aI,
<br />a t~e 9~~;; a'
<br />x yak.` as ~
<br />„
<br />ea
<br />. a
<br />,
<br />.`$s~~~'tT::~1
<br />a
<br />'.L/ L
<br />'
<br />° l
<br />:~$^~o-Lt'1" «
<br />: e;
<br />L 1{OhP 1G
<br />5~ ~• BAMPLE il'NC
<br />%: :<4~I '.F:,T Lt:: ,; ';: ~ ~ '}lY It}iii: /A
<br />I
<br />I
<br />~ /[Q
<br />" \ 1~~ H
<br />' MEASUREMENT %r
<br />~~ ~i
<br />j,
<br />~ O
<br />1
<br />~
<br />A -
<br />P
<br />r'J .
<br />b~
<br />~
<br />
<br />)1v4J (/ .. .:
<br />°PERMIT `
<br />~
<br />°s~X]~;Q~>;C
<br />lQ,
<br />«{1i1,`LT.1~:~""Vlz,s.
<br />i-i:
<br />e;lk`~91IPji6Y.®~ p
<br />~
<br />°.:r'~C3,~~.~ h
<br />i,
<br />h
<br />T
<br />.CC191•
<br />"
<br />~
<br />..
<br />~ f
<br />~SY.)ia~'/!~~ .a
<br />~Lt6i9
<br />
<br />N [S :. a.!'M
<br />•F: c. I.OF.. .:R : x
<br />RCOEIIREM~ENT x a '9 % «
<br />~BA,p ' s
<br />r s ny ; @' 3:
<br />rFx
<br />S
<br />° ,
<br />vrr is
<br />-"Pn
<br />
<br />° y t{ ~°
<br />s"«lt$V ~~]n~ "
<br />y!~ yyr
<br />A
<br />~`V l~`!$ °~°pll:wg
<br />
<br />:ILd «
<br />m•,
<br />~
<br />
<br />tt"LL1!I 2'I:' s
<br />
<br />` ° °z
<br />NAME/TITLE PRINCIPAL E%[C UTIVE OFFICER I cEmlFr uryDER PENwLTV OF
<br />LAW TNAT
<br />I NAVE PERSONALLr ElAMINED TELEPHONE D A T E
<br /> AND AM FAMILMR WITH THE INFORMATION SUBMITTED HEREIN AND BASCD
<br />
<br />ON MV INOUIRV OF iMOSE INDIVIDUALS IMMEOMTELY RESPDNSIBLE FOP
<br />OBTAINING THE INFORMATIOV I BELIEVE TN[ SOBMITTCD INFORMATION /
<br />
<br />~~
<br />I
<br />'
<br />y
<br />Richard FJII iiS IS TRUE ACC VRATE FND COMPLRC I AM AWARE TNAT THERE ARE SIG
<br />NIFICANT PENALTIES FOR SVBMITTING FALSE INFORMATgry INCL l101NG ~~ K-j e
<br />~
<br />/~~ %NN~"'""
<br />
<br />Fnvironr:ent~l tFN7118`~er
<br />iNC POSSIBILJTr OF FINE ArvD IMPRISONM[NT SEC IB UsC f 1001 AND ^t
<br />~7'J~ pp pp
<br />U7V-L71'~
<br />s
<br />26
<br />y.'
<br /> ]]use f IT9 IYrnalnrr. uMrr rnrw F/ululra ~ nrludr /mr uy r„ tru rrv
<br />Iav r r SIGNATURE OF PRINCIPAL E%ECUTIyE
<br />TYPED OR PRINTED nod ~.•mv.~m.nr ln,Prr.~..Inl.rrr .,/n+luwnM1m.,nrh. and .:.w... OFFICER OR AUTHORIZED AGENT A A NUMBER YEAR MO DAY
<br />COMMENT AND Ex PLANATION OF ANY VIOLATIONS Inr/rmn[e ull uuuolmrnH ArrA
<br />HL1'Lnh. _.. L •I;_ ! Jc ]5, Ihl:a r, .ii :Y'L.._.:L" iL~.,S (L_C ~G'j -~L; .. ... _, := i_-. ', . '!-.I. i.,l~Cll' _..'i.i
<br />(.Ln1il.:L. ~-:: I..;.d, P. 1n, cGn iiU:tuL;[ Ur' E3 L; .,r ni'~UZ';;::_L:_,. .*_I. _ ~'~:-.;._ =JC._.I;,.._ .'/. PG a.
<br />EPA Form 932o-1 (RHO: P'B8~ P)YY101]88dlhOna may bB USBd. ^ C (R EPLACE3 [PA FORM 4-.O WNICN NAY NOT aE UB[D.I PAG! OF
<br />
|