Laserfiche WebLink
P[RMITT[E NAM CIADDRC!! ~/ndYdl <br />' f~cdlty'NIMe/Lorlrbn ifdlf/!rent/ <br />NAM[ CYr_J= YAr;~p Y? LLnY GOAL t.Ohb! -_ <br />~DDRr<[B~II'.t _ 1 1ti.i "iU'i-I c~-:A ,i,. 'K <br />-wclurT ----- - _ <br />LOCATION <br />AT~i,: Cn_ A. ~sli F, i~ «!. L:OU.3Li.-- <br />NATIONAL FOLLV TAMT DIICNAwGE FLIMIN wTION IYST[M (/VTUE'Sl <br />DISCHARGE MONITORING REPORT /DMRI <br />3-re /7-r9 .A' A,7 i; F Form Approved. <br />COUJ271[,4 [.114 L (,LSh 1A)OMBiNa12040-0004. <br />PERMIT NUMBER olscxswcl xoMlu )- _ P.I iY d L Approval expires 6-30-91. <br />MONITORING PERIOD ~•.L' t 1, F Jr-!' C 1G h 1;111EL CkK <br />YEAR MO DAV YEAR MO DAY `~ <br />FROM ~.> as vl TO ._ ..~ J .:;:n„ 4,V L1 J[-li .l is (.t I + ##~ <br />Im~3J) a7~7J) l34~3s/ l36-nl 13619) /3aJU NOTE: RerF1 imtructiom before eompletin0 this form. <br /> (i Card Only) QUANTITY OR LOADING (4 Card Only) OU ALITY OR CONCENTRATION `• - <br />PARAMETER (I6-JJ) (J4fil) (f6IJ) (46J]) (J4.61) NO. FREOUENCr <br />OF SAMPLE <br /> <br />TY <br />(33-37) E% ANAL V515 PE <br /> AVERAGE MA%IMUM UNIT6 MINIMUM AVERAGE MA%IMUM UNITS 636J) <br />(64661 <br />169J0) <br />[:V SAMPLE i. ;: ffv~ir i,i:j is i}y ( ) r-.r:f-.: -: 1- ( yl) <br /> MEASUREMENT <br />.~J(, L' i '. V '~ <br />PERMIT~~p .~i'~,q}~~Kc,y ,e>vYS~x°regidti x <br />~YQ <br />' ti•i::~ ~Q,cr'.; `.s. <br />~ a< ~+ 's;~8 "y~'°P ~i'~ <br />"T 1`. x }~°y~ , <br />°T <br />~°.. A< ° <br />"S ;sy yg ~`y <br />Si.[LR.L _qI~a <br />PI"_T <br />L;'t'LUEhi <br />}iU55 YAL~s• . <br />wHOUrReMENx; + <br />°~°' . ###t;- s <br />;- <br />'i <br />2ffLi <br />~ 'l;a <br />~, p <br />° <br />' <br />~ <br />' " <br />~'°~ ° ;'" <br />~ ~ <br />1 <br />~ <br />V ; <br />a u~ <br />31 <br />Y <br />B <br />X ~.. SU <br />~t1Li V5, 1'(JT AL SAMPLE ::+:':t :i#u ;v#~: <t# ( ) r I=+i v <br />+AX= ( J. y) <br />~U31EtILi,1 MEASUREMENT <br />'JJ,J 17 L l1 O °o°PBRMIT ~' .~%~yf~r,~k 4. e~ii ,e~~i`~it ~' <br />s <br />SI''t-~ <br />°'.w 4t p y <br />`ve.~fFdCS'r•'~ <br />" <br />~ <br />:e^~.,•~~R" <br />~ tS~n., g., °~~y a <br />n ~~~CI}d~ & ° <br />'°I <br />° <br />~m ~ <br />~''~ { . <br />~Sm rya ' <br />. <br />J C <br />TS ti <br />- <br />C <br />LOW 'RE~~U <br />tREM:ENT` q <br />'-' al #:-3: ,y <br />'"` r <br />;' <br />~ <br />Y[ <br />li <br />1~ <br />~ `1 <br />~ <br />f~~ <br />'; <br />" <br />~ ! <br />' <br />/L ~`s - <br />' <br />~~ r <br />' •~=° ~' ~_ <br />t. <br />:. <br />. i. I,;~ <br />I <br />t ~ <br />° < ° •°: <br />k <br />• <br />c <br />i <br />~ . <br />_ <br />. <br />~ <br />Y~ <br />J1 , <br />1 g <br />1 <br />~ <br />: <br />JLI nJ <br />:~ <br />11E <br />1 #~f •'.i iY ~4 #~{~~.#'r ( ) :. <br />-}iY K: I• 1•lj <br />. <br />, <br />. <br />. 9AMPLE + <br />'i.}L'L.ILLU MEASUREMENT <br />-J~.s~ 7. l ti °;' "' "' • <br />~P£RM'IT. ~dx:>:~~t-,;a,: '•'~h~i~T$a; s} r mil ''rS&~h)7ti~~°~°;; <br />p°.° "SS <br />'d' &; °e `'~} <br />wa <br />e p <br />'~ ;'s a' <br />°7°< <br />' }~y. <br />`F°'• z ":. <br />.~io4JY d$e <br /> <br /> <br />' <br />„°AEflUIREiA ENT' <br /> <br />~ <br />A <br />4 <br />•:< " <br /> <br />~ ~:/# <br />' y <br />1e <br />I~sL~>- <br />, <br />` <br />°: <br />> <br />'l~°~ g <br />~ <br />A x <br />~ <br />` , yl <br />f1• , <br />~ q., <br />.~.Fs ~i <br />•• <br />~ e.a <br />FFr <br />LIIY.Cti. (.hJS:i YnLUE a e <br />Y~ <br />° <br />« ..~ <br />~ <br />, <br />e <br />es; .~Vit <br />a <br />~ 16 <br />ZRixL~"*~.~, /.. 'RIP# <br />e~ <br />4l <br />I1 <br />-J <br />1V~ <br />: ~ <br />f .ri.+r-}Q# ##ill e: v ( <br />) ##i'A•: lY:' . ( <br />]) <br />: <br />L <br />, Ji~ <br />L <br />L SAMPLE ~~ <br />M ~. - <br /> MEASUREMENT _ <br /> <br />.}74J J t t• <br />° 'PCRMIT's; <br />' <br />c~tT yKV"~s +kn A. <br />~'¢~9(c ijrndy <br />„i;~. <br />< <br />it ~.-.: <br />'a>3i~~~sY6 eialr° <br />'~ <br />e1 .y <br /> <br />e~ ^ r <br />5` j,b, ~s y"; rree <br /> <br />g ~~ <br />.tq!•~% ~!~"g. <br />~ <br />>~ <br />~ <br /> <br />k <br />,f(yi, ~a <br />R" <br />~ <br />" FygU1REM ENT' <br />`R r e s I a <br />. r <br />i 1 <br />°4 ~ <br />~f~ <br />~ <br />Ij ~ <br />' <br />:~ <br />~ 1fL/L ° a4° YP <br />I.LL <br />ut. CVi <br />l-] ii r.L'= <y <br />F ,¢° <br />~ <br />+ + <br />a 3 t <br />b.>~ <br />' _ <br />. ~ <br />5, :. .. .b Y. <br />.AiL {J.i, ~ :"'TEE. ~]bL; swMPLE fi4~-ks.>t ~#iC<3:;t ~ <br />) ..u..~~ Jj 25) <br /> MEAEUREMENT <br /> <br />+u545 ~ G <br />ae PERMIT°' ;• <br />:.~,~4.tj7k.`~~:19°'s<aa <br />'. i`:~E¢#avJ',IF, >0 <br />r~`r=: <br />«Ye~~~~D Ff <br /> <br />• ~a <br />~ .A i'a (',.z: <br />~,` <br />x <br />gTa <br />~ ~ ~" ~^ <br />, <br />.` <br /> <br />I,~ <br />°° `` <br />~~: >. y`° <br /> <br />` <br />fdt~ <br /> <br />' <br />~ RHOUIR8A18NT. a +~,si g <br />. <br />- <br />'' <br />' <br /># r:-.~ la . :r <br />&^ <br />= <br />`: <br />° a. <br />~`{hi3 <br />~ <br />~~~ $ ~ <br />~ s <br />(~~ '~ <br />`•~` i!R'' <br />N <br />L/L S..°w <br />~ j ASS P <br />~ <br />° <br />~ <br />1 Gi:OSS VALUE <br />Yr <br />LUEh . ~ <br />~ 4 ° <br />g- ° <br />m <br />° .~ <br />q <br />:i• <br />e s <br />. <br />:® i <br />. t m_ F.n <br />~ <br />gs: <br />JLL MIVP L+f\i.ASE ##~`### i:'}:}i: it :X ( ) ###>F <br />~i%. tk6##>k# ( lt~ <br /> SAMPLE <br />•I(LUk i:Y'1'k-GkAY I1E1'H MEASUREMENT <br /> <br />~u55ti 1 (. O <br />.'PERMI:T;e'w" <br />,:~ <br />>OF~!~ <br />£ <br />°'L y~ <br />•',IY <br />'~I~;' <br />" <br />'~ <br />: <br />~ <br />##%r ~.r <br />Fiv~f~F+; v' <br />"'.`I$~ <br />Irx~ <br />~rus_ <br />'~':;.'as;: <br />, <br />. .. <br /> <br />" y~ y, <br />vR <br />~1 6 <br />~ <br />~.4 `. <br />FfLi1GNS GkO~S YALLt ~RE4uIR~tt=ei+T, a <br />n <br />„ <br />3y ea°.Q.r+• , <br />„ <br />t <br />k <br />i <br />.„;$*,xa ,zt~: ',~~a•~ , <br />. <br />':1.°-xsmp . <br />~.=.%A, x <br />g , <br />. '.,, <br />Li(Jh, TGTAL SAMPLE +^iY#+:tl ii##~~## ( ) ##Yt#X: ( iy) <br />(A; F li) MEASUREMENT <br /> <br />~LL'4S G L J <br />~ °a <br />~. P <br />`~ eE <br />Y}1(f , <br />~i~ <br />° <br />•~sAIA <br />~SA'E~°~ <br />(: (e:;/ <br />~<~7%~~-°,' .® en ~Y <br />z 6~~1J'A~~ <br />~ <br />° ah <br />. :~4a 4~.4 :. ~(h ,y <br />~:p - <br />"~ <br />fE <br />~l <br />j3 B ~ <br /> <br />'EE CDt.(1EN'IS RELUw ERNIT <br />'RE4aUtREM HNT• p <br />I <br />, <br />.,>'~«g` <br />Aa° ;°s«° . <br />',s ~.°'I <br />sAxc=r ,ap eq ~ <br />"°sae°~''.'m~°° . <br />~ <br />. <br />>x ~='~iY:°~e"k~A.. .. <br />~.•).SE~A~!a~; <br />`~/i <br /> <br />9 . <br />r <br />~. <br />iiF3ti x(. ma <br /> <br />% <br />NAME/TITLE PRINCIPAL E%ECl1TIVE OFFICER I RPnvr UNDER PENALTY OF LAw TXAT I RAVE PERSONALLY uAMwED <br />•ND AM FAMILInP wtTX TXE INFOPMATION SUBMITTED XCREIN nH0 BASED TELEPNONE DATE <br /> <br />ON MY INQUIRY OF THOSE INpVIDUALS IMMCgATELY RESM)NSIBLC FOR <br />OBTAMIXG TXE MFORMATO.V I BEL2VC TXE SVBMITTED MFORMATON _ <br />~ i'/ <br /> <br />/ <br />RicNarc~ ': fLs 5 TRUE ACCURATE ANO COMPLETE I AM AWARE iXAT THERE ARE SIG <br />NIFrCANT PENALrIE9 FOR SVBMITTrNG FALSE WFORMATON rNCLUpNG // I. <br />F/ <br />" <br /> <br />,Env3rormcnt If l':1a %i r1°'' <br />rX[ POSSI&uiT OF FINE ANO IMPRISONMCNT SEE IB u5C S 1001 AND <br />]]USC 41]19 rPinalllrn uMrr fAf~ walulr. nlaY nfluEr /m r. uY lu Cllr lxll _ <br />gIGNATURE OF PRINCIPAL E%ECUTIVE ( <br />•' / • <br />87U-277 O <br />~ `) <br />r7.E <br />~3 <br /> : <br />/n <br />fi <br />h <br />d AR '~ <br />1. TYPED OR PRINTED . <br />.rs... <br />.n.wn <br />m.,nr <br />+rn <br />ord..fms.~mum rmprla.,nnr.rU., OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Nr)rrrnrr ull ulmrnmrnH nrrr) <br />ALTEflNA: ,T''LT_. F'On '. s.., I:iJN .- ii:LcF, c.Li. ~Ui_L_~ (LOl '•.'; at'r.Y I:f i1 c= i.-- .,, ~:-i lie CVC <br /> <br />~i t. k. I. ).. LF L'„ 1H, rG: <br />L.i L1.h1i` ...• <br />. dU:.v.: I. L nUUF ~&11.I Gh 1Cii'1 ::! r.ilt F <br />!. r.-„--_ rJ0 - <br />_ /, r~ _• <br />EPA Fbr1I17320=1'(R[0: ¢88) PiBVIb'(/s editions lliay 6e useiL "' ~ ~" "' ~IaE~L'wcE# eiw'F2Swri i-io WNICN MAY NOT t•E UfIO.) r - PAGE pF <br />