Laserfiche WebLink
PEwwirrEE NAM EIwoo wags (Include <br />F~clllty NaMr/Lomrbn IJdIJJrrrnfJ <br />MAME_CY~ .1_5 _ YAr_FA '~ ALLL.°_ COAL CIJ-r <br />~ooREEE`I1.=~ h_3 ;:OUT+± _ t.C6Nd:; 66-- <br />___711.. CAST :. J.:IL!:/:. r1.I i:CLL ___ <br />-wer urv_ <br />-------- ----- <br />LOCATION_ <br />AY: L: Gi.ci. A. ALI '._ L_.(inL "C' .LL <br />nwn owwL rouurw Rr anew AweE EuMlNwnoN avsreM (NPD£S <br />DISGMARGE MONITORING REPORT /OMRI <br />2 16 17 / 9 <br />:.Cti;i7;~4 .'i~ .: <br />-ERMIT NUMa1ER oucL.wcr NoMarw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM Ju .>t '•L TO - ~ L <br />nn.]lI /narl n1.zv ne.nl nx.zm /rn_vl <br />{~' °"~' ~ Form Approved. <br />l ' ~ = " ~' ") OMB(No.2040-0004. <br />L - r: ti A ~ Approval expires 6-30.91. <br />inr r _.VC ~ ... ~1JLL Cr:K <br />NOTE: Road in(truetiom before eampleting this form. <br /> (J Cw(d Only) QUANTITY OR LOADING (I Card Only) OU ALITY OR CONCENTRATION FR EOU ENCY <br />BAM PLE <br />PARAMETER (16-JJ) (Jlfil) (J8-IJ) (16J3) (Jlfil) NO. <br />E% DF TYPE <br />(33-37) M1NAL V515 <br /> AVERAGE MA%IM UM UNITE MINIMUM AVERAGE MA%IMUM UNITS 836J) (64fi8) (69-]U) <br />-A '+Lui:TIliiY ~ .~.=:+i: Y>7kr'r.; <br />t ) a:+:~rt:.- 1 . <br />S ~ <br />G/ <br />~ <br />~ <br />~ <br /> MEASUREMENT 3$Z3 N ~v ~ z$ A <br />, <br />.,J~. Li4 rr ll ., .PERMIT. m~?Fk e~?~k: °kL=¢4~i'TZ'r°<., <br />a ::J';. <br />, <ae~f«v 1:-~A:3a:e ~g~~ <br />9 a '' .'a~~a%° n I7d(:/ ,`i~'rk`f;A>~,>1~~ ~~~°. <br />F 1 1 <br />f' <br />' <br />11 i <br />: <br />Z sI~EG xREAr;6N;f' <br />~ <br />a <br />s <br />ki. ;, i~ <br />, <br />a `ss <br />,e <br />~}II <br />(. p <br />3~ <br />° <br />1~e <br />' <br />tl <br />~9' ~:; ~~9s y~ <br />° <br />'~~~ <br />L. <br />f <br />L <br />\ <br />.J~ <br />J /:i1 <br />° <br />~ <br />m <br />a s <br />p <br />° s <br />a <br />< <br />~ 1 <br />d. `!e~`.eR.F ,~ <br />eY <br />'~r <br />d a <br />$ <br />k Ad? a <br />M 6AMPLE %.;'. .'..,• 57-~Q.Po3 .. ( j 704.'r%d%~ / L.', <br />` ) <br />O ) <br />~ <br /> MEABU REMENT ( <br />1~3 $ I'O /GD G'~'`~ <br />U 4 ~. U e : <br />PBRallt ~°r "« ~0!e% ;-. < <br />'T . %.LF•n <br />. ~x <br />a <br />" ,~ .:: <br />tl, <br />~'~=°a°`°•",° s'. s-'.4 as ` °•£+(.' ~ 'iF e ¢ ° ¢. ° <br />Ie. <br />° s <br />'+S <br />~ • °1 <br />°, ~ ~ x~ ~`.~ <br />;. ~ ~` <br />`,'t~, <br />~'~ <br /> <br />" •R[O IREM.aN7, <br />4 x ~ <br />"¢;4.A <br />a° eg <br />;I: <br />~ <br />; I x <br />~ <br />~'~ <br />~ <br />' x 1 . <br />~e`° a <br />n <br />>, .¢ <br />vh <br />° <br />~ <br />~ <br />' <br />s4 <br />~. <br />z „,g <br />°m'` ^ a ` <br />= <br />i <br />f.Yt <br />Lu611 1. (J$S ViL.L. , n+ <br />b <br />A <br />~ <br />" . <br />~ <br />. °~~' <br />~ <br />H <br />a ~' <br />° <br />~ <br />.° '3S'~As <br />6 <br />~ <br />.~~ <br />~" ~U s <br />a t° <br />..QL1L 7, Ll: ~1 :. BAM PLE ~~ <br />~•}v. %-.4Yf~.`•0i• ~ ) rr3;FO1P i_ <br />~ <br />~ ~ L~) <br />O ~ <br />IJ-=1 uaLLL MEASUREMENT / / <br />.~S.i L U - V < 'ORERMkT a' ° J/sw+ .. ~3'~'F y ~ 4#!0 >s°~`" a~~''m s `$$~~6mie ~~°ys~ ° <br />~.~Sa ~b n <br />r`x x~°Tr <br />~ <br />i s ~ `~c ~F-e~~ ~d~. „ <br />Tr :1 ~ <br />J <br />C <br />i "R40t11REM EN4% a ' , 01%=# a <br />°n=Y $~~ <br />~~ gtr' <br />3 <br />~~F~ <br />•" P <br />f <br />( <br />q <br />iT <br />tiY';.?9~; <br />'' <br />~ :i/L <br />~ n ~4-f'L~~~,"~; ..° ae,' <br />. <br />UPrL~ti <br />. <br />ci <br />. ~ a& <br />• 1. e <br />~ e <br />y <br />, <br />• . <br />. <br />is; l . *:• <br />,J Ll rj, ICITe1L SAMPLE rGgIOIP:i ...,I "1 r,.y i ) -.•:. S~i~;F:~ . L~~'~ ~/ <br />d <br /> <br />JSYLNLc L <br />MEASUREMENT e~?f ~ <br />O <br />~ O <br />2D CTI <br />~f.-rT.FJ <br />., 15 3 ~ i ~ . " ° .. ; , a7.zl,;~aa~, , a=~~>~ ~~.#~ , ' t=~ _: ~~p;+ls+~ ° <' "3~ r~ x ° > ° ', <br />a ~.u. ° ®+: <^".`.~ a ° _ t~;,'~:..~; <br />°~ ~~fi'a~ ~ <br />T ~RERV REW EI+T gxz °~='g`e=° <br />~J;i# ^:~~b!~'':,°,~S' <br />y' <br />s~ ¢m <br />e~ ~~~ <br />$~~ <br />~M ~ <br />° <br />a ~~a: x ss <br />= hf <br />/ ~~ p <br />i~~~ ~ ran <br />F: Liitt.I l.rCSS Y. L' a m ~ s <br />&p e <br />~. ;..,Y°°. . <br />b+. <br />:A <br />x ,Y:~: v L t„ <br />: IRG <br />'.I :.LJS, ., E,'J TLBuLL- <br />y SAMPLE ~rf, ~6~is iY;F ~ ) i:-}q4~i;~ ~/ <br />A / / <br />\ .:Sj ~ J <br /> MEASUREMENT IV <br />A O <br /> /` <br />:.iSLS O Q G 'Q~ ~', <br />R <br />I <br />° a~T~.~~~t~= <br />Z :xrs &g~as,° ':''~ ~ r t~ ~.•. <br /> <br />s a~:a~=GY ~t° <br />`~ <br />° ~x~~'tga ~' <br />~ ~° @ p l)Y.~~. <br />~ <br />~~° <br /> <br />L <br />i T <br />PE <br />M <br />.RBQVIREl1 ENT <br />° ~~ ,s°N <br />x s <br />°= <br />" <br />' <br />' <br />' <br />, <br />a ;: ~: qlr `' <br />`6 .$ <br />` <br />$ <br />.-~ ~ <br />13 <br />ak~l <br />~ ~" °Y° <br />`~'~: ~" <br />~ <br />~~ CIL L <br />/ a< " <br />~~ <br />) <br />"'~ C° <br />,;<; <br />~` <br />' <br />O <br />r <br />liL COI7tlt:NTS HE s <br />T~> x <br />°, <br />• <br />m <br />, <br />,,, <br />. <br />~ x <br />.a x .+ <br />. <br />;. <br />>' ¢ <br />• <br />. <br />. s <br />a a <br />ta" <br />, <br />:,LTTL"LAbLL <br />:uL1G5 °~"`~"`~ °°'""'' ( ) "", ., " ('Sj <br />~ <br />, SAMPLE ~ O I I ~ Q <br />I ~ 2~ <br /> MEASUREMENT r ~~ <br />u ~4 5 1 (/ _ ~: SPERM i'i~.a.p <br /> <br />~ .4,X,f°':~?~?R <br />w ~°f ,`• 7i?1p:+dj%l,®s <br />?R,;;• <br />~ OI#=Y "°%~XiXy ~~ ^~ ° °.a . <br />."7i~''~~•~,e~~~'I~d~ . Ye Lp~sY/ <br />~-. x ...°e` '~AFI.I•¢':d~ ~S' <br /> <br />' <br />' N OUIR IA~EN"TZ <br />F > <br />~ , <br />: <br />(gyp:„ `s'ue, nyr <br />'te n <br />n.. <br />a°p~s ° a'i. ~ <br />~ <br />) <br />` - <br />4~4s .+:=i g': ry <br />?~T <br />"'° , <br />t <br />m:'; <br />~~ <br />^iG'Y~~` <br />' a <br />T ~{ ~[ <br />~ <br />~ <br />~ <br />~' <br />t_ <br />/L ' s ~_, <br />°a a <br />°t4~~)f q n a <br />ALUE <br />FLIiLtIT %HO55 V <br />~E r <br />x <br />. <br />~ a . <br />, <br />° <br />°.. a <br />. <br />,: } <br />e <br />s .3 <br />. <br />. <br />A.,&3 L ° e <br />° <br />!LL A:I I~ utI ASL ewMPLE C##tl=i4 =70~~';r ;i ( ) =~9Yt4;f <br />'~ ~t[-=Y -: ., ~ 1 ( ~, /) <br />1{LL iI IX~. I'.~il': •'f N_. .. tl MEASUREMENT <br /> <br />~b 1 t. y <br />".R .. .aH <br />° <br />. yyyy,, WW.y. p <br />Y!'a <br />x~`'R V'~'9f .q~i~yy <br />n~`'~S. ~I°~'W6(X' <br /> <br />a <br />1'~r`.• <br />)'F,[. <br /><.Y° <br />ia. ~~4 ~ er <br />•A. C'~y~~a <br />v7+~ix•'° <br />° <br />~.~°~s ~ <br />° ° s ~'e e'' ~ <br />b <br />6 Y <br />°:~ y~ <br />~°IF~4~ <br /> <br />~s` a <br />`l~ JI <br />..NJ <br />' as <br />•PERM I <br />T' <br />•RC01iIREM 6flj; ~ <br />a a I . <br />m <br />%• „' 3=t=iii y <br />a <br />° <br />° < <br />a <br />s%`~ <br />~ <br />°~ <br />° x <br />~i <br />'~e <br />°~ <br />°4 <br />~~ <br />/' <br />_ s <br />x <br />'` <br />. <br />~ <br />a` # <br />s a <br />san <br />J <br />tFFLUE:rT ,DIJ~.`. VAL v a tl <br />w x <br />n <br />s <br />a 4 <br />;t <br />n' <br />.° ~ <br />N <br />. <br />~ <br />: <br />: (... <br />_ . <br />stab <br />. a is ssw <br />NAME/TITLE PRINOI-AL E%ECUTIVE OFFICER I CERnFY UNDER <br />I <br />NAVE wER50Nwur ExAMm(D <br />PEnALTr OF Lww THAT <br />MR WITH THE INFORMATrON SUBMITTED NERErN xN0 f1x5ED <br />FAMI TELEPHONE D A T E <br /> ANO AM <br />L <br />ON MY INQUIRY Oi TNOSC INdVIDUAL$ IMMEdwT(LY RESPONSIBLE iOR <br />I; "~ ~ <br />,IL-I ILI YID i'1!IIS OBTAINING THE INFORMATq:. I BELIEVE THE SUBMITTED INFORM/,TrON <br />IS TRUE ACCURATE AND COMPLFfE r AM AW6RE TNI1T TNCRE ARE SIG <br />N61CANi PENALTIES FOR SUBMITTING FALSE MFORM6TION INCLUDING <br /> <br />~ <br /> <br />Envirornrm!a1 r.rn;Jge' <br />~ll~xn <br />Tmw•mrl(dr/rnr.u <br />3u5C5EIB]Li9Y <br />l <br />M <br />lA <br />5O <br />mE <br />P <br />SIGNATURE OF PRINCIPALE%ECUTIVE I1 l <br />`:17~ pp <br />U/V-^?~2 <br />~ <br />ZJ <br />i~ <br /> r.Ie <br />r~r.. <br />rr <br />rv <br />R <br />r <br />] <br />r <br />w <br />d t <br />6 <br />b <br />h ARA <br />TYPED OR PRINTED ^an <br />.wr.r <br />mvn <br />m.ml <br />o.d wmovmun~mlpn.unnlrur,./ OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AHD E%PLANATIpN OF ANY VIOLATIONS Ilr Ofrrno[ uq unu.nmenu nr.rl <br />LI•"`:\Ln,~. Li';IT:, f:. i. ~.~~ (. ~ETILL;•.la.Lr. ~uL1.., (+•%~ rLr) RF L`: L:~Lt '_r ~_ _,.-3'-I( .'1-,;I ~- __r °t,[h'I Lb <br />CLr.lu.i.P SF.L L•Aa.:F ii, lt:, E.iif 1!IN~I... .F 1'IULf h:.''~iH:.1.:~._-.• l.iL ~ V:'~n-IL--..CI'. C.. i. ...~. ('/P 4 2R <br />488)Prevlous editions maybe used. (REPLACES EPA FOwM T-so wMlcR Mwr NOT ac useD.l i:Ub1C/yj _ PwoE ~ of <br />J _ ~ ." i . <br />