Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Gdii FN~ry NarW(<ranen dDdbw9 NATIONAL POLLUTMT DIBCHMOE EIIMINATIOM SYOTEM //NPOESI <br />NAME <br />, <br />' DISCHARGE MONRORING REPORT /OMR1 <br />.. <br />c E ~: <br />EtF PC_ <br />S~U 4: - <br />TN- 1T <br />~ C <br />~ ~ G ~ In1 2-rel n-/sl <br />ADDRESS F V <br />N.. "LT NINa - ^~nnn nc nnc <br />_7 n 1 n n : r ~~ .. e e -r 4 L 1 S 5 V! S }C r {~ 17 y r/ PERMIT NUMBER DISCHMGE NUMBEiI <br />pg.P .11 ~-Y„-.r c,' ^n at'l91 CJ ffUZj'1 <br />M NITORING P RIOD <br />FACILm <br />._ <br />~ c -y n D^ c c ^ <br />~ <br />7rJL-A i N FEAR MO DAY YEAR MO DAY <br />LOCATION <br />wE)5~011 L 'Q ')1J91 FROM 9R (?1 TQ vH <br />O1 03 3 <br /> rr. <br />S <br />~ ~l.br . <br />A 'P T h- I n ~ N r u n r n <br />4 f ~ ~_ R W P R a 1. !1 : A_ 1262 /1 l12-231 114251 !16271 l28-191 /36311 <br />Forth Approved. g <br />vryyprp ppVD 5/PC.pO'~"~+Nri'1~L-~i -eA0$~ <br />'Approval a lre O ~8 <br />(clr f?p ir) 123k5 <br />- FT, ?}AL A <br />"T Nf)E? . <br />rxe:a f:(~ CTS^.iRR~g ~--1 II44 <br />NOTE: Reed Imtruetlam afore eeln3btin0 thle form. <br />PARAMETER 13 Grd OnlYl QUANTITY OR LOADING !~ Grd Ontyl QUANTITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> !4653 1546/ l3B-I5/ (1653 161-5/1 OF <br />132371 EX MALrss TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs2-sal /64551 159-701 <br />i P, SAMPLE RRRnCP PPPP P4 %L.^•4C4v ( 1 ~~ <br /> MEASUREMENT <br /> <br />ilU~lJ(l 1 U U ~~~ PERMIT ~. ~~~ <br />'. :...... ., <br />. ~ : <br />~.P#'X~4REa ~ <br />. <br />~ <br />~: ao~sasu ~~ <br />tsS4 <br />'6~:~`..~ ~ ~ <br />.. <br />. <br />. <br />~if?;lE%.91~#~: ~~ <br />Ely ~~~ ~~.:~ <br />O <br /> <br />.. .: <br />~ <br />~~tE <br /> <br />L1 <br />IT' <br /> <br />T![ S <br />;'pF r c ~~ D:S VALII :REQUIREMENT ~ :: .. .~. ... aC4a ~ s <br />. ~ ~: <br />r ~: <br />:. <br />~ ...M <br />. rrrin~ cn <br />'i0L11`Sr ['/fAL SAMPLE r3R4PP PrPa:. PaaPOC ( tq) <br />' <br />S U:i ~ E: H D r: b MEASUREMENT ~ <br />UUSlU ] U 0 .. .. ~. PERMIT .~. ~. PaxagP ~ <br />~ :~...-. >x aR#>~#.~. aaa ~.'~a.~~?~~~. *`F.x~;~::'~:~~~"~.:::; ~ <br />~ ..1.;1 .. ~. ~~_ T11~~1• .PAp <br />E'Ff'LUF.RT .: Q Y REQUIREMENT .. ... <br />: ~ ~'~~.::. :.: aCaO . <br />E ~~,v. Irc t ~ : <br />NPi~' . <br />:iCL[[I,ir ~r;TPLI•:A~+L'' SAMPLE dIaFGR aaaaa ~ \aaatks # (a*40 <br /> MEASUREMENT <br />JUSJS 1 U U ~ -. PERMIT ~...:. .. :X~atr~~R6k~:' <br />~ ~ ~~'; ~.: 1X ~. ~:p^a ~.~ <br />~~ a r ~ :q ~. ~[: ~. !., .111 a1 >b.. ~ <br /> <br />1fCP/ . <br /> <br />:kwl? <br />t'F'LUt':IT i. 055 Val :REQUI.REMENT. <br />~: ,........ ~ ~~ <br />~:~~:~ : ,~: ~•~~ ~ ~~ :~~ ~ ~ a a# ~ ~ .fi.. rr <br />t«ra <br />IR~~Fie T~T.IIL SAMPLE SPGOr-P aaaRP #yaalaa ( 19) <br />(AS P°.) MEASUREMENT <br />01U4i 1 D D PERMIT <br />~ #4a~01C as?I~:aa 'f CF '. :: '4F>FS%;Ot`4'7k . .:~e'J <br />~ ,)y.~ : <br />~~ i(tRP <br />t:Fh'LII F. 'tT ;:NOSS I :REQUIREMENp <br />.. ~ .::. <br />.. ... Pafia ~ a ~ <br />:r. <br />.~: .O ~r~ii +rr <br />:• :~. ~.~ . <br />,) [ L .\ N it <br />,9a;ASF SAMPLE rsPF:CP aacaaa :aa'.1#~ ,,..-an•:;, ( 1 9) <br /> MEASUREMENT <br /> <br />(IJS'f1 L 0 It <br />:.::: ~. PERMIT:~~: .~ .. .... <br />::. aa9rlf:a:a.. .. ~: . . <br />.~::..a aarae~d ~~ <br />~ <br />~ <br />P^C <br />:>w'~'k.ar"a <br />: ~tk~rtt'"Fs7iio <br />.~. <br />2:0 <br />: <br />.: <br />~:. .. <br />~ <br />~ <br />~~ <br /> <br />-}i <br />"R <br />}'FFLUf.NT .;RO S'= VALU 'REQUIREMENT <br />.: ..... ::... .. ~: ::.~ .•: <br />. •~:.;. ~ ~ <br />. <br />.. ... '?E. <br />: . <br />FI.J~r Iti :'JMDRIr Jy SAMPLE ( 03) P4afiiTS ,'7Y`aOlba SiL-'.=L:':7 <br />Ti!~U Tf?`:AT'y°4T CLANI MEASUREMENT <br /> <br />SUl)•TU 1 U (` .. .. <br />~.~ : PERMIT ~. ~. ~.: <br />~:~. RGPf1 es<.r.. :~. .. <br />RGF'~(!'~(.?.~. <br />'., ~: <br />~ i['¢'a!~!3F~...;:' <br />... ::;:~~ .:::.:4 <br />~~::::..~ <br />:: <br />~: <br />: <br />,:a1::1~#i-w+t r-~~ <br />• <br />a <br />'..^,a,: <br /> <br /> <br />F1tLr <br />8r .,, <br /> <br />I T, <br />~ <br />I ..~ S , <br />EFFLJr...T .,ROS YA 1 REQUIREMENT: <br />:......:.....:.~~..: <br />..j ..... .. <br />r. <br />r. A ~~ M~1t~ <br />R.^n . <br />.. ..::. ... <br />~~::.•::~:~~:~:.:~.:,;~' . <br />. <br />: <br />......:. <br />. <br />'-:.:.:~,.^:.~`:~~~,; <br />„ .. <br />.: <br />:w: <br />::,.:,.:~..:~,..... <br />Y.r~-a <br />. <br />'1LL ?';{~ .;;iF.ASP SAMPLE RaP^4P ( VQ~ xaaaaa aaaaaa >"a~a:::c <br />Y I S U a 6 MEASUREMENT <br />NUUht 1 (1 U ~:~:~ ~PERMIT.~:~ .~ Oaf><~i~#a:::~. <br />~ <br />~ <br />~ :. TiP..POpT.:. <br />~ F5=1 ~:~;~aQi!#At ~ ~ #~aa.#4ty:,; ~~~:~:~.9~A'F?fr#II ' =k:r4 ~P~F#-TT ITI^"~~! <br />' <br />T - c <br />cFFLUi.H. :,ROS_ YdLJ 'REQUIREMENT. <br />;~.,. :. .., .. . <br />:~ <br />~ ~ <br />~::. ~~..~ ~ ~ <br />.'~-1kSL:-!{:F4i~ M0=0 .:...;.:., -.-:.~-,.: ~ ~ - -- •~,Illp#. _ <br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIM WITH THE INFO LAW THAT I HAVE PERSONALyy E%AMINED MD <br />RMATION SUBMITTED HEADN <br />MD BASED ON TELEPHONE DATE <br /> <br /> <br />3 ~ ~I V~? ; <br />MY INQUIRY OF THOSE IMDINDUALS IMMEDIAT{LY RESPON510LE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> <br />- <br /> TRUE, ACCUMTE MD COMRETE. I AM AWME TNAT THfRE ME <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ^ ~ <br />~ ~ <br /> <br />{^ w r• P 1 / <br />' , <br />THE P055101LITY OF FINE MD IMPRISONMENT. BEE t 8 U.B.C. f 1001 MD as _ <br />~ ~ ' ° `~ <br />S ONATURE OF PRINCWAL EXECUTIV <br />b _ ~ <br />.t., , 4 v <br />1 <br /> <br />TYPED OR PRINTED u.s.C. E 1a1e. lnrrlrlrl.. wsr eu~ rbmva mrY NICNrlI Mrr w ro SI0,000 <br />Wermv:nun enprismwnr elbnrwnemonNa ene6Ywi! E <br />OFFICER OR AUTHORIZED AGENT <br />coDE <br />NUMBER <br />YEAR <br />MO <br />DA <br />a.vmmcrv I J nrvM cnrcnnn nvn ~r nn r vw~n r wrv~ rnrrmence en eueciunenm-- Hero! <br />JU JAT AY'RA;F 1'9 RI:!!F.ST :'.)NTH LT AYE. ~URIVG P?RI')q R4POF+TED. 'JCL ~ C4?R`~= - _;cr T~,r.t~'1r ^e.19e %~~~ ._ <br />TOl'~iL .rNJV LI'C*: RTC!. 5!! 4~IY??D, At1D 5'r.'^TL.°.ARLP. ~(1LI!15 LI9ITS 1PPLTF,D F%1F <=7Cy*?A?q +r ~a~~l-TD ~YFMT-:F,TT, <br />• 'IREPL'ACES'EP'A~ORM'Td61NHICli'MAY`NOT BE USED.1'"' ""'~ '' `~ ' ' ,AGE' ' ' <br />0`1('37/`lnl?1T-1,~, 1 <br />