Laserfiche WebLink
PERMITTEE NAME/ADDRESS (IINYd<fecJrryNan/Locarrm IJD~Q.mq NATIOMµ POLLUTMT DISCNMOE ELIMINATION 6Y9TEM INPDES/ <br />DISCHARGE MONITORING REPORT (OMRI <br />."^~ -- fl1A~IJ VALLI~Y CJAL CL'MFAI+Y !1.161 117-191 <br />ADDRESS rIGL.L f~NE (, H::YU.N 14 Rik. ~ - ~ -` <br />h' • L • 5JX Ili PERMIT NUMBER DISCNMGE NUMBER <br />LIJt"A Ltj rJY`.24-417'0 MONITORING PERIOD <br />FACaIn <br />LOCATION ~ ~ YEAR MO DAY YEAR MO DAY <br />FROM y TO ~ <br />ATTt,, J(Jhh. N. dALTeKS. MGK MINt S R1/ rzazu ru-z3/ rzbzsl rzs-zn rza-zsl !30.311 <br />~. <br />FA' L: <br />~`!, <br />Form Approved. <br />S[-iii ~IJ t+•_~ J:~. %,I".. O~B Ne. 20~0004-L,, <br />.ill .i Ei YIC Approval~Lpiiy,05-31-96 <br />F - FINAL <br /><IjN~~ <br />NOTES Rud Inettvetiora"before completing this form. <br />PARAMETER ~ !3 Grd Onlyl QUANTITY OR LOADING !4 Grd Onlp QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> /46-531 /56611 /3B-451 106-531 16b6i1 ' <br />/3Z-37/ EX ANdyY519 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s7-eal !66681 169-701 <br />L'IL AP<..' lr.ktAjL - SAMPLE y'9###~'< `i4 ~##ILV #y,< *##{<y {< 4a>, }r;.* <br />Y I',U AL MEASUREMENT <br />;,4'.itC- I U D ~ ..."PERMIT-':• ~ li".gl?O~I:a/;R~. R~t.'±QA1' t5 I y4#O•h# ###'+)T#M #.ui<klk.4 ##ti<ti< :: ~'~ti:.~ ~i7 <br />Y~(:i[r1 <br />k FTLI,._NT ~R.iy~ YALU ,REQUIfiEMENT~ . I~NS~T~P.A 1E NLI 0 . fv+}>h ~. . <br />" <br />. ~ SAMPLE <br /> MEASUREMENT ~,~ ~ ", r , <br />n. ~. „ ~ ' <br /> <br /> 4ULEfE <br />MENT. <br />flE ii:': ' <br />'" i <br /> . <br />, <br />. 3 <br />.. <br /> SAMPLE <br /> MEASUREMENT ' <br /> ...PERMIT. ; ::.. : <br />,. .:... <br /> <br />~ :: ~. <br /> ~REOl11REMENT: :."::.. :: •. ~:.. - .:'.:. .: :. <br />': . <br /> SAMPLE <br /> MEASUREMENT <br /> .. ... <br /> <br /> SAMPLE ~. - <br /> MEASUREMENT <br /> ~ ' <br />' <br />~ ' <br />~ <br /> REQU11iEM <br />ENT. <br />.,.... ..: .:. r .:.. <br />_`''{:; ' =: <br />~~';? <br />. ''.;".i:':.~.:`~;;: ;"~a::::: <br />:.;. <br />. <br />~ <br />.,.. <br />' ~ SAMPLE <br /> M@ASU7iEMENT <br /> <br /> 'REQUIREMENT.' ' `. <br />:-:~ ~ ~ '~'~"."' : ~ ~~ . <br />.. :: <br /> . <br />:..:.... :: >.r ,. .. .. ,. <br /> SAMPLE <br /> MEASUREMENT ' <br /> ^:.".PE .MIT:... <br />: <br />:e~ <br />: <br />' <br />' <br />- <br /> :... .:..: . <br />HEOtlIPEMENT :.. <br />. <br />.: <br />:": ": -i" " <br />:`:: :ii? . <br />.. <br />,:'' ..::,. :.. <br />: <br />~: <br />' <br />': ' <br /> ~ . <br />: . <br />. <br />. ~~ ~ <br />' NAME(TITLE PRINCIPAL EXECUTNE OFFICER I cERTI <br />AM FA FV uNOm"PENAIn of L <br />MILIM VJITiI THE INFOR AW THAT I NAVE PERSaNALLr ExAMINEO MD ~ <br />MATION SUBMITTED HEREIN <br />MD BASED ON TELEPHONE DATE <br /> <br />1 IL 1-t L. <br />VI - ` ~ I '~ I ; <br />MY INQUIRY OF TN09E INDINDUALS•IMMEDIATELY RE9PONSBLE FOR <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION I9 < <br /> <br />' <br />~ <br /> <br />TRUE <br />ACCURATE MD COM0.ETE <br />I AM AWARE THAT THERE ME ` <br />~-- <br />J/~ _ <br /> , <br />. <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />' L' -" -- `t' • ~' " ' !_ r b--- , <br />THE POSSIBILITY OF FINE MD IMPRISONMENT <br />SEE 1B U <br />1 1001 MD J3 <br />S <br />C ~'I 5, _i~.r <br />-- IL I <br />T <br /> . <br />. <br />. <br />. <br />BIONATURE OF -RINCIPAL I - _ <br />~ ..J <br />~~ <br />_ <br /> u.s.c. 1 tlte. rnrMrevF Mv« Nrw FbIYh. m.r N<AN. rw. vP ro sro.000 E%ECLTTNE <br /> <br />! TYPED OR PRINTED -., _ <br />.nennw..l~I.n inpdromlNnt orbewwnem<rrNa wP6 ywn1 <br />OFFICEq OR ALfTHORRED AGENT <br />CODE <br />NUMBER YEAR MO DAV <br />S~ i. TufaL Ir:'JN LI IiTS•.:ILL ?: i_ M~;YFp, C. S/. TTLCAdLL ~:,LIi•`. L1'liti APi'L3 .. tJ'!',.. ,-i :_fl. V.I~T <br />~5.`.r I~:iih .. S=ITLcAdLE S~~LIU:i LI~Ii'S.w:lf Vt=G F-ult !)Ynr~4n~~ r::L:,!V ~VcM1T-~l l,t C~~ ~~.,G11'_.r'-.f: ~~~-Sc:: I.G. ~. <br />rl _ :I ~O_h. Y~.!I ~i <br />