|
PERMITTEE NAMElADDRE869+AbA. FAr1eryNAr/Lxnla. UDldberp NATIONAL PoLLUTANT DI9CNMOE flJM
<br />NAME - ~ -~ - - ~, [ l; e i w. r t DISCH~ReE MONRORINI
<br />ADDRE88 ~, ~'. eLv ";,~= lrlp'I nF,
<br />- .. _ . 131 i ?,.e,„Y v co t) ~r r ^ PERMIT NUMBER
<br />FACILfN ~~ t J c. ,. S v. tt c :-''+'-"~i'"-+t r n1 41111 MONITORINI
<br />1 "-r4--i-F .. .. .. _
<br />{1 LOGnoN ~.,,,_„r,,, Y AR MO AY
<br />TI /S.l. ~x:._I °YY^2'T''Y FROM yg :~ p TO
<br />:• ~ a r .. ^ u r reen Yee-em r..-gar
<br />I ererEM /NPDES/ Fonn Approved.
<br />MT M~ ... , . - ~ ~ OftJB•Npr2040-0004:
<br />J os ° l ~ ~ '" - ~~ APProve4 erjp ee 05.31.88.
<br />DIeCNAROE NUMBER C _ F : y A T.
<br />IOD l ,, '"IKUt?
<br />R MO DAY ~ ,
<br />~ ~xTC 170 DI^('pA'rrr• ,.•
<br />n! !ze-29/ /3031! NOTES Rud lnettUedaM bNore oempletlny thle /orm.
<br />PARAMETER /3 Grd Onlyl QUANTITY OR L N O It brd Onlyl QUANTITY OR CON TION Np, FREDUENCY SAMPLE
<br />l3T-371 eB-63 6L6J 386 <6-63 Ge-9f EX DF TVPE
<br /> AVERAGE MAXIMUM ~ NITS MINIMUM AVERAGE MAXIMUM UNITS
<br />!f7-esr ANALrsl9
<br />16.4691
<br />(69.701
<br />:,~I SAMPLE - ... ... .. - ... ~ ( ? ?T
<br /> MEASUREMENT
<br />r'~''''i ~ U n :.~:PERMIT.:~::~: :~...,.,.s.~:~
<br />rr.
<br />>X~
<br />~;`:
<br />~ ~::ra ~..... ~...
<br />
<br />#~?~~$seK:r{
<br />~r . C
<br />
<br />^ - ~.. ~ .. -
<br />
<br />::~
<br />h:~.
<br />R: i,..y_s~ .
<br />
<br />:#IRt».
<br />
<br />r r
<br />. i~~.::: ~~
<br />
<br />.;•,,, ~K :
<br />LC
<br />
<br />~ ~~.
<br />[~~:".. t'~C
<br />,..
<br />...'t S t \ .1 R ~ UIR E .~
<br />.. ... .. .
<br />.
<br />~ . .. .
<br />.
<br />,.>xz ....:.:..... .
<br />....:
<br />,,
<br />:.... ..:.r:::;';.. .
<br />~
<br />f}'?(
<br />
<br />
<br />::: ~' '~,~ ~1 . . .
<br />
<br />,.:., ...
<br />.
<br />a:fi )! ,:21L°71:iLi
<br />
<br />
<br />:s.. '.
<br />,.,.
<br />
<br />
<br />:. ~. ~: ::
<br />
<br />
<br />.
<br />~, ~ y •• r
<br />! SAMPLE ;r 640;. .... 'r.~7C: ( ? `t)
<br />:;I
<br />" ; ~, , MEABUREMENT
<br />;.n'- t.; ~ ':;;::PERMIT..,(:..
<br />.
<br />:.; ..
<br />~ ~ ~ R :«.~ .xi .....:..::::.
<br />as
<br />:>::::
<br />~'4~a.~~s.a
<br />
<br />r•'~
<br />.. ,.. ~ ..
<br />_:;~~;arc?<:., ~.
<br />~ .: ~:
<br />~.>
<br />
<br />?!?Fs:;._.:.::-',:.:
<br />
<br />, ,,i,.~
<br />
<br />~;~:<-:,.,
<br />
<br />:..p{`
<br />t r t- • ~:. ,~ r ; .. - :. !1 gREOUIgEMENT ~ : .. ..~ ..
<br />,..
<br />,,...,~
<br />.:~;, ...
<br />3/JnF {ii*:
<br />'.':~fl.»-~`~:. ""4..
<br />°r/T,
<br />'::.
<br />:iwiri;yT,,i
<br />'.
<br />' :'
<br />S :' ,', SAMPLE .. .. .. -. / ~ ~1)
<br />A
<br />t ..~1 MEASUREMENT
<br />( ._
<br />• •''-r , 1 ~~ ( `. ~~~p,ERMIT:::::~.~ .::.:.a~s:,casa:~:~ ~ .~.r,~« ~ , r.::.S~ct~~~r:::~ ~~~..5.. ~ ~7 t' J ~ ~ C SNrr~>( ~`~~""~
<br />. ~~. ;.I~..,-• : u.7•:4 '; Bt. vt; REQUIREMENT:,:
<br />....::. i>+i`.r:; .:: ,~..::~..::: .:
<br />,..3:...:.... '. ~.~ .~:
<br />: ~
<br />~.
<br />~~...
<br />
<br />'
<br />
<br />~'
<br />it~
<br />
<br />w/ "./[.
<br />
<br />
<br />:. .flj7~F:
<br />' ~~. .. ,! '.4°r'.";' SAMPLE at'G~?RC ~ ~ .... .. ! r
<br />\
<br />' ~ 6
<br />:. .,~ .- 1 ,'11
<br /> MEASUREMENT "
<br />1 -. r : I ' • .PERMIT' T •;2.?` '~1`'~
<br />Via: "G e,Y
<br />E: a r a Y- •: .. ... ~: ~X: qtr,: st
<br />=a T {?
<br />
<br />~~ :>7 ".I m r y .. i{ R n
<br />"' :' I ; - y 41 - REOUIREMENT~ ~
<br />...... ~
<br />. . . k,a<w r T .(
<br />
<br />.. - f t .:~rfi.?
<br />.; t ~ . .. -~ ,.... .. _ _. ) r
<br />~
<br />T SAMPLE ( i j ._ ~ - -.
<br />-
<br />„ ,
<br />~ , , - I t y , MEASUREMENT
<br />,1 „ 'PERMIT °`.i.F '}'.'T`":7 ;:'Jt.:F?•FP.~T'"' ,.., rw OC+;'*T•:Tr
<br />,.. r.L r~.,.;.-~_ .. . r.l:, v .~E •: R'
<br />
<br />,, ~, •„~~•; x• ~,~
<br />'REOUIREMENT
<br />1:r';F .
<br />~ ~..r
<br />~ ~.:: .
<br />,..
<br />. , ., . , . ^ r ~ g r SAMPLE ~ 4 r: ( •: { ~ ~ ~- . .': Y; ... . .
<br />y MEASUREMENT
<br />i
<br />.~ J. ;, ~ : PERMIT. "rs~:«~-.g..~. . ... >;:~-w~f1 Tr ~"!' .. .. ,. .., ,... ,. fipt. :g:)r, ;•o .. ' J,
<br />~ : _ ,. , ,, - ~, I• ~ ~ ~: 7 R °. .: REQUIREMENT. ~::: ~ ~:°:: ~" `ai:!7,5.T 7 S X .., = .., ~ ..
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT ~.
<br /> ~REOVIREMENT~
<br />NAMER7TLE PRINCIPAL EXECUTNE OFFICER I CERTI
<br />AM fA FY UNDER PENALTY OF t
<br />MILIAR WITH THE INFO AW THAT 1 NAVE PERSO
<br />RMATION SUBMITTED H NALLY E%AMIN
<br />AND BA
<br />EREIN ED AND
<br />SED ON TELEPHONE DATE
<br />
<br />1
<br />\~a ~
<br />~ ;
<br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RE9POH910 LE FOR
<br />~~
<br />'
<br />- .
<br />,
<br />1 OBTNNINO THE INFORMATION, l eEUEYE SHE SUBMITTED INFORMA
<br />T TION 19 ~
<br />l 1 ,y,
<br />"
<br />~'
<br /> RUE. ACCUMTE AND COMPLETE. I AM AWARE THAT THE
<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />IN RE ME
<br />CLUDING ,
<br />~
<br />I T
<br />I ~ V
<br />` ~
<br />7
<br />~
<br />~
<br />F • '• ;.G r ,
<br />THE POSSIBILITY OF NNE AND IMPN90NMENT. BEE to U.B.C. L 1001 AND 93
<br />~ !
<br />BIONATURE OF PRINCIPAL E%ECUTiVE I
<br />~ ~ 1~ r
<br />- (
<br />r ~
<br />G~ I r
<br />v
<br /> u.9.C. 1 17ts. 1~4rWWA uw ewAr mron. m.Y n.rAdA rrAS lp ro F ro,GDO AR A
<br />TYPED OR PRINTED .nsdm.rim.niw4emlrrr olMrrAAn enrweu And6YAArA/ OFFlCER OR AUTHORI2E0 AGENT ~pE NUMBER YEAR MO DAY
<br />wmmen I a Flnu cnrLFLnn nurv ur nrvT vwLn I vulva IJrnerence sn emcnmenre nsn/
<br />., T ~ .. .LY 0.Y:. `7°7". ? ~ .. .. _, - .. _ r. '.1.-•
<br />EPA Form 3320.1 108.95) Previous editions mey bs used. (REPLACER EPA FORM T-40 WHICH MAY NOT BE USED.) U U (J ::'' / ~' L ?. t- 1- l ? : i PAGE TOF
<br />
|