Laserfiche WebLink
PERMITTEE NAME/ADDRESS lJrirb FrleryN~/Laanm pD~o <br />NAME POitD}:hHC1kN C'.iAL CJMFAN't <br />ADDRESS hUAJ:iIDc t!1Nh, N G 5 PJn TA LS <br />P.U. F'UY 1430 <br />PAL1:iAD;: <br />CU 81526 <br />FACILITY <br />LOCATION <br />iE ilSi JUtt ~tl A. MCNA9, F:J E.ijD~NT <br />NATIONAL POLLUTANT DISCNMOE EUMINATON iYSTEM fNPDE$I <br />DISCHARGE MONITORING REPORT IDMR) <br />11-161 I7-79 <br />0000271u6 <br />PERMIT NUMBER DISCNMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM H TO <br />!16211 l11-131 !14151 !26171 /18-191 (36311 <br />. ~ ~ ~ ~anh~APProved. <br />Acvsc YBT TesrrrG°~l9iie•29C`1Rooa <br />(5098 IiC) ApproveLetJplrp~05-31-98 <br />F - FI MAL l1 LL ..77 VV <br />f!INOR <br />'%#a NO DISC HAFGE ~_ ~ #$'~ <br />NOTE: Reed inetrucUana before compbtinp this form. <br />PARAMETER !3 Grd On/YI QUANTITY OR LOADING !4 Grd On/yl QUANTITY OR CONCENTRATION ND FREOUFNCY <br />F SAMPLE <br /> !46531 !54822 l38-451 !4653 1548/ EX O TYPE <br />232-37/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /63-6J! Muvss <br />!8488/ l8&701 <br />LL:SU STdiiiE 4HHk AC <br />(.t:RIUUAF'HNIA SAMPLE <br />MEASUREMENT #r#4#a #4#444 <br />//O~ 4>0#### #;###a <br />( 23) <br />'/ <br />TAN3b 1 0 0 ;~ PERMIT..; <br />.::: :.~`~a441R#iJ <br />aa4aa~a . <br />aaa 1tJ0~O:O:O.I, <br />~. 1GFp~;~gt$rQl. ~~ .~~.>y$za.##~.. >eR~ TRLT o~BA~ <br />:.FFLUEN`t GROSS YALD . <br />REnuIREMENI7, :.: ~:: ,.: .' ± `~ .: :.. a#aa . <br />l1 N.: -. !A' • . <br />..:. ,. z. : <br />Li:~U STATHE 9fiHR AC SAMPLE 040#aa s0#41A0 a9~a44 tDga4#0 ( 23) ~/ /' <br />e'1HEPHALtS MEASUREMENT y J <br />I ll` <br />to&ot, 1 0 0 ~ c.~:.iPERM17~:i1 <br />~ '-;.4OI[t.itlllOgr/;.?,<: ~:':.$#>tlLlblR4I6~: #i0'~ `;~:: <br />Qf7~;.(l:b~ <br />~ : .., .tM~G'#+B C70.::: `.::f:.?0~4~dNd?b; .:~ <br />E$- <br />~~RI:S <br />rt(A$ <br />6FlLUEGT GROSS YALU . <br />a <br />REQUIfiEMENlL <br />-.; ~, ~ ~ ~~ ~ ~ ~ aaa# ,. <br />Pt'11-...~ ~..: ~ .... ~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ .. ~ ~ ~ - ~ '- <br /> ~REOUIREMENT ~ ~ ~ ~ gi <br /> SAMPLE <br /> MEASUREMENT <br />,' PERMIT .. :a ~ ~ ' <br /> REQUIREMENT ~ ~ ~ .:%' - ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ .. ~ ~ ~ ~ ~ ~ ~ .~ <br /> REQUIREMENT ' '." <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ' <br />PERMIT ~ ~ -~ ~ : ~ ~ ~ ~ - <br />:~REUUIREMENT <br />~ <br />OF LAW THAT I NAVE PERSONALLY EXAMINED MD <br />TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENUTY DATE <br />~ <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON <br />1 L <br />\.E`"( <br />~~ir~/ A~~ Trv pBTNN NUGRTHE NFORMATION, II (BELIEVE THE SUBMITTED EINFORMATION 219 <br />, <br />•+ TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITTING FN.eE INFORMATION, INCLUDING <br />~ <br />y <br />/ <br />• ~ THE POSSIBILITY OF RNE MD IMPRISONMFNT. SEE to U.S.C. 1 1001 AHD 33 <br />ECUTIVE <br />O ~ <br />~ f t3te. IMWS. IM.r rMAF .avm m.r ~~. rM.. w ro J lo,ooo <br />U.S.C gIONATURE <br />F fMEINCIPAL EX AREA <br />• ~ TYPED OR PRINTED . <br />Ares nnMPbllAe.nPdrmwntW Mnrwn emmNaAMe FAral OFFlCER OR AUTHORQED AOENi CODE NUMBER YEAR MO DAY <br />k. <br />ie, i <br />yti <br />i <br />A <br />I :Z <br />~. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence sl/ sttschments nerel <br />S6E PART I. B.4 FOR DHTAILS OF TEST PkOC''DURE. kEPORT LOGE ST DILUTION (Y EFFLUF.IIT) WHICH IS LETHAL TO 50,", <br />OF TEST OitGANI51lS (LC50) AND ATTACH ACUTE TOTICITY TEST HE PORT PORlI SC DtiR. COPIES OF ALL INPORN,ATION <br />M11 '~' HV GpYT TC1 i'6a - <br />EPA Fwm 9320-1 108-951 Previous editions may be used. ~ /REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 00 3 6~8 / 98 C 2 2 3-125 6 PAGE lOF <br />