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PERMRTEE NAME'ADDRESS!tvrdr FrA:tWv A'a~r.'tnrglw.7f~}'^^1 r+:':OliAi axt~r,AwT DtSGI+AP!3f EtvanAr•?•c 5'; s: _•~ •::;:r"~ Fgi'm App:O:f~.".. <br />NAME OISCNAQGE MONITORING REPORT CaiL C'.iB Nn. '\, _. _ <br />ADDRESS ~ ~ :: or ~~ A;rv'oval tx,, - 'c31.98 <br />n:;a r.o~ <br />FACILITY ~, rD a1~ <br />LOCATION <br />~7 S1' <br />. LTA R. aid8 .1R._ *T~? ri' <br />MONITORING PERIOD <br />YEAR MO ~ DAY YEAR1 }AO DAY <br />FROM 70 <br />f1P77 R: ::1 P41J; ...., :+671y lJPJU <br />NOTE: Read IrLtitrUttiorta bMoro cOmp!eeng this ffum. <br /> f3 Cam Orly) QUANTITY OR LOADING ft Cara Ony9 QUANTITY OR CONCENTRATION NO. FAFOUE SA7' <br />PARAMETER roe-5,~) f5a 6n (3sJS) ragS.i7 r5~b: EX OF TY~`= <br />~-sn AVERAGE IAAXIMUM UNITS MINIMUM AVEAAGE MAXIMVM UNRS '~'~ <br /> rtK[¢i~ 76668 (6;1 <br />_ <br /> SAMPLE _ <br /> MEASUREMENT <br />• PERMIT OGO r!&?": r's7 ~ ~.. .. :. _ C?:}~f, fj <br /> <br />~~_ -- REQUIREMENT T y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMR <br />REQUIREMENT <br />-- <br /> SAMPLE <br /> MEASUREMENT <br /> Pc'RMIT <br />REQUIREMENT ' <br /> SlJJ.PLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PER7AIT <br />REQUIREMENT <br />- <br /> <br />~ ~ <br /> SAMPLE ---- <br /> MEAS'JRE!AENT <br /> PER},11T <br /> REQUIREAtEM <br /> SAMPLE <br />MEASUREMENT <br />PERMR <br />REQU:REMEIR <br />NAME,?ITLE PRINCIPAL EXECUTNE OFflCER 1 CfU':r ~ vA'Uti:l ~ynt tt nr uw n:aT ++AYE "£kc: <br />O hN.: r E%AM++EU Arm TELEPHONE <br />" DATE <br />/y/ {AM+IIAN wrTN ii<f C+f <br />ryAAi'Gr~ :lUv\rr'~~D N'A' <br />PK.~;IHr 'JF T4f. bC ~14UYIL'U\13 IYVf JU I E! V P£S1 O!: W. A4. <br />T (~£0 SN MV <br />$h}(~ i [y poi V MINfI <br />TH. rta;u»f,A:\:T{ i 2F11FV' THE wPN.~iSEJ n+F fY,MA'IGN IS T?J!. <br />A(YNLiiE A`.D C-!':p? FrE 1 AM Aw:3~ Try\i TtiF HE ArtE ii„N61~A:lf <br />PEI:ALI't: F.iR :;JSMiiT:Y:7 FVR A+FpRMA1ip <br />POSfit9:: <br />'iV C/-' =tt a`O tNYk.9(X <br />Ni uT 6~ ; 8 U S <br />r N. VKt::p'N(i n4E <br />S : cq+ aviJ 39 U 5 C <br />, <br />r <br />. <br />trtlu ream <br />.' 9 ferec.. ~.re. r'.m: ,;~.w moy .~: <br />! SIGNATUPE OF PRINCIPAL E%ECIJTIVE <br />~P u f:RCiGV M a <br />- <br />TYPEDORPRINTED . <br />. <br />+rcnu.+'ru+.a+~mr dtw<:.^6~o-rA+sv ~r~.ia/ OFFICER OR AUTHORIZED AGENT NUI.ABER <br />i YPAR MO DAY <br /> r <br />y <br />COMMENTS AND ExPUwAIaJN OF ANY VIVLATlONS fRefercvlce en OffacnmaMS nervy <br /> <br /> <br />EPA Form 3320-t (0 &87 Prev+OUS editiona m8y not ho'Oeod ' - - (REPLbCES EPA FOR M T-00 WH{CH MAY NOi 8E USED.) PAGE OF <br /> <br />