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•[RMITT[E NAM [IADD R[ff (/ndude <br />:cfllry NRnr/LOLMrbR If dlfferenE) <br />iAM/-~ITZ4fllIB-G~-~' L[LIiALC9~L.1LLt1Z.t~G-- <br />~ooREO~G-DL~CLLEtF--- _---- _-G-- <br />_~ -~W iii-~QLQ-Njt-~~Jrr ~~BQX Q-~4~- <br />FwelurT- <br />---------------- <br />_9CATIOM <br /> <br />NAn onwL •DUVrwwr DueN wwee ttlMlnwnoN LYSTEM lNPDEJI <br />D 19CNAROE MONITORING REPORT /DMRI <br />1.16 1~ <br />IERMIT NUM eER RlECnw RCr NuM•rR <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM TO <br />/10111 !11.13/ l1I.1J/ ~ !Ib- / (78.1 1 ( / <br />I7 Z h 0 H Form Approved. <br />(S L' ii N N a QMB Q1p.lRQgO-0004. <br />F- F I N A ~pproval expires 6-30-91. <br />SURFACE RUNOFF OAK CkEF.X <br />+Y'~~' NG DISCHAAGE ~'='~ <br />NOTE: Resd inetruetiom before eomp~atinp this form. <br /> (3 Card Only) QUANTITY OR LOADING (I Cord Only) QUALITY OR CONCENTRATION FREOU EnCY <br />9AM PLE <br />PARAMETER (IbJ3) (J161) (J8-IJ) (166J) (J161) ~ NO. <br />% DF TYPE <br />(J137) AV ERAOE MA%IMUM UNITE MINIMUM AVlRAOE MAEIMUM UNITS E <br />636!) wNALTf15 <br />(6168) <br />(69-TO) <br />GIL ANL GkEASE SAMPLE 440084 ( 94) G4oLla ~ ~ao~lx cl)anrs <br />Y ISUAL MEASUREMENT <br /> <br />bu066 1 0 0 q ~,. ym p. <br />g pER~1[T¢ > ~ <br />~~>sg~~~~~' $ ~, aq.~. ~.„n, .,, <br />~, ~ <br />YES=1 ..~ro-m a <br />~ >~1II~~~? <br />`~ <br />& Yd ®+*° @ <br />g. ~ ~~~ <br />~~~' .qw~ 4 <br />*~~4iR ~i <br />~ <br />a <br />4;:4!I <br />~ ~~ <br />~~ <br />~~" <br />~ b ~' ~• <br />~- <br />ac <br /> ~td111{(EMENT~ <br />a. .«. ~ as ~'., 3£ <br />'~'°¢ .~~~°%~.~a 3~ ~~ <br />& x - ~Q <br />I <br />~ <br />~~~~ ®;~~„y~~~yx ®eze~e- <br />a~e'~~~~~¢n ~" .~ ~a <br />a.~ - <br />nta QS.~e ~*~m~. OOYI k <br />A <br />~45m .~%~ `' <br />'~a®-"s;"~~~ <br /> SAMPLC <br /> MEASUREMENT <br /> °'''PERW~ n,.° <br />' <br />R <br />E <br />X ~x>ffi~ ~~4s~~°.. i~ <br />~ '~~,~a.~~.S ~g~+$~ <br />n tl ~~~~ffi~g ~~ <br />~~ ~ ~if~~$~~~4 ~~ i'~~'~~~~x~~,`a ~~.-. <br />~ ~~ <br />~`< q ~~' ~•~~A~ <br /> t <br />~OI <br />~R <br />E E <br />ITS ~ <br />~ <br />~ ~ <br />~ # i <br />a~ <br />~ 8 ~ ~¢ Y~ ~~ <br />~ . <br />$ <br />~ <br />~ > , <br />~' ~~ '~ .~~. <br />ffi <br /> $&- <br />s" <br />- <br />'1 1>~ <br />. s ~ <br />~ <br />~~c ~. <br />° ~ <br />.~- . <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ a ~PLfRMi78R a9 $ <br />° <br />` <br />a'~ a 8 e~ ~ ~~~~.~ ~ <br />~ g$ <br />~~"'P'j r~~~-~~. f& bra <br />$%~ ~i£ 8 ~~x`~ ~ <br />a <br />~~~~ ~~~'P S€.~ <br />~ <br />` <br />n <br />'~ ~~'~ ® ~~~.~~?~~ <br />~ <br />& %~ <br />~'$"R, ~~ <br />~ ~ ~ ~~'~~^ <br />° <br />` <br /> R60UIRE,F i:N~ <br />° 3® <br />«a s s. <br />~` <br />e as ga; m ~~. <br />' <br />d~, w~. <br />..A ge <br />~,~.~@~ ag <br />a <br />~ <br />"' <br />`~° <br />~ ~~. <br />II <br />3 <br />~ <br />ro <br />P <br />~A <br />~~ 9~ ~~m.f.a <br />ffi' <br />~ <br />- ~~ee, <br />~ ~F' ~ <br />'~ <br />` 'se~r~ <br />~ <br />~ <br />'0 <br /> g^ <br />aw ae., $. <br />g <br />~ ~ ; a <br />, <br />%.S <br />~ <br />¢ ~, ~ <br />~ <br />%: ~~ <br />- ~2 ~$~ e :, ~a <br />x ~ <br />.w <br />. <br /> SAMPLE <br /> MEASUREMENT , <br /> R <br />' <br />Q <br />~ -~'¢ ~ € A's9~ 6'x"a ~ <br /> <br />' <br />~ ~ F~k'~~,.~" ~~,~~ <br /> <br />'• <br />P ..,$ ~"x~~ a~~ wg~~ P <br /> <br />~ ~~~.tt W~£~'..~~: <br /> <br />Y -'~ ~'a~~~ ~~ ~;,R~ <br />~ <br />~ g~~i ~~' ~' <br />~ .°' ~ ~ , <br />~ <br /> [ <br />EN <br />UIRE <br />!Q <br />a <br />~ <br />° & <br />ffi <br />.~ P~~. <br />~ <br />a :~~ ~ <br />~• ~ <br />:~ffi, a .~:~ e gm ~. ~~g<a .~®-~ <br />~ ~ <br />~< <br />#~ n ~ ~~~ ~.~ <br /> , <br />.~ <br />a`m a <br />~H _ <br />. <br /> !AMPLE <br /> MEASUREMENT <br /> '« ~'P,~R1~ i1':S ~ ~ <br />UiR <br />NT' <br />f ° ~ ~ ~ ~~ s rp <br />~ <br />'~a °- asx~'..~ ~, ~..., <br />~ ~- ~ Affi'~~ ~~ <br />.~~' a~ ~~~ ~ ®r"„a3'.A. <br />~ <br />- r{$ tt~ ~ ~:g ~ ~ <br />~^ rx ~- ~~ ~ ° <br />~ <br />~ '3' (? <br />~~ ,>~: ~~ <br />~ ~ <br /> EM E <br />. <br />iBC <br />. r{ <br />. ~ ~~~ <br />_ <br /> <br /> SAMPLE <br /> REM ENT <br />M EASU <br /> R <br />EG 6NiikE~ <br />78 ~~~ ~~~s.~~i~' 4 ~~ ~>~ ~ ~ ~,~ e ~ ~~ ~ ~ `° ~~a .~g.f~ ~„. ~ . ~~ ~~ ~.~"s~ ~ <br /> Mp <br />f ~. <br /> SAMPLE <br /> MEASUREMENT <br /> a ; mEERE! It ~ <br />M a ~~~•~. <br />~ $~ ~-s+ ' x~~ - <br />~ ~ 1g~ ~ a,~~~-~ <br />l2erJ~-.tea <br />1 <br />` ~~~_ ~ ~ <br />~3 ~' ~~ ~~.~ ~' <br />~ <br />~~ ~~' . <br />~'" ~'' <br />~ <br />~ - ,v ~ § <br />~~ .,~~.~ « <br />~~ <br /> RC4l 71RE <br />ENT <br />.m«^ l <br />~ <br />~,a~m r~~ I <br />J~+- 'v g <br />~, . <br />w. Lr~~ <br />s + ~ <br /># ~&~.'~"xr asr: ~ <br />;~r~A..~{ ~ <br />r`.. ;i 1 <br />~~' - ffi-~ ,~ <br />NAME/TITLE PRINCIPAL !%[CUTIVE OFFICER I CERTIFY UNDETI ReNALTV OF LAw THAT I HAVE •[RSOMALLr E%AMIN[D <br />AND IrM FAMILIAR MTN TN[ IMFdIMAT10N SUGMITTED NEREIN <br />ANO dLSED TlLEPHONE D A T E <br />. <br />D. L . L,OaG DN MY INQUIRY OF iNOrf INdVIDUALS IMM[dATELY RCSPONSIELE FM <br />OBTAINING TMC INFORMATIOY. I pELIEVE THE $UGMITTED INFORMATION <br />n / <br /> <br />T.~ 5 TRUC ACCURATE AND COMREIC I AM AWAgE TNAT THERC ARC $IG~ <br />NIFICANT PENALTIES FOR SUBMITTING FALSE INfORMI~TION <br />INCLUdNG -~i <br />~ ~_i/G:w~~i~ <br />. <br />th ~ 1'] ~ SU T~ \ <br />]]USCSI IB]L19Y Rnall~. b~11~~~50~ME:TnIa <br />r Cnrld•/n.. uy ~IIn MD <br />BIDNATURE OF PRINCIPAL E%ECUTIVE ~ r~ <br />T/3 (~ <br />,~-V((~ /~ <br />`~1~ <br />~ <br />Z~ <br />, <br />_ <br />rU 1 <br />/Arluwn bmnnlF.nnd[Iw•.r <br />n <br />n <br />v <br />nl <br />~ A '~ <br />, <br />., <br />l <br />. <br />lP <br />PRIMTED a.d•I•mF.Inr.n l <br />TYPED OR OFFICER OR AUTHORI2E0 AGENT NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr/rrenrr ull unurnlnrnu nrrq <br />TSS E •TOTAL IROt: LIMITS w1LL AE ti+AIVED, A,NG SETTLiiAALF. SOLIDS LIMIT AFPLIEU FOn <=iCYk,l4iiR F'Y,ECIP IYENT- <br />SEE I.A.2r PG IV, FOR RE(~UIP,EMF.NTS. (1HTHLY SAtlPLING INSTfiUCTIONS-I.C.9, Pii XIIZ. <br />?pA FOtm 99241(Rw. iE9)Pwloua editlona mayt»used. IRVUCE^E•A FORM T•.O WNICN MAV MOT [[UE[D.I •ACC of <br />