|
rl'r
<br />•
<br />r{wM1TT{{ NAMp ADDw ut (fndude
<br />p[-0llP Ncwr/Lonrbn Udl/lernr)
<br />nnns_ P_EidP D LL,Ai~~ ~SEU~L~ '1I ILEL __
<br />AOPRS~I. 1~IlD_SIII1S1i~(AL~ _ _ _ _ _ _-,-
<br />___ PI Al:S r.~Fr -__---~~1i6RDL_
<br />LAJld37____ -___ _-----
<br />LoCATION___ ~~ --
<br />~rrur nnu.r.n n. znrT~u
<br />NwnonwL rouaTwnr mach UOC niM m.noN Lrsr[M (NPDES/
<br />DISCHARGE MOHITORINO REPORT /D~NRI
<br />7.l6 17.19
<br />0 0 ~ OOw LNy..L
<br />PEq MIT NUM.C II q
<br />MONITORING PERIOD
<br />YCwN MO OAY _ YL.N MO OAY
<br />C"RM TO
<br />/mm a~.m /vase.. ~r. a-zl latlav laa)u
<br />.• ._
<br />H I N O R Form Approved.
<br />(Si1RR t1M)OMB,Nd12Q'40-0004.
<br />F :- F I 11 A IPPProval expires 630-91.
<br />t10 PRECIP. SAMPLING POINT '
<br />~ '
<br />r•aa NO DYSCHARGE 1__i c.::=
<br />NOTE: Red instructions helore eomDletinD this form.
<br /> (J [aid (Inly) OUANTIiY OR LOADING (1 [aId Un1Y) GUALITT Op CONCENTq ATION In COy[NC•
<br />. FA•AM [T{• (.b~fl) (a[~l) IJd~11 11a-!l) l)Il11 -
<br />- NO. of 6wMPLE
<br />TYPE
<br />(d7~11) Ex nuvs~s
<br />A
<br />. AVEpAG[ 'rLAY1MUM
<br />' UNITS : NINIMUN AVEp AGE MA%IMUM UNIT/
<br />a1d11
<br />(Mdtll
<br />Ia9JU)
<br />PN ~ _
<br />~ ~ ^AM PL[ X41=~?G~l R:ch.aa.k ( i
<br />' _ ,. JCa C:Y C: ~ .12) '
<br />' - MEAEURENEHT [ T.40 _ q
<br />8n 1J i Y Y
<br />DOUDO I D D .a'PERMIT. "C 'S+ra C~~i'
<br />~ ,=y~Lt {: r,4,a
<br />
<br />
<br />
<br />•
<br />~
<br />'
<br />' C:aa
<br />
<br />.;. .
<br />
<br />,..
<br />:."
<br />6'
<br />~:. .z
<br />~~
<br />~ ~r~a SY l~afsl:(.'
<br />
<br />
<br />
<br />
<br />.: <. _
<br />
<br />
<br />9; 0'
<br />~' •. O
<br />
<br />
<br />'E ri:Y
<br />'l
<br />
<br />
<br />RAR"
<br />
<br />YT G !155 YAL71 R! UI
<br />Q REY FNT
<br />a. .. .... ~ :;
<br />.. +.:.. ` ...
<br />.~~
<br />.. .'. "=!.'s
<br />t,4[:a
<br />
<br />...~
<br />1
<br />
<br />-
<br />
<br />.
<br />Ci ~
<br />I
<br />_
<br />SJLIOS, TDTAI. •,NPL{ aar•au~ G;urco ( ~) aa::a::;Y ( Ig) .
<br />SUSPCNDED ~ MEwEUps:N{nr is " 4.67 "~ 10.00 ~ ° "
<br />D053O I O' D "~' PEflM~IT: ~~: ~;~,a0aaitQ' :j.;<4rd1
<br />-x~e
<br />~
<br />~ coca ,. I;SY,LfA+fla~~
<br />
<br />. gcp0
<br />
<br />:;
<br />R'T '
<br />
<br />..'
<br />ORT_-
<br />rREP
<br />
<br />~NCE/'
<br />
<br />HqR
<br />~'
<br />~
<br />
<br />GRDSS Y I III R{OUIgEM FNT'
<br />~ :. .,. ~ % `' '
<br />~ :' ... :
<br />I,at~dJ
<br />
<br />. .,
<br />,
<br />...
<br />
<br />...
<br />.. .,
<br />
<br />.
<br />~
<br />
<br />,
<br />.:
<br />,
<br />.n
<br />,
<br />SOLIDS, SETTLEA$LE {AMPLE ;r:~•^:::r-o O:xp{:a;[ ( ) .: :C:a;:b , I)C:pGfig ' 25
<br />1
<br />)
<br />~- -
<br />~ YEA•U qEM ENT _ /1 4U,
<br />V
<br />..
<br />F . • 11
<br />DOSS I ~~D
<br />D`~
<br />~ ".'BERM R'.: .''¢4aaac °
<br />~ ^~ :I'{I Q+%6vA
<br />I .. '4411 i :.~[[4f 1: ~15Y ~. >~ <$%k r:Ql^~L. '
<br />-
<br />r
<br />`Q£PDRT ~:' YN
<br /> ~
<br />I{COUIREM{ T ..'.
<br />I40N( TOTAL
<br />: ewMPLE 4oaiC<c: Di:S::~4:r ( ) r}Ci p~:0 - ( I9)
<br />y
<br />(AS IFI.I- MEA6UgEMFHi ~ I. /y ~J
<br />L,.DJ 0.04 - ^ Y
<br />01045 1 '0 r02c =~~'/CIIYIT ~~~ ~`.`sotTras~' :':no::L"~.ap' au:y ~=.aqui'ft:;:.:'. ~?REP9Br"~ `:`~;R£?OHT ~ ~~ ,~NCE~/
<br />~- ~AAE~
<br />~
<br />
<br />
<br />1
<br />RLGUIRFM AMT;
<br />
<br />
<br />~
<br />
<br />~
<br />"
<br />,
<br />
<br />aada~
<br />
<br />~
<br />
<br />-
<br />
<br />r :
<br />
<br />~Ti .
<br />.
<br />1'LOYr IN CONDU T~T-~OR sAMPLE ~
<br />~ (
<br />03) 'a:A ~; r,pp nr,:acac
<br />A '•~; r., :x:x C+rrp (~: _)
<br />TNRU TREA7'NENT PLAN MEA{UREMENT O.OS4 0,068- .
<br />~
<br />. ~ ~~ i
<br />", " ~ "
<br />50050 1 =0i'D trEnwrT"': ..*fRSPORT~ DP.'TIOHAL'> _
<br />~ '':4.~Y]ii0~'
<br />t .`'.4+)r.[r,y:Y. at:[gSYg;: .p.xr,, `tRKLY NSTR_7
<br /> ~~
<br />.[' •
<br />+:..
<br />
<br />SOLIDS, 7DTAL~ {AMPLE ~ a~:a.aka ": t[:~:a~:oo (~ -) ;aa;:>s;;;L ~ o1;:4aL::4 ~ -_ {.19) .
<br />DIES OLYED ~ ~ MEA°Uq[M ENT .. ~ 1' - = 340OnOO Y .1[
<br />- v •
<br />70295. 1 -0 .D ~. ~. ... .. .
<br />`-FRYR..-
<br />REgU1F [M ENT
<br />iL`r~la0h..
<br />`.n4_::Lust!°'
<br />ooa`;
<br />.i'r,,ctii:6o'
<br />:~a»t•t%!,:,'
<br />`,REPffyq.r
<br />(:
<br />~
<br />i
<br />T9LY.:
<br />,NAf~
<br />.
<br /> . .:
<br />.
<br />.
<br />..
<br />'
<br />+
<br />- .
<br />OIL lND GOeISE ~~ :AMPLE '~ o:};:Y,:(j;L ( qy) jA..d:us„ .Araaca f'
<br />~
<br />~
<br />.r~d~ ( )
<br />VISU Ai) _ ~: MEA6UpEMEMT O .. _, _ • N
<br />64066Y 1 =0 0 ' wecy
<br />ti aEPORM .#a a4.4.' E5=1 'on(:r,4~[ , :;hrjr,:>aa:~? ` . dG;,[4~!r; ~4r.,t EEKLY ISUAI
<br />rl Rrea
<br />f
<br />r , .
<br /> , ~
<br />MAY{?ITL{ PRINCIPAL {x[CUTIVE OFFICER ~ C[q*Yr uso[n Tw[iv 01 [.w ina ~ n•vL V[RSONALLT [a.Mm[D
<br />wND .Y lANR~M M LN
<br />WIONU.T
<br />T1
<br />~
<br />T
<br />~ TELEPMON[ D A T E
<br />
<br />~~
<br />Brlaq Ounfee
<br />'- p1. SyBNI
<br />[
<br />CD MCR[IN.
<br />AMO °I.SLD
<br />ON I[T ~NQAgY OI
<br />Lwy[ IFOPOUaLS iNM(PaILLT pC5Ppn9EI[ IOx
<br />oe+alw..D Tn[ INIOP••.[gA I e[LI[VE iNf SULI
<br />' gY
<br />R
<br />,/~" ~ ~ J
<br />' .. ~
<br />'
<br />-.
<br />
<br />I1gr.
<br />EnvlrO(wental
<br />Studies W TT[D
<br />MAUON
<br />O
<br />2 iW[ •CCLR.T[ .n0 LOI•R fT[ ~ uI wnlq( LwI iN/P[ SG
<br />MIC.nT •
<br />N
<br />iRS IO
<br />TT
<br />l4
<br />
<br />. :.
<br />i
<br />~ 1
<br />~
<br />.
<br />{
<br />'
<br />' (
<br />µ
<br />q SuBYI
<br />IN4 L.I$[, ~NI Oq WlL7•• wC
<br />1gNG
<br />[n[ ro•S~burT 01 Ieif .NO IMPP5pNM[M 5[[' le'USC:11L0~ .[n0
<br />]]uSC 1 I)~9 ~An•p+
<br />I
<br />1.
<br />u
<br />N
<br />
<br />61GNATURE OF PgINCIPAL Ei CUTIVE i .
<br />('L
<br />yyL %14`5p53
<br />-
<br />
<br />92
<br />
<br />V1
<br />
<br />J
<br />TYPED OR PRINTED - ~ ..
<br />..
<br />,
<br />r
<br />aNN. n.u unW /mr. •V l.. tII~NO
<br />•^I ••^••~^+••'eu•~+^~.nl rl ti~...n[~..nr.1. •.e5•...:. I OFFICCq Oq AUTHORIICO A4[NT A EA NUMYCR Y[AR MO OAY
<br />_ _ .. _ __ ___ _ L...._.. .. .-__ __...... ..... .. .'
<br />. ~ ~..... i'r,J{~1n.•.. I
<br />I~ 110 DISCHARGE. OCCORS REPORT "NO DISCNAAGE't~:'OIL :E CR~A'SE.:{DEG) -- iFA YISIP.LE SREP.N IS DETECTED A CRRR
<br />~SAf1PLC SHALL BP COLLECTED AND A4ALY7.F.D FOR DEG. R~?ORT SAMPLE.,R£SULTS AS RN ATrACHNENT TO THE DI•,R. NO
<br />AML .q....M.-I -- -'--- ~ --....___._
<br />On017/ 1•~11r)i-1714 PACs for i
<br />- [
<br />
|