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',r; ...,- <br />nntl.i-P_E.19IlD~ LDd1.~.~21-SE11,°.C~ i:' h.r1_..:~a~` : . <br />wopn~Ll3~.03J7.UTf11lAIP ______-.,_,- <br />--_.Ll.d.G~i'A£~_-_-__~.Z~11~L14T ~::~.. <br />..:: <br />--------- - rtl~;, <br />tACll~____ <br />LOCATION __v (ROM <br />lTTD[ AAUIIN n_ 7111 Tl1! - -~ <br />r <br />I <br /> • -~ <br />uLYr• rnlacwnP4FTL~I SAT ONn ][ NPDflI <br />DISCHARGE 1+170 J ;j E ~y-rll>~1~ <br />~ <br />~ Yj~ L/~ -i ,.. <br />-'- <br />s/d <br />•~=~ <br />` :~ 7%+9 C[NOR ' <br />l' <br /> <br />• ~ ~~ • <br />.' <br />r ' Form Approved. ~ <br />/ <br />iV,r; <br />~-• <br />fCf [fyM!Lq <br />pl .~: <br />~''' <br />,l "'..b..= <br />~;' ~ <br />^• .r.,,Y..P <br />7 (3UDR NY)OMB~No12040-0004. ~ <br />royal ex fires 6-30-91 <br />P~ P I N A IPPP P IS I <br />. «1=c„avu,.•- <br />- --v - <br />+ ). - <br />` <br />~odl~oRl <br />~ pl P.,€lal oo Nr5 PHECIP,.2!It~FLU1!P. ;: - I <br />YLAR: <br />YO•. ..PAY <br />T YEAq <br />e, , MO DAY ~~' I "' = ~ ' ~ ~~ <br />olrG No DrscHA~i:e ( I >r <br />~ <br />c4 <br />rzo.zlr rz .vr ^ uav .vl nl a r n r NOTE: fled inLtructions talon <br />mDlPll nD thin form. <br /> (J Card On1Y) QUANTITY OR LOADING <br />-. 11 Caro Irk 'OUALITT ~Op CONCENTRATION ~ <br />~ rw[OU[ncl <br />., 'I ~rARAYLTiq _ (16-111 :Ifldll ~ "' (Je.ll1`~~ <br />~. 116dA1 ~ U161)i <br />'.% No. 4f 6AYPLE <br />TYPE <br />~'. (lJJ71 ~ AVERAGE : MAEIN UM _ <br />UNIT <br />~ ~ MIN IMUN <br />- rA ERAGE <br />Y.. • MAxIMUM '~UHIT• Ex <br />dJtll ALYSIi <br />N <br />(6IdL1 <br />lE9JO) <br />PR ~ - _ <br />~~ ~/AMPLE G'':rr4GT4 44¢t:Ga (~ ;~ <br />~ - _ (r ~4-}ate; <br />, " <br />~ _ .f -I Z1 - <br />3 <br />... MEABUREN ENT <br />_ . <br />, . <br />` - - <br /> <br />DD4DD 1 D, "D <br />;3 PERM IT' :." <br />'¢.. 4(Lf/F(1b <br />" <br />.~3 rj.la(I,~ <br />... <br />. <br />(L rj (r <br />. <br /> <br /> <br />. ;,a <br />,~. <br />~ <br />~.(ib4a 7~1} .. <br />- <br /> <br /> <br />' <br />:. <br />l' , <br />D.. <br />(.9l ~~ <br />: _ <br />.: 1. - <br />- <br /> <br />~, <br />... <br />P <br /> <br />; <br /> <br /> <br />N GRD 5 YA .Il RE WPlY ENT <br /> <br />9., ) .x.. .; <br />„ <br />-: <br />.. z':: '„>~. 3 <br />. . <br />_ <br />.,;.1. ,~..~_"', . <br /> <br />:. ri44~ <br />.. <br />q <br />, ... <br /> <br />~ ~ . <br /> <br />! <br />;_}. - ~ <br /> <br />'Sf <br /> <br />_~~:..^_ <br /> <br />:r_ <br />.. . <br />SOLIDS( TOTAL •[AMPL[ J'JG44:= <br />- Gu44O:/ ('_ ) aj (14441:1 -f:p <br />~~ '// ~) <br />d !'• <br />SUSPCYDCD ~: McwauRENENr .," ;, .' _ '~ T <br />. J <br />I .. . <br />00530 1 Ot ~D y'PERYIT":' <br />R[O a.xas/y~'}:; <br />" ~ a"9ii~:arprs4 <br />.{ G4(r:i <br />_ _,ryy(Iaag}..; <br />_ i<R•,P HT., <br /> <br />.. - ='E PQ <br />Y' <br />~ <br />Iii. `' <br />''~ <br />Y ,.fy: ~. <br />. ...N~EL`; 'RAB'' <br />YA .II <br />RD~5 VIR[N [NT y 1 <br />~ <br />~ ~ ~.~ . <br />.,f 4p4a' _ <br />_ . ;~ r .. <br />is r' iqr <br />p <br />SOLIDS, SCTTLFAyL[ LAYPLE y."3hc(: o`rQ'•`•~'k (: <br />1 _ ~~tl•-yoc •- 4aD4ao ~_ ::.. ( 25) <br />. .~ M[AYU REM FNT ~ _ i _ ~~ ~- ~ ~ _ ~ I _ _ -j <br />OOSYS ~ 1 •:D, D ~' `PERPIr "3ataf1y0 ~3gs41sb ~ GPI) ~ tiirt{i[rd4' <br />~ ': ii {i3~i44' ,`'-~EPORT" ~'-' ~ REE/' RRD' <br />R 1 q 11 REpUIR EM ERT <br />` _ ~ I 0444 i <br />~ <br />[RON1 TOTAL. <br />~- ~ YAY.LE 4:]C~iG~: St14L4: (~_ :) ~ tilt:(:,:1:crl r~ ~ W (:19) ' <br />p <br />r (A .j',. FL) r MEABUREN ENT ". .r _ _ 'pp '. sU I. 4 <br />` _ _ <br />OLOY <br />S ' .1 x0; -O d~ _, _ .... <br />r, r[aYIY : <br />.,: aq+rGOit : <br />;nCUQnrs - <br />.. <br />. <br />r.3c ~; <br />=„~ivG4p6 ' <br />-'RpPORT <br />{(lEi OHT;r r <br />_ <br />- <br />+" <br />'NGF.~ <br />v <br />LRAFf <br />'- . • of UIRPM ENT ~~ <br />, <br />. ._ :. <br />PLOYS 111 CONDUIY'OR [AYPLE (.OJ) : ~.4?1:41]ri 1g t:4tl:}r: ,~L441k!t34 .(: _) - <br />'T - <br />YHRUrREA'lNEYT PLAN MEwaUREMENT - _ - ~ - ~ _ <br />` _ L <br />50050 1 ;Dy =0 wf4 <br />r <br />FniNi •.RHPORT.. DP.TIOttAL,Z' is .W ~'rsa4CsC4.:. =:'dkhQaa:;, ;; (l~pi4hrst;' a~4p <br />, :;; E-EKt~Y N3SA1: <br /> <br />i L <br />n <br />c ., <br />r <br />, . <br />no~:(i <br />.:1 <br /> <br />.. <br />SOLIDS( TOT-L~ aYVLC 441:w 44 AL3344r: <br />~ (? :) .,liq tl`G 40 __ - <br />` (~19) ~ <br />DISSOLYLD~i i L- YEJaUgEMENT <br />1 _ _ r ~ :1 y - <br />..y ' <br />70295 1 '0'..D _ <br />'- :Y[RYIr. 4+kt:444' <br />I <br />: - <br />' =3kOb(iR 404=+ <br />e <br />~ 'y('s7tL(L3.' ~,~: <br />01ST <br />YA <br />In -.:REP.or~r~~ `- - <br />" PL~. <br />T <br />`: ,RAE <br />il~ <br />U N h 5 Y R[4UTAFM[NT <br /> <br />1. <br />:.. <br />- <br />" <br /> <br />~ ~ <br /> <br />GQ4s'. , <br /> <br />'. i' i <br />~ <br /> <br />~. , <br />,y <br /> <br />.. ~ <br />t <br />OIL ~YD GpEJISF -~ [AYrLE ~ Si44i:47 (';9q) is +bGrt:4 = Q4g144C 4411433 .( ,.) _ . <br />~ i <br />YISDAL - M[ABUR[YENT _ ~ ~ <br />, ,. ~ - I _ <br />Bu066r 1 =0' ' D - <br />' VERY IT • <br />~ - R3P RF. <br />~ !f+(?30Y,(3 ~ <br />EJ-~' <br />r nrrlt <br />": 4_ '30(L 3 <br />¢ L1.. <br />'~;4v34p7_ - <br />I?:~(..- ~. <br />; <br />~EZKLY <br />ISUAi. <br />! RF9UIRRYENT ,(' - -'e' 1 <br />~ <br />,' LY Yi.h t <br />NAM[ ITLI PRINCIPAL [I[C UTIV[ OF ICFR <br />rt r I C[w1VY uNOLP I[ruLT O! Lrw }N•r , M•v( r[RSOn•LLV ri•YIN[O <br /> <br />•n0 •Y rM11LIM wITN T^[ WOnY•T161 $UEY~Ti[O <br />[R[IN • .' <br />T[L[PNON[ <br />' <br />OAT E <br /> <br />6 <br />t <br />:' <br />f ^ <br />np MS(O <br />ON Yr VgVIwV Or rl~( MOVIOUIL$ IMY[O•T[LT PL514.SIBL[ rp1 1 <br />~r _ <br />_ <br />r <br />ar~ Uun <br />. :: <br />ee DRLInWC. TN[ WrORWiIO.V , ![L[v( Tn[ SuY4T[O INFOwYLfION _ <br />J = _ 2 <br />-yrt„EnvironmentaC <br />Stud~es 5 TIN[ •CCUn•lL •NO CCMRIT[ I •Y •w•X[ rNAr'rN[R[ /w[ SG <br />N/KANi RFiL i~[S rpR SVbr,TTING r•LSL Fr ORY•Id. WCLYOF4 1t .( ~ tLL /(V <br />l _ ' <br /> <br />: <br />, <br />- Tn[ 1'O$slbun Or nNL •n0 ,YPnSp,Y[nT s[[ le OsE 1 IOpI .n0 <br />flusC I IL9 d.+. u <br />1 <br />. ur- <br />1a <br />~ - ' <br />SIGNATURE Of PRINCIPAL E[E UTIVE _ <br /> <br />~ <br />C.• <br />: <br />~ <br />' r TYPLD OR PRINT[D '- .. r <br />. <br />• m <br />. p+.. w e. Irmo, <br />r-1.+~...~..w.+.nn.nn-xI.I I..1...+1 <br />..+I.L•r+I l.nr.. OFFICER OR AurHOglx[o wGEN! ]` NUYR[R YEAR MO DAY <br />GOMMLNT 1ND [ERANAiION OP ANY VIOLATI ONS lRrlemnre uY uRY hlllrnn hurl <br />;I/~MO:DISCHARGE OCCURS RYPDAY "NO DISCHARGE". OIL AND GREASE (Of.G) -- IP A YISIHLE SHEEN IS DETECTED'A <br />;GRAB;S-dPLE.SHALL BE COLLECTED AND ANA[.Y:F•D FOR DEG. REpOHT SAMPLE RE~ULTS AS AN ATYACHMF.gT TD THF. DMRr <br />P 7720• (fl L*d s ay us r IR [PLILC[ E A PoRM'T~ad Mn1c r [[ EcD.I • PAGC or <br />• 00001/716401-1719 1 <br />