Laserfiche WebLink
1 I[RMITT[[ NAM[/ADDR[ff ()RCIYdt <br />' F~nQ(ry NaM/Loorrbn lfdl/firen)/ <br />~ys_rrlt.TUV,Ly,rnir rnM~~___ <br />woDR[f[ r-nt nu vb1L7~___~--- <br />___S,]it STf TF HT(:HYiy1i__ <br />R wrloq wL PD LLUrwwr DISCNAROi ELIY INwrION frsrEM /NPDEJI <br />DISCHARGE MONITORING REPORT /DMRI ' <br />_` 1-16 )~ HINOR Form Approved . <br />(SUER NY) h®MRTNo• 2040-0004 <br />-[RMIT NUMe[R RISCNAwct wVMRtw F - PINAL EXplraf 9.30-81 <br />___nr. r:X i'H ______-~~1f1h3L~ <br />MONITORING PERIOD LOADOUT LOOP SEDI/YILSON CP. F.ER <br />_ <br />FACILITY ~~_~ YEAR MO DAY Y[AR MO DAY <br />LOCATION _~_____________ FROM 9 0 ~TO 95 03 31 ##¢ NO DISCHARGE ( ~### <br />T <br />lzo.z!/ lzz~zil lz~-ztl ~' ~ ! d- I lzs~ I I ll NOTE: Rsd instruetioro bfor plBtinp thif form. <br />R D R N <br /> (! Card ONy) QUANTITY R LOADING (I Cab ONy) QUALITY OR CONCENTRATION FgEOUFNCY <br />BAMP~ <br />PARAMR[R (16-J!) (7161) (!D-IJ) U~Ji) (7141) ~ NO. <br />Ei OF TYP! <br />(3137) wV ERAOE .MAXIMUM IINITB MINIMUM AV ERAOE MAXIMUM UNITe 636!) ANALrf16 <br />(616!) (69~7G <br />OIL AND GREASE BAMPLE #aa### ( gq) ###a## ###### #####a ( ) <br />~ <br />VISUAL _ MEASUREMENT ~ •~ ~ ~ <br /> <br />e4066 1 0 0 ~ s„ m a ,« <br />~+e +~~R~ <br />~ <br />~ <br />~~~g ~~ <br />~ ~ ., <br />~~~q~, <br />~ <br />ES=1 ~ ~ ~ <br />~~e'' <br />~` <br />`~~~'® ~~ a ~ , <br />~"-g ~ <br />##a <br />~- ~ ~ <br />1~ ,. <br />~~ <br /> y <br />~ , , <br />; ~ <br /> <br /> BAMPLE <br />1 _ <br />t- _ <br /> MGBU REM ENT - h ,- •I <br /> ' L~~E Md~~Y <br />u <br />~M~ <br />~ <br />~ <br />y ~~z ~ .., ~x (A <br />~ <br />~ ~,~ ~`a ffi~- ~~ <br />~ <br />~ <br />~ / ~gxp~ ~~~R~: $ <br />~YF <br />~ g ~~.$~ <br />~ ~` ~ ~ „~ d <br />~P `~ ~ <br />8 <br />~ as ;r ~ ~ ~. a. ~ ~z <br />ul <br />' g~O~~ <br />S-~ <br />y <br />~ <br />{ <br />! <br />p¢ p~'$tt`~' b <br />~fep~bn <br />~ <br />aIR` ~~~~n lC~g K <br />` <br />® <br />ft~n &~A <br />~ 4x ~1,~ ~ffi n M~ <br />~ °h <br />R ~+e ~Ba ~ <br />44w~Y , <br />ID <br />~ ~„0,q. <br />°'%a <br />.. <br />' BAMPLE <br />MEASUREMENT <br />~ C'~ `~• ~ ~ ._ <br />• <br />I , <br /> ~ .~PEl~Ft 4~'~a~ aa; xs <br />a <br />~ <br />~ <br />° ~ <br />( <br />m <br />5 <br />"~s •~ <br />s~ <br />~ ~~~ e <br />~ ~ <br />~~ <br />~ a '$&~ <br />~ ~ - <br />: <br />iT <br />. a. ~ <br />a a~ <br />. It~[c)Yltat;~~R ~q <br />~« <br />? <br />~ <br />xe <br />a <br />~ <br />s ~ <br />* <br />~ <br />A <br />e <br />~"~' <br />" <br />~' ' v <br />s <br />~~; <br />T~~ <br />~~ ~ <br />~ <br />a <br />: <br />~~~ <br />~` <br />~ e <br />q~ <br />~ ~° . <br />( <br />I' ~ ~ <br />~~ ~ <br />o- ~ . <br /> , q ~ <br />w <br />~ <br />m~~,~ <br />= a <br />g; <br />~~m.~ _ <br />a~, <br />r~ , <br />~~~» <br />& <br />~~ ~ <br />, . ~ <br /> <br />' BAMPLE _ <br />l' - <br />(` - <br />~ ' <br /> <br />. MEASUREMENT ~ _, -, •~ .I <br />' ~ 1 ., r. , <br />. gr 6~.a°'w B'~.i»~ <br />' &8 B k .~' <br />a <br />~ ~ )q,. -~ CH' e <br />~ , ~ m+,ok • ® ~ <br />c~ <br />°~ ~ 5 •.gq" A <br />~ ce V <br />~ _ <br />" <br />: $(~CI~J)[YMICi7 <br />r, ,~,~ <br />aaa:~ ~~ . era wPo <br />~ ~ r~ y <br />4 m « ~ ;.~s <br />~ k~ _. k ;~ <br />: <br /> ~ <br /> BAMPLE <br />MEABUREM ENT <br />~ ° ~ <br />~ :; <br />p <br />; L .. <br />~ "' 1 <br />(~ ~ <br />~ ~. <br /> . u. ~ <br />y ,. _ ~ ~ ` <br />' ~~`° ~B-11~ ~ ~ ~ <br />U1 <br />~ <br />i <br />~ ~~~. ~ m' ~ w.re, <br />~ <br />~~ <br />a <br />~ <br />~~ ,, k ~ .®'n PoW~e Po a <br />~ <br />~ Z °e~ e ~ & y#~ X <br />~ ~'w ~ ~s<A~ ~a~ <br />~ <br />a <br />~ ~'pr,'w2a~ ~ 'yip <br />~ <br />t <br />~ <br />~~ <br />~ ~ ~~ ~ a <br />~°'~~ ~ ~•~ <br />~~~. <br /> 1 <br />A <br />1iiM <br />I~J ~~ <br />~ <br />; <br />~v.; <br />~b ~ .r ~ ~~ <br />~k~.° ~,~a Ps ~ a <br />~ <br />~ ' <br />"' c~ x <br />y <br />~~g <br />~o <br />p ~ d <br />~ kr~ <br />~ y _ ' ~.~a <br /> ~~..88 8 xVF S ^v~ R 8' e <br />' R ae <br />'ai~ A <br />e4 bRrOw <br />ror <br /> BAMPLE , <br />( <br /> M EASU <br />REM ENT ~ ~ ~ <br /> yy ,~ <br /> <br /> <br />' BAMPLE <br />MEweU REM ENT <br />~ <br />- ~ ~ <br />_. .. „ r <br />.I <br />~ '~ '~ ~ <br />~~ d <br />•. <br />pi I IA ~ - _ D <br />L_. <br /> <br />, <br />~ _ ~ ' , <br />. I _. `~~~l117~1'f~a <br />O <br />T <br />tl <br />C f"k p a~;g~ec <br /> <br />Affip <br />' ~> <br />~R~'.~~ n~a~q~ <br />Y . E e# a~'°~ ~~. ~ <br /> <br />' Y e*~a ~ l~T~'~~a~ <br /> <br />R <br />s <br />~~x~ ~~ - e, a~ga^w~ °`®~¢,~tt <br /> <br />. <br />- 4 <br />A Q 1 <br />IIf7~ <br />I <br />w~Ap <br />< 88.a <br />~ <br />ry R` n ® <br />~~• ra y.~d~ti <br />%'~x~ p <br />w ®w. •,6 ~ t[ fl ~ ffi <br />bm °M'`ba p 8 . <br />~a ~g R <br />Ri&w.. .~'g,y «m sr ~ k ~ <br />' .bF @a& .,kg b~~ ~ R <br />e Nv%a ~~,~ fl <br />~< <br />I CER16Y UNDER pENALTV Di LAw THAT I NAVE PERSONALLY EAAMIN[D <br />NAM[/TITLE PRINCIPAL [i[CUTIV[ OFFICER <br />TTED <br />T <br />S <br />B <br />ER <br />[D ~ ~ T[LEPNDNE D A T E <br />HE INFORMATION <br />MI <br />H <br />EIN AMD BAS <br />AND AM iAMILIAR MTN <br />U A ~ <br />' <br />ON MY RIDIIIRY Oi THOSE INdVIOUALS IMYEdAT[LY RESPOMSIBL[ FOR •. <br />OBTUnInO THE MFORMATIO.Y I BELIEVE TN[ SuBMTTEO INFORMATION <br />~~:"~«"«I`suB~RTIMC":LSE"":IF~M:T'b„"`P,~~D~~ <br />~ ~FITCNT <br />HSEG&LANDMANAGER <br />~ i <br />. ' I 870-pr)A AAC~ <br />{!LY"P1i) <br />6 <br />~l~ 0 <br />. <br />. <br />TN[ pOS51&urv OF nN[ AND IMPRISONMENT SEE IB u5C A 1001 AND <br />MM <br />SC 11318 <br />l <br />ld <br />/ <br />EII <br />I <br />M <br />' -' <br />A BIONATURfi OF PRINCIPAL EXECUTIVE <br />~ ' <br />- e_ ' ' <br />' <br />r- MElu <br />r. nrnr mr <br />r <br />/ <br />IM <br />tM. undrr <br />mn W lu <br />L <br />33 U <br />TYPED OR PRINTlD Pn/nr ms+rmv-IlnpnP.nmrrll n/MtArrn6m.~nlA. Ant.S ..•r..I OFFICER OR AUTHORIZED AOENT A NUMBER YEAR MO L <br />COMM[NT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnrr ull ullpcAlnenlF hrrr) ) <br />SBTTLBABLE SOLIDS LIMIT APPLIES ON LT IP <= 10-TR, 24-NR PRECIP EVENT IS CLAINED.I-~-IP CLAIM APPROYBD•BY <br />Y1CD, T55'-G IP.ON LIMITS PILL NOT BE APPLIED TO REPO ED HFASOREMENTS--see I.B.lA, PG 4,AND I. D, PC 6 <br />! - - • (R[PLAC[f vw -ORM 3 wNICN Mwr NoT BE uffn.) I'r> [ oI <br />t1Tt~~io~ngnA-14tu ? <br />