|
^tRMITT[[ NAMt/ADDR[ff (fndlde
<br />F[t0iry N[Inr/LDalbn l/dlprernrJ
<br />slrela_1:.0.1.JYY~LO~I rnrD^SLI___
<br />woDR[s[rntnuv~NTRa ______
<br />---5J3+ STATE wIG41YAY_1~--
<br />ry /ITIOMIIL POLLUTANT OI[CNAwG[ [LIM IN ATIOry SYST[M (NYUE$l
<br />DISCHARGE MONITORING REPORT /DMRI
<br />_' 7-I6 1~ 11I NO R Form Approved
<br />(soeR Nu- h®pltT('(o. 2040.0004
<br />PERMIT NUMI[R Dr[c ryw wo[ NDr[[w
<br />P- P I N A L- E%plres 9.30.91
<br />__,NY_r<F'N _•___-__~~xTr.u~_~ ~ MONITORING PERIOD P~RUSpECT $ED PD/GOOD SPRING Cfi
<br />•ACIYTY
<br />~
<br />-~_~~
<br />Y[AR MO DAY YEAR MO OAY --. ~ ;
<br />~
<br />LocwrloN ___ _____
<br />_______ FPO"" TO J ¢'xa NO DI5CHARGE• ~~ ~ ~d4
<br />6 C T N : RICHARD G, A K I N S 0 N Rol/I l77aJ~ (7t7J) ~• 6~ / n ~ v/ ! ) NOTE: pad imtructiont 6Bfor mplBtinp this form.
<br /> (7 Card Only) QUANTITY OR L~ADINO (~ Card Onl/) QUALITY OR CONCENTRATION
<br />
<br />PARAMET[R
<br />(I6-JJ) (JI61)
<br />(J8-lJ) (I6.7]) (JEa!)
<br />~ NO
<br />
<br />% Fq EOU ENCY
<br />of SAMPLE
<br />
<br />TYPE
<br />(J7-J7) ~ E ANAIV[IS
<br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITE 6761) (6168) (69-70)
<br />OIL AND GREASE SAMPLE 1}60riRlt ( 94) ~. a#GtLgIR 8d~1~#O GGOn00 (•
<br />~ _
<br />
<br />YISU AL
<br />MEASUREMENT
<br />~'
<br />, : i,
<br />ouG66 1 0 D ~>
<br />°~
<br />~
<br />~T3~ ~
<br />~
<br />~P ~~~~ ~ rt ~.~•
<br />~ ES=1~ ~~~~~~~
<br />~ ~~ ~~ i.n.~Ar ~
<br />~~~ ?ft.. 4#0 ~ °~~
<br />. ~Te~~~
<br />
<br />PP (
<br />y
<br />~`p
<br />y
<br />f
<br />~q:
<br />k-' ~~~~E`
<br />' "
<br />~. d: e
<br />e
<br />°
<br />r w
<br />'
<br />~ .
<br />~~
<br />$ a ~ p
<br />'e~y d~~~i9
<br />$
<br />A
<br />~ &eq ~~~~'d
<br />~~ i
<br />A
<br />~
<br />0
<br />~~
<br />'n
<br />~ i i q
<br />"`"W
<br />~
<br />L N c oss v u q
<br />n
<br />» A
<br />'
<br />`
<br />.A r.
<br />.w
<br />~ s
<br />bR
<br />~. - w
<br />~
<br />.Grtta ~ P•m'
<br />°~
<br />p
<br />~.
<br />. v p ~ ® m
<br />0m
<br /> BAMPL[
<br /> MEABUREM [NT
<br />-
<br />~ •
<br />-
<br />']
<br /> 3 .- is
<br /> ~
<br />)CI6•PB
<br />~~ ~ ®
<br />Via; ~', ''
<br />ae ~C~ ~~~ ~ . - -~ ~,~:~~6~'~
<br />~)~~ , ~,~}~ ~. ' ~~; ~8~ ~~~ ~ ~ m '~ cs'
<br /> ~ ~
<br />~ ~ a _ _ .
<br />
<br /> SAMPLE T
<br />I
<br />i
<br /> YEABUREMENT ~ ~ ~
<br /> . ~~~,§§ffiL°
<br />"!Q[
<br />IN~M
<br />[ °ia,`,+~s~a""'.~'a®°'$«a~i
<br />ffi P~ ~w `~°~?y¢m
<br />~ ~ .i
<br />~
<br />? ~~n' °Po ~ ,a4'''
<br />~~
<br />~
<br />~
<br />~x e~%ae Tw, e .~
<br />-~V°~
<br />e
<br />~ ~ ~a,•ga ,~ ~
<br />~
<br />~ ~ _
<br />T ~ ~
<br />'
<br />.
<br />a ~ ~' m ~.~ .
<br />} a~ ~'
<br /> ~
<br />.
<br />nya °~s ~ ~ ne
<br />a %
<br />~~ ~ nR
<br />i'$i&`~ •
<br />~ ~p~
<br />w
<br />~ 3
<br />~
<br />s
<br />`~ r
<br />y~?~
<br />~,
<br />~ '~
<br />~'~ ~
<br /> :
<br />° y »a
<br />ra
<br />, a
<br />. ,b
<br /> BAMPLi
<br />MEASUREMENT
<br />-
<br />
<br />~ ,
<br />'I
<br />
<br />1
<br />- i
<br />:~ i .•
<br />t.
<br />
<br />S
<br />'
<br />y.
<br />.
<br />g~ -
<br />1 r Y..
<br />' ' mkaa
<br />F~'.
<br />~
<br />.Q
<br />8~ Y@
<br />h ~ @'w
<br />~~
<br />~~R~ ~
<br />. 'e
<br />~°a~~ ~
<br />,p
<br />."° RW.sm
<br />'
<br />~ z-
<br />~
<br />~ - ~ ~"
<br /> ~$.~
<br />y~
<br />['t$'~- ,a.
<br />~S~h.«~z
<br />en' ~~ ~ ~~~a
<br />a~
<br />b~.nC&
<br />~
<br />'
<br />b ~q~~
<br />~~ ~•~
<br />~ w•
<br />°
<br />~"•
<br />f°
<br />a
<br />~
<br />yy~
<br />S s~.
<br />x 1,
<br />~ m. ^'<
<br />~ ~ _ ~
<br />
<br />~ ...
<br />i $e
<br /> a@rey
<br />„3bi.n 4'.:.^ Y3x Rww .Sate %pu. .
<br />~
<br />P
<br />.e .
<br />r ~f~~d
<br />0.
<br />.P.. ~- `n '
<br />~
<br />,
<br />RO.. '$e' ,~
<br />tg .$'~m' ~
<br />9w ~
<br /> SAMPLE
<br />' M[ABUREM EN
<br />T ~ ~ ~ _
<br /> ~
<br />~
<br />~~yK~{~~`j(~T~"r»e
<br />~ °~~~.a ~ A
<br />~ 'sa'~~R~o¢`°Sy~. '`a
<br />~
<br />~ .. ~"~c"~:~~yr ~.
<br />' ~', `Y~ n~t yy, J~~';,~m E4.c
<br />~
<br />' .° ~
<br />~ ~'~g.$ b
<br />" ~ g:.
<br />~'
<br />~
<br /> R-w'f'~
<br />s µy
<br />~~~.~ ~
<br />"~ $.~ ff ~~n~
<br />e
<br />9}
<br />$~`, t4 l~Ca~ P
<br />qS
<br />~ ~~ ".a N ~i ~
<br />~ 0" &~
<br />~
<br />H 2 ~n
<br />~ ~ ~s~p ~~))
<br />ceS
<br /> SAMPLE -
<br /> MEABUREM ENT ~ - ~ - _ •
<br /> eed ~ N'ft
<br />~$~ 9 ~ wg~~
<br />~ '~6 19
<br />®~ ,}
<br />g'
<br />~
<br />~~~ @ ~
<br />~
<br />m
<br />~ p~mce
<br />~
<br /> R~
<br />~~ .~~
<br />~ ~ .gym a ~ -. ~~ ~'
<br />~
<br />~~ ~ gra, , ~. _ . .
<br />,~~ ~a' ~
<br />.
<br /> Po
<br />s g a
<br />a , K~
<br /> SAMPLE , ~ ~ i ,
<br />C MEASUREMENT ~ ~ r I j- r -•
<br />1" r. 1 •~ _
<br />C uv
<br />C
<br /> ^
<br />
<br />L ' ~~ d ~
<br />'~`
<br />~
<br />~ .gym ny° ~• ~ &
<br />s~~d"S~~~~'~~aw
<br />~' x 8' B ~
<br />'i ~
<br />a~°
<br />°'
<br />~ p~ k.
<br />~ ~~a~'~ ~ ~`~ 5
<br />~~
<br />~"s~~
<br />~ 6a ~
<br />~ • e.~~
<br />~'~~~ : ~
<br />,. 4 ~
<br />,~. «
<br />w~ ,
<br />.4'
<br />yz"
<br />°
<br /> y1RFN
<br />rL'I
<br />4 a
<br />~
<br />~e
<br />~ ,
<br />a
<br />~
<br />X~
<br />~
<br />' ~
<br />~
<br />' e.~
<br />~
<br />~~ ~
<br />~"
<br />~ .
<br />~'
<br />a _' .~ - ~
<br />m~%
<br />'a
<br />~ ~
<br />~
<br />'
<br /> _
<br />~
<br />e -
<br />.
<br />~~ .,, xy,p ~ n.~.
<br />?~ - ~
<br />: ai ~a
<br />~ ter <
<br />~ .~
<br />~
<br />x ~~
<br />~
<br />,., a
<br />~< ~ ,6c
<br />-
<br />CEgT1FY UNDER PENALTY OF LAW THAT I NAY[ FEwEONALLY E[AMINED
<br />I
<br />NAM[/TITLE PRINCIPAL [%ECUTIVE OPFICER
<br />AND AM FAMILIW M1TH TN[ INFORM;tTgN $UBMITT[O N[REn1 MID MSEO T[LlPHONE D A T !
<br />R.G. ATKINSON OBTAINWG NE ~OgMTIO:I"DIY BOE LVE IN MEp SUBNITTED~IFORMEATION ~
<br />~"
<br />
<br />'s 'n"E ACCURATE .ND COLIRRE I AM .w.qE THAT THERE .11E SIG r1~ET1
<br />~
<br />B244451
<br />p
<br />95
<br />•
<br />NIfIC1NT ISNALTIFS FOq SUBYTfING FALSE INiORMATON. INCLUDING
<br />HSEa & LAND MANAGER -
<br />POSSiBI
<br />or FinE
<br />NMIS
<br />[NT SEE
<br />T
<br />L 1 E1/ V
<br />; .
<br />~ 03
<br />AND I
<br />DryM
<br />NF
<br />LrtV
<br />IB US
<br />1001 AND BIGNATU RE OF PRINCIPAL E[ECUTIVE
<br />IJUSC I IJIB IRwllr. wdrr IArr N[Nb. n v mrldr /ur.
<br />m Jlgau
<br />.y
<br />TYPED OR PRINT[D a,d „rwN+imwn rmONVrnnl.r;I.r/brvT.n 6wvinM. r.M.i rrar..I OFFICER OR AUTHORISED AGENT NUMBER YlAR MO DAY
<br />COMMENT AND E%PLANATION OF ANY VIOLATI°NB (nr/errnrr en uvucnmrnu nnq ~ --
<br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF <= 10-YR, 24-HR PRECIP EVENT IS CLAItlP.D.-' IP CLAI11 APPROYE0~8i' •
<br />dQCO, TS~G IRON LIdZTS ~ZLL NO'[' 8E APPLIED TO BEPO~ED ttEASUREMENTS--SEE L A.lAr` PG 4 AHD L B~Dr PG 6.
<br />R~'~ IRVLwcts[Pw
<br />
<br />MAT NOT t[ YB[D.I
<br />m 1u~7a~nonq-tau
<br />0•
<br />
<br />
|