Laserfiche WebLink
cnmll ~ cc NAMEr DFEaid IIBCIYdc <br />Feri)i!y Nemc/Lor dilYertnl) ~ p r <br />NAME _,) I. ~ .- ~ ~= `~~M~O : ~ Y~~t----- <br />ADDRE66=OLnYY(1 MT!1E---- ------ <br />- - - <br />---=7_3~STAL=~f' LGH4~LL~-------- <br />--- M Ec~~---------~~-~Ii11-- <br />FACILRY -------------------- <br />LOCATION _________ _________ <br />A[l'N: R. D. USILTD9, PAPSIDP.~NT ~ - <br />NATIONAL POLLUTI.NT 9CMANGE ELIMINATION 9Y8TEM /NYDtS) <br />DISCHARG NITORING REPORT (DMR) <br /> <br /> ^1;R"0. 17" ~ n1:l <br />A ($'JBR NYI <br /> PERMR NUMBER o <br />Buce A, a euNee, O - FT't A L, <br /> ~ ~~• TATLO? <br />'~ MONITORING PERIOD <br />•~~~ YEAR MO DAT YEAR MO DAY ~• <br />PROM ~ IA TO, ~ I aaa RO DT <br />• (7o-n) nz-v) a4-7s) .' lI6-171. !78-191 no-Jn ~' NOTE: Read in <br />II / - <br />ffergpgpprOYfd. ~~'~ 1 <br />OMB No. 2040-0004 <br />P~PgfBYe11O1{D1711 ~[.~ ~4 C R E E K <br />SCN~RGP.'. f F::aaa <br />etruetlone betor~pleting this form. <br /> <br /> (J Card Only) QLIANTfTY OR LOADING (4 C1N Only) QUALITY OR CONCENTRATION <br />~~I"OT <br />PARAMETER ~ .(46-53) (54-61T (18-45) - - (46-SJ) (54~U I <br />~ NO. <br />EX <br />u,IALY fAMPL[ <br />TYPE <br />(J7-J7) AVERAGE ,MAXIMUM UNITE MINIMUM AVERAGE - ,MAXIMUM UNITE . <br />/6741) BS <br />(64691 (6F70) <br />7i SAMPLE aazaaa aahaaa :44`aa~a ~ ( i2I <br />.- MEASUREMENT '~ ~~ ~. I ~ i <br />~ <br />;'~ .~ . .a ~: t; <br /> <br />0147 L D 0 <br />~.PERMrr ~` <br />4aaaa* <br />:acaog~~' <br />aaa ~ <br />5. <br />. ti <br />;dala4a;z ~ <br />9:,0 <br />:.; . ~ ., •.r •. <br />~ <br />£E!C i t, .~ <br />RAR <br />e~PLUeNT r <br />R~ss trALUE REQUIREMENT.: ~ ~ aa~aa" . < <br />, <br />'ri~e2nUn , <br />CIttX'1 <br />MA1[I SD - a~~ . <br />~~ <br />a~': <br />. <br />. <br />• ,:. ~ . <br />:)LID:iF T7T0.I. SAMPLE C-aaaa6 >x <br />aa-aa a#aaa: (.L!)) -. <br /> MEASUREMENT ~ ~, <br />. ! ~ i <br />~ I? (• <br />0)537 1 0 D ~:T'"_ ~+st9araa - -oaaaaa., aaa ~ ~' <br />bsa.q,a~;; °-.V_;,',#~, <br />3',s<. 1.~.~,,.;`'._ytiw.y :, rrL ~ie!<%" AN~.. <br />R <br />~ <br />I;PPLIIP.NT ,ROSS .VALU REQU6{E,nEr+r,, '--.r_.. '~~-F; °',,. ..;_ aaaa'' l, <br />-::.~ a) : <br />°iDD!A:~11YG' ~ A ~Lf ~: !9G f. ~ :~: ON. , . <br />,"r' -- <br />. <br />S)LIDSF $F.TTLF:AHLF. SAMPLE xak-aa #aaaaa I ,aaaaRb aaaaaa ( 25) , <br /> <br />I MEASUREMENT' q; <br />.. <br /> <br />' ~' .. <br />,- " ~~ ' <br />c <br />07bu5 1 D 0 -~• <br />~.I 1 a ''~iewr.'i aaaQaa e~atRa ar;-- sa <br />s• ~ as~aaa~ 7taaaa ~ <br />t ^.~ ,~,.~°"`, <br />Pi> <br />t <br />;N ~„~, r. <br />~ Nt:~ " <br />k RAR <br />~ <br />FFLUP <br />NP GROSS VALUE REQUIREMENT;: - <br />~u <br />~ <br />;x <br />: 2 ` <br />` <br />~ <br />~ <br />:i~ <br />1'` <br />aaaa~- <br />~ `~ <br />t <br />~ . <br />{ <br />n <br />t <br />"M <br />~ a <br />~.? <br />:~' I . <br />. <br />l <br />O <br />` <br />, <br />. . <br />. <br />. ~ <br />, <br />. <br />..: <br />„,5 ~y zE . <br />D 'I tiL Li: I <br />R! <br />(ILL AND :,REASE <br />~~SAMPLE. -aaaaaa aaaaaa aaaaR: at:aaaa <br />-- <br />( 1BI , <br />P3 EDN BIITR-GRAY , ~t:T4 MEASUREMENT c. <br />. , ~ <br /> <br />' ~ <br />~. - ? p,V i .I; .V _ <br />,. <br />n• <br />. <br />•• ~~ <br />07555 L 0 D ::.. <br />PHRMI7~~'.~ ~ aaaa,- <br /> <br />~ ;... aaa~etr. .. a <br />ab <br />~ R;:aaaaao=#< '.;a a~aa~!°~ <br />y' ~x , <br />1 :."w J, ~ ~; <br />~+•.' ... y~=- <br />f-• ~{ p <br />D!f.TLpI - <br />IIAH,• <br />?FPLD°.NI ~R.)55 VALUE? REOUIreEMErrr ~ <br />,.y: ~,~Fp ,tom oaaa.'' i~:~` ~1':~• 2.NSy'°~"!tlll~: MG/L~. ,%?~ C+Pq~~: :`` ~` <br />L:DNI T.IiPL I. <br />~ 6AFIPLE .'aaaaaa #naaah ,I aaaaaz (-LgI, <br />(A $ P ~ I ,-. MEASUREMENT '_i - ~ `! 7 L, ' 'r <br />' <br />' ,, <br />... <br />' r' , <br />~ ~ ! 1 ~ i <br />~ <br />''" <br />... <br />~ <br />,, . <br />Olou 5 1 0 D' ~~ ' <br />~ <br />ri ~ot+ -a.a:= '~.4araaae; <br />~~ a = <br />ao <br />a' R~ <br />.a~ ,~ <br />A„ ;5•,:sx:,,.";~"r <br />4 •~ <br />; ~ ^ ; <br />~ D "~ x <br />L i ' ;.; <br />:. > k :~;. G~P, <br />N <br />~ la lt119'.., <br />EFPLUY <br />NT ' <br />R7S$ <br />VALUE rt~au <br />Re <br />ENti ' >"~: <br />s aaas ( 3 <br />~ + ~ ' i <br />A AV <br />~a <br />30 , <br />DAL~~~T~ 'tX RC L '~ <br />k'~ <br />' . <br />I[ <br />1' <br />. <br />- <br />. <br />. :..,, s <br />,: ;. 1 . <br />, <br />. ~ - <br />, <br />s <br />• D8 <br />R <br />CLOY, TN ~OpDIIiT OR SAMPLE .: (~ ( <br />J3) aaaaaa aaaaa: aaata? !., I , - - ,. <br />C!IRU YREAI't1EN: 'PLANT MEASUR~MENT Ctl ~ CL: ;I l, <br />I ~ I <br />: . <br />- 1• <br />57057 1 D D ,'~iiM1T` DPL'i0Y'll $ <br />'RF.PORL"- " aaaaa~la.A ~' aaaoa ~ laaaa+~'a"'+ aaa' ~'""" <br />s $1~~[~T N5T14N` <br />~.PPLIIENT ,ROSS VALDe "EauIREMENr. ,:30011,~1VG , <br />~1~1{TL1'"-"11i:: !1,:D { ~, ~ "~- ~ ? ;#'* ~~ aaaa.. , <br />?~?,~, ~-n_~'~ 1' <br />SILID$a T)TAL SAMPLE. aasaaa aar<aaa aaaaas, aaaaa~ ( 19) , <br />nISS~LyED <br /> <br />.. MEASUREMENT ,. ,: .~ : ' . .. ;i , ' :. ..:' l i I ' .~ J <br />11 m Y i .. . <br />7:'29, i 1 <br />~ _. ~; ~ ,'.~ <br />- PERWT ~: aaaaa• 6a+sgnq~ aaa aaaatr~+~ <br />k ~~rf aaa``L, ~;~'7f!"1i0R " „ m ~, '!eL ~~~ RAR <br />t?PPL7EN! GROSS IALIIE ~!KQUIaEMS~~! -, ~_, ! ,.,.~ ~`'~. _ <br />aaaa l <br />~rl <br />~ $ <br />~ ~~~'naC~tiv. ~'D14I~T3~h' : L <br />n 'x~? ?~#*~ <br />`~ I~lr. <br /> ,. . <br />. l _ . <br />NAME/TITLE PRINCIPAL EXEGIITIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED <br />~ TELEPNONE DAT E <br /> <br />R <br />G <br />ATKINSON ~ ' AND AM FAMILLAR WlTN THE INFORMATION SU6MITTED HEREIN. AND BASED <br />Drv MV WOUIRY Di THOSE WpVDUALB IMMEDIATELY RESPONSIBLE FOR <br />OBTAWIND THE WFORMATION. I BELIEVE THE SUBMITTED INFORMATON IS <br />y <br /> <br />. <br /> <br />~ <br />. <br />. <br />I-' <br />H <br />TRUE ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE <br />TES FOR SU <br />TOf <br />IN <br />s <br />T P <br />F <br />E <br />FGRM <br />T II/aBi~J~ <br />iI <br />O <br />O <br />SED & LAND MANAGER, y <br />lcrvlFlcAN <br />ENAL <br />BMn <br />WG <br />ALS <br />IN <br />A <br />CLUDNO <br />THE PosSIBILITY of FIrvE ArvD IMpFI" MENT SEE IB usc. 1 IOOI AND <br />fl <br />3 <br />318 <br />ft <br />nK <br />O <br />h <br />I <br />d <br />{ <br />61GNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED 1 <br />( <br />lll <br />f YII <br />C! l <br />tle IleNlu nY/ IIIC <br />Y <br />C <br />pG Yp f0 <br />3 USC <br />lIOpW and pr me+lmum Imprirorunenr d between 6 monlh+ PM S 1xPn) <br />OFFICER OR 4UTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (XCICIrnrr all 9ItaCOmrnO Otrr/ _ <br />SETTLP.ABLF' $OLfD9 LIN[T,.APPLIR$'DNGT IF'C= Ln=TR„ 24-NR.PRP.CIP ?VSNT IS C!.RT!JED.I IPiCLAIN APPROVP.D'Rt'~ <br />~D'D, [S$ S IRON L.IM2iS~::Y[LL NDT 9P. APP:tIP.D TD RP.;PORTP.D !1EASDRP.!l~NTS-:-SF.P, I.D.LA~ PS' 4 AND 'I. H.LD,' PC '6. <br />EPA Form 3320-1 (Rev. 9-BB) A'evious editlals;rnay O6 USed. (REPLACES EPA~FORM T-40 WHICH MAY NOT BE U6ED.1 ~ PAGE OP <br />- oozzv4unRZZ-L~si i. <br />