|
/lRMITT[[ NA DRE11 (/n[/Ydf
<br />FEN/JyNaM/ seu/
<br />AOORtilB r'f1 Lf1Y ~/, MTNF _---_-_-_-
<br />--~5]ii ST~TF gf(:HY~~i------
<br />--- NFF.KER ---_-_-s„O_ AZ64Li
<br />~welurr ---------------
<br />LOCATION __
<br />--- R AR -- A ----------
<br />nwrlonwL FOLLUTA cnwwof ELIYINwTION frlTEM (NPUESI
<br />DIBCHAR `' NITORINO REPORT /DMRI
<br />716 - !~
<br />IlRMIT NUMEER RncN •wcE nVRwww
<br />- ~ MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY ~
<br />FROM
<br />TO
<br />!" T N O R Form Approvet(ea
<br />(SORB NN! n®lfR1No. zoao-oooa
<br />F - FI HA L Expires 9.30.9,
<br />STREETER GOLCH TO GOOD SPGS CP.
<br />-i ~
<br />a^'~t NO DISCNARGF. ~~ ~ ata
<br />NOTE: Ra1d irotructiorD baforl eompiatinp this form.
<br /> (J Cwd Only) QUANTITY OR LOADIND. (1 Card Only) QUALITY Oq CONCENTRATION ~ ~ I FREOUEncr
<br />SAMPLE
<br />'PARAMlT[R (16+73) (Slbl) (J815) (f6JJ) (J1.6/) NO..
<br />~ OF TYPE
<br />-
<br />~~'~) _ "' _
<br />~ _ EZ wnALrsl•
<br />
<br />' AVERAGE MAxIMUM ~ UNITS MINIMUM AVlRAOE MAxIMUM UNITS
<br />676J)
<br />(61fi6)
<br />1b9-70)
<br />PH SAMPLE
<br />MlA1URlMENT 'aaaaaa #aaaaa
<br />~ ( ! I ~ y~ aaaaaa ~~ ( iZ! O / ~
<br />B
<br /> / ~ RA
<br />00000 1 0 0 `~~na
<br />P
<br />rr
<br />~ ~~
<br />° ~~ +1'~~; ~~ a*~a~° aaa ~ ~b'°~ ~R
<br />E~
<br />~
<br />'~ ~~ ;ate 4°.&
<br />~
<br />~° "4~ ~~~sce~~
<br />°
<br />°
<br />~ ~~~A` g.~ ~~.e
<br />~
<br />~ ~~~~
<br />~
<br /> E
<br />}
<br />~
<br />IfE~TV17~EN'~ as o-°. xa~p ~s o-~»
<br />~
<br />~
<br />~ wv
<br />:.
<br />eg ~~e
<br />~
<br />Y~ e.a~
<br />m
<br />~«
<br />°~« ys
<br />%m x
<br />~
<br />.. ~:~
<br />
<br />F P.N C 5 V
<br />.>~~~~ #~
<br />~~ s~,x,~~
<br />®
<br />~
<br />s
<br />~m
<br />r~P~s` aaaa <.s&
<br />~
<br />g m ~
<br />,
<br />SOLIDS, TOTAL 1AMPL!
<br />M[AEUREMENT aaaaaa aaaaaa ( ) .aaaaaa ~~ ~ /'
<br />~ A
<br />~~ •' r 19
<br />~
<br />O
<br />/
<br />~Oe
<br />Q
<br />SUSPENDED / ,
<br />/1/!w
<br />00530
<br />1 0' D ~~
<br />~'~'
<br />m
<br />~i e ~
<br />~~~'~ e~19« ~~
<br />"t~~'~ ~~,
<br />° ~
<br />aaa ~ .
<br />~~s~4
<br />f
<br />'
<br />~ ~~~
<br />~~~~~~m~»~~ ~~a,~~ ®~~
<br />~ ~3~~~@~~~¢b~a~~~
<br />'
<br />~~
<br />~~ >n«rm~x~
<br />R~4~gm,
<br />
<br />u N RD s v r~
<br />t+
<br />r ~, vE o e~ ~ t
<br />g
<br />:" ~ ~e~~' c ~
<br />~3A:~g8
<br />•
<br />a+aaa : .
<br />~3 .~°' a
<br />'~
<br />" A ~ e e .e .m ,,; e. a ~&p
<br />~ ~p ~:~;
<br />,~ ~"sg
<br />a ° AH x. m. ~a
<br />~ ~• ~p
<br />SOLIDS, SE'flLEABLE
<br />'
<br />~' SAMPLE
<br />MEA/URIM ENT ..aaaaaa ~_ aaaaaa
<br />~ ( I.• ! J
<br />'' aaaaaa. ~ r:aaaaaa i=
<br />D ( 25
<br />!
<br />~ -
<br />/
<br />.= o.. _ L
<br />F~ Q R/~
<br />DDS05 1~, D~ D., &`~ ~pbY?~°
<br />~ ~y ~ ~~ ~ ~~
<br />" aaa 1'. ~~a ` a;~ ,~a ~ ~~ ~q s5"~, ~~a~w .'- ~~ ~~~~m ~~~~A.
<br />U A S - ~ - ~ 4 ~ • ~ ~ ~
<br />~ '°~~" '~ 1«" ~~~ ~~ ~ •~ ~a ~~~~~ ,. ~"~~~ ~~'~ ~~
<br />~~
<br /> a as ~ ~ ~ e ~m
<br />.
<br />OIL AND GREASE
<br />FREDN E1CIR-GRAY` NE! awMPL!
<br />MEA/UREM ENT :aaaaaa , aaaaaa
<br />~ (,,;• ! aaaaa# `. ~-aalaaaa. ~-~
<br />IA O Y9
<br />( ~
<br />Cp.JT /)
<br />/rR .2
<br />/'~
<br />V
<br />+
<br />00556 1' 0'~ 0.~ ~~~ -~~ML~'~i"
<br />~ «~ "~q,~~
<br />~
<br />~
<br />~~ }y~~~~ ~ "~
<br />ti aaa
<br />_ ~~~ ~~~
<br />~g ~~e"tg~
<br />~
<br />~ x,~~4$~'=~~=a~~~~
<br />~
<br />~ ~«ws ~ ~, gm
<br />~ ~~
<br />~~
<br />e
<br />a
<br /> ~ ~ef ~&ss'L~~
<br />~
<br />p
<br />~.~ ~ eyzy~,
<br />~~~ .& $~4 ~ 3
<br />~
<br />~'{s ~~ $~
<br />~~$
<br />~'~~~ ®~B ~$u
<br /> ~ j
<br />~ ~ a
<br />IRON, TOTAL- ~~ ~ .AMPLE
<br />MGEU R
<br />[M ENT •aaaaaa ''.,aaaaaa .( :; ) ~ :'adlaa#a '- ~ ~A -
<br />/1 ~'
<br />(
<br />D
<br />O/ ( 14) /
<br />/
<br />L6
<br />(AS ~ FE) n ~
<br />"O
<br />/
<br />C/ 4~
<br />F O O r
<br />i
<br />cG
<br />i
<br />L
<br />I
<br />/~
<br />/~
<br />D1045 1 ~D~ D q~
<br />~~~/ R1T kT~Rax
<br />~ d~~ ~ R`
<br />~
<br />~
<br />~~
<br />~ "C~~O~~~F
<br />3~`
<br />:
<br />tl aaa 4Ry~~~yp~y~y~.
<br />~ $'4S8'
<br />f~
<br />~
<br />A
<br />r ~ jy
<br />g
<br />,~d'~.4"z
<br />'~
<br />~
<br />$
<br />~~
<br />R ..yy'~ ~ffi-g~~~"$`
<br />¢~a ~R'
<br />~ x~~
<br />'?
<br />°~q $..6~PPP~~~®
<br />7
<br />E~
<br />"
<br />°4 ,
<br />A
<br />x
<br />i
<br />j
<br />},
<br />~
<br /> ~
<br />~
<br />~ . y
<br />&
<br />Fffi~
<br />B ~
<br />~
<br />~
<br />~¢
<br />> ,n
<br />ffi
<br />~g
<br />g
<br />-q ~'p
<br />w
<br />$c" ~
<br />I ~
<br />a
<br />8
<br />e+ ~e~
<br /> ~
<br />a
<br />ha
<br />FLOW, LN~CONDOIT OP.
<br />THRU TREATMENT PLAN SAMPLE
<br />MEASUREMENT Q.~3 ( 03l,~ ~ :` aaaaaa aaaaaa. aaaaaa (. ~ ~ ~5~~
<br />50050 1: 0 -. 0 ~ DER' ~ Po~
<br />`yo
<br />'Ei ~"~~P~°~°~ ~~. E;E~!~.~mg •
<br />~ ~~~$ ~~~i ~'~~i a; d~~~a~~~aA
<br />~
<br />~~ ' aaa ~m~<
<br />~
<br />~%~ ~~.
<br />r
<br />~~;~1r
<br />
<br />F
<br />FFLUEN RO S u ~
<br />4
<br />~~a~ ~ ~ ~~ . ~1
<br />~~mA ~.., ~ A ~
<br />~: .a~~~ ~
<br />, ~;,~
<br />- ;
<br />~.~Ra~~ ~ ~._
<br />s~
<br />u~'~ ,
<br />.
<br />,,~
<br />. ~ a
<br />f ~
<br />~ ~
<br />~ ~
<br />;.
<br />dam ~
<br />SoLLDS, YoTRL
<br />DISSOLVED C ~~
<br />:] SAMPLE"
<br />MlABUREMlNT ~ ".aaaaaa ,, -,aaaaaa ( ~ !
<br />1 , :, aaaaaa ar*aaaa' /~~D` ~ ( 19) /q0
<br />.I
<br />70295 1~ 0~ 0 a .~'~ ~
<br />~ ~`~
<br />i ~., °r
<br />~~ ~
<br />~
<br />~ ~" ;
<br />~~
<br />~
<br />aaa ~ ~
<br />~ ° ~
<br />~
<br />" " " am". ~~
<br />
<br />'~
<br />~ ~
<br />~ ~&~°~m,
<br />~" ~~ 6
<br />~
<br />d ~.,~ .,.~
<br />
<br />tom;
<br />~"
<br />n ~
<br />e.,
<br />~ ~: ~ E
<br />~. ~
<br />~
<br />~~
<br />~rn~" ter, ~ ~ a~
<br />~~~ aaaa ~
<br />~~~~~~~
<br />~ ~
<br />~
<br />~~ ~ ~:
<br />~ x ~
<br />~ .
<br />~ ~
<br />~ '~ s~~~
<br />NAM!/TITLE PRINCIPAL !x[C VTIV! OFPIC[R I cEwtVY uNDER.FENALTr aF LAR TnwT I HAVE FLRSONALLr EaAMmED
<br />AND AY FAMRJAR MTTN Tnf rNFO/MATp.I SUBMITTED M
<br />gDN AM
<br />ED ..
<br />~
<br />~ TlLEPNONE D A T E
<br />~~
<br />" °. D BAS
<br />E
<br />ON Yr IND,nR. OF TNOSf INDYIDUALS IYMEDIAT[Lr wfBRJNSIBLf FOR,
<br />~ _
<br />~
<br />R.G. ATKINSON
<br />HSEQ & LAN OBTAINING THE MFdYATIDV I BELIEVE TN[ SUWITTED MFORMwTION
<br />IS TRUE. ACCURATE AMD COMPL[T[ I AM AYAR[ THAT TNERf ARf SIG
<br />'
<br />`
<br />`
<br />"
<br />"
<br />"
<br />"
<br />I
<br />"
<br />_ 87 -~~~~~ .~~ 07 II
<br />L
<br />D MANAGER F
<br />R
<br />a F~ A a ~1 oN„e~
<br />~~
<br />~";~°
<br />., I
<br />"M
<br />OssIB
<br />W 1
<br />AND
<br />7J USC 11DI9 rh
<br />lly. wl
<br />. IA
<br />r Y
<br />m
<br />mi
<br />ld
<br />IAB
<br />i
<br />EII
<br />SIGNATURE OF PRINCIPAL EZECU7IYE
<br />TYPED OR PRINTED nA
<br />r
<br />r
<br />R
<br />n
<br />F~ rnr
<br />F /
<br />wr. w e.
<br />!
<br />s.d..rwa.imun rn,Pn.rnmmnl r/A.TUT.nfnnnlA. and.5 ..w...r OFF(GER OR AUTNORIZEO AGENT NUMBER YEAR MO DAY
<br />AND QPLANATION OF.ANY VIOLATIONS (R~/ennes all RNnchn.enl.T hfrF)
<br />SESTLEABLE SOLIDS LIRIT APPLIES ONLY IF <= 10-YR, 24-HR PRECIP EVENT IS CLAIMED. IF CLAIii APPROVED DY
<br />YZCD, TSS E IRON LIH7T5 MILL NOT BE APPi.IED TO REPORTED RF.ASUREMENTS--SEE I.B.lA. PG 4 AND i.D.1D, FG h.
<br />EP r : • (REILACEt EFA FORM T-f0 RIMICM MAY XOT BE USED.) PAGE OF
<br />~nanaiD~nona_,o,e ,
<br />
|