Laserfiche WebLink
RMITTE[ RAMErwddwESF ()RdW/! ryn TION wL IO LLUTn NT DIICNwR4[ ELIMIryATION fVSTEM (NPDE51 <br />dByNnRt/Lontbnl/dlJJatNJ DISCHARGE MONITORING REPORT IDMRI <br />-If.'CLL'JJi.YLi;.p? I.SL`hJ?_[: L.13--__ ___ 1-16 1719 ![ j tl'7!i Form Approved <br />~6~B~LP1Jb.Y~1,.I!L''-----_-- --- '•~. i i' ~'.~1 (SUER t!A) t;RJMyTNo. 2040.0004 <br />_T5,]~ CSgT^ IITr:JJ,yi~~~_-- --- PERMIT NVMRCR on<LARC•NVMR[R F' _ FI `!AT EXplros 9-30.91 <br /> <br />__~.I+t YYFM~~~_____~~Hl R11L_ MONITORING PERIOD GULCfI A S~UI POND/GOOD SP~° '~~' <br />elurr <br />_ <br />---~--~------ YEAR MO DAY YEAR MO DAY <br />CATION FROM <br />TO <br />- <br />• <br />.•. •. <br />rl, ] +i':v rl f <br />5 + (I <br />r <br />- <br />.. ., `IO .L:; N~ it-F. ~ <br />~ <br />------ <br />__ <br />1101!1 177-IJI lIt-I5/ /Ie- / 11679) li¢ )l NOTE: Aead infVUetions before complstinp thif form. <br />i! • ' f1 A R D G . A ?' Fi I E, ti 0 ~ <br /> (3 Card ONy) QUANTITY OR LOADING (~ Card Only) QUALITY OR CONCENTRATION rREOU ENCr <br />PARAMETER (16-73) (3d.61) (J8-dJ) (16J3) (J161) NO. <br />EX OF SAMPLE <br />TYPE <br />(37.37) wNAL rs19 <br /> AV ERAOE MAXIMUM UNITE MINIMUM AVERAGE MAXIMUM UNITS 67fi)) (61fiB1 (69-]0) <br />IIL ANC GP.EpSF. 6AMPLE ;LCa4i:; ( g4) :z#r.a:~r,: O~:t:k~;Y );:rAp±:~:~ ( ~ <br />I S LI A L MEABUREMENT <br />I:an66 1 I) [7 `"~PBRM IT Y° <br />„ e .: <br />y-fi~F;l'~ff~ m ei" <br />> <br />'a a': <br />;~„' <br />^ <br />n` ~.']-1 N; '>~?CEYi~ <br />g~ <br />' <br />" A~F~n ~YF <br />a°«~+'A r•el~'~i1Ci.~•.> <br />'r~C. <br />' '(Ih'.' ^ <br />m ~V 4~LY 'E J <br />fI t <br />A <br /> <br />RgaulReieerir ° <br /> <br />' <br />~ r <br />e <br />, <br />< <br />° <br />~ Q r <br />. <br />q <br />° p <br />a <br />;~,. _& , s., ° <br />. <br />m <br />'p < <br />° e <br />e_ <br />a <br /> <br />ar . <br />i• <br />, <br />;. <br />UF. :r: YA II _" <br />.< ~a <br />°a '7 a." - y" <br />_ xaya " <br />os ':; I..; . <br />o <br /> SAMPLE <br /> MEABUREMENT <br /> °PE%ill <br />il' <br />° <br />~ <br />~• °~ <br /> . <br />. <br />~RQOUIRfiM HNT n ~F¢ <br />' <br /> g . <br />, <br /> SAMPLE <br /> MEABUREMENT <br /> P~RMIT•- <r' <br />< <br /> f/T: <br />;REOUIREN.E °p ~ <br />° <br />« <br />, <br /> , , <br />g <br />. <br /> SAMPLE <br /> MEABUREMENT <br /> <br />PERMIT " <br />; e~ :g• <br />- <br />°~- a <br />"`'a« <br />` <br />n 'qx <br />+' <br />°~ <br />`; <br /> RE+OUiREM E'N~ ~ <br />• <br />'a•a <br />R pi' <br />; x <br />e <br />«, ~ <br />s~ . <br /> < a Aa Y ~n ID, 9y ° S6 <br />. s y <br />K. °3< °&,° ~®w <br /> <br /> SAMPLE <br /> MEABUREMENT <br /> "... <br />°R <br />F _'6 <br />p `aa°•>,." '>sa yea" a. ;%a q4 °,9 R§r <br />~<n <br />Fn <br />R. <Fe .fin 54e S$ <br /> PHR <br />I iT <br />EM B}ITa <br />RRQ n <br />° ` <br />~ <br />r `a"a <br />~ ' <br />" <br />` i <br />° <br /><e ( <br />tl : ~ <br />~A <br /> :. ~ <br />; Ra a«~« <br /><w <br />.; e a "az "x~„° „ <br />s <br />A ,` : <br /><'i¢~~~e' sd¢; g A <br />~p <br /> SAMPLE <br /> MEABUREMENT <br /> `~"'°PERiI{IT..n` : " ° ~. °° <br />. <br />% <br />° ." <br />> <br />s` <br />° <br />~a <br />'" <br />'" <br />p ¢ ° <br />' <br />„ • <br />e°ae «` e <br /> BOUIRe)d'EK'~ <br />If o- ~' .~R <br />az. <br />ma, n <br />n. <br />s <br />x<`°> <br />; ' <br />%.° <br />yei <br />x <br />V° 0 <br />; <br />-~ 'a <br />'e > <br /> , <br />, „ s <br /> SAMPLE <br /> MEABUREMENT <br /> " <br /> 'R;EIUIREN~Er{T• ms <br />x° <br />'x'Q <br /> , a % o ~ ~a~N ~ <br />. ~ # <br />VAMERITLE PRINCIPAL EXECUTIVE OFFICER PENALir Of LAw TNAT <br />I C[RIIF• uryDER <br />I NAVE vER50ryALLr EAAMIry(D <br />•ND AM FAMILIAR WITN TNL INFORMATpN SUBMITTED NEREIN AND BASCD ,r TELEPHONE D A T E <br /> <br />ON MY INQUIRY OF TIIOr[ INdVIWALS IMMEdATELY RESPONSIBL[ FOR / <br />~ <br /> OBTAINING TMC INFCRMATq:I I BELI[VL TNC SUBMIT! CD INFORMPTIDN _ - <br /> IS TN(/(, 4CCWIATC 1N0 CCLIFIETE I AM IWARC 1NAT 1NER[ ARE SIG <br />NIFICANi FLNALTIES Fpi SUMITTING FALSE INFORMATgry INCLUbNG _ <br />~/ ~ ~ \_ <br />~ ! ({~ / <br />[ <br />' <br />J <br />1 <br /> <br /> <br />TNC POSSIBRITr Or FINE AND IMW50NMCNT SEE IB USC \ IWI AND <br />]3 USC \ I]19 <br />r Ih <br />M <br />N <br />l <br />l <br />l <br />/ <br />/ <br />rv <br />rlU llx <br />P <br />l <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~~ <br />I <br />"l} <br />~'*C <br />JZ <br /> <br />TYPED OR -RINTEO r <br />lYa u <br />r <br />nV <br />u <br />r. nur mr <br />u <br />r <br />Inr. up <br />• <br />l <br />rM <br />a <br />r~d.,.nMr.~IUm InIp.I..+Inrrl~r../hlur.nEmnnlA. and i.r•r.I <br />OFFICER OR AUTHORIZED AGENT <br />A A <br />NUMBER <br />YEAR MO OAY <br />OMMFNT AND EXPLANATION OF ANY VIOLATIONS IAFJrrrnpr ull uuupnl/Irnli nn[) <br />iC7Lt.A.BLF SOLIDS Li'!f.*. A~F'L?ES OtILY IF' <= 10-Y4F 2)I-HR PF'_??P 8Y°Uf J~ 1'LS;t<['i'. T° CL4I7 1F'PR~V~f` !?Y <br />a'1 I:. T_S~,',vP. rpU•1 L7r1T' ';'[LL 9CT ?'; i~l`CLI":D TO 'if:PnhTr'.n 1'F4St1A'+"175--.°2°. T.(?.lAF F'~ 4 q':il I. 9.Lf'F '1? i <br />^ 8v. 4~04J PIBNOVYWtiOnY !nay DB usBC.' "' IRFPLACCS F.A Pow wNICN MAY Nor BF usFD.l QF or <br />J :1111 )G ~')'l ,a],) a_T Il, rl ~~ <br />