REP09298

• Permit No: C1980005
• IBM Index Class Name: Report
• Doc Date: 3/28/1995
• Doc Name: APPENDIX G WPDES DISCHARGE MONITORING REPORTS
• Permit Index Doc Type: HYDROLOGY REPORT
• Media Type: D
• Archive: No

t enlB y Nam[/LOI ar bn I/ Jgprrnp
woeRnBL7:~ .~~r~ r~r I`- ` ---- -------------
MCI LIT{ ----_---______-_
LOCATION
ATCY: [`-'-!T° 1.. icyL• r).. nNr ~~pcgn
D ISC11 Alt (:L MONITONING RLYORf •/n181
-L•J -_~1/_7 ur_
L PERMIT NUMBlR or[c Nn.oL NUY[u

MONITORIN G PERIOD
vEwR Mo owr rEww Mo owr
FROM --i TO

/NL1/I
/11~Ih
/11.1JI
1:611 '
1_8_0
Ile 11
'I [ '!; 1 ~• Form Appro vrA
(i0'-[ 'I .) 'Ofll6 "tlo. 2040
F - F T '1 .`, ,. Expires 9-90.91
NOTE: Read intlruttions belore completing [his fol m.
11 Card Only) QUANTITY OR LOADING 11 CRrA Onlyl DUALITY OR CONCENTRATION

PARAMETER
(I6~31/ 131 M1II
13813) (Ib-SJI 13161)
NO.
Cx rw[OV[NCr

O
6AMPLE
IYP[
(3737) i re
NA
•
AVERAGE MA%IMUM UNIT6 MINIMUM AVERAGE MA%IMUM UNITS M1:bll IM1I AVI IM1V-1u1

'
i(

MEA9UREMEENT
~..... r. n, s.

( ,

9

I I

( r

l ~ _.
/ r
v V' ~ /yJ
(`L]rt( ~ 1 r ~ PERMIT t!:#L'faC ~:;: i~~r'i .. t/ELr Ik {i>:"•%`{F {.T G.r' ~f:KL2 sR
+~
F.F''I7;:Nl :II(i(ir VH)r)iT
.. REQUIREMENT
r~ .
____
_
FL:)YF I:I r.Trllllltn' O~
r
.
r[
I T[
'N
' SAMPLE
M[ASUREMENT AA
(7S
~ O
~~~ ( (.~t u.,.:.w.4a.
v..r. ..ww....;~.
.. ... ..:;::;::':~ ( ) ,/']
V 1^/
)
/ ~
N57A
)
,
I~
T
I
I:I ~
TI(~:I ~y
r r ( /
5')^f~ 1 ~ '~ PERMIT RFDQ;tT 'IPTIONAL fi.k#~.~"' .k ,:r,!r¢k •.,:.•t:,v;: ,
~~ '~ ..":.,. c~6G1 N52Av
FFFLU::t.IT c:4ns~ vTr,rl' R[OUIREM HNT 77_~A
AV JX
4ALl.Y MGT :.:.:.
('[L 7?LI[ .~. i'. T.'iI 9AMPLE _
_
'.:w u. .. ~: ::
r ' ._ -
( •~I/)
, ~ -~w{; a..Na _
... .. 1
(
~
(/7
Y [ l li r L MEA6UREM ENI ~ , V~SV~
(I It :)I`J 1 i 1 PERMIT 'V (iQ!)ltf: it ~::~_) -:: iG-/,: I^f,.' ;k,'k T:i{f l} ~,,. .: ~: {;¢ 'T; 2K LY [J(I
A t

„
REOUIREM EHT . .
.
6AMPLE
MEASUREMENT
--
PERMIT
REQUIREMENT
9AMPLE
MEASUREMENT
PERMIT ~ ~~ ,
RHOUIR EM HNT '
6AMPLE
MEASUREMENT
' PERM IT '~
~
REOUIR[M [NT'
..
a
:.y

.,
~
r

.
'F "',
..
.. ~ '
x. .. g '
SAMPLE
MEASUREMENT
PERMIT ~ ~~

NAM!/TITLE PRINCIPAL E%[CUTIVE OFFICER I c[wnrr uno[w P[NALrv Or LAw TNAI I NAV[ P[w6oNAUr uwMlnm
1N0 AM f1YILr1R WrIM TNF INf ORM1ilON $UBMIRFD N[REIH AND BAi[D TELEPHONE D A T E
----
---
`__ J~
~jarJ w{v/YCD
I ON YV INOUrRV Or 1r1O5[ INDIVIDUµS IMM[pAI[LY wI5PON5rBLL rOR
OBTAINING 1N[ INIORMA[q.V r B[LI[VC IH[ $UBMIR[O INIOPMwi1pN
IS IHU[ ACC VPAiE 1HO COMPL E][ r AM AwAR[ TNAT iN[RF wR[ Sq
/ ,` /- /
W ~(/Q yL~J/7 ~ -
~'

'
NIrN'1HT PI NAI irFS [p1 SUBMIT TrN(i [I1L F[ IN[ORM1IgN IMCl11fMNri

VOSGlgnrly O[ frNE ANO INVNISONM[NT S[[ IB VSl [ r(JAr •NO
L
r -
"""VV/" LLL~~~
- --

~] //~~
(
7
Z

~{
9

O 1

Zg
J• Ir IT
USC 1 r]r9 rl'mdln• v.uln rAnv mna. nmr n..ldr Nnr• ur o. llr..vn 61GNATU OF PRINCIPAL E%ECUiIVE _ __ __ ___
70~
y$
~) _
TYPED OR PRINTED +•W •••mu~••.mr+.pnv~nvr...r.,/n.m...,b+u.nrl...ad ...a•.' OFFICER OR wUrNUR12CU ADEN[ AREDA HUMBER YEAR MO Il"
COMMENT ANO [x PLANATION OP ANY VIOLA nONS INrlrrrnrr ull mrw Ornrnu Nnl
i:[f. G Git Ec"--54~ Fnn'^!I'1'I'•- F/, P'!G~ 3. ~-tTNLY Sn`IPLL`I': L";T["1^7I'.`ti!:--PI)r~'("II'T'I. n/.
EPA Form 1920.1(Rw.Y-a8)Pnvloua Bdilions may be used. Iwvuc[s EPw FORM rxe wNlcN MwY NOT PC UeeD.l FAG[ of