Laserfiche WebLink
P[RYITTI[ NAM[IAOOR[BB (!n[lYdl N wnoNwL rout/ rwNr of+cYAwG[ [uYIN An ON +rsT[Y (NPDfS/ <br />P~nlily H+InrlLonrbY UdifJuFntJ DISCHARGE MONITORING REPp RT lDMRI <br />n.l na,ol . . <br /> <br />~DOh[tB~.'--. '.._..'~-_----_- - •~' ~ ~ l'.I:. "r. ..;~ !-OMB iNor 2040-0004 <br />-~---.1LJ,.~..t~------ _- ~ _ PERMIT NUMR[h of\cwnwc[NUYrt• _ r.' ~ ~ I. E[plres 9-30.91 <br /> <br />---- - - <br />- - - ----'~tJ"~' ~,~----- MONITORING PERIOD <br />~A <br />ILITY <br />-/~ `~ <br />~ <br />----- <br />-- <br />- <br />-- <br />----- YEILR MO DnY YFwR MO OwY <br />Q <br />/ <br />~ <br />LOCATION ~I Hd(•~/1'I~l 1 HA'$ l / FROM I I 1 I 1 TO .I ~~ l __ <br />.: Ya.: L ' .- E T:1: )} <br />1 '. i B ~ F 1 /10511 17773/ /71.77/ l76~ I 1181 1 !Ja q NOTE: RBd inrtruCliom bBfon CD7RplelinE ihif form, <br /> (J Card Only) DUANTITY OR LOAOIHG 11 Card Only) QUALITY OR CONCENTRATION <br />-ARAM[T[R (1d J11 (71-011 1J111) 116JJJ (71-01) ry0, <br />[Y FR eOOiNCr BAM PL[ <br />TYPE <br />(77.d7) wN AL r+I+ <br /> A VERAD[ MAXIMUM UNIT[ MINIMUM AV ERAOE MAXIMUM UNIT[ 67-0J IEIdd1 169~7U) <br />I'~:' :,I it •1 II 1.~.: AI_11 6AYPLE <br />BU <br />M <br />NT Qi.':''~I: : o. ~l'. . ~ I <br />' .. . . <br />) l ITA) <br />D <br />// / Jam~)) <br />~~ <br />( :.It / I):, R 1' it { f. MEA <br />RE <br />E ( <br />1 C JD rJ <br />f% <br />'/,~~: J~1 ~ (` Il ''PHRMITT ~ <br />i <br />'~ <br />1 ri tTt O'Ii y4 rF~:P: •#'.'.."ry tS:l~e :ifj ~: I}4 .3.' [, x:. <br />$.rr P.O6T a: ..a- ~'' <br />ra.oaa. <br />..~ °~ <br />W,>a~noR7~ <br />~ r- <br />`-. S. -0 w:`:¢4 <br />~ <br />; <br />~;a <br />~~~ <br />T~RU't.~' ,. <br />;~R >r; <br /> <br />Yr I II.- 1, : (il)!- - 4 A 1.'1 1eoulgaM[r <br />t <br />^ a <br /> <br />. <br />, <br /> <br />. <br />>,.., v <br />•y~' ; <br />. <br />.„~;„~:°: ~:..• <br />_ , <br />. <br />.. . <br />:~;a,ca~~ a3 <br />~... e <br />w'ex.:,i~ <br />1 / r -i '• rI l Q /III :I i' (1' fwM PL[ , <br />~.. <br />q.... ~ <br />l .:. s.~ • L. /' <br />~ ~ ~ <br />/ <br />//9D <br />iI <br />G <br />F 1 ~~ t. {..1 ~ { [: r{:'1.. L• {. n ~ MEABUREMENT f J ~ F <br />(3 <br />1,iNLt.' 1 1) r1 =:'~'PERMIT'~: '"~• {i..:.:aa <br />.~ ~ <br />n: <br />' s <br />~'+ <br />~y, ~.tri~4ytjaa;i <br />- „I, <br /> <br /> <br />I <br />: ar u',,: <br />R Rt7~~T'~` <br />'~ <br />~? <br />'~ .. <br />`$!f +Y T`#{~l~ <br />~~4 <br />~ ~y~ .., .. <br />.~ ~pp <br />rK~ <br />~' <br />C <br />•AS° <br />-J ,. <br />.. ~~ <br />IC~~iY _ .,. <br /> <br />}~AAn~ <br />L._ <br />.. .. .. n. <br />I <br />: <br />v 1 R[OVIR <br />[M [NT: <br />.. t <br />~ ,~. =4: <br />.. .~: x <br />4- <br />: b ~ , <br />.w + <br />„ <br />§ <br />~'¢ <br />- m <br />~` ti <br />..:d Y, <br />: .. <br />~ <br />~ '~` <br />~~~ <br />{ <br />I <br />; <br />. <br />.61.n ~ ^ <br />.. <br />: { <br />.i: i.3 L <br />.. r v .~ . l <br />.m. ~ <br />, <br /> BAMPLE <br /> MEABUREMENT <br /> ..J[RMIT-'~•+ '~ .: ....rw~... •:: .b'I .'~'A ~'I re,-~.~:`, ,.' «:.~: 's~jff;~ Cy ~'$s '~1&~,. . ,. ;: _~ <br /> <br /> <br /> BAMPLE <br /> MEABUpEMENT <br /> :P[RY1T "9 <br />.e 4];,~ •e'. s .. ~ .€' :,+ <br />~ ~„ ,a H: >" ~.' ~, "..~'.a '~, y.. m 'd".~,~", '„E..'.~ ~'~' P. 'im ; <br /> . <br />RWUIPEM[NT '° ° ~, ~. `~' y a b,,'~-:~ <br />' ~a [~ ~,• <br />' `w., ~t <br />A =« <br />~ <br /> :.~ <br />.::~ ~ ~ . <br />~ . <br />d « <br />3r <br /> BAMPLE <br /> MEABUpEMENT ~ , <br /> w, <br /> <br />'PERMIT.- m., e . <br /> <br />. .., <br /> <br />.~. ,.,; •.. <br /> <br />a <br /> <br />`~ <br />'° <br /> <br /> <br /> <br />~+a:'YZ' <br />'~ <br />q~+ <br /> <br /> <br />~~° <br />y'~.'~:: <br />; <br /> R[OWREM [NT-- <br />. ... i~g .~ <br />, .<. <br />, <br />~ <br />w. ' <br />' ^o- <br />. <br />& 4°'T <br />.:i <br />'~: i <br />~ <br />" <br />--'g' ~-v~ <br />` <br />~3 •~ <br />~a <br />3T~~ '[ _ <br />q~+as~. <br />~~.A' <br /> . <br />:. v... ~ <br />v M S~ ^:.. . <br />ce ~.. ~ <br />: X <br />..:. ~ <br /> BAMPL[ <br /> MEABUREMENT <br /> ;. s ` <br />M. <br />~ ~ ~ ~ ' ' i• <br />' <br />! .;~ <br />~• <br />~ <br /> ~REGUIII[Y [MTV, .q .n. 'i'. <br />.ps <br />`t k% ~ `.a: ~: ~~ <br />: •p 's <br />~ ~; flx <br />~ <br />~~ .,, y~.~.,:s ~a~ w <br />`° 4; ..~,... x' <br />" <br />~ . .~ , <br />' <br />. ,~ <br />= <br />i~ [ <br />.. <br />I <br />~r <br /> `~ ~ <br />• 3. <br />. :¢, . : s. NE <br />' <br /> BAYPLE L <br /> MEABUpEMENT <br /> ~' P[RMIT~:~ ; ~ <br />,~~ <br />~ <br />~ ~~~ <br />~~ <br />~~ ~ c: <br />~'< <br />`pt <br />~~~ ~ ,¢~. <br />'%y ~''~ <br />. ~- ~." <br />~~r^ <br />~ ~ <br />' <br />; <br />; <br /> R[OWRLM iNT• a, '~, <br />"''~ w K: <br />~``'''. <br />~'' 4„ <br />~.~, <br />°• ~Tt ,~'~',' ... <br />~;" <br />_ <br />a, <br />? ~ <br />s. <br />~;7a ~ , <br />y. <br />` <br />.'T,% t~ <br />. <br />: <br />: <br />r <br /> a. n ~~ s <br />~ ~ <br />~ ~~ R <br />w <br />NAM[/TITLE PRINCI-AL [YlCUT1VE OPFlCEp I CGTVV UnOER PLNALTY OI LAR THAI I Hav[ r(g50HAllY FaAYmEO <br />MTIfO <br />R[IN I <br />OR <br />11pN S <br />N$[O T[LEPNONE OAT C <br /> IND <br />•ND .LM IIIVIL IAR NIiH IHE IMI <br />Mw <br />VB <br />HC <br /> <br /> <br />I ~ <br />' ON MY IMWIRr OI fHO.E MDVIWILS IMYLDAfEIY PCSFONSIY[ FOq <br />OBTAINING TNF INIORMtiq.V I BCLR VF IH! 511BYlTT[D 1Nf DRYAl10N <br />y~ <br />~ <br />/ <br />~ ' <br />~ ! 1 I• <br />•11 `I <br />/ IS Ipll[ ACC11pA I[ AND CCMR[lC 1 AY ANARE 1HA1 IM[p! AIIE SIG <br />BMITI <br />NL IwL <br />1 IMI ONYAl1D11 WCIVDNG <br />P <br />MI <br />T <br />fO / <br />. L/y <br />(.• <br />'L <br /> ~ES <br />R SJ <br />I <br />MI(KwNI <br />C <br />L <br />5 <br />[ <br />- ( ` <br /> <br />I , II 1 1 (' I ( ~1 .I "(/I ' I / IOpI AXII <br />IMl h)SSIMLITY L]! iW( wND IMNIfgMMENI HE IB VSC <br />^I,Y4 <br />1 <br />1 <br />Jd <br />Y / [~f 7 <br />BIDNATU E OF PRINCIPAL EYECUTIVE ~ <br /> 1] <br />.v HoluN. .u. m <br />. hnr. •n e. <br />]ya5r. <br />9 ,Yrrolun uN.. <br />d : <br />[ '~ <br />TYPED OR PR INTEO ....., <br />..n <br />••+l...m..,•n•N.w~r.,..+.n•.,,1 •./M,wwn,{....nr OFFICER Op wUTNOp1ZED wOENT NVMBER Y[AR MO DAY <br />COM M[NT AND EYPLANATION OF ANY VIOLATIONS IRrlnrnrr VII uuurmllrnN nrrrl <br />S II~1. 'I' .. i' ~ I~ .. r.lf.i (.'' J: I ••,'I:.. .f .I"1'., .. .. ,.I;. !' .r: !' :r.;p a°;.Y 1•^~ 1 <br />