|
F[RYITT[[ NAM [IADDR[fe (/nHudl
<br />FeN/ry NaY/Loarbafdiff<enr/
<br />ADDR[f[7 nQ(` ^n!;N*v 'I 'lA f1 J'I
<br />~1T ~c. ________ _
<br />__ ~P.L
<br />---~~'~ ~ F P ~ ---------n 11-F 7
<br />-Ae~TM-----------------
<br />LOCATION
<br />nwnoNwL Fo uuTw Nr oncN ww D( [u Nm wnoN +v sr(Y /NiDE1)
<br />DISCHARGE MONITORING REPORT rOMR)
<br />116 l1 /9
<br />^7~115f,'.9 ~~~
<br />P[RMIT MUM R[R or+c..Awcl wur++w
<br />MONITORING PERIOD
<br />YEww Mo ow raww Mo OwY
<br />FROM TO
<br />....,a
<br />~ - . o rl .; '; ~ Form IAPProved.
<br />_ ^ ; .; .~ (, OMB No. 2040-0004
<br />r - ^ u ~ ~ - .. •ApproL~heFpireN X631.94
<br />NOTE • R.MI in(truetiom h.for. mmd.tin[ this form.
<br /> (J Card OwIF) OU ANTITY OR LOADING (1 Card Only) QUALITY OR CONCFNTRATION
<br />
<br />NO Fw [00EnCv
<br />{AMPL[
<br />-ARAY ET[R (J6-SJ) (lldl) (Jda!) (J6JJ) (1161) '
<br />[% Or TY-[
<br />
<br />(77-l7)
<br />AVERAGE
<br />MA%IMUM
<br />UNIT/
<br />MINIMUM
<br />AVERAGE
<br />MA%IMUM
<br />UNIT[
<br />
<br />676! wNALrus
<br />
<br />(61641
<br />
<br />1E9.70)
<br />~H t: i,: ~: • v~r [rth ;: ~.) ( I .: ^.hhl: '( ( 11I
<br /> {AMPL[
<br /> MEA[UR[Y EHT
<br />
<br />1~tGG (
<br />'
<br />•'~<P[RM IT
<br />.. {L rl f[,.~h: "„e
<br />° .~tY~~n$p
<br />Z
<br />!~7k
<br />(,'r,`~I° ~,,<&~°'~
<br />d
<br />~;~
<br />' /~
<br />'.z ~,.G ~s~®Q trt f'~&
<br />t
<br />~ w
<br />°9i`V,`$z°p q[~
<br />~
<br />;
<br />~
<br />~F;N<,b
<br />'
<br />
<br />'~ ~
<br />
<br />~F~LUE4L ~9~~~ ': A1.~t .
<br />R[OVIRM [NTe a:'~t... ~ °.. ..x.
<br />,~r '.~ , ~. g
<br />~e:
<br />'.. ..:,_; ::,>s qxe Y
<br />~;• r
<br /><
<br />;i~F•~.al~~~((."1" : ~
<br />'z . a. ~
<br />:.;?
<br />'.`s, ~rn",Ir fag. m
<br />~
<br />~M~.•`~~
<br />cIJ u
<br />~ a
<br />;)LIDS( SST°LFArf.= [AMPL[ 9'(.4toy., r..._...;:~n': ( ' •vS':rt~ ( 'r.l
<br /> MEA[UREMENT
<br />OD5N5 1 ,; ^ '<'°~~lixlr"~ .i;~i~4t~~.Qi. ya~.d`[h[ag~ ,. ~a~a:4a:M:
<br />.~~.. 3~P:.~•SAA,y
<br />' 6. :~ ~,: .yam.
<br />eFFLUeNr ('ig7Sr Vsr'1~ x. ayk,.)'e. •,*'y`.i' ~:4..gnu'~s I'h::t ~
<br />~; 'KK ~s
<br />~3:~'ax~ a~ ~L'ttl~ ~:r.~: c
<br />?IL ANf~ ;F.FASr
<br />[AMPLE #oo~;l:~a :t:td':r,:. ( I r.Yr,.~O^? n'-h p. ( 1?1
<br />R.:DN P.YTR-GRAV A!: n.1 MEA[UREMENT
<br />;!0556 I D m.<1[RMIT a% „ l~EQ~Q~~-$.~
<br />
<br />:: g`;Ik ~'Af,~&.
<br />
<br />'
<br />~..
<br />.. a..b pQ ~:~µ~~~ ~
<br />
<br />F ~.8 b.~a#g~~..
<br />
<br />~ aj,a),i.. ri.
<br />
<br />.
<br />, "...:a
<br />~~
<br />'fit`
<br />~ .R[OVIR[M,[NT: •~T. "Y T+( 1
<br />~' :~>Y~
<br />^
<br />~
<br />'
<br />~
<br />• R. y ..
<br />e'°-
<br />v ° ~g d
<br />~I..~:a,~ .[ r. ~ .
<br />8"
<br />`$.."
<br />N
<br />i.f ~
<br />~w'
<br />~ _
<br />u
<br />~ yb ..~~
<br />a+$-o
<br />'
<br />;~~
<br />~ ~
<br />. ~ .
<br />t .~'
<br />~' ~ : f L $ z 1,
<br />)
<br />¢ A
<br />rFFLUEM! GR15c L ~
<br />i .
<br />Via,
<br />.
<br />.+e
<br />.
<br />? _
<br />,
<br />,.
<br />x ~:
<br />.
<br />e.:.A x. .:
<br />a .>
<br />i
<br />., ::
<br />,
<br />^
<br />
<br />I L .7 V ( III ~ , V G i I ~ T 7 '(
<br />[ A M -L E
<br />; .) ~ t
<br />...: ~ .I '.
<br />h 'v ': ..
<br />~ `] ~' : '" ~ /
<br />l
<br />'iRU :FF4I'!F~T SLAY;
<br />l Y[A[UREY[NT
<br />.
<br />.
<br />S ~n.r'.rJ ( ~ ~
<br />'?'h7LRYlT "~. p •, r,
<br />:"%~.#7~~~'Qs4`~`~a. a, 1~{I~ .;~
<br />:.; v;n~~~~!n,'~
<br />~r 4p 61a ~~
<br />
<br />,,.}, .=ate' >a'~
<br />•..'
<br />~
<br />` em.,%.~4~?:a~~ei'.-
<br />_ ~'
<br />- ~ 3
<br />'2. 'Y4;
<br />~ ...`. -D~b' ~
<br />'.a.':`
<br />.&~i ..~-•, ~aa '~, ..
<br />~
<br />.s
<br />~~
<br />E'PFLUENT ;H;155 ¢AI.I!. KgVI
<br />_.~,.,A
<br />9 :$31#~` k;~• ~A•.!4°"S' .8 `t~G ~
<br />p.
<br />.
<br />x'i.,_ _
<br />,
<br />,
<br />g;~.,~'o`>%.,~, .
<br />' „~am~':.~m•~ ozo v:~~: ,, .~'
<br />SOLIDS( TDTAL [AYPLe ~!t'ytk{: 4r; r,!:t:t ; ~ G'tkL•YY ( ]~I
<br />
<br />GIiSOLVED YEA[UR[MENT '
<br />7 0 2 9 5 1 -
<br />
<br />• ,: » .... ti
<br />
<br />
<br />w >'
<br />H11N IT
<br />`.'.
<br />P , ~ ..~.
<br />V.~(E:>~±}r ~ ., , ra ry ~:.;
<br />~~U S*k..
<br />~ ~
<br />~~ r s91'c D-
<br />.y'P.: ~ .~~~
<br />`
<br />'
<br />^~P~ ~'Lp
<br />'~~
<br />~G s
<br />S- -<;,., ,6 p
<br />YxQ~t"
<br />~
<br />~
<br />~ ~ •
<br />ai7~
<br />.
<br />
<br />. ~'..
<br />
<br />
<br />PF I1F.N ':AOcc vet_•I .
<br />R[OVU[M.[N
<br />_ S-.
<br />
<br />~ .. _
<br />>~" ~e Y.~.x
<br />~c>-I~ o-.
<br />~" 5
<br />P >` 4':, •i"e^.a :$42 ~Yi .e j:
<br />
<br />'~'
<br />Y'r'..0'SF'X ~;; ~',Jy.
<br />
<br />
<br />. :;: (: ~ . n
<br />:'W $~
<br />
<br />V ; ~ ~. Y<~ (,.~:~ .$ M'. _
<br />,
<br />.. V.. yy
<br />5 E'~Y` fie' ~
<br />k:
<br />}
<br />1
<br />~:I .S~
<br />
<br />
<br />.f ~ 1. ~Yr:
<br />DIL AND ;FeA;c ~~: r-oat ( aU1 -: ly r•::>o ,p tkr. F. G~FO^.6 ( I
<br /> [AMPL[
<br />VISUAL MEA[UREMENT '
<br />8u066 I ~ () f_~:/[RY~T.~.,.b .-~~+ry~'a~r;'
<br />~ ;.~'.,
<br />~;~
<br />~ ~5=1 "s~~'.Po {It.a~~:rr~~a~;.^ s~`sa ~~~~>Jly'g' ~I,
<br />F.~~q.~+f~•'. .§
<br />~
<br />'-
<br />Y; .d'1C :~Y,,
<br />° R LOVIR[N [NY .
<br />~ ~'"
<br />x
<br />~~s
<br />"~`~ s
<br />~'
<br />~
<br />'S ~ r~
<br />~ ~~"~ ~ a~'°= ~~, r~~~ ~. ,'
<br />`~c
<br />'~ rt(,, ~~'
<br />vA[.I)
<br />£FPLUEHf CP.~_ ~„•,; b :
<br />Mk;~ ~N ~
<br />{AMPLE
<br />'
<br />MEA6UREMENT
<br />.: s'P[RY IT I~a"r e.,` "r:' .~e.~~.~,w ~:. °: ,. ;.:>~:- ._ s-~I;x. `. ,B~.s~ rm•: •;~,^ 5,$tl .`-ipy,~~
<br />n$.. Y
<br />xY. d"~ .~ var~'
<br />:~'~~tS4lf'.3
<br />- t~ )C4 ~' °S. qr~-x j
<br />' $'
<br />:
<br />a
<br />~°
<br />•
<br />'
<br />~.
<br />~
<br />~
<br />~e
<br />~
<br />r an
<br />'~.
<br />~
<br />ay
<br />.
<br />.
<br />.
<br />vT
<br />,
<br />.
<br />, ;k: a (~ ~.g ""1~3
<br />R[OUIRLM WT-
<br />'Y.~...~'%
<br />;~i
<br />'>~lr~,-gyz.`,j ~
<br />'.50:
<br />?
<br />?.
<br />?'~i'
<br />{iji:'~
<br />`~
<br />SP
<br />~
<br />$ i'
<br />.
<br />'
<br />4~
<br />~
<br />.
<br />'
<br />~
<br />'
<br />'
<br />~
<br />'~"
<br />~~
<br />~
<br />~~~
<br />~
<br />'
<br />2-.
<br />.
<br />.
<br />.2
<br />C>
<br />.
<br />.
<br />~
<br />P.
<br />,
<br />,
<br />:
<br />,
<br />i
<br />e
<br />A".
<br />e
<br />%i.
<br />.
<br />.
<br />.
<br />.a
<br />£.
<br />5..
<br />~T .$ ~
<br />N
<br />~ T[LVNON[
<br />NAY [/TITL[ IRINCIPAL [%[CUTIV[ OFFIC[R I CLRTrtr UNDO, PEMALT]' OF 4r TNAT I NAVE F[q..ONALLr [(AYIN[D
<br />AND 1Y FM.ILW rITN TN[ INFCPYATgN SUIWTTLD N[REM IrHD YSLD ~' D A T [
<br />ON YY IMDUIRY Of TNDS( WgVIO11AL5 IW.CdwTCLr p($I'OHSI{LE !Ow
<br />/~'/ /' fw` OGIAINrN( TN[ INFOPWTIO.`I I {(IEVF TN[ SUM.T[D INiOpYATION ` ~~~~~
<br />W / /w. LiA/ I$ TpUL ACCUpATL AND COYFLLTC I AM 1N1N[ TN1T TN[pL /.RE $IG c
<br />W ///""`
<br />'
<br />3 3
<br />`
<br />NIIICAMT FCNILTI($ FO11 $VWTIN( FIILSL INiDNY111O11 WCLUDING
<br />IIH~ll7N t~_-/U6 ~NE~" TN[ vosslerLrtr Or rm[ AND IYwGDNN[NT SE[ t! u5< 1 10pt ANO [IGNATUR PRINCIPAL E%ECUTIVE
<br />ld. /
<br />[Igau
<br />1
<br />b
<br />b
<br />b
<br />1
<br />TYP[D OR PRINTED rn .y
<br />rr r
<br />~ m
<br />. w nr
<br />.
<br />rT. rhwan. .w
<br />]I DSC
<br />.•d..,.....r.nr.Pn..rw....l •J A•r.~..lr+•.wrA...I:....., OFFICE OR wUTNORIZED AGENT NUM[FR Y[AR MO DAY
<br />COMY[NT AND pfPLANATION OF ANY VIOLATIONG Ier/rrrw[r aY urw[m.llnu nor!
<br />OIL 5 GPF.ASE--iFF "t?IA1+'' F/( Pn!;- 3. Sci". i.?A9~F. :~LIn' :.I'.i' :nV~.rrr 7y;-~ ;r :e 1 -fPl 7!-'H't ORF~TP
<br />EVP.Ni CLAIr.F.~.
<br />EPA Form !3267 (Rw. ~8!) Pr[vloln editbns may be used. IR[FLAC[f [Pw FowY r-ee rNrcN Ywr Nor R[ us[O.I ~ ^ ,r 1 ~ ~ 0 ~, 7 ~ 1 _ 1 ~ z ~ Pwoa (oP
<br />$i
<br />
|