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I[RMITT[[ NAM[/AD DRlfa (/nClRdt FitGlry Nast/Lour drryernr/ nuns-3~~1T~• ~ ~ L~ F :+~~A ~L--- 'woneEnl3 OSI~ Y~LF _________ -AesuTV - -- LOCATION _- 'F -_-__--_--------- A?TN: DE'INT-S=L. STF.V FflSf]`I PR1?STf1FE1T NATIONAL POLLUTANT DHCNw RG[[LIMIN ATION IYSrCM INPUL4I DISCHAR MONITORING REPORT /DMRI 1 17.19 caooo cot u PERMIT NUMB[R RIEC Nw NCF nvMttR _ MONITORING PERIOD YEAR MO OAY YCAR MO DAY FROM TO I '~ /JOJh /77Jb I]/. fl /76. r /7A.I91 /36 11 Y t1I1:GR Form App (SUPR NW) ROYB'INo. •0004 F =- PI N A L. ~ Explrea 9.30.91 ACUTE NET' TuSTINGL.FOP. 002A tdr NO CI ;CIIARC•E •~~~ fi~a NOTE: Reed instructions before rnmplatinp this form. (! Card Only) QUANTITY OR LOADING '- (/ Card Only) QUALITY OR CONCENTRATION - ~- NCY Fw[o u BAMPL PARAMET[R (I4-J3) ~ (1161) (dAI!) M6Ji) - p161) nE o ` ~ TYPE (SIJ7) ~ - ' wNALVUS AV !RAGE.' ~ MA%IM UM UNITE ': MINIMUM AVERAGE MA%IM UMI UNITE P/F STATRE ~4~NR ACU' -SAMPLE 4aTSaatt ~.' ~Qaaa~i ) ~ ([ C ~ _.. ~ laaaatt0 ~ ~~ "9A) ~ 'I ryD ~~J •/T~ ~ C£RIODAPtf NI:A_. MIGBU REM ENT - . :-. r : ~ ._ ^ - - " D / TGn3H. ~ = 1 ~ -0 = ~ - I~ ~ I ~ T e:. >:ttOl°s,i~'~;~ ~°~~ °'Tw?;t„# .~?l~~ ~ •aa~ = s" e'r ~E~Ts:n= s~~ ~~' °sit:~i4?9~sM~. ~-'.r .~ 13~tt+';~kf~ ; _ 550 r ~° TR ~ ~ ., ... .: 8A6'- EPFLUENT GBO55 Y ALU R I aM'' sI t a ~ ,, 'T: : «.R.;M<-~~ x b . r~. ;;`A'-~ ~~.:~; ~ + +~r , ' 'g 's':s w~~ ~ . > "~ ' +: ~~ `' ° ; -: ~° , . ~. ~s r ; s ~::~ ~ . ~ : ~ fa p _ . - g „ .m4z.; ~ . z -, P/P 5?ATitE ~96HR ACfJ: ..`BAMPL[ olYaar~a-' ~Ya12a~aglr ( ); R •ti ~ ~' ~ I~la~oaa . ' ;( ~I~)f O ? > qj~ ti~ G PIME L U ~ MRABUREMENf P ~ - . 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C' ~,~ Y^ ~ - -BAMPL[ L G L ~ ," ~ - ~ 7 - - ~ N I ~ .w v :] (~ - _ MEABUREM ENT ... t- Y T; _ ~ • t, .. T{ _ r .. y~. - t+ C. Pw .: _ ` \ - H S^ .. ~ ~~~! •Y.P[RYIT .° C.r s;q«•.Xs Mam'~m .°.' ~„'~, ! .. J ` ° ' .. w sal: "~J xa,`e.<ap' ~ ' °° ~ '~ :~y x. xgs. ne#,p ,a gs ~ n e° .. ~~ F ~ ° a ,.( z ;t.4 m,.y 'a .gx',5 ~ si' :u xa. ;°.)E~;. a ,~i, a w %'.5~~' ~ ~4 &:~`'R7a 8 r" '§. + aREigUI bM CFIT'. N.N ® ,'ya r . ~.'~ "~.,; 9 ~ " - 4 r^ x+ a8 i y „Po.ay NOT ~A. ~<%..,..r ..,.srv] a' r 6 . ;%' '. ;:,«::. %~ Hen _ ov"r"; ~ )rw ~ :, &.d". .' ... 0,• d'rY ` :'ffiR Po'F/~ .. <n a :'i'. YT , ~( FMC. `.'i° ° N 8e ~ m ° .S v ' ' ~ _ ~_ Fne{ ! ~ BAMPL[ _ \ ~ a -' `, _ ' 'I' _ - 4' ' 6; - -_ ~. - M[ABUREM ENT .. '- C . ~ . C _ ' L- .. ° "T .;e PtiRFl ff~ ; ra s'_Sx ''6?. ;« j °i,~°m~g`a~.°~a3 a •~ -j - a p:¢°~~i a~s~!? aza.~t~iyaa ':`.i. v > °~ kea'~b~.:,~,°~y,~n a x ' ~. `PAL : tea;^y '. ~",.~ ~, gi.: ..`.° i' k - II~UIRq~MiNTa 'g ie ~~~ e. ;x~ ae s ~ pn ~" a'~ ~ ~s' ~' i c 1 ~R y,e~ <'Y°.t .ai,y. a~'xtl, ~~ ,. ., s• , :~" .. , ~:: ~ a $ h .' , ., F i $ .. _. ~ ~ '\' BAMPL[ - .- _ n ~ - r : ~r .. I - 1:_ _^ _ - -i _ .. ' MEABUR EM ENT . _~ •? •: ~ " - ~: ....a•..... `PERMIT °°~ .. ~8x `Y.~:.. « 'a. s: '`' ~ '^ .k8' a ~~ 'pA %: 'Q~ ° _ ~~ .. a°i a~-s?s'a. °q.'iola •' T s'3aia ia° ;~ :,2 a'.eq..vi S;:, gg A, ~a. . S`~a° '3„ .e. nx, n ... C~,.f6. r:.' YOO :5~9'%t ': 8,m:''.. f ' ~`.. °~ Wei xRq~p . a~• ^e~': Ya.I 5<' s: ' -i, R ~';:'.;V; . ` . .. c 'R~¢UI)1[MtN T"- " i ~ sA °lei i~ ~~ ° , x a ~:x x&- ~ { <.m, a p .R '.~t,~ '.~a'.~^ , x l ,, p... S ni~,'f, 9~y> D'a ~ k. s ' 3 8° ,..5 ~¢:. siia a~:" ; 1 t . a,: a~ . :: f ba.. , . s ~ s ,a :~" ~m ?yn.,; A - .. '_ ~' ~ ~ ~ BAM PLE ~ U " . _ - . - ._ ... J ` ',_ :• 7 - - I 'r ~ _ _ ._ _ _: ~ MlABU REM ENT . ` Y~ ~ .., _ ... r A ~ M `_ `.. __ ~. .. '1 u ~ ..,ym.. ~:., ~a 5r .. .:'PERM 1~.. •ka °..n. ° ~`~.~° w "'d b%i•~' .. 'rte ~Q,r~;:.~a~.e.R. n • ' ~° e~ '°~~' " ~ ^ .~- / ..g ~,w.~..¢aL' 'Y~. 6`ea e ~~s~ ~Hx. x sC„e. :~a y~aa, ~s'm.;~i .. tt.:u°a , °as~.a'~i:~a 'de" zs'vF'y x Via : "., <k .. .a,x~a ~ ~. ~ .. .. .. Y. ' 'R[OYIREM [NT`; x : ;Y' ~.. >`f. M , .P: , n5 ' xr„ x . s ~ « : m ;lee ~«« I ,'e'c "~' . s ~~°s. ¢~ x ; L ' . In., ~ A . ~ tl ,W ,°.. >° .„ ~ .. PJ V , , Vi ?. . p„~ ac b e, ir ~ . 4. NAM E/TITL[ PRINCIPAL E%[C UTIV! OFIIC[R THAT I HAV[ PERSONALLY [AAMmEO CERTIFY UNDER PENALTY OF Uw r1 N TT - _ ;( ~ TCL[PXONC OAT [ SUBMI ED NLREIN AND LASED ANO AM FAMILIAR MTM TNF INFORMATIO _ . _, /,A l/Q r °° -- ~ - '` ON NV IMOIIIRY OF T1gr[ MdVIWALS IMM[d11TELV R[rPBN51BLE FOR OBTAINING TMC IMFORNATgV. I BELIEVL TNC aUBMITICD`INFORMATION ~ / - '] / J- / .~ ~ i ' - - (` ' IS TINE ACCURATE AHD COMR[TC I AM AWARE THAT THERC ARC SIG ~ MIFIUNT PENALTIES FOR SUBMITTING FALSF INipiMATON WCLUdNG / - (/{~ - [~/ ( SV yYV1/y (`Ln]I ~~t {(tiffs THE PO551&LIiY OF FIN[ AND IMPR50NMEnT 5[[ IB USC 11001 AND 11n 1 ld i 11 810NATUR OF PRINCIPAL E%ECUTIVE / "C~ ,l 7~7-5%•~~ ~J 7 r,/ ~ ' .. TYPED OR PRINT[D 1]19 rhnFfnra vMn IArN FIAmN. wCV mr r llnr u0 l.. 13 u9C 4 ^•dn. marlmvm•mPn+..^I•'Ir••/Mruwn bin„nrA.and.S .I.r.I OFFICER OR AUTHORIZED AGENT A '~ NUMBER YEAR MO DA GOMMCNT:AND E%PLANATION OF ANY VIOLATIONS lrtgrrrnF[ uu urmLnmrnu nrrrl SEE PART-T.R OF CF.RMIT FDR 7ET.IILS OF TEST PRaC~DURE, kFPa3T RF.SIILT. OF IMC TEST .4S "Y7NIrU9° Af+D EO'. f1akTAi.IT'( TEST (AVY Cpi+r_r,Npi,pTiOh) {S "!tACItlL'H" AND A.TTACIt ACUTt TrtXICTTT TCST 9CFIU9T Fa3`! TO D`ti!. E POr 1 (REV. ¢EO) PAVbu9' iflOntf May aBd: " IRtYCwc o'cPw + M-r-te Hlc `AAr nor B[ u[[D.I Pwa[ of (.'•i 0I 2/~: OE11 S-1 2'l l l