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FrrQlry Nang/Lanrbn gdlJfirrnr/ eu+tis_3~'.l~p~.rn~t. riL~;.tl'C~1S1---- ADDREBB~~ ~'(~'(a LC ------ -- -I L.d.v%IAF.~--- - ~ _ _A~ 11ti~DL - -weT urT -------------------- LOCATION __ ATTNS UE;NIS L. STEY~ti:,O>!, PRF.SIDFNC D18CN ARGE MONITORING REPORT /DMRI 1~ 1~ Tl:rl' ~r •ERMIT N MBFR ~~ RIPCN, wcF nuMEFw MONITORING PERIOD YEAR MO DAY YFAR MO DAY FROM , ,~ TO l/ _ (~ ~.} (10111 /11~1J/ (1I~15/ (16- l 118191 / 1) tS I tin it Form Appr (SUA!i Na) RONtfi?to. ogoa F - FINAL E%plre6 9- -91 DISCHARGE TO T'aIP./FISH CRE!'K ~"° NO h75':H9RGF: ~_ ~ rrr.I~ 'NOTE: Rasd in~ltruetionf before Dompleting this form. (3 Card OnfY} OU ANTITY OR LOADING (! Card Only) QUALITY OR CONCENTRATION rp EOU FHCY BAM VLI PARAM[T!R (16-5)) (Slfif) I!e-IS) (1633) (Jlfil) NO E7( OF TYPE (31)7) •NALr515 AVERAGE MA%IMUM UNITE MINIMUM AV ERAOE MA%IMUM UNIT9 61L9 ~ (6~liB) 169~I0) PH S ' BAMPLE MEABUREMENT u#{:rf#G #~LTl~#~ ~ ( ) ~ 7~ SIrJ4t#1FG ~7 [~ Q /I -I Q ( L2) '-1 }(~ 1 • -L _ , - , /// G l . ~ GOuGG L G G ,.'::PERMIT ~ ~ •-..(YQ'~'jP#ri::- , ' " :>~Lt!bS:h~6:; `" ' eD#L: .~:;- :: o `°i,~,:',E~'# ~ ~~ ~.G'.:~~:", . ~ ::. h LI tae~ - F. F O I .. FLU.,NT GROSS 4ALU RBQUIR,HM ENT. ~.:. •. .;:~, r. e,e :: e. n ., . : , ~~ ,::,....'', .'•. ,!.' ,.... r,a ., . (y ~ *~~ ,g: . °> eq . n a x ,° . .. Y( SOLIDS, SDTAL BAMPLE ##it#r1;t 4##4'--#iL ( ) ''.`-D:)45 {~:= - ( 19) 2 I SUSIENDE9 ... MEABUREMENT / V C) I /(^ (-f~~ G0530 L o. -'o ,.-~~::FSaw~r:;: .. °::az~voaa'. p. >~~~~<~ ~ :#u>t : x~#~tt~~x = .. ~3~PA~'';Aa'° ° 7~0-<~. `v.! YV,. tt;CE' AP.. N S Y I . ;.p .`~` .$. ~ J :tlk ~ '••• M _ OIL AND ::.Rt?ASE ~ BAMPL[ ~#O### _ lY4'1#CI## ( ) iYr~#a~IM ,~ #CG#atr ~':) - ( 19) PB~ON EX?:R?GRAV~MF.T MeweuneMENr - -.. L .ti G. O 00556 - ..,:;PERT; ..: n .. : <Ix#dv~sa.~l. . ,.. .,q = x~ # ,ti °CT 4 Fi?N a+~t:: .:: >~ . ~ !s>;~~<~« ,:n, .; is , p !xo~k!~#p~ : - .,,t .. . (j;ix:: ° ~ ~ pr,x• EFFLUENT~t;ROSS ~ALU R40UIR NENT ~ r €° ` ; g„, ~~:"`;s~ -~-,r" ~ a ' . - <; x~; ,. ., ~ _ _; . ; , ~ . , .,: ._. . . „b„ ;m. •e: . T: . •,. ;. IRDN ;. . ~ . ::; BAMPLE D10 iY1f#O #LIE'F4S(:k ~ / \.. I:) ~ YA (k KTO#R :•r ( .L9 ) ,. TOTAL RE.DV.ERA ALP. MEABUREMENT GC•GZ ~D•~~_ 0 //~' F-.h"i~1- 009 0 '. _ G L '. G. ~ D ).. R.. ...... ..: ...... ee: °)ERYtT °m ,. . w. 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SOLIDS, CDrIAL _ N ,BAMPLE .~. ~Ik #~Ja{7 -. .'_] OIIT .'~#{c. {t# •. ~ ~' _) l!¢>}~I Pfd _ , ` ~ - ~ 7p 19 ~ ~ ~. ~. , ~ ._ DISSOLVEi;+ r(„ - MEABUREMENT ., .. -• . ~~'! Jh~ J . _ .~. ~, 7 I i~ (/l i C 70295 1 _' 0' -D ' _ " ~^i4Rf/{T . ~R ) r ~ n.ik!YjIG~~lfAx i`„ ab e s b ~ s , ";=~al'>x3s~rcte.° a~ ~^. ~ - ~ > ' #ar.I ` a~ #c~ ql#.° . ~ y~ a~.., ~& ~x a ~ ~!''ri 1~~:~ ,1~ ~ .~'~ ' ~ °=xe 5,~ ~~'t) ~1'~s~ ; ~ ~ `°?r:' iti, ~ `:A{~ EFFLUENT G8055 YA ~U . REfd Tt ' ~ . , . ~~n ~ ~. . ~s,;~~. ~t~p ##~ # ,>,.°~ .~. ~ ~ 1~?~~» . « . , q °~~~~' g :.; „ . : ,,~ i ~ _; ms~?.+ _ r n i > <, . . . .a ND :::BLASE ~: ;- OIL A BAMPLE J ~¢#a#54#. ~.: :' , 94); ~ - ::#4a##4 ~ - #####a ##6#I?# ( ~ ), g VISUAL - ... _, . -. .. MEABUREMENT - .. ..-O ~ : `' . n :.. ~-. :: .. O //7 VII.LI '~ ..' 1. ".. 84066.. 1 ... 0 G - ~..'o ~~.. :. .,: ~n:s nP4RM1T..*.aI "~ >?O~T'A~!tf7",i'°A' o .x ' 'me :' a«~,me «. >'y°` :0~"n ~ " - E$-L,. . ~ 4.; ~~>'.!~#rfi bf'sg > ~%' ..~, .~ 1- r 17~~..{ Aa. a m 'A~s'~?Rtf~?~>$,''~ :#.}F. r .$ ~'ri'r :~~5UA EF R20U1)7EM ENT z.w Y ~ ~ a` s ~ ~ ¢e $~ a, ~g c II r : - a~ ~ ~:~&e ~ x f 1 ' ~ % : ; ~ s; € ' ~ ~ mom 'e~ ~;l k ~s FLUENT GR03S vALll[ -• ° ~ - , &x A. ~ ~. G. ~ < ~~~- „g ;r, ,,~« . , rt r. IY .~a ..,.; . a . . s . . NAM[/TITL! PRINCIPAL !Z[CUTIVE OFFICER I CERiIFr UNDER PENALTY Of LAw TNAT I NAVE wEP50NAl(v EFAMIN[D 'ANO AM FAMILIAR WITN TN[ INFORMATION SUBMITTED NCREIN AND BASED _ ' T!L[PNONE D A T E ,~I ( -IP y~ J1 Klr '' G(/r~ V ON MY INQUIRY OF TNOrE INPVIWALS IMMCOIAT[LY RESPON9BLL IOR OBTAINING THE INFCPMATgV 1 BELICVE THE $UBMITEO INFORMATON ~/~ . / 1 ''1/e/w'w p~ ~.J~7 ~'. / . _. O r 15 ipu[ KCUPATE AND COMPLRE I AM ARAB[ TNAT TNERf ARE SIG NIFICANT PENALTI(5 F011 SUBIRTING PALS[ INFORMATON INCLUdNG l l,~( / (/v Y {, 1 I ~~I''IQ f r I((/IY ~, 1~"t(r r TN[ pOSSIBILITT OF FIN[ AND IMPR50NMENT s[E IB USC 1 IOOI AND ]]u5C 11]19 IM1 . IW M nl r mrldr /Inn 114BPI H • Ih mr h BIONATUR OF PRINCIPAL E%ECUTIVE /~T j y-rt?~ 9 / 7 t ~ - . ' TT ED OR PRINTED P a nF r . rr p n up . ,M„rm,.~mrll ullyn.Inm.Ilr.,r M1rru,.nFm~Mrh,,wl .5 .,...I OFFICER OR AUTNORIZEO AGENT A NUMBER YlAR MO OA COM M[NT-AND E%PLANATION OF ANY VIOLATIONS (Rr/rrrnTr RII rrrp[hlne OIL E~GR'ASF--SF.F POOTt:DT,F F/, PAGE. 3. hrrr) '7RTitLI :iP.'7pLINC. TLSTF',UCTIDNS--FOOTNOTE D/R EPA Form 77201 (REV. 9-B6) PnvlouB Witlona mey be usetl. IR[PLwc [f F.A FowM T-.B wNICN MAY Nor BF u[FD.I •ACF o• 0r•r,l17/'a2Co7.5-1 ?I17 7