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•uwrTTaa NAME/woowu^ (!nc(YdF nwno <br />14cmry NaM/ dlrye.Rrl <br />': nnns_~_Y_.'~4~L,-rr 15tt1~L:~SIL--- <br />~~wooREta ~OIITH fAi-i --_---_-- <br />-------- <br />LocwrroR 'rwoM <br />ATTNS DEIiNIfi`L. STEVF.'lSOH PRESTDEtlT " <br />C <br /> <br />S <br />NAL rouDT ARr o1.cX. wce uIMINA noN av.rEM INYUl~I <br />D18CNA MONITORING REPORT IDMRI <br />~ [ ~ A <br />/~ <br />-Enwlr NUM.aw ol.r X.RY. NYM..R <br />ING PERIOD <br />YEAR MO DAY <br />TO 1j <br />- /7 . / n .]91 /. / <br />HI!li1R Form Ap <br />($U9H Nil) RAN9'[No. 0.0004 <br />P~- FIHAL EEplrea 9.90.91 <br />ULSCHARGE TO GP.pSSY CRFEB <br />c'}~: so D15CHARr.F ~-~ too <br />NOTE: Read instructions before eomdatino this form. <br />' ~ `''` - (J Card ONy) QUANTITY OR LOADING ~' (I Card Only) QUALITY OR CONCENTRATION ~ ' <br /> <br />~. PARAMET[R pa,fJ) (JL~)> (dart) (ds.TJ) (JI-6IJ NO. FREOOUF NC• BAMPLI <br />TYPE <br />' (J7d7) ~ ~ ~ ~ ANALY91a <br />~ AYERAO[' MA%IM UM UNITE '• <br />MINIMUM AVERAGE MA%IMUM 'UNITE 67fiJ) , <br />lalda) (69-)O) <br />PH . a :. <br />- - EAMPLE <br />MEASUREMENT dQ{L40rY ~4•ta{`Q~ <br />•' (" : ~' `' -7 _77 __ +Aoo~aa ~ y' • .(' 12) /`'~'7 ~r1 <br />~ <br /> p , <br />D04D0 1 Q D <br />.. ;° <br />';PERy1iT`.` <br />~ yy <br />io'~3+Fa~fr. ^~~' <,8 ~Yk. rt~!~::s; <br /> <br />tee <br />'° ' <br />~ <br />° :rFQi ~} ~ <br /> <br />~ <br />~~.mr <br />y~ ~. <br />e <br />, <br />~M <br />R.`:; <br />aQ;* <br />?:; <br />A.?~ ~c? :z: <br />. <br />~ w ,. <br /> <br />¢ °E• Rx <br />Cs°: 'I <br />"g <br />~ <br />tie <br />7Gr$ifL~( <br />Rfl.. <br /> <br />EFFLUENT GR035 VALU R QUI MEriT'. <br />4. RL ; ~ <br />~° <br />"~; <br />"'- ~' <br />ie .~ <br />: x <br />~ ° bf~ <br />~i~ <br />r <br />#r # <br />j <br />~.° <br />, <br />"~a <br />.;<4;; <br />r ~ <br />;. <br />p~. , <br />~'. <br /> '~ - <br />. <br />,>3. w f <br />p ~ . , ^ <br />~AAL _ -.AMPU <br />ME aaaoga. <br />1' ;~ oatfrx~aA <br />~ (, `) ~ .#aaoot <br />~ ;.g= ~ I <br />' 19) <br />~( - <br />J//3 ( <br />~ <br />~ <br />1 <br />SUSPENDED AEUREMENT ~, . <br />` ~ p f= <br />/ <br /> <br />00530 1 Q "~:0 'MLRM)T"..`"a"a <br />~RE illpLM SN'! es'.IR,I(,tt"~~>~~^ <br />3. <br />e ~ <br />~ <br />a <br />~ ~PajLp,.4..A.~, <br />~ #E <br />" :t1YOL ~~d~1?MRWSEP~& <br />:C . <br />'• ,~ni;?~%:~;,,xn;.,` <br />. <br />., ~ <br />.T '&` `~i~'p' <br />•°:.~ <br /> <br />~ <~ <br /> <br />~~~ .~..E _ <br />~ ~.,y .N.dF <br />EFFLUENT GROSS YpLll i <br />~ ° <br />a <br />+ <br />K <br />~ <br />; <br />~ ; ~ <br />~«'°r»' :#t <br />' . <br />a <br />°°'~" °'~z~ ~ ; <br />` "c~ ,~~ <br />_ ~ ; ,. <br /> ..~a <br />°w. 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Z 2- ~ <br />J <br />,O. 4 ~ ' 19~; <br />•( /-~ <br />~ 1 <br />//? <br />O L <br />` /i i <br />~ <br />r,R <br />. _ C. i <br />~ / <br />01045 _ A.A <br />1 .~ D'~ D • <br /> <br />r :._ <br /> <br />~; <br />'t .k:PLRMIT• ° <br />i~ <br />'¢. 9~a)f73.~~.,gr~ <br />rk <br />~v <br />' <br />`r~';{Ty~r•iTi?r T3r)~. H <br /> <br />m <br />' <br />iiOff <br />1~, <br />:a.„4•~. wylP.lTa~ <br /> <br />0~1:.:~_ , <br />'x"s ~I f•.,; <br />! <br />x:.~~`, ~ e <br /> <br />~;~w' <br />„ <br />`'~~ <br />Y~ ~ <br /> <br />_ .. <br />$.. .. <br />. <br />. <br />.~ <br />~+ <br />~ <br />g .. <br />i <br />RI.i <br />W <br />EFFLUENT GROSS <br />YALU aiGU)f~ErlCx ,~ <br />l ,~~es ;^:*z".. <br />~ <br />;tr;°r ° r;:l~~~ ..,x , <br />_~ <br />QS <br />. <br />~ <br />p . <br />_a M <br />. <br />, <br />~ °:5'9 ~°'~. g <br />. 3. <br /># <br /> <br />FLOGa IN ,CONDUjy, OR <br />`iwMPLE ~ <br />' <br />(~03-' <br />r/ODRVf. <br />d~"'xa"(LO <br />~ t'Y#~%+~ <br />:( <br />)~ V. <br /> <br />THRU TAE;cT [2EhT PLAN <br />MEwEUREMEHT <br /> <br />~ <br />-. <br />. :.; <br /> <br />: <br />`- ~ ~~-7+.,: .N~7II <br />50050 1 - .0 <br />G; <br />- ° .. <br />e: `:PERFi IT° ~ %': ,a <br /> <br /> <br />.. <br />xREFO.RI ~ ~' <br />. <br />~ <br />~ <br />.DP <br />T,~I3il~A:'T: _ <br />- <br /> <br /> <br />- <br /> <br />A'4[$rlY S&,'.k^iiLp <~, <br />_~ <br />'r. <br />,:; .nAx7fi, <br />ssd1T1(h„;ke.". = <br /> <br />t p r,:.. ~ ,. <br /> <br />. ~. <br /> <br />~° <br />EFFLUENT ~G EDSS VALU R110UIR.EMENTy b x-y <br />. <br />y~ <br />< <br />- ° <br />.:.; ...... ... ~.; <br />- :ia`~v4e ,°a .`m. me ~, ?a~.p R~?°.ti imi° <br /> <br />" , <br />` °~? 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' o yF/QQ4F OOl <br />~ <br />~ : ~ <br />V_ <br />- <br />~~ <br />' <br />I QQ <br />Z ~ <br />- n <br />l <br />~19 <br />( <br />~ ~ .r <br />) <br />~ ~ <br />N <br />' '' <br />DI550LYED MEASUREMENT • ~ - - ~ <br />, L <br />j <br />/ V ~+ ~ <br />_ O I <br />iL/ (^~/ <br />~ <br />~ 1. <br />70295 ~ <br />1 -'0. ~'0 '" <br />-~,°sirtwlT::,:.a <br />,,;,fF+2#ti±s~zp <br /> <br />^.. <br />+a+a::iG <br />"~'~ <br />V <br />toy. <br /> <br /> <br />V <br /> <br /> <br />~~~ <br />w <br />.~' <br />d" <br />• <br />°~ <br />~ !a <br /> <br /> <br />:. <br />Q.P~ 'IO'N I: <br />° <br />n <br />A <br />~ <br /> <br /> <br /> <br />'g:' '~ <br />>:~F:P <br />`r~ <br />4~R7 <br /> <br /> <br />J <br /> <br />~ <br />,;.~a <br /> <br /> <br /> <br /> <br />"x <br />• <br />T31- <br /> <br /> <br /> <br /> <br />c'~cE <br />EPFLUEHT GRO V <br />SS ALU Nig 1REM ENTn <br />''. <br />4, : b°A <br />~~a^ •a <br />r aa'~; '~. <br />f <br />'Q <br />3Y <br />rR , <br />n <br />. <br />!~ <br />(.~yi $ <br />Nd "~~ <br />t <br />° . <br />. <br />.. <br />'~ . <br />^ <br />. <br />R , <br />.9 <br />'11`` <br />P' <br />'~ <br />n . <br />° <br /> ....1 <br />. z <br />.dre. <br />. A3 X. ~ L <br />A ~ <br />.i ~r3® <br />. ta <br />° Ex .. <br />LZ <br />. g. <br />,° <br />OIL AND u.AEASE - - <br />~ `aAMPLE -~~~~~~ <br />-- - -;Opp <br />~ (.:941: =a44a~xa1 '- ##tatt tttJtrsrilD (: <br />) D / <br />I ~ ~ <br />VISUAL - <br />v - _: <br />~. ~ MEAEUREMENT J <br />~ - - ~ . <br />_ 1, <br />i,/ <br /> <br /> <br />~ <br />_ <br />B4D66„ 1 ~_ O D _ <br />w~., ,..y <br /> <br />n :.'PERMIT.. :.. <br /> <br />' <br /> <br /> <br />,`:°E`i Yf.~i. ril, ~e!~," _ <br /> <br />ft <br />y~6au <br />g <br />r <br />r <br /> <br /> <br />x1 <br />E <br /> <br /> <br />Vr, rS ~L >:E ~F ff <br />'^ <br /> <br /> <br />:':~y~F,:1`ii <br />?'0? <br /><:' <br />~'" <br />' <br />a r <br /> <br />a''•L ~ <br />">%>5~t7#3'~ <br /> <br /> <br /> <br />ry <br />IJ /3 <br /> <br /> <br />~.- <br /> <br /> <br /> <br />CL'Y <br />E <br /> <br /> <br />i. <br />IS <br /> <br />EFFLU NI GRO55 VALU RCOUIREM LNY~ '•:~~ <br />'~`'`• x <br />^ <br />' - - •am. . <br />r <br />> <br />~' <br />' ^8s, &n~lp°h yF• c <br />' - <br /> <br />w r <br />a °. °~., <br />y~ r,«..rt <br />~ tr,,, <br />` <br />° <br />NAM[/TITLE PRINCIPAL EZ[C UTIV! OFFICER W1 CERTIFY UNDER <br />PENALTY OF LAW TXAT I RAVE PERSONAUY UAMw[O <br />AND AM FAMILIAR MTH 1XE IXFORMATION SUBMITTED XEREIN AND aA5E0 _ ~ -. <br />~ ~~ ~- T[LEPNONE A T E <br />D <br />~1 <br />4.r~1, 1. /I.n -. _ _ <br />7 V\JCl1 p1 MY INQUIRY OF TIq.[ MDIVIDUAL$ IMMEp1Tf LY R[SPON9elL F011 <br />OBTAINING TXC INIOpMATq.V. I BELI[VE TMF SUBMITTED IXFORMAtION ~^ 1, 1 I <br />'- / _. . <br /> <br />-~ <br />'! / (r'~~ - <br />~ <br />IS TRUC ALCURATE AND COMPLETC 1 AM .W.R[ iXAT TXER[ ARC SIL <br />NIIICANi PENALTIES FOR SUBIITi ING FALSC INFORMAigN WCWONL ~ <br />W • <br />/ W <br />' <br /> <br />1 A~i~1if ` <br />flSef <br />"Ui <br />~ J <br />TXE POSSIbUTY O FINC AXD MPRISONNENT SCC IB USC 11001 AND <br /> <br />~~~'~ <br />•T KS <br />7 <br />~ <br />~ q <br />/ '~ <br />T7 <br />1 <br />~ <br />N <br />V b• llulFU <br />]]USL 11]19 rPrnalbr. uMrF IArr umm.. n nrludr /mr. 91GNATU OF PRINCIPAL ERECUTIVE i <br />-' ~ <br />TYPED OR PRINTED ~ ~ y <br />.~d •./n.alnlMn lmP•r.....I.~Y ,./n.l...nAnn.lA..nd .i.w/.I OFFICER OR AUTNOpIZED AGENT A A NUMBER YEAR MO DAT <br />VVI.I.i I.AnV .A IIVn Vr /LXT YIVLR IIVN! 1/I!/F/FnFF YY YllYtnminl/ nr/r! <br />DIL S+GRi:~ASE--SP.P FOOTUOTE P/, YpGE 3. ORTi?LY 'iAYPLIYG If•STI?UCTIO!ts--5°.E FOOTNOTE D/. <br />/ <br />EPA Form 9320.1 (Rev. Y-88) Pravbua adiWna maybe ubed. IRE-LwcE^ EPw .owM Tro rNICN MwY nor aE uaa D.l rwcc o. <br />OQGOu/97(';675-12u1 1 <br />