Laserfiche WebLink
3wMITT[[ NwM[IwDOw[U OndYde nwn DNwl •O LIV TLNT O11C N.nG[ CLIN In AT10M ar LT[M INPDE71 • <br />uYAI NaM/LarlalY 1 , DISCHARGE MON INO REPORT /DMA) , <br />J1'.: ta... / l'• _________ L/6 17.(9 i. ~. <br />Ami-=-- Form,~gP~gYed. <br />soRttt[1jUU .,0 (1-t9L%--------- ..~~VV..t....: ~~ '' '~~J (~;ll:);t `'~1)OM9Nd.2040-0004. <br />FL37:,'laE'F ------ ~'L !iUl;~ r[RMIrNVYesR DncNARl:aneYUR ' - FS'llllgpprovalwlpire9630-91. <br />--- %/' J.L~~C,e.ltrp L'U 'C"LJ/DLit C11'', ~°, <br />------------------- MONITORING PERIOD <br />LaturT <br />Ye w M Ow Y[Aw MQ Dwr .., ;.:. __ .,... <br />eC AT10N FROM Tp ' <br />T 3' ; Si . I%U 111;:; % C.\%.:.%1'%~ -sr;'3~i%tf --- /zo.zu /zz. 1 r 1. I z6. / /z . / / / NOTE: Reed imvuetlom MlDrs eomdetinp thb form. <br /> (J Cud OnIT) QUANTITY OR LOADING 11 Card Onl/) QUALITY OR CONOENTRATION <br />NCT <br />rR [Q <br />U <br />BAMPL[ <br />-ARAM[T[R (1671) 171-01) 112.[7) (16.1!) (71-01) NO. <br />e[ D <br />F TY-[ <br />(7717) ANAVUe <br /> AVlRAO[ MA[IMUM VNITe MINIMUM AV CRAG[ MA2IMUM VNITe <br />6761) <br />161661 <br />169-f0) <br /> MEA[Un[M WT ~ O L3 ~ U~ 3 1.1 ~ ~ G~[.a `Q <br /> <br />' <br />' <br />) ~Rawl <br />n <br />~ ' I~ <br />~'~>~ <br />)9 ~ ~~~"~~m .. ~' <br />a~~p~ ~~~- <br />~~ ~~ ,,~~~~w : <br />~ . •"' <br />. Iii .`~~ <br />FFLU~!I <br />1 <br />(, tU~i VA!.U;: oe <br />l ~ <br />tl <br />$ ..... ~ ~ ~ .~J ~ <br />~ , <br /> <br /> <br />USPENDF U <br />MGeUII YlNT . ....,. .......... .. -..... V r-1I <br />V <br />G~4 <br /> <br /> 'iiT <br />i <br />" <br />i : ~: <br />' >"~' , <br />_' <br />' r:~" ~ ~„i m <br />VTLIJ <br />FiLl)%!!T :;I1~J~: q( <br />s <br />it <br />~ ~ <br />~ ... < <br />~ ' <br />~{ <br />~ .1,;/L ~:« <br />. <br />~ . i <br />~~ : ~y <br />. <br />... <br />~ <br />...~ <br />... , : <br />:. <br />~:Po <br />11L 1 .711. ~~ <br />'[iliUN !;%1'l;-f.NAY "1ZTH eAMPL[ <br />YeA[UR[M[NT -.,........... ,.......: -:.,: .::....:r..:: .. <br />,:..:..:,.: h O <br />~ <br />- <br /> <br />05~fi 1 U U <br />' <br />1 ;::;: <br />~„~•: .,~:~~ ~,,. ~ <br />,~;~,. '~ .~,.- ~,..,~ <br />'FFLU311 <br />f G9q.;_; Y,1LU? r-.: ... F ~ .. ~. , <br />' Y[ <br />UR <br />M <br />NT V (J <br />n• <br />j } Ae <br />[ <br />[ 4 r <br />)1045 1 v C <br />r <br />I!' <br />' I <br />` ~ .::; <br />~'1::: x1 .~~ `., ~'~'~ <br />`* y~4~}~ <br />II~ <br />`~ .~'„ ~.~.~,.~ <br />~ . ~. <br />l;f{iJ-i.i VALUE <br />:FFLU <br />; <br />1 ~ . ~. r' T; x ~ K~ <br />tl <br />~ :!„/1. ~{} <br />a <br /> <br />~ <br />' <br />' <br />r eAMPI[ <br />Q <br />3q <br />~ <br />i7 <br />(~ <br />~ <br />exeA1~ <br />1E:~ <br />auu <br />r eLA{i2 M[AeUR[MlNT .3 • ~ ,,,~ <br />50050 1 0 U <br />' <br />" <br />' <br />' ~ <br />."~°.%ifN = i;:~ <br />" ~ <br />~- •.ws~` $; <br />~ ~ ~'~` ::~~ <br />f ;:~t • <br />„ <. <br />;FE <br />J:iNI <br />l;!tI!". <br />i VALUI.~ <br />L :7~~ ::. ~ <br />ULS~OLVF.D YGeURlY[NT 72~ VS V D ~/3a G~_~ <br /> <br />71J29~ ~ ~. -~ ~, <br />i <br />J <br />iFE'LUS'I:P l; iil:i:i Y9LUF 1 :#; r i1~~ <br />~ <br />~ ~~ , <br />t~'~~ <br />~ r'I;/L ~' ' <br />~'~' <br />i? <br />' x <br /> ~ <br />4 ~ > , . <br /> <br />PL:iUAL eAMPL[ <br />M!A[UR[M[NT <br />r, <br />r <br />O / <br />- <br />7 <br /> <br />9uiJbb <br />1 <br />~ ~ ~ <br />~~ >. <br />' ` <br />4 . <br />' ~_ • ..: ,: <br />Y <br />FJ <br />1;~)_; <br />Vl! <br />IJi • <br />- ~ _ . <br />~ ,' <br />, <br />Xi~,l% "''~ <br />'' :.. r ,:~. ,,.~t <br />. ~ . <br />. <br />NAY[RITL[ MINCIPAL [2[CUTIY[ OFPIC[R 1 C[RTIY 11NDO1 wNALTr 01 LAw 1NAT 1 wY[ N!ReONALLY 4AYM0 <br />AND AM IAMRMII NTX TX[ MORYATgw WAUTT[O MRON AND eAeLD T[L[PNON[ O A 7 [ <br />DN YT R1pWRV OI THOS[ RpYDUK6 MM[OAT[LY RCer'OMSIeI[ FOII <br />KL~ ~~ DwIwWNQ TN[ KORWTIO <br />V 1 e[L[VL TN[ wIMTT[o KOIIM.TRJN <br />L< <br />. <br />, <br />IS TRU[. ACCURATC wND CCYRRL 1 11M .RI1R[ THAT TN[R[ 11R[ SG <br />MIC.MT RN.LTwS FOR wrrrtmD MLS[ MIOIIY.TION NCLUDRIG <br /> <br />~ <br /> <br />. <br />Q V 4j Tn[ ro5R1YUTT Q rN[ AND IYIR6pMw[M K[ le u5C L IWI AND ON <br />TI <br />O <br />I Y7~ a76 370 S ~ ~1 <br />l]USC 1 IJ19 IA~:YIIN •RIrI IAIV II.1•Ir• in nlll/I AM• <br />nl [IIIIRYI eI <br />ATUR[ <br />F P NC <br />PAL E[ECU <br />YE <br />Y <br />TYP[ RPRINT[D •b•+•rN^Iwi•IPn•:wn.nl:/Arl•IIn2••:nIL.•ndilnr.. OFFICER OR UTNORI2ED AGENT NUMBER Y[AR MO DAY <br />.•s..wwnl wnu awrl-wnw uvn yr wnT R.~Lw n~nR 5nnorMr uu uuu.n~nrnu Mrq <br />JIL S G~tl~1!S~~i--~I:l': FOJ'.fV01'Y. F/F I'i.l:~ '. ',)i<'f;~1.Y .in'i!'LL;IG ('.~i'i~Jr..'rO~~li--.°~uli':•.'!"~ 'v/. <br />-PA Form 070.1 (Rw. ~!/) ReLbin ediflonf mayW used. IwvLwcu vw FowM Tre wNICN rwY nor [[ ue[D.1 I ~ ~ r~ + ~, _ :: q Fwa[ 1 or <br />/ _• <br />