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P[RMITT[[ NAM [IwDORLif (/n[ludl <br />FErOify Norse/Lonfbn IJdiJfrrenr) <br />wooRLnS:P1JiYrL1:7'~L----_--- - <br />---'tF)'~c F--------yLit11JL- <br />-waur+r <br />LocwnoR _-_-_--__-_-_-_--`_----- <br />NwTION wL rotLUTw NT OlfcNwwGt [uMINwTION fYSt[M IIVYUtd/ <br />DISCHARGE MONITORING REPORT /OMR! <br />1/6 /7/9 <br />I.~ll~~. L. 111 I.IT 5 <br />•ERMIT NUMBLR Oltc Hwwc[ NuMt[w <br />MONITORING PERIOD <br />YCAR MO OAY YEAR MO OAY <br />FROM ~ U V TO ..1 ~.. J 1: <br />/10JI1 /11~LI /167L /16~ l /]A-00/ I 1 <br />:7 1 '~ (, is Form Approved <br />(SL'.'i'+ fi d) MIOMBiNo. 2090-0004 <br />- f' T :1 A 1. EXplrei 9-30-91 <br />Sil:Yi;I. l'U4I. LL);:LUI!T/'I'aYL.11( ('!i <br />NOTE: Read in[truelionE before eomDlstina thiE form. <br /> (J Card Only) OU ANTITY OR LOADING 11 Card Only) QUALITY OR CONCENTRATION <br />PARAMlT[R (Id-JJ) (lI~61) 1JB~7) Ilb,ff) 11161) NO. <br />EX Fw EOOUF NCr SAMPLE <br />TYPE <br />(lZ-37) •NALY815 <br /> AVERAGE MAXIMUM UNITE MINIMUM AVERAGE MAXIMUM UNITE <br />61b1 <br />) 161~A1 <br />16911/) <br />I SAMPLE ': yt I ;.:r..: ::: r } / ) <br />1 ;I {.:. ( ~ ~I I <br /> MEASUREMENT <br />I //I( li [ 1~ r `PERMIT'... ..,r.'xlk:ky'E(':.: ~:4~:1T/AXFZL4` ` .rt:;:::: 6'A~ <br />~ •:iztr&~:?F.rF:~~: :.9~:0;:~:~;i <br />~: <br />' ';: BLit <br />"LY ~RAE± <br /> <br /> <br />L' l U c: tt 'P G R 0 5 ti V .4 L U <br />ReOUIReM ENT <br /> <br />{::r.;:.: <br /> <br />M <br />i~ e <br />e . . <br />' <br />)1.[[I.`i, i7TAL• SAMPLE . r.::,: r.: .: ( ' :j:Y: ~:: ' :} ( ~lf) <br />~~ I ~( t•'JUF. 1. MEASUREMENT <br />r ~ <br />..U 1 0 L <br />"'PERMIT:: <br />' <br />piif~h"~` <br />IRAt~(t {E~ <br />V <br />{L is :7 <br /> <br />iSrFy3s <br />7:r <br />~*i <br /> <br />i.°,.` <br />.~s' <br />'s1` <br />~G'°j+: s."¢ <br /> <br />Y <br />L.~~' <br /> <br />R![6 <br /> REOVIREM[NT. ' , .. .:y:.. , <br />c <br />. <br />II [CJ, iEiTI, F'A iIL[ SAMPLE ...: ~!Y•~;1 ;I.;:.,Y t rE.~ ( ) ;::J {+:~:;: :;: + ;; ;;[.'I ~{I ( LJ) <br /> MEASUREMENT <br />1. ,'115 1 G G ::~cfy~iY:'~; ~~tiYi.~:~.rlt>ai t/':~. ' ~~44~?k~;. <br />ii~. Yl ~l .',: ::jt~gi?u ;i~~i; .'~k,#t<pA~td~:; ° <br />~' `° : <br />~~:: 5' :~iC ~ <br />~: B:`:= <br />'R~A <br />r'F t. (J t: t(T C.RDSS VA LU+ REqu~REM 6t1? <br />. <br />... ' <br />. . <br />.. Q:1 Y:R r11: •"` ;^.i,'': .'f:"1 )~ -:° ~ <br />, <br />. . . <br />l II. 4t1[I :;RFA`iF SAMPLE ~L'l. <br />.'J +i:ii:Y':A:;: ( ) {::y{::;:;: :T~~i:;::~;. ( ly) <br />r.lc ('N ENl if-GRAY T'I F:TI MEASUREMENT <br /> <br />I JS-F`6 1 n /1 <br />:PERMIT::~ <br />':fjtrYs yr,v11(r: <br />".: r~±A1:+~~. ~F.. :~ <br />{`::F. <br />:: ,ri Ik$yt Xj;y,.. <br />~, ;?I iltYr LY,yw~:~. <br />X~:`;'~'~': ~::c('a;F, <br />Y`p~ YS. e,,: <br />.4~~'~1L <br />,[~R'Fl ..,z <br />r'F 11P:Y' GFOS!i VAl.llt :r`: s: ;,:,,: n~., .: -..:"•'•.:.:':.i-' #ui:: 'r <br />1 :I.)i., TD['r11. SAMPLE ... L::,`.i.a4{: iiY%ii~:F•.= ( ) 4icY'r'~'%~ ( 19) <br />(A., F'F) MEASUREMENT <br /> <br /> <br />[ s r ( .. ... ... <br /> <br /> <br />... <br />:cnidt .. a . <br />., ` <br /> <br />., <br />.-,x ~i~` <br />` <br />~~ "~z'' <br /> <br />a <br />a <br />a`°aaa:r;~ <br /> <br />~ <br /> <br />_ <br /> <br />,. <br />'~: . ~ ..: <br /> <br /> <br /> <br />;}~: ~~p~e <br /> <br /> <br /> <br />k~C: .~:. <br />. 1, t, r, V ~Rt4U1l1EM~8MT:. CCUCt . <br />.<< <br />1'l,~i,, ]II Ct,NDI1TT ()R BAMPLe ( G3) :t:;r,:t:Ac tL;n:a.zr r,:f:l,:r,:{tii ( 1 <br />111Pt1 TFL F:F'[tl l!NT PLAIT MEASUREMENT <br />'i(I`~(1 ] <br />C 0 PiRt11lT as <br />~ tyP <br />?IEl(1`A'L° '~;REP <br />OR,T' arG4!k;E!d!¢I;rs ~`"~Lr.$ &~e>Cr:' <br />~ °s?RC!lx!PlYklp;` tdl~ q:°~. $' ~'3Y '193~AN <br />. <br />rPF'LUt11T L'RDSS VA Il AEQU1REMSN7'~. . <br />. , °°.. <br />~ p, <br />:`._;<: <br />" <br />rY:r <br />;:~: . <br />e~a.:~,. <br /><~,~'-:b.w. . <br />~JI.IDS, TOTAL BwMPLe r:~r"'i: ::#[: e;u:s ( ) L=~kYr4.,,,t :;t{:Y::x:tC ( lyl <br />1. ['iSOLVF <br />V MEASUREMENT <br />. <br />7,i L!f 5 1 C ~ eeniile'< -s~~fcrd~ipi~s; 'i~oc~s~atisz~:. ,,,rc `:~a~+ks~u~ :~ :-:~t #~iz~~i~~;` 'a'= R~:`PQ{t7': <br />X ~;` AST. <br />" <br />:° R~;~~.. <br />i.rt'I.UF.h'f t,pnSS VALI)t ~`~QUIREMENr° ,~ <br />~ <br />~ <br />~ r~~ . <br />; r ~±e , <br />. <br />~ : <br />NAM!/TITLE PRINCIPAL [[[GUTTY! OFFICER OF <br />LAw <br />TNAT INAVE P[RSONAttr EXAMINED <br />I CERTIFY UNDER RENALTr <br />S[ 7ELEPNONE D A T E <br /> <br /> <br />1:J ( <br />HARD G <br />ATKINSUN ANO AM FAMILIAw PITH TN[ IMFORMAIIOM $UBMITT[D NCRCIM AND N <br />D <br />ON MY INDNRY OF TNOrE INpVIDWIS IMMEOOTCLr R[SPpISIBLC FOII <br />BMITICD INFpRMATION <br />N <br />ATq <br />I BE <br />[VE TN <br />( <br />S ~~/))) <br />// ~,hhyy / <br />/ / / <br />, <br />. <br />VP LAND/ENVIRONEMTNAL AFF'AIR [ <br />:. <br />II <br />OBT,VNIN <br />THE I <br />FORM <br />U <br />15 TRUE ACCURATE AND COM0.ETC I AM wWAwf THAT THERE AR[ Sq <br />uwT F[NALn[s roR sueArlnlNC rwtsE MFORMAigN wnuanc <br />'Nl ~ <br />. <br />/ I <br /> <br />30 824-445 <br /> <br />92 <br /> <br />10 <br /> <br />14 <br /> n <br />THE PO$$IBILITr OF FINE AND IMPR15pNMENT SE[ IB u5C / 100/ AND <br />w <br />Em au <br />I I <br />ld <br />9 <br />A <br />R B16N ATURE OF PRINCIPAL EXECUTIVE <br />-- <br />TYP[D OR PRINTED A mr <br />r /mr. wy A. <br />ilalwr. undrr r <br />rr .mmbr <br />)]usC <br />T <br />r <br />r.d ~•r.M r~mw,nlm,nw.nww„r„/Ml.wn %wr~~nrA. and.i /.Ar.., OFFICER OR AUTMORI2ED AGENT A NUMBER YEAR MO DAY <br />cDMMCnT wnD cXrEwnwncsn or wnr Tw~A l Inns tnr/rrrnrr ... ,•,.,...,~ ....... ...... <br />,: cl'7L::Ah1.(C SULI05 i,T.'1I1' APPI,I''S UNLY IF <= LG-Yri, ~4-TIN D},C;C[P F.Vr:!iT I:i CLAlt'EC. IF CLA['1 APP9UYFD UY <br />.L I('[, 1:i`~ IBJN L[r [TS ,+I L1, }i 11T (• APl'L.F:G ;n at'PUi~,'f,.°:C 11 !~>1511R87}:irS 1'r-i--Sf't: I.Li.I A, L'C 7 AND I.F~TL,~PG 6~. <br />. - .. _ _ _ )..~' .___. - ___ -n. ter.-u MIrM Mwv weT Rl u[fOJ JL OP <br />