Laserfiche WebLink
F[RMITT[[ NAM[/ADDR[ii (JnclBdr <br />FrcAlry NanN/Laracbn !/ d!//em[fJ <br />NAM[-~L!L•_1.~SLS:.J_5_[,_•=~( (' ~T;_Y------- <br />woon[n~yjii,J,yLy~,,~l ~-rr-----_--__ <br />---'~~`-'~'--------J-'Z ~1~IL_ <br />rwcl Lin <br />LOCATIOR _ <br />NwnoN wE FOLLUTANT once wwcE euNmwnON avsreM (NPU£S1 <br />DISCHARGE MONITORING REPORT /OMRI <br />L I6 1719 <br />( I ..I <br />PERMIT NUMBER Rncrvwwcr nuuarw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM LI I/ TO <br />/l0 )/I /))JL /PIJtI /zb.zl pN.)91 /7Q /1 <br />1 •; r. ;! Form Approved <br />(S 11 H H ') A) n10MH ENO. 2040.0004 <br />h' - r' 1 '1 a I, E%plres 9-30-91 <br />GUI.i H i :Eui f'LlilD/Gi)1/h ~PG~ I,F <br />'NOTE: Rad instructions baforl ompletinp this form. <br /> (J Card OnIT) QUANTITY OR LOADING 1~ Card Only) QUALITY OR CONCENTRATION FgEOU[NCT <br />SAMPLE <br />PARAMlT[R (db-JJ) (Jl.bl) (JeIJ) 116JJ) (11fi1) NO. <br />E% DF TYPE <br /> ANAE YaIS <br />(31-J7) AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNIT6 <br />61fiJ1 <br />(blfitll <br />(69~/P) <br />1 SAMPLE :': I':.',.:::::is :;: •t !. : .;t:.: ( ) .:.;:[: ( 1 2) <br /> MEASUREMENT <br />ill L I/ ~ f [' .: ;... PERMIT ~. <br />: {s ::%xj4'.". <br />>,lf f `vt Yr <br />l4i 4`==~'.' !:'S is <br />{)'~ <br />5'.'''~;'; ~. w~ <br />~ ''w~f#dK~_'J:'- ', <br />g•~I~;:''= <br />~%;V~: <br />' <br />: °.°~ <br />'fn. <br />EK'~:~ . <br />•Rll B' <br />~iflll h; liT GHOST VALHI R[gUiREM Ef1T , , :==}5~4 . <br />~a , <br />, <br />= " <br />ll. a' IJ; , !~OTA L SAMPLE •-. Y't fl:.',:{n}:} ( ) ii:} ;i:::.::: ( ] •~) <br />l tit l <br />Ei) <br />II MEASUREMENT <br />! <br />J <br />1 1 I ~~ i ~~ () ~:::~pERM1T': ~~ :~„ 171 it+Y4i {[,.LtK?. r .,~,~..'~'~!iQl.'QI:; :. Sr r4 `:./Y?S1t?.b,p.s',E .' <br />,. .., .. .. .7. ."~, ..: :, , <br /> <br /> <br />}'IU..NT ;:ROS_ VALU° <br /> <br />:,.,.. <br /> <br />,•'i°° ,,,. . <br />.'_ <br />•;7:,:,==:.r-'„::' <br />:. 11.11)J, .,LT'fl. r^.A }'1. I: SAMPLE (::': 0'r ti:4 Y:v:.: ti..`A ~~ f ) <br />1 I :i t,. ~: i. 1 f::~~:f .i :! ( 15) <br /> MEASUREMENT <br />( :1 <br />`-L i 1 U D ";riviuir.- `G~r~G~tk:~ ,:,huli+ri~?~~': O~k~ ~:C~it'fiC?~ti?h':; °~:u:}4~i~S~ ~ ~~'~ :.. . . <br />. <br />L r'F LUEh'f (' ROSS Y ;~t6gUIRCM [PIT, ° '?,~ <br />. ~~.; <br />I,II, ,1411 ;)iFA;F eAMPLE +: ;: ;: {:~::;: a:F'::#iL ) <br />( :n;L:L(:fr.:' 3a... ( 1Q) <br />(; it ERfR-I: BRAY MC?t <br />1 '~' MEASUREMENT <br />. <br />1 '1'i~b 1 ~/ 0 `neliM~ir=: <br />~ <br />' :!)Ik{c'ts ~ <br />d: :.ryi rt?'~!7 i(i# Ctr,: ai;= <br />~'iGO~YOiY :Rp <br />LY?G~4 ~ <br />4 ~. ;j ;j <br />-'::~' <br />`•`:=k <br />"~; .` ``~~ <br />` li `. <br />U <br />T <br />eITM ,. <br />~A'~' <br /> <br /> <br /> <br />~r II • r. s . Y yKOU/REM ENY , <br />... <br /> <br /> <br />,., <br />° ... <br />;'{"' <br />..:~.-. , <br /> <br /> <br />. <br /> <br /> <br />;., .• <br />°: . . <br />. , <br />. <br />, 1F . <br />, <br />' . <br />:: <br /> <br />l It~l:, TOI'A L eAMPLE t-;:.'.T:fC+:: 1f `.I([;~4•f ( ) +~rt ~' ~,;t,t ( 19) <br />(A S F E) MEASUREMENT <br />I:lJUS 1 0 0 '<r <br />~RgiT: :;OS>`it# <br />4c a Ibllrj <br />tlitlt <br />'~ <br />° ~Sr4 ~1:0!bl~ <br />a>(~ <br />ic';s «. ,.. , <br /> <br />' <br />" <br />' , <br />. ~. ° <br />. <br />° <br />~'•~ : <br />, <br />, <br />' <br />% . <br />. <br />° <br />~ <br />= <br />t <br />r <br />r <br />LUF.NT GROSS Y LU : ~ <br />: 4•::i13 = <br />_' <br />hLUf., IN CGNDUTf UR SAMPLE ( i13) •^+t1~G04 04iE1c0'Y {:%:1~=1'10 ( ) <br />~I~IIRU TflEP <br />Tf1FVT PLANT MEAeuaew[r+r <br />. <br />ivQ r D 1 U C <br />` .~aa„r R~tIIII.(T, d~ <br />~ <br />E <br />'Ey~~; ` <br />Q <br />~ ,T, yy,v, y~9. <br />^J~ <br />°°:Ai:~. <br />' <br />R <br />` ~Y; ;e~. (~~,41I~t,;d .~(° ~'110i°': <br />i'~^°° <br />~ 1 <br />:af;T:~!~~1,~"~ <br />.. <br />~ ~Ih:710 A' <br /><~' y~~p ~ <br />IIiY <br />:~ <br />' <br />';II1.S;T A~P <br />. <br />y <br />' ~RE9U <br />iRCM ENpI;~ , ~. , <br />° y <br />. <br />m~q <br />e <br />x .F,. <br />~,r°~x~;~,a;t <br />s:.'~ . <br />~« <br />., e~ <br />;,x~ <br />~' <br />m't~{°L=:l a <br />. <br />;~°~t~ <br />~': "«a~a~~~ _ °a:~1' Ye <br />A <br />AS«e~° .»F : <br />FLIIgNT GRDSS VAL[I <br />tl . , <br />, <br />_OLIDS, TOTAL SAMPLE "~11:y•'•:>~ :L;t>;:1xc:a ( ) S:aGG4;< lYCalx.Fn ( 1g) <br />I <br />[~EULVEII MEASUREMENT <br />. <br />~.)] <br />OS 1 G U el!EIiM'IT •. `10i #~Yt Oi>~IR~s. .°~':.#!DAJL{!>(F~'~: '~k'+TO ^ <br />~.`a1:14R'~~i !'~:AQ': '~?~~I~I~~.~{~. ~ ~ nR~A. ~. .,s a`~ <br />. <br />Gh't IUL•t[T uRUS-S V III RLQUINEM ENT. <br />~ <br />> <br /># / <br />S <br />„ 1 <br />\:, _.. <br />~ ~ ~s; 3,,°'' ~~.~ .%. 's .' .'. <br />NAME/TITLE PRINCIPAL EEECUTIVE OFFICER irIAT <br />I NAVE F[gaONALLr [awMINED <br />urvD[R <br />PENALTY of LAW <br />I E[RTIFY TELEPHONE D A T E <br /> AND AM fAMILIAq 1YIM THE INFORMATION SUBMITTCO NERCIM ANO BAS[D <br /> ON MY IMWIRY OF THO•[ INDVIWALS IMMEOM TCLY R[SPONSIBL[ FOP ~ <br />/ <br />NICNANU G. ATKINSUN oeTAmlNC TN[ INFdIMATq.V r B[LKVC TH[ sueMmro INFORM+noN <br />THAT <br />I <br />[RE IRE SIO <br />A <br />+R <br />1 <br /> AM <br />W <br />TH <br />IS TMIC ACCVgAIE AND CONFECT[ <br />C <br />I <br />. <br />, <br />E <br />M <br />T <br />W <br />e <br />I <br />F <br />N • L •.du l_ <br />Vl' LAND/ENVIRONMENTAL AFFAIRS E <br />I <br />OOI <br />pND <br />IM <br />S <br />OB <br />11 <br />C <br />5 <br />CA O3 24-4451 3 OL 7 <br /> PR150NMENT <br />CE <br />TV <br />FIN <br />C ArvD <br />US <br />TN[ <br />POSaIB <br />0 <br />E 616N ATURE OF PRINCIPAL E%ECUTIVE <br /> N19 .LMb.`. wdr Mrr mld,• w~F• mrludr /.nr. uy a. fln 4n <br />lJUSC A A <br />TYP[D OR PRINTED •~d ~~• nanmun ,n„nn.•I^~•r~l .~/ Ml. r.n E 1n.,nlA..nA i \rar. ~ OFFICER OR AUTHORIZED wOENT NUMBER YEAR MO DAY <br />COMM[Ni AND C%PLANATION OF ANY VIOLATIONS (Wr/rrrncr ulE u/IUL'nlnrnla nrref <br />-.;fh'LEADLE 5OLTOS LIMi'f APPLIES ONLY LF' C= LO-Yi, 2n-H!1 PkF.~IP t:Yt:Nf IS CL!'InF'IJ. IP [LAIC APPROYBD HY <br />)>~I,;1, TS:: E IRON LLrLTS 411.1. NOf ilE; APPi,IE[' 1'U dh'PIt~:U 'IF45UItE,yE1:T5--SE:fi LaF.lA, PG U AHD I.N~D, PG f, <br />'I[" - - - <br />IREPLAC [i [PA FORM ti irMICN MAY nor 1[ Yi[D.1 , • . ~ ... -~ n.. ~ n .~ • .. <br />OF <br />