Laserfiche WebLink
/[RMITT[[ NAM[/ADDR [f! [)ntlYdt <br />FatOiry N~Mt!l-L(o~n~rbq~IJydi(/~frrt~n[I)-. ~ ~ (~ /~ ~ ~ y <br />NAMf~ JrL W„'.ir Y.ll'i`JV. JS-M~D11 <br />wonR[ncn-",;_~LY1L1' Iii----------- <br />---.5.731___~TL12F~LlI.Si_'i'd~~~ ------ <br />-wnuTlr- _______ <br />LOC wT10N --_---------_---- <br />APTK: f(I("NAFI 11 C ni•:ci•1 ~:.~~, <br />nwnogwL FoLwTw NT OncNAwcE EuYmwnaN srsrcM /NPDEJI <br />D ISCNARGE MONITORING REPORT lDMRI <br />1 16 J~ <br />IENMIT NUM SHR PISCNAwcc NVUSCw <br />MONITORING PERIOD <br />YEwP MO OAY YEAR MO DAY <br />FROM ` I TO ,7 <br />l _ . <br />/1U~111 111.117 IN~131 /16~ I I1A~ 91 1. 0. 71 <br />F'It1UN Form Approved <br />(S U b P 'i W) (1lOMA TNo. 2040-0004 <br />F - FINAL E%plreB 9.30.91 <br />STOKEII CUAL LOADOUT/T11YL(!4 ('! <br /> <br /> ~ <br />( <br />p <br />thi9 form. <br />letinp <br />NOTE: Ra7]d iastructiom ba}or <br />c nl <br /> (J Card Only) GV ANTITY OR LOADING (1 Card On1yJ QUALITY OR CONCENTRATION <br /> <br />PARAMETER <br />(Id-!J) (JI-0I) <br />(JBaJI (1611) (JI-01) NO <br /> <br />' Fp EOU [NCr <br />CF gAM PL <br /> <br />TYPE <br />(i177) a <br />% ANALYSIS <br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNITE <br />616! <br />1 (616X1 <br />(I)V.7B) <br />1 II SAMPLE '+EtfO'#{: .- tkir:2i=LY:k ( ) QRhtAI}y ( 12) <br /> MEASUREMENT <br /> <br />CJN~"U I ~ ~ <br />~IiRF~tT..' A <br />'s%:.1f1'f.;R>~~'rf '' <br /> <br />. <br />#~~Yf.,: <br />:5{>{~~ <br />~ <br />(,<ItR ~! <br />O <br />s~~ ~ ~~~ x ° ~ <br />i.~.{11~1•Li~iX:.e <br />,°;~ <br />g <br />; <br />-~ Q~;;:"~`.~ <br />~ <br />a:.e' <br /> <br />, <br /> <br />,~ l3ik;Irti <br /> <br />> <br />RA P <br /> IrEtitllRltN ENT , <br />.. <br />,,^ <br />=; • ;, : r • <br />, <br />; <br />,„; : ~ . <br /> ,1,. <br />SULIDS, I'UTAL SAMPL! 9o:}OdLI 4L}IGtkd'~ ( ) tTn+k~Ci+ ( lg) <br />SusFeNDeI~ MEASUREMENT <br />G)530 I 0 0 el:liii;r'":_. .;~:zi4v49!~<:. : =>a~agl~~? a~ .aaolG#~ : 5A:~: ?~:;. <br />3 ,7.Qs =a::r."b ~~`~ ?{CEl--: RAE*, <br />FF'LUyH p <br />[F~S ~II LNI <br />F RHOUIRHNHNT, <br />~f <br />Y <br />` <br />8~`~ <br />' <br /># <br />` . : ,x~„' 3 . <br />. <br />L L Ur. <br />..... .. . <br />.. n .. .. <br />.. .., r, .. ti <br />{!; <br />'{r <br />.. .... <br />fi <br />P <br />. <br />o- ., ax Y <br />.. <br />SOLIDS, .SFTTLEAHLF. BAMPLE sanOQ4 oFS{::;:tlf ( ) ryD~cr.F G40h•k0 ( 25) <br /> MEASUREMENT <br />._ <br />115115 I Q (` ~'PERNIT :• <br />~ 4rn,'-J•Q~L'A4. Vii', <br />a ~•1?'¢+~'.fj?.Y..1~,'• {f.:t L' `^.{?'4'F.C+•.4S!}', LE •` ;r"i'.4 <br />1Lr•4f L~~~ <br />' ~~' <br />~e"` ~r"~' E I'~.~: <br />~ r~A 1r! <br />FFLUF <br />F <br />hT GP[1S i VALU RHGUIREN ENT ' s' ~a <br />{;v 1 <br />e! <br />' <br />- ';i"'<~ ; <br />a . <br />. <br />. } : <br />I <br />: : <br />()[L ANA '.;RFAS° BAMPLE ~~+kU'rF{:g rSl%fi{LGIk ( ) oaac~a:t :YTxaLt.xa ( 19) <br />F!iFON F.KTk-CkAV hF.TI MEASUREMENT <br />i:assb 1 e () ^ PCRMIT ' oG1.YXrf!~q':, ~;..111,p~tt{?-0r:,. {::t¢ 1h 1k 1'r Cc5L+71;': ''!:4YT+P~f{T~= r, <br />1 <br />+~~','°: <br />~-` <br />°' :: ONT <br />IN anH <br />L'F U (~ NC1 !- Y !! ;a=: ek ^.•{r IJ °;s: . <br />.. <br />. <br />, : <br />II[Uht TUI'~L BAMPLE -}tY'JtY{U(t Q:}.s {r([:;t ! ) <br />l ry:;[fAT;'!t/: ( I9) <br />(A.: FF.) MEASUREMENT <br />l,1oLs i c e P~Ra„°; ., ::rx:sol~u#~: ` .'.~~Iza~ai~`: {::[r- ;:c~uri~:~.:.: i:~,>_,,:~.;. .j,,p~:°-e', <br />,.•`;' <br />`~~ `tiC.e%;': •h~tl <br />1 / <br />F RHtiUlgtM iINT; ~ , <br />! <br />F ° <br />FLON, IN cnrmutr O9 6AMPLE ( J3) #r,:T,:{,,;:n 4C^'::CIC Gfipr,:~; ( ) <br />7r1i211 TRE11TI1FFiT ['I,At:I MEASUREMENT <br />[:'~oso I o o :PCRN~T o <br />A.rx~x:+t~:: RE~:UR~ <br />' ~Is>hd44 ~[;.:• <br />~x~~.~t?,-e .=kK=~~i~c?o--r ,: -: r: <br />~ i .K` . <br />~£ <br />Z <br />~ .;izT. <br />F <br />FF'LUF <br />NT :R!)SS VALI!I RQGUIRBMENT: . . y , <br />1, <br />- ' <br />P <br />b° . <br />' <br />. <br />, . " <br />, .,.. . .. s. ..e .. .. ... .. .. ... _ <br />If .Y: 1 <br /> <br />t <br />8' <br />+ <br />.. <br />',111.ID5, !'~TAF, BAMPLE fr{: +;:{;h'it' {[:;r+t/-(.: ( ) #lrl;«:>~:;• ,::~:(-.••+r{: ( IL3) <br />! <br />f' [SSULVE::J MEABUREM ENT <br />71295 1 0 (~ -rkpeelr.`.: <br />' !t:~~~.~~ka': ~~o~~~.m•' *:~c ikv.>«s:Etp: ~(k.GZe~y.: -NEP.p <br />t#T <br />°.' ~:fi.Y. . ,Rrlt: <br />i F'F1.'IE if 1' (: Pf~55 V..1 T, !Ir .HEQU1FYM iNTr s'- ;s f' <br />' . <br />. n,• <br />°« <br />NAM[/TITLE PRINCIRAL !%[C UTIV! OFFICER I C[RnFr ugOEq PENALTY or Lwr THAT I NAVE PER$ONALLr (AAMw[O <br />ANO AM FAMILIAq WITH iN[ INFORMATION $UBMITTEO N(pEIN AND BASCO <br />. TELEPHONE DATE <br />ON MY INOUIpr OF TIq$C MbVIIX4L$ IMMEOgTCLY P[SVONSIRL[ FOP <br />IN <br />RICHARD G <br />ATKINSON OBTAINING THE MFdIMI1TE1 <br />1 BC <br />IE <br />C IN( $ <br />MITTF <br />M <br />T <br />N / <br />`, <br />1 <br />. <br />1 <br />L <br />V <br />U9 <br />F(1P <br />A <br />IO <br />D <br />s Tqu( wttuwwrE AND coNPLFTF I AY AWAgE rNAT rN[RC AP[ slG \ <br />~ ~ / <br />° <br /> <br />IFIUNT P[Nwl Tl[$ FdI $URIITTING lI1LSf INFOPMAl1pN INCIUONG <br />•VP LAND/ENVIRONFIENTAL AFFAI ~ , <br />' <br />__ = // 303 824-445 93 Ol r <br />LNF P0551WLITr O< FINE AND IYPRI$ONNCNr $F[ IB USC 1 1001 AND <br />]J USC 11]19 rRMhlr. Ilndrr IAFr name. n nrldr /In.. II <br />n. hYIAR SIGNATURE OF PRINCIPAL EXECUTIVE <br />_ <br />y <br />TYPED OR PRINTED a.d nrnF.ImuN IAP•I.IUIm.ur n/MIYwnXm.,nlA. andllw.., OFFICER OR AUTHORISED AGENT NUMBER YEAR MO DA <br />LVIwIw EIr1 AN4 Li rLARATIVI. VF ANT YIOLATIONn IR!/flfnlf Yll YlrYlnTlnrF nfre/ <br />;c'TTLE68LE 40LTCS LL".?' A~F'LIc5 (1I1LY IF' <= LG-Ya, 2';-1!9 i i'i'.rI[' cVF!fT 7~ CL71I~iF^• It ~LAI`1 4Pt'kOVF.I' <br />1••'"1 75./.1; Tnn+~ LI"TI", VFI.f. 'ln~i' 1R ,M1PI'i.[F:' Tr' 'tFVa1•TL!i SFn;'li li'''ITi-_`~ u A D!: 4 N ;t. <br />