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PLRMITT[L NAM[/ADDR[Ef (lndudr <br />FLrdiry NamelLora[bn IJdiJJNrnr/ <br />-1I't1_IiY1Li:.LIA[~1:'_3iI- - _ - _ - <br />__-~~_ n• .V HiG 4UJ..a~l----~-- <br />-wuurr __---_-_---------- <br />LocwTloN <br />'P LI '1. x11 r1 1 JTL'rL _n,I ------- <br />nwn ONwl roLw Tw Nr mscH+wct uININ+noH arsTEM INYUG.1/ <br />DISCHARGE MONITORING REPORT IDMRI <br />716 f7./9 <br />-, c, - " <br />PERMIT NUMRRR olscH+wc[ NuN.rw <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO DAY <br />FROM II .: U ll TO ,l ` I~ ;1 ] .~ <br />172711 /17.1h /71.751 /16~ 1 I79~791 / ~ I <br />^^ijlO[; Form Approved <br />( ;~ IJ ~1 {: !1 4I K(9F•~''No. 2040.0004 <br />F - F' T '! /? 1. Expires 9.30-91 <br />LI)f,~')III SC:)[ 1'uN') '1') I: I1.;i1)9 t:h <br />NOTE: Rad inJtrucliom Rxtore'~omplstiny this form. <br /> IJ Card Only) QV ANTITY OR LOADING (1 Card Unly) QUALITY OR CONCENTRATION EREOUENCr <br />B <br />E <br />PARAM[T[R (~6-!J) (7141) 11911) 1lbJJ) (lIH{J) ND' <br />E% DF T PE <br />(17.17) wNU rcls <br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNITE 67bJ ) (61btl1 169~]UI <br />~ BAMPLE 1.{: ~: •t4~ <br />... <br />~ ( ) .. ( I ~) <br /> MEASUREMENT <br />I Illl~() I [, [) pRRMIT :'.4KLA~+kff .XI;+k4>,tTk .{1 :t 1. (7~.J. ~~° ~:: ~'#Xtrs~zt~~~ q.'0.. ,: ~: ~F.~£R~L:Y ENAB ~. <br />.'4' II F.h ~/' [.FO`:ti Y. .II RHQUIR[M RNT ~ ~ T: Ir l::il .. <br />-~YII.1 <br /> <br />IL1DJ, 1'GTAF. <br />BAMPLE <br />3:+.:(:;i:;as <br />;);i{-{:;if: <br />( ) <br />,;:{:i.a.. <br />1 / <br />( 111\ <br />/ <br />'~II;1 F:NUF <br />':) MEASUREMENT <br />. <br />I <br />I , >10 i c 0 <br /> <br />'~PeRitlr~ . <br />~ <br />g ` <br />~ =!G #[f+YZ[S=',~, <br />.' . <br />. `;4~,?.f?sLtiT;L.; <br /> <br />:a{.{: <br /> <br />.'£~:t±xrxt!~!P <br />s,' <br />~ <br /> <br />3~5= <br />~? <br />: <br />' <br />~ <br /> <br />< <br />";' <br />~'~ <br />°. <br />-7~ <br />~-~ ~~ r '. <br /> <br />;: <br /> <br />`aceJ~;, <br /> <br />itlle•. <br /> R[DUIR[N[NT , <br />_ <br />. : <br />. <br />,. <br />. . <br />. <br />. <br />. <br />. F <br />., <br />I ~Fl ll,'NT GF!O~S V41.I1' , <br />11.IUS, ',F:'ITLF.ArILr: BAMPLE ,{::~{[;ft,: L%;::;:~i,f, ( I I {L{:a>;:;: {: {;t,~1}.fi: ( 2:J) <br /> MEASUREMENT <br />t: )';4 5 1 C D -":icniiii-" < :':~=s~,tGO; `, <br />,: t'#!>ttri~: 'a k~ ':>rLc~Ks~~: :.Glki~ka ii:' <br /> <br />~ <br />~ pi.5" :::"iP`~:'_ FN~I°I: ,RAEi <br />r 1, ~RHQUIR[N RNT :': ? <br /> <br />II(L AilD .:i?P.ASI? BAMPLE ril;:'s#{:;: a1;:{:::(:k ~ ( ) Yttii=~•;:r <br />.~. <br />f:{:.°..:i. ( ly) <br /> <br />/`IP r'f'11 E%TA-C9AY ~1p1' MEABU REM ENT ... ~ ~....- .. .. _.. .... :. .: <br />.. . . <br />,. <br />... <br />.. <br /> <br /> <br />L .)5 jb I 0 0 <br /> <br />,;..P[RMIT ~::. <br /> <br />:,~;:~'4ih4Y¢;kl;: <br /> <br />:: ~:4.~$k:~t~~.: <br /> <br />.I(4 ti# <br /> <br />:'~Q/11!'!:~!'-k'1. <br /> <br />^ ~.>~,.t1t..Yt <br />!,4,>.'i~~f-e: <br />_ , .... <br />~ <br />[: U'; <br />e; <br />~i <br />' <br />:'~°': <br /> <br />a:yrt!~ ._ <br /> <br />. r;~t s <br /> <br />RRQUIRRM [NT <br /> <br />. <br />~ <br /> <br />. .,. <br />;::^ <br />,;: <br />. <br />. <br />. , . <br />:: <br />; <br />- <br />. <br />: <br />I. <br />P <br />.. <br />... <br />.. <br />... <br />, <br />e <br />.., <br /> <br />••• <br />.. <br />I'I116, T(IiAL BAMPLE bC:':G171;a t:kiF%JliiL ( <br />I 7•r),l%~:•. ~ 19) <br /> <br />(A5 F'AI MEASUREMENT <br />11045 1 0 V "'~reRM,r~'~-: ~: <br />:..-l~~±aa~Ea; . ',trC~!A%zIQ°a a:~a ''{~C~4F#~:.~ <br />S)',c;;' <br />. _.. <br />3* .. <br />'7i0 ;=:~ .. <br />~ <br />NC~)!": . <br />,RA6 <br /> a QENRGNenr. <br />~: : , . . . <br />FG,L)N, IN CONDUTT OP BAMPLE ( 03) Iyp{:~T#lu a{-r,:r,T:},>< (:oc=lkaa ( I <br />7 NI'U TRfiATrENT PLAN MEASUREMENT <br /> <br /> <br />1 <br />loco I o n <br />a~~R I;'' <br />~%° xl ~~') <br /> <br />nt~?Ct}3f:it <br />t~~ <br /> <br />- <br />A~PC~~i~T: ~ 4~~ <br />:;+a°~au ~aa.,: <br />~` e, ~. <br />~~:.. <br />~x>a~e~l~z;: <br />' <br />-~?.~~~;t~~~!~;;~x <br /><~Y,, 1RQ.e,; <br />~.~A. <br />` l~n:.p <br /> <br />EE~G~I~ <br /> <br />~~ll$'[llll <br />' RFOUI116MiN17 . <br />..P <br />•>." . <br />•d <br />•~ < <br />"'~ <br />~'s ^ <br />=.:,b~< .>s- <br />~,<>~ <br />.a <br />. >Q<;;~ ~,. ~ <br />'r, <br />~ e4~. p: <br />;..I . <br />,e~e.m- <br />~. <br />~: <br />, <br />LIl NT f. OS Y <br />FYt F " r s, <br />'9t.. . Xbw <br />. ~ <br />, <br />:. Il.TUS, TOTAL SAMPLE 1rl({'IMa4 I:I:k4•GLi ( ) aacoau #adMaa ( i9) <br /> <br />1 <br />CSSOLYEh MEASUREMENT <br />. <br />7 )155 1 0 D `orileiiT:;:.; <br />~ ° dc~iY+kt!¢ = ">5+.4~C!?dt. n#1a ~it4i+410!i~:::. <br />g <br />' ,'',+~;tiG/t#zi;, ', 'itEPt]HY':p <br />~ ".a <br />: 'lftl;T:s- ,illA <br />rr 1 RRQUIRRM CNT <br />~ AT,`{I ly ' <br />° <br />~ r(i i <br />11. , <br />NAM[/TITLE PRINCIPAL [x[CUTIV! OFFICER LAw THAT I HAVE v[RSONACLY [xAMMYD <br />I CFPTIFr UMDER PENALTr Or T[LEPNONR D A T E <br /> AND AM EANILIAR WITH THE IMFORMATIOH SUBMITTED N[R[IN IINO BASED <br /> <br />H C(, l1ARD V. A1'KINSUN OH MY INOUIRr OE TNOSE INDIVIDUALS IMNEDIw IELY R[51'ONSIDL[ E(M1 <br />OBTwINING THC INip1M6TIO.V I n[LIEVC THC SUBMIR[D IMfORMATION <br /> <br />V!' LANU/ENVIkONEP1TNAL AFFAIR IS TRUE wCCUR1TE 1ND COMPLCTE I AM AW1RC THAT TNER[ AR[ SIG <br />CwNT PENALTIES roR susnlnlNC rALSE INrp+NATnw InD[uanc <br />NI <br />303 1124-4451 <br />92 <br />lU <br />14 <br /> [I <br /> THE Po5&&uir OE nNE AND INPREiONNENT SEC IB u5C 1 1001 AnD <br />1 g1GN ATURE OF PRINCIPAL E%ECUTIVE <br />- <br />TYPEDORMINTED 7]19 1P.nrlnn .rMrr IArir EnIUM1, .u• nrlydr /Inn .y 4~ tloNU <br />33 u5C <br />,.d••.~r•I.Illlrl l,.n•L..InvnrMh~m..nEm,mlA.,nJ:. ..,..I OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr/rrrnrr ulI u/TUrnlnrm[ nrrrl <br />_,:PTLFA6I.E SI)LTUS LT"1T'1' APPLIES CI>I1.Y [F <- LO-YII, 2U-Nr{ f'F'tl.'[P fYLa~ TS ~LATMF.['. IY ~LP.I"1 APPROVED DY <br />.! 1r[, TS.~ 1R~N LIN1T3 N1LL N01' HF: APp1.IF'G Ti) rtE['<)ILj'FI11 '(~".15I!~tEF:F:4T'S--S°F: T. R. 117, P. f! ANll T.F!~D, P:r b, <br />- .___. . ___ _.. ~nuu T~' w NIrH MAY NoT RE us[o., ~ E OF <br />