|
FErdlry Name/Locerbw (/dlJJurnr/
<br />NAME-rnr. 'b.rner. rD.CP1tlY-------
<br />~DDREn~D1.u,LY~.ILISLE-----------
<br />-- -5~3LSTA1'~HSCAk AY ~L ------
<br />---~f.YEH_-------.5~ tI1b9L-
<br />FwcrurT-
<br />----------------
<br />LOGATION
<br />AT'fPi: RICHARD G APKINSON
<br />D ISCHARGF MONITORING REPORT~lDA/R1
<br />al. 1~
<br />PERMIT NUMB[R oncn wwcr nuMFu
<br />MONITORING PERIOD
<br />YEAR MO DAY YEwR MO DAY
<br />rwoM TD 3
<br />110111 l11~11/ 1111 I 116- ) /1H-191 l36 I1
<br />!(INOR Form Approl
<br />(SDBR NO) H®lol~TNo. zonD-oooa
<br />F - PI NAL Expires 9-90.91
<br />YAREHOUSE SEDI TO TAYLOR CRECR
<br />~~~ NO DISCNARGF. (_~ ~'~~
<br />NOTE: Reed instructions before comaletine this form.
<br /> (J Card ORIY) QUANTITY Oq LOADING (1 Card Only) QUALITY OR CONCENTRATION
<br />PARAMETER (163J) (7141) (JH17) (16dJ) (3161) Np, FRLODUF NCr 6AMPLE
<br />TYPE
<br />(31 J2) EZ An ALrsls
<br /> AVERAGE MAxIM UM UNITE MINIMUM AVERAGE MA%IM UM UNIT6 61L-0 (616E1 (eV.lO)
<br />UIL AND .REASE SAMPLE
<br />MEASUREM
<br />NT ~~#~~~ ( 94) ~~~=r~z~ ##~#~~ ###~#>k ( ) 1
<br />/ 11
<br />J
<br />I/ISUAL E O ~ ~ ISJ•\~
<br />6 1 D 0 '"~;;cPxRNlT'"a . 'x" '~?~>xfJC#~;
<br />a
<br />~' ~r;.~ R >i;:~'~>«
<br />~"
<br />~
<br />~
<br />ES=1 ~ .A,<~
<br />~""~?a >x ~a~ ;~,._~ ~, ~
<br />~isi~rx~#~'`:
<br />~
<br />~~~~ag~~c~~r,.
<br />~~~ .., .
<br />~Eb~
<br />ISDAL
<br />U RBweNT~
<br />R,eaul .
<br />:
<br />°'Y~~~~'I~`~~~
<br />~
<br />•~~ -
<br />~.t~~:
<br />~,.~~
<br />'m ~'.awaAad
<br />a
<br />~
<br />~ &
<br />~.
<br /><
<br />'~«
<br />M
<br />«
<br />° ~~
<br />' ~. ,
<br />SS Y U ~ .
<br />~ : - .
<br />.
<br />~
<br />~, <~p
<br />,:;
<br />~.~~~ .Z~~~.
<br />..~a tf #
<br /> SAMPLE
<br /> MEASUREMENT
<br /> -~~,sAERM1r'.°'~,~ «m,~~'p.'°~~~m:.~.~w.: si~a e"t~i-f; a~.x~..b:
<br />v p;g'~°~~°'n a~a
<br />a
<br />~'~ ®~%a~wK ~'`n R
<br />s ~''°~
<br />~ a;ID a~ffi am'a: fig,
<br />=' ,..
<br /> gq;R~y REH dM~`
<br />~ ~ ~.$~ ~:~w
<br />'
<br />~ .
<br />, '~. I*~.,,,
<br />'~
<br />~~ ,
<br />w
<br />gw Y'
<br />~e
<br />~
<br />YL
<br />~
<br />3 ,
<br />e ,4
<br />..
<br />~.~~~~
<br />~
<br />~ E~>
<br />,m,
<br />~
<br />~
<br />~~
<br />°3.2 .
<br />,
<br />t,.
<br />) ? I.
<br /> ,~~'n ~r ~daw ~.i'o'~~
<br />««a ~}~a-ry
<br />,~A S; «;F.
<br />' ~
<br />Zm
<br />_
<br />.R
<br />.$- x
<br />.
<br />.~,1.-~. u
<br />.
<br />.
<br />:.; .~°:• r,- ~, .
<br /> SAMPLE
<br /> M EABUREYENT
<br />
<br />as oE6 ~N ITC ~
<br />
<br />r
<br />~
<br />'
<br />' a
<br />`~,~~k'.`~.~'.~' :W~ffi.
<br />L ~P kP. 'L:a..;p. '~
<br />" .d'm y, ` ~a
<br />ga Yom: a < 6d&.p
<br />°m'?~.y ~.~~ '~
<br />°`~C ~ti -w,,.
<br />'`~
<br />~
<br />~ T o- &
<br />z~ ~~.. ,k ~a'w2.y ~:x
<br />
<br />~A$
<br />' ... ...~ eYC.
<br />~.x.~S e.,~+a " ,.4.
<br />
<br />
<br />` i
<br />1s
<br />i :.
<br /> gEQUl
<br />Ie:gEIJ
<br />[ 3.~i`'~'iF o-'~ce'°` «w «a '°.+~i ee4 .,$: a`~ap~
<br />,
<br />; ~
<br />y
<br />«~9a m~~ r,
<br />,','
<br /> ,4' ~ , .
<br />M Y a9..x
<br /> SAMPLE
<br /> MEASUREMENT
<br />
<br />' <
<br />,°''PEAM~IY
<br />~ ..~~
<br />~-S `a;.°e;;~S •~v%S
<br />rw ~
<br />.`~.~.~
<br />:.,^e n°4~%
<br />o- :'"l A w t° a'a
<br />r'S. i's; <;
<br />
<br />(
<br /> .
<br />.1tKrAU FM 1lT
<br />'~• F'
<br />' ;
<br />' awe «.~'~
<br />x'<'~~~F .;~s:; i'y ,
<br />:.e m,~„~I&~9 ;;~~m°
<br />x~i
<br />g 4'
<br />~~a F
<br />''. :«; ~°~'-~:` m~
<br />a
<br />>3'
<br />: ..,;~':;~::.a::,:.e
<br />z r..w i
<br />:~x
<br />sx(o n'i e-
<br />>~°:.
<br /> ?.~s , .
<br />. .
<br />, ,
<br />,
<br />. x
<br /> SAMPLE
<br /> M EiABUREM ENT
<br />
<br />I'd .,<'
<br />?~-P,'ERkI. ~~~
<br />6 sa~...i'I'`;m~s~'.>. .,~ ~'~~
<br />_
<br />g
<br />+
<br />~'
<br />'
<br />a"~ . 'a:~ ~w~, m'.&.
<br />~ ~ ~.
<br />£`ar
<br />~
<br />~
<br />~
<br />~ ~.. ~:Y:a ea'~i'°.' .ti
<br />.,
<br />~
<br />k 7'~'~~g "„rea
<br />.
<br />~
<br />c
<br />,
<br />~
<br />$ .^ag~~ ~~e' .n°gp .•. ° ; y
<br />~ :~.~..F~„ d p.
<br />a'., .. _
<br />
<br />~
<br />~ .s..
<br /> .A
<br />0VAI~Ee~ei~T„ y§
<br />.~
<br />R
<br />.
<br />Aa',,
<br />~u`..
<br />°'
<br />~ ,
<br />q ~F+
<br />r
<br />~
<br />w:R
<br />"
<br />' ~
<br />,y~
<br />$~
<br />a..~i
<br />~.$i ~`.'s ii ~
<br />~ ~
<br />y
<br />;„
<br />,
<br />v$~~~~n
<br />tg~'
<br />p~~'ae~ Av5$w
<br />A "~wap«'' .y
<br />.
<br />: "e~:
<br />""Se:
<br /> ,. d x$~
<br />O
<br />~k~ :~% w`^%< ~
<br />i'.6faa~`^
<br />aH.a ~ .
<br />.
<br />.
<br />.tea., s...m+.b1
<br />.8`( $A.: %'$'k:$wa` °[&P <
<br />$S'a &.. ..Y tt
<br />"
<br />e .
<br />vz
<br /> 6AMPLE
<br /> MEA6UREM ENT
<br /> a.JV:A :r~.
<br />PERMIT- ~ ~~•~. ~.e~A6''p~,~
<br />"~~a~ ~3q~. `~, W$ ~~'~..~'
<br />~~~ At $y~~9.
<br />~
<br />'~ as&i'~$L '%'a~:.,~'
<br />PA ~s.~
<br />.y
<br />'~
<br />~ A'i`1°,`b, kV..&p
<br />~ k k, ~~
<br />~' S.n r~,.T.a,~ :.n as ::.b..
<br />Y'bs
<br />~ d~x
<br />d,g i a.g
<br /> q~O~l1RA~ENT; rat ~"tias~ i'~i;'~ .
<br />@
<br />~.e `m;(.'
<br />~
<br />.~~ _
<br />b
<br />'«"~J,>z .w
<br />~ ~
<br />s.m ~
<br />x'a7S~
<br />s „
<br />9
<br />,n s.
<br /> ti
<br />. ,
<br />em _ a
<br />a,
<br /> SAMPLE
<br /> MEA6UREMENT
<br /> ~~d~~PERM IT?.~:3~,
<br />'f «*'m (. a.,~.~n.e;t<~~°?
<br />S
<br />'w
<br />Yr
<br />a ~
<br />'~~` v
<br />'~' '~.~,n ~. ~.s,~A~g
<br />'
<br />e ~~
<br />'-~
<br />' b~y:r~'a .b'e~y.
<br />'"
<br />'
<br />~ :g.. s~;M1~ .egg
<br />e
<br />,
<br />s .,
<br />Z Td~: z:
<br />~;x <:: ;'.
<br />~ e....°:
<br /> ;RjQU1RE NTH
<br />M
<br />~` -
<br />:
<br />~
<br />:
<br />,
<br />g.
<br />"v
<br />'
<br />~ t ~
<br />C.
<br />.
<br />~
<br />bb'%
<br />~
<br />'
<br />~
<br />° .
<br />.
<br />p y'~
<br />'4
<br />°
<br />$
<br />~
<br />'
<br />'
<br />~ '~
<br />m;
<br />~: ~-
<br />p.
<br />~
<br />'
<br />~ .
<br />5 `~
<br />i
<br /> A.O
<br />. 'Mea`a-aw ~':
<br />Y'S+~ . k,.g:~,
<br />,~
<br />e
<br />:
<br />`ai ~
<br />XA.G
<br />b ~w. %
<br />$ffi
<br />„
<br />.
<br />$®
<br />A
<br />i
<br />h
<br />z. Pii1A
<br />exkw..: L~
<br />`
<br />9
<br />.,
<br />, ,
<br />Y
<br />NAME/TITLE PRINCIPAL i%[CUTIVE OFFICER I CERTPY UNDER PEI4LTV Or LAW THAT I HAVE PERSONALLY EAAMW[D
<br />AND AM fAYLLIAR WITH THE INFORMATION 6UBMITTLD HCR[IH
<br />AND BA6CD TELEPHONE D A T E
<br /> .
<br />ON MY WWIgY OE THOS[ INDVID11AL6 IMMFdATCLY RESPONSIBLE Fp1 `
<br /> OBTAINWG 1HC Wi011MATX)N. I BELIEV[ THE SUBMITTED INFORMATION
<br />_
<br />-~
<br />11 Ifi TRUC. ACCURATE AND COMPLETE I AM AWARE THAT iHFRE ARE SIG
<br />NIFICANT PENALTIE6 FOR fiUBMIfrING FALS[ INFDRYATbN WCLUdhG ,'/L'Fi
<br />~
<br />1
<br />X
<br />U
<br />F
<br />~~
<br />THE POSSIbuTV OF FwE AND IMPR60NMENT 6[C IB U6C f 1001 AND
<br />~~ p 11 )`_(G
<br />-
<br />~ I~
<br />~
<br />~~ q~
<br />-
<br />[
<br />1
<br />A
<br />V
<br />])uSC 11)19 IPnlrlhn wndn IArr Hw/uln wuv mrldr /inr.
<br />m JI4pn 61GNATURE OF PRINCIPAL O
<br />7
<br />I ~] 1 I 1 l_~
<br />TYPED OA PRINTED uP
<br />r.d,v mrri,x Ww Y,plurlnonl.d A•IRwn Em,.nM. rnd.l lrrr.l OFFICER OR AUTHORIZED AGENT AREA HUMBER YEAR MO DAY
<br />i AND EXPLANATION OF ANY VIOLATIONS IRr/rrrnrr ull uHUChmrnlr hrrr)
<br />SLrTTLFABLF. SOLIDS LIMIT APPLIES ONLY IF <= 10-YR, 24-HR PRECIP E9ENT IS CLAIhED. IF CLAZ(f APpROYED BY
<br />N1CU, TS:i E IRON LIHITS PILL NOT BE APPLIED TO REPORTED NEASUIIEnENTS-=SEE I.B.lA, PG 4 AND I.B.1D, PG 6.
<br />f'P f REV. A u iu y (w ErLwccs erw rowM T-Ee wNlcN Mwr Nor BE ueco.l rwcE or
<br />00960/920908-1914 2
<br />
|