REP29334

• Permit No: C1981008
• IBM Index Class Name: Report
• Doc Date: 12/11/2001
• Doc Name: NPDES DISCHARGE MONITORING REPORTS FOR THE FOURTH QUARTER 1989 AND THE FIRST SECOND AND THIRD QUARTE
• Permit Index Doc Type: HYDROLOGY REPORT
• Section_Exhibit Name: Appendix B
• Media Type: D
• Archive: No

V ., ern. ri EADLRE55•.~... :,
NA A'E~_"-`i?.r ~a:J L J u ~'1_ (~~f.S~lAll ~ ~ i..)_ _ _ -
"~ LD::AnpN-_ _--_---_-__------
~Y= L:,;Jf i .;; .VrRS'IA PHFSIDE'tT---
i:,
?3
'~ '.,
:J •.
j
~9
1
~ -
1¢
j _
IIAIIONA i4N1 DISCHARGE ELIMINA ilON SYSTEM fA'PUES/ •
~ARGE MONITORING REPORT ID,+1 R)
CQOJ~•:1213 ~aI v ac'fTE; ':''.T 7`'SPIFL: E'J~ OUTPALf,
PERMIT NUMBER DISCHARGE NUMUER
MONITORIPJG PERIOD
YEAR Alp DAY YEAR MO DAY
FRpt.l ~ To yl Illtliln :SiTNS
/anz// l::-:J/ (1a 's/ an~7b lJa~:v/ 1.+o-Jn NOTE: Read instructions be~orecompleting this loin,
fJ EHrQ Until OUAU111Y OR LOADING NC'ard Unh7 pDALITY OR GONCEN iRAiION
NO
cREOUENCr
AI
r: uc rC-ul l+n~91 Lte.6b fJS~JS/ Nb ]J/ lb~~n/l .
E%
of $
.
T~
' ~ AVERAGE MAY.IMUM UNRS MRJIMUM AVERAGE MAXIMUh1 UNITS 4NALY515
rn: nl f5r~6,41 Ir"
~..; J: :• I.•. ..:~~ sAA1PLE ., `FY Y-.~;-a; .r.r.r r, ., „ TRLY C!
:rE ASUP.EMENT O
J PERMIT ',F3i: YF ~~". v><r~'.i:F4 S i,c Yi= , r • . ~. 4.'•.'I'0EI'r iG r'v'v:: ~:i ~:= J I:3LY
REOUIREAIENT
(ri T
ni.ll
'T 'i , $aMPIE •.. rrr v'k ~FC~1~ ,..,r„ v.rrr
. .,
...
~
.
'
~ 'A EASUREMENi 0 TRLY f
_~
I ~ „ ,r ;
.. ". ,
L ~
.
i J PERMIT :~.,rr.. #Y..~G , .. ., .r. P.EPO;ZT ~'•`-r-+Fr~ nS~=J TRLY
REO'JIREMENT

SAMPLE
ME45UREMENI
PERMIT

.
.
-- REOUIREMENI
.
__
- - -. $AIAPLE
MEASUREMENT
PERAUT
REOUIREM ENT
SAMPLE
iASUREMENT
PEPM^
REQUIREMENT

!EAQUREMENT
PERMIT
REQUIREMENT
SAMPLE
'ALa $UREMENT
PERMIT
REOJIREMENT
,.., ~ .., L •_r_UIi.F UFFICER
-- r I OERTIFY UNDER PE I:AL iY 04" La\V iHA? I HAVE PE160NA1 Lr EAAAUHED
AND AM FAMILI4R l'IIiM THE INF DRL1 gTION SUR'
'
11iCD HEREIN
4ND RASED TELEPHONE DATE
.
.
,
ON MY INQUIRY OF IH09E IN UICrDUA I$ IIAM EDIA lELY PC SPONSIfllE FOH n~
"
~

~' U',1I ~ L r ~'~Q f T
OBI4INING THE INF ORMATIDN I BEVEYE UIE $UDlAl1iED 19FURAIA IrON 'N
L~.G~ /
IS TRUE. ACOURAIE aND COMPLETE. I aM A~YARE THAI IuENE 4RE SIG ~
N4`CANi PENALTIES FUR $URfAIiLHO FALSE INFORL1A l10N INCIUUING

'OI. ,~~flj;l~ `~CIJ~Ii'S
-- - - - THE PO$$IBIUTY OF FIRE AND IIAPRI$@JAIENT SEE JB USC 4 JWr AND

rhA
3] USC 6 1].S n•.nWr,r• ~nS.% rhrr ~r.rv:n mom, rn mJr /.m, ~n ro llu
SIGNATURE OF PRINCIPALE%ECUTIVE ~
60~ 774-5 5 O
0
03
„~E~I,=. ,;Ep .
o~/m maumum nnP.v~wmrmo; er~~nnnm,.nm~.,n.rf~r.•tl OFFICER OR AUTHORIZED AGENT AREA HUMBER YEAR MO
cen
k /~
~ . ` ~ .'
Lf•"' _
Ii / l r
~'.
'1...1C
4 ~~
.~ ,~
i-
1 . . .
L- _-_
I ' I J;
'.~ rl I
L r 1
_.
. •.• ~'..:. „ • l • ~, <..: I ~ U'. C ~ <t. / `: r ULA i IUNS lHe/errnrr pll aJlurArnrnn hrre/
'J'+ //r' ;:L`.';1.1'.; :.r..•fr:c',I:U A.S)YF. SHnL[. d5 i;,15ED U,i ~l4Ji PEiUC~iDUI:I•: D!I~i'L[NED Itl ~dHP I.N C'r 'ta't. L'C3hI~i. ;LLSC,
i ;: `: :'. l'i: Ef( !!~"~T f•.'.?OHP Fu37, SI, :.LG uE aC~i'SCH'LD TO 'THd ~Hif. ALL IP: f'J°.~ATIUE; l:U;;: R:i S2F'I i0 ~PA.
EV! L~C •'n J.11J IrR`!r dP,EI Pr B.~GLS OalfJOlIS lFIl~bs!lSBd. IREPI ACESEPA FORM LSO WHICH MAY HOT BE U$EDI .
r;