Laserfiche WebLink
I euh! ,'amr/J nation Il <br />NA':i ___L' E A~I~C,A1. S O_ (-.~tQ~I.B ~ Y-Y y. ~ - - <br />AODRE55111~1Y ~!1!Jru 9Af-~__~~~_~__ <br />FACILITY ---------`------ <br />LOCATION-_-_ _ -- -- -- --i- _-_- --_ <br />l'TTIJ~ Tt l]V NTC Cm^v CPOnI: OOYr'T/19 YT <br />IJAiIONAL POLIUTANi YAHGE ELIM INATION SYSTEM lh'PDES) <br />DISCMAR ITORING REPORT ID.tIR/ <br />17161 Ill-191 <br />PERMIT NUMBER DISGNAP.GE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAF MO DAV <br />FROM U TO <br />/d4111 Q1~lJl /N-ZJl /16-1]1 J18-1'Il /30d 11 <br />F - FINAL <br />STORP~AT°R PISCHAI!,F. <br />r,IROa n:l; a:, <br />NOTE: Fead instructions before completing this loan. <br /> II CPrd Only/ QUANTITY OR LOADING /a ('Prd Onlyl ODALITY OR CONCENTRATION NO FREOUENCr A <br />P <br />E <br />P4RAAIEi ER (IbSJ) IJa-b!) /38-a51 N6~JJ1 /Je-6l/ EX OF S <br />M <br />L <br />TYPE <br />!-J'~/]/ AVERAGE MAXIMUM UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />/6:-bJ ANALYSIS <br />Ibd~bal <br />1b9. ]OI <br />.h S4MPLE v+Y,'"-:# .YirJY,`#Y '''~A~r <br /> MEASUREMENT <br />I1 1 <br />'.O.QOJ Z O O PERMIT ##,~r#rr ##y#,'.:t ~Y 6.5 ##~~r#v 9.O Nr_e/ IIAB <br /> <br />hT CnrTS~ REQUIREMENT <br />s <br />.D J <br />0 - <br />^LIDS, TOTAL SAMPLE ###:r# +'~-Ov. ,- .YYY+'Y` ~r`~~kY# <br />iP£NGEn MEASUREMENT <br />1•~•53D 1 0 0 PERMrt r#r#r# #L•#### ., >~Y:### ##r#'~# REPORT NCE/ RAB <br />C C r •p - REQUIREMENT ~„J,~ lM t <br />ULLDS, SLTTLLr, F,LE 54MPLE ##r, r# #irv'+~,'-'+` Yr>:`r## J.`•#+"`-:F'v`~ <br /> hIE ASUREMEN7 <br />-0545 1 D O PERMIT ##Y+r ###Yfi# YY #r#### ###rr# D.5 NCE/ RAB <br /> REQUIREMENT ~ T y : T <br />J, n <br />1L AND GRcASE s4eAPLE ##+~4v ###### :#„#.`. YYYYv <br /> MEASUREMENT <br />GR39 !SETT} <br />LTR- <br />' <br />REIN E <br />^ <br />OSSb I '.1 O PERMIT ###Y#Y #####Y vY JCYYYV~ #Y1rYYY jo NI.L/ RAB <br /> REOUIREh1ENT ~w N Hr M <br />- J Y~ <br />IP.Oli~ T03AL SAMPLE #r#CY ###+#;`• 3#;F#:'• ..###C <br /> <br />AS FC) MEASUREMENT <br />( <br />1045 1 v O PERhtIT fi#C##: 3##### ## #+."r### #v#### REPOZT NC£/ RA8 <br /> REQUIREMENT V r T FS n, <br />IH cOVDUIT Ca <br />'LOii 54MPLE ~r#~#r ~s#c#'~ ;~a:~;,Tr <br />, MEASUREMENT NO 1SCHARGE <br />ATr1°NT PLANT <br />'tU TRF <br />. <br />X50 1 0 O PERIA17 REPORT REPORS ##'Y`### #=>#### a###Y# =r 2ZRLY NSTA": <br />- REOUIREM ENT <br />r ~ <br />TOTAL <br />OLiDS SAMPLE #t#### #4#; #1iL YYr#t# ####~+. - <br />I <br />, MEASUREMENT j <br />ISSOLYBD <br />i; <br />70295 1 0 0 PERMN ##:3## ##:#'-`# .r #3##Y: #~?Y#::3 REP02T TRLY RAB <br /> REOUIPEMENi <br />:mot <br />r <br />N4JdEf711 LE PPINCIPAL E%ECUIIVE OFFICER ME T <br />AT <br />FAMI~AR <br />IT <br />TNE~IFORMAi1DN SU <br />4 <br />+ ED H~RE NYAND RASED TELEPHONE D4TE ~ <br /> <br />6rian P. Dun ee, 14anager W <br />M <br />H <br />V <br />r <br />D <br />ON MY INQUIRY OF THOSE INDIVIDUALS UA IAEDIA fELY RFSPONSIBLE FOR <br />~ <br /> <br />Environments to les <br />i OBi4INWG THE INFORMATION.I BELIEVE THE SU6IAIRED INFORAfAT10N <br />IS TRUE, ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br />« w <br />I; <br />CC <br /> <br />NIF104NT PENALTIES FOR SURMITT ING FALSE IN FORhtA11ON. RJCLUDING 602 774-5253 90 ~~ 2J <br /> THE POSSIBILITY OF FINE AND IMPRISONMENT SEE tB U 5 C { 1001 AND <br />J <br />1319 <br />P <br />l <br />h <br />d <br />IU <br />q <br />J <br />S SIGNATURE OF PRINCIPAL E%E TIVE ~ <br />PED OR PRINTED <br />T rse slaiwrs mo. m <br />urz undo ~ <br />r pnn u0 ro J <br />.1K <br />J V <br />/ <br />rna <br />U <br />O 1 <br />u~eorme,,mem,mPmo~mr~ro/brnr.,6m~~~re, o.,d f/ror~l OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAV ~ <br />Y CODE ~ <br />COtA 61ENT AND EAPLANATIOLJ OF AH'lVIOLATIONS lRe/erenre ollallaehmenls here/ <br />IF !r0 DISC9ARG° OCCURS 3EPOP.T "RO DISCHARGE". OIL AHD CRPA3F,; .SF.E FOOTIIOT° F/. <br />EPA Form OO2O~11RBV.9-$E)PIe YIOUs e(lllrOr)S THY be DBB(J. (REPLACES EPA FORM I~~0 WNICH MAY NOf BE USED.( PALE OF <br />X025^/Ir105ff9-17411 1 ~ _ <br />