Laserfiche WebLink
_... ,1....„mucuu $Imw.J. <br />'.. nu, ±amr/J mourn J <br />NAME_~ ~nr C]4LS~C~LU~LA ~I.R +./-~_- <br />ADDRE55~;(j _~L eA~p <br />---Pi.AyST,E~_-- ---~flbQ11L_ <br />FACILITY _-------------- <br />LOCATION-- - -- -- -- ---- -- -- <br />.`,TTC- TYF 4A TC cn•vvcucnu Tsovc Tnv^T <br />NATIONAL POLlU1PN1 ARGE ELIIA aJAiIONSYSTEM/A'/•l)LS/ <br /> <br />DISCHAR 'ITORING REPORT /D.IIRI • <br />a-16) /17./91 F - FINAL <br /> 000000213 001 A STORN7AT?R, SPO[L ~PRG E ttIM° <br /> PERMIT NUMBER OISCMARGE NUMBER <br /> MONITOR{NG PERIOD <br /> YEAR MO DAY YEAR MO DAV <br />FROM TO TIMOR yRTRS <br /> na?JI rn.nl n+.w ne-rn r,v.roJ na JlJ NOTE: Read instructions helore completing this loan. <br /> lJ C'ord Only/ QUANTITY OR LOADING /4 Card Only/ OUALITV OR CONCENTRATION NO cRFOUENGr SAMPLE <br />PAgAMErER !+b-SJ) lSYbl) IJA~+S) Nb-1Il /J+~bp E% GF TYPE <br />U' i7/ AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANAL r$i5 <br />:t $PMPLE #i~ r,'k#ir a~~#rv# rY~'r# ~'v <br /> MEASUREMENT / .DD 8.06 D ~ /7 Grab <br />10400 1 7 O PERMIT ###r## ##3### Yr# 5,5 ##.r#Y 9.0 2EKLT RA9 <br />FFPLU°t:T G40SS Y\LUF REQUIREMENT :Tk#r MINIP3U:1 p!~RIt!ItM JU <br />" r`LiCS, TOTAL SAMPLE ###~#r ###+## ~###~: <br />ilEtIDLD MEASUREMENT 7.33 1D.DD D 1/3D Grab <br />0530 1 0 n PERMIT ##~### ####3# aa~ ##r##~ 35 70 NC E/ RAf3 <br />V r1 F' ~ REQUIREMENT wa. ~. T r , <br />'OLIUS, SFrTL F.SHLE SAMPLE ###### ###### ###### .r#:k'kr <br /> MEASUREMENT - - - <br />OSUS O D O PERMIT ######' ####$# ;`ire r##### #####'~ OPTIOtSAL NCE/ RAE <br />R REQUIREMENT ~ .~ M \ J T ( <br />II. 9!+D r,REASE SAMPLE #Y###: ###### #####_ :##::# <br />i R-GRAY 1'~•[~ <br />RuOR EY MEASUREMENT _ <br />. <br />"555 1 0 0 PERMIT ###### ###### ##G #3.".### ##-:##:- ; 10 Ef:RL[ RR6 <br />CA ^ PEOUIREMENT C i! II^ <br />RUt:, TUT6L SAMPLE ##R### #3#### ##.r~r# <br /> <br /> <br />(A; FE) <br />ME4SUREMENT p <br />O.~U <br />D,24 <br />D <br />1/3D <br />Grab <br />1G45 I ~ ~ PERMIT ####.~r# #####i r +##i'~r# 3,5 7,0 RCE/ RAB <br />[' TI (' T REQUIREMENT <br />T <br />r <br />IN CONDUIT CB <br />FLOP SAMPLE ####=% ###+.v -•-r- <br />, <br />'iU TRE4T!1c11T FJLAtIT MEASUREMENT 0,203 0.552 0 1/7 1nStdn <br /> <br />.JS'l 1 0 O PERMIT REPORT REPOHT .v##t~- ##'=#r: ,=:#C## ~k#: EEKLT HSTAR <br />r REQUIREMENT <br />.FA.~ <br />TCTAL <br />~OLIDS SAMPLE 4##.#: #;r#.'-#3 ####:~: e...:'.:# <br />, ",EA$DREMENT 3356 <br />00 0 1 /30 Grab <br />CISSOLYEO . <br />70205 1 0 O PERM17 ###.## ##;~##r rr #####. #####~~ HEPORT TRLY RAB <br />C ` REQUIREMENT ' <br />T'r <br />NgL1ElTIiLE PRINCIPAL E%ECUTIVE OFFICER qND ATM FAMI~IAR WITH THEOINFORMAnON SUBM TI ED HOERE NYAND BASED TELEPHONE DALE <br /> <br />Dunf ee, t•tanager <br />Drian P ON MY INQUIRY OF THOSE IN DIV IDUAL$ ILA NtEDIATELY RESPONSIBLE FOR <br />OBTAINING THE IHFORIAATION 1 BELIEVE 1HE $DBMRTED INFORMATION <br /> <br />~ <br />, IS TRUE, AODURATE AND COMPLETE. I PM AIYARE THAT THERE ARE SIG <br />F <br />M '_ r [~ <br />Environmental Studies NIFIGANi PENALTIES FOR SUBMITTING <br />ALSE INFOR <br />ATION, INCLUDING <br /> THE POSSIBILITY OF FINE AND IMPRI$OrJM EN T. SEE Itl USG 6 1001 AND <br />C t 1319 /Prnobvr untlrr JAOr slorma ma <br />33 U $ <br />mrluJr /m <br />u <br />er Jl O <br />cY <br />a $IGtJATURE OF PRIN LIPAL ECUTIVE 6D2 774-525 JD Dt 25 <br />TY PED OP PRUJiEp y <br />. <br />p <br />, <br />. <br />n <br />unJm maeimum impraonmenroJ bn.rcnAmomhf unJ S!mrzl OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO oar ' <br /> CODE <br /> <br />COIr(1.1EN I AHU E%YLAHA I IUrJ V r NH r vw~A 1 was (ne/erenre uu arracnmrnrs nere/ <br />UIL ASD f.R°15°; SFE FOOTNOTE F/. O--MIIST REPORT IF EYEt'.PTIONS CLAI!IEU. T:, :; MUST UE R°PJ.IRTED AT AI.L <br />TI :f.:.. <br />EPA Form 3320.11RBV.9-BBJ P/aVIOUS BdIIIOnl mlybB UlBfI. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED) PACE OF <br />rUDOI/1G05`t~-1711/7 L <br />