Laserfiche WebLink
PEPMniEE N4MF' 4E$$dn.IwV N4rIOIJAI POLLUi 4CHAHGE ELIIAeIATION SYSTEM N'/'DE.S/ • <br />J a, ev. +u•~n:J.• /~^^,~ DISCH 10NITORING REPORT IDSIRI <br />NAM.E-r.T~.~~C',~I.~17~(~i1~LS'L~iE.a.--- !1~ l/7~191 F - FI4eL <br />ADDress7ln^ 50-UT-U-Z~I-E---------- ~ ~ STOR!'AAT'•.R, SPOiL ~"FG ': C7RE <br />---~~~~~~------~_~r~t-- PERMIT NUMBER DISCHARGE NUMBER <br />- -- - -- -- - - - ----- ---- MONITORItJG PERIOD <br />FACILITY __ -_ _ _----- -- -- YFAR MO DAY YEAR MO DAV <br />LOCATION -__-- FROM TO ~iBOP '1:JTRS <br />rrno v,. „n.,n nz,r~ na. xi nA.in +,a. ro~ na.n~ NOTE: Read instructions bolore com Dletinq this lorm. <br /> /I C'wd Unh'1 OUArJTITY OR LOADING FJ C'ord Un01 QUALITY OR CONCENTRATION <br />NO <br />"OUE'.r;~ <br />'•'~ <br /> <br /> <br />PARAMETER <br />N6~3I/ !SA bl/ <br />/I3~a31 N6~3I1 /?+~bO <br /> <br />E% . <br /> <br />DF SAMPLE <br /> <br />TYPE <br />r J AVERAGE rAA%IMUM UNITS MRlIIAUr.t AVERAGE tdAY.IL7 U'A UNI15 b: <br />n! 19 <br />M Imi ]a <br /> , <br />~ ~ <br />J <br />I J <br />.IL A!ID E:~E4SE SAMPLE <br />l <br />IEA$11RE ME3Ji •...~.. <br />D r.-,r-. ~. ~'k:. r..... <br />~ <br />1 /7 <br />V I S <br />ISC!!L . <br />„~cc ~ ~ O ~LL`_t^ • ~,_1 <br />.. <br />.-.#L`:k: .:k'.=f:#~ <br />. <br />,.-f,.,-,~. <br />.; <br />,r, FKR(.Y 7SRA7. <br />J4JUJ y i V <br /> <br />~ <br />REQUIREMENT <br />, - <br />!0 <br />_ <br /> <br />- - - - <br /> <br />-- - <br />RFF . I~i~T GR~7~S I1LL: - <br /> $FMPIE <br /> r.IEASUREl.IEnT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEA$URELIEHi <br /> PERMIT <br /> REOUIREM EIJi <br /> $AIAPLE <br /> LtEA$URE1.1ErJT <br /> PERMIT <br /> REQUIREMENT <br /> $PMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREM ENT <br /> SAMPLE <br /> MEASUREM E3Ji <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PE RMIi <br /> REOUIREIAENi <br />NAI.I EIT ITLE PRINCIPAL EYECUTIVE OFFIC ER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PE R$DNAILY E%AMINEO iE LEPHONE DAI E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN 4ND B45ED <br /> <br />Brian P. Dunf ee <br />~4anager ON MY RJQUIRY OF THOSE RJ DIVIDUALS IMMEDIATELY PESPOR$IBLE FOP <br />7BIAINING iME WFOrJMAiION I RLUEVE THE SUBMfT IEO INFORMATION / ~ l <br />/ <br />, <br />E <br />i <br />t <br />l S Is n!UE:. ACOU RAZE AND COMPLETE I ArA AWARE TH 4T THERE ARE $IG~ <br />1 P <br />T <br />F <br />TT <br />A (~E.yv - (LF ~<.~ . <br />ronmen <br />nv <br />a <br />tudies OR $JBMI <br />NIFI4AN <br />ENAL <br />IES <br />INQ F <br />ISE INFORMATION. INCLUOINO <br />l$$IBLLIIY OF FINE ANU <br />MPRISONMENT $ <br />E I <br />i <br />t <br />LLSC <br />001 AND -1 <br />2 <br /> n <br />Pt <br />I <br />e <br />b <br />q 1 <br />e <br />~e vurm <br />m <br />n <br />] Usc E I]IB <br />V <br />/ <br />nJ <br />,h <br />J <br />d <br />~ <br />r <br />U <br />1r0 SIGPJATUREOFPRINCIPALE%EO TIVE 6D.~_ ~J 4-~~1~ 90 D 1 <br /> rnc <br />ur <br />u <br />n <br />r <br />rs <br />m m <br />U <br />r luo- <br />n <br />. <br />. <br />ur <br />! <br />r <br />~ <br />OFFICER <br />H AUTH <br />RIZED <br />GNT <br />A ^ DAY <br />TYPED OR PRIriIEU ••~de.muvmu~nn~r.unnmrm o,/hr~..rn6 ne~nrn,an~il~ <br />ra.rJ gO <br />O <br />O rvuMBER tEAn MO <br />COrn rriErJT Ar:D ER PLArJATION OF AIJY VIOLA fIONSIHrJrvrnrr u7l alPorhrurnls hrrel <br />CIL 1'10 GPP.4SE; SEE YDOTHOT° F/. O--MUST 3dP03T IF P.I6tlP1'IO\S CL4I`l°C. TSS NU:;T H8 RF.P:73T%9 !IT ALL <br />EPA Form 3J2O~1 (RBV. J~BB) P(J?VIOJIS E'dlfl0/IS mey bB r/SBd. (REPLACES EPA FORM T t0 WHICH MAY NOT BE U$ED.J PAGE OF <br />0004/1^x`99-]74a ? 7 <br />