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P[RMITTB[ MAME/ADDRaea (IRdudr <br />FaAlq Nand/LoarbR IJdI/Jaenf/ <br />MAMB-S..G1JhYQS...QAL ;, (? MP_A "1.Y------- <br />wonwmLPl.~Ji_Y~lu~F--- --- - ---- <br />---MFF+~I~--------~:L) .El1~L- <br />twar.~Tr- _ _ _ _ _ _ _ <br />Loewrlow _---_--_-_--_-_------- <br />A'PTN: P,I~lIA9p-^ ATMTN9•Ji~ <br />nwnon AL roLLUr Anr onfMAweE EuMlnAnoN av stew INPDES/ <br />DISCHARGE MONITORING REPORT /DMRI <br />216 f7-l9 <br />v r ;( cI fr (`. 1 1 <br />PlRMIT NUM BBR one NAwcr NwaER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />IROM ~ TO ) V <br />r~o.i!) rz1 sly rad asr rzb. ! ra zor ! a !! <br />% I N D!t Form Approved <br />( `' I) H R N W) nA9Mp TNo. 2040-0004 <br />F - °I I1AL EXplree 9-30-91 <br />GULCII A U^.DL PUNU/f.OGD SPGS r'i <br />NOTE: Road inttruetiom Wfor epmdetinp thit form. <br /> (1 Card DnIY) QUANTITY OR LOADINQ (1 Card Only) QUALITY OR CONCENTRATION <br /> <br />PARAM lT[R <br />(16-SJ) (Slfil) <br />(J9A!) (I6JJ) (Slfif) <br />NO. <br />X fgfOUFNC• <br />Df <br />BAMPLE <br />TYPE <br />(1717) E •MAL Vel9 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITB <br />6Jfi1) <br />(bldtl) <br />16Y.7o) <br />PH BAMPLE '.: it •'.: ~:;r Fi "JV it}f:: / <br />l ) . . . . .. ( 12) <br /> MEASUREMENT <br />OJUUO <br /> <br />1 ~ D <br />_ <br />a%PERMITb•~ <br /> <br />°°:#4!4il!~1~s. <br />d <br /> <br />'k~~ <br />r.Y>Q~~. <br /> <br />~I ~i <br />t <br />t1r.l <br />` <br /> <br />' <br />~°.~I.l'Y#1ltii XrlR <br />,. <br />`xg <br />~Vb~• .per <br /> <br />m"«~ <br />~ <br /> <br />~P~L~ <br /> <br />IIA I3' <br /> (IFRQUIREM6N9'~ •%4« .Ts° <br />< , <br />«a"' 'x.. <br />y' . <br />,.. <br />.a ~ <br />'; ae.aa:'~ n•••. "a ~s <br />" x <br />e'Y" <br />` <br />" <br />EFFLUENT CROSS: VALU! ae. s <br />' %." <br />,.,.. ,... <br />.T <br />,< :+:~'7C <br />~..,.. ,.. <br />,. ~ ~ <br />xra `a+ <br />a <br />' <br />m <br />SOLIDS, TOTAL aAMPLE +laaaco r.:J~o;E;: ( ) ~E'•.'Y:I::'T-: ( 19) <br />SUSPENGEU MEASUREMENT <br />OJ530 ] D D ~ aP.'aeafir:"": ?~p44C~t#4?.'. '~A";Olt++~tia+ <br />~.:. .SGT #G~1•> Via,"n; .~,.;.,-.~s: ;~.n; ,~ <br /> <br />1 ~RE4U„t/1R#tCrj7` <br />'s;C;,p ; <br />~ i„ "~s mwv • <br />'~-"° <br />EFFLUENT GROSS 7ALU ~,a e. <br />x x6 ~ <br />~~~ Mr <br />SOLIDS, :iETTLEAEII.P, BAMPLE !cOS:e.[ft5;. rF;E{:i:;[',e ( ) r,E:f;;:~pn ~r.:r:;e~.!; ( ZS) <br /> MEASUREMENT <br />CJ5U5 1 0 Q <br />•a. :,;. <br /> <br />x <br />;i•inii lr:, <br /> <br />< a.. <br /><p <br />m:0!CnF <br />~O<''; <br /> <br /> <br /> <br />q <br />yy;Rt~4iy C~" <br />5T. <br />. rte': ~A JA.~y , <br />..gYY1#~Y~ip ap y,A. <br />i.Zt CY~At'I,Yx. e• °O .F, <br />i <br />Vxe <br />` <br />;' <br />~~, =s';. F. <br />~ °' 1 <br />fF <br />i' L~ <br />~ I' <br /> <br /> <br />A <br /> <br />~ <br />•REQUER[M RNT. Q <br />. r>e. i. <br />~ .. y. •>,. c:.s <br /> <br />. <br />,,.n.ar <br />;,, . <br /> <br /> <br />•. <br />.:<. <br />'i.; ..(!p.": <br /> <br /> <br />.' r <br />i <br />.y <br />; <br />. <br />,., » ,,. <br />, <br />'Y~,~„h , <br />. <br />, <br />' <br />i. <br />E UE T R .,S Y III <br /> <br /> <br /> <br />. <br />'•~"•<•~.. <br /> <br /> <br />.' <br />. <br /> <br />, <br /> <br />~... <br />OIL AND '.;RF,ASF BAMPLE ,.• •^x:r,:~ ~'~+~'S~^= ( ) '1'-~#'x.^ :~rrrf:xr,.r,: ( 19) <br />fR!'ON FXL'R-GpAY MF.TI MEASUREMENT <br />00556 1 0 D >e<;PRRYITe .x: .ak >QI ~.S`F ~~ar :' :an~1}.~~~ETS=. 1~::. :':~Q?~A KriQt>(!'g i{1 <br />~. ~Q!Sr¢' "~ :° <br />~~ x <br />' <br />~< <br />~ <br />DI{~~~ <br />"r~E <br />B <br /> 'NRQUIREMtNT~ '¢"' m a <br />g. <br />:i 'p s q° x S <br />° a,~~ <br />.is . . <br />L ANT G ~ Y U <br />u ~. «r. < <br />w <br />m. <br />%~x ~a o'- <br />Y . sk <br />~ • r~," ~ <br />IRONI <br />TOfAL sAMPLE ;r#~44:x ~I'Y~L:>r? ( <br />) -k#vh## ( 19) <br />(AS FE) MEASUREMENT <br />I <br />1 C O <br />e°A~EIiMiTg•::; Y » <br />a®a$~4c <br />A -dc4~A, <br />a <br />, <br />~ <br />&.+~4?6~1-t' <br />.'` I <br />rr,: <br />.irlR4,lk>X <br />.dr'. Lp' <br /> <br />3..~4':''~"' <br />;°: ;. <br />: <br />.~ <br />Q <br />x <br />: <br />~~ <br /> <br />~® <br /> <br />'II~C:~i(' <br />• <br /> <br />:.RA,B <br /> :11R uINEMRri <br />q <br />~ & <br />sh <br />~ •.i <br />~ > <br />~° ~~r <br />~'~ ~ <br />:~~ R.~< ,Q. <br />~ <br />° °" <br />= . <br />..~,<~ ®. <br />~, <br />. <br />,. <br />ak.,a ~ <br />~<~ <, <br />; <br />` <br />EFFLUENT CADSS YRLU ~~, <br />n ~b <br />° ~ ~~< <br />.~ <br /><; Y~:a. m...., ~ <br />FLOfiE IN CONDIIIT OR BAMPLE ( OJ) 3•f>ar..Yt: T:EQy{: {E C' ~4~[:TY'k ( ) <br />iRRU TREATrF.NT PLA}I, MEASUREMENT <br />50050 1 0 0 =°•:r!~awiT`%`A t3~~'~°Sj <br />911k'Lm =m'R~'~OlC~`.":^ +oil~.ipl.#,:m. <br />°416~ <br />"" 'r~p!q~41a!~x~tiF~b <br />'a° ~;`~d~~#>x?a~,i r:af '?w,~~, ~~,~'' ]t3TA' <br />L fisbu~RC~±ciiT <br />• , <br />p~~ ~ <br />" <br />A 'uR' O ~~ e• <br />~. , <br />-„.:° /~ <br />F'4m n ~ <br />~ '9r~~ <br />'~. a' <br />ro'I~ $ ~.e~;~~~ <br />`5 ~.. pk : ~:„ <br />~ <br />„,~ <br />a <br />UENT CROSS YRLU, <br />EPf g " . <br />~ ~, <br />SOLIDS, 'TOTAL BAMPLE IY,tpOp'I' +~~~-au:T ( ) c~x[:c~::, ofia-xc+~ ( 19) <br />DISSOLVED MlABUREM ENT <br />70295 1 0 ~ =~°riKpeiiT;sf <br />~ e.~~`{++'FOG;~)di< <br />G~°~ <br />~ Att:°~~E7iAl.+l:ityti=' <br />~° c.. 'i,'~KTt#46!s° ~~'Lt9!Or~("±D.'; "R ~ p ~;.s <br />SP R1"-~ .X....Y <br />_ <br />, <br />-> ~l <br />L; <br />fl ~a <br />SAO <br />S Y r rl <br />F <br />LUE <br />R 2~Equ1REMRNT , <br />,s~ <br />" <br />: <br />". -z; MY:€. , <br />, <br />, x <br />. <br />NT G <br />F <br />OS s O " •~ "" <br />NAMB/T1TLE PRINCIPAL EXBCUTIV[ OPFIClR I amrtv UNDER PENALTr OI uR THAT I NAPE RERSONALLr uAMmfo <br />AMO AM FAMILIAR fnTM THE INfOPMATXJN SUBMITTfO N[121N ANO BASLD ~1 <br />/ T!L[-NONR D A T E <br /> <br />ON MY INOUIgY Of TMOa[ INpIVIWALS IMMEDIAT[L'/ gESPGaSIBL[ TOR % / - <br /> <br />Richard G <br />Atkinson <br />OBTAINING TN[ INfORMATgV ~ BELICVE THE SUWITTEO INFOPMATION - <br />. 5 TRUE ACCURAT[ AND COMRLAC I AM AWMC THAT fNCRF ARE SIG ~ ~~ ~ <br />YP L <br />/ fO <br />RY <br />pN <br />E <br />A <br />TI <br />I <br />e <br />N <br />~ , <br />and <br />Environmental Affai 1 e <br />U a <br />E I <br />PRF+ONAIENT <br />STHE <br />POSSI&LrtV <br />p FN <br />E AND <br />M <br />SL[ <br />OO UgND <br />30 <br />824-445 <br />9 <br />04 <br />1 <br /> J3 u5C A I l19 IP.minr. uM.r IAr~ mmb+ NrT mrldr /m...P m l14au SIGNATURE OF PR(NCIPAL EXECUTIVE _ <br />TYP[D OR PRINTED c,dr./nr+•nwll•nIP^n~^••I.nl •d A.IU..n Ew.inlA. and ~,...., OFFICER OR AUTNOp1ZED ABENT A NUMBER YEAR MO DAy <br />COMM[NT AMD !][PLANATION OF ANY VIOLATIONS IRr/rTenrr ul/ u//ua~Alwrn/L hrrr) <br />SE4'TLBABLF. SOLIDS r.Trrr APPLIES ONLY I° <= 10-Y.3a 2U-HF. PRF.CIP F.Y%t+'!' IS CLtiLf4ED. IF CLAIt1 APPR09F.D )(Y <br />NQCDe TSS-~f. TRON LIY7IT5 PILL NOI A5 APPLIED TO gFppp~gD .^pASUIi~rFI;TCi--S£° I.".l A, PC 4 p`1 [T I. BIDE PC <br />- f` <br />(R[PLAC[f vw roRM~ ?RINIGN Mwr NQT EE usaD.) <br />n, r,r~E, /9'rgr ~-) nl u <br />oP <br />