PBwMITTEE Nw DwuE //nclYds
<br />FaWEy NLRIL/LaeE' IJJsaq
<br />lu+tu-~4 LS.931,~:s2C'I' L1
<br />NwTIOMnL IOLLVT• CMr1MG[CI.IMINnTION fYfT[M /NPDES!
<br />DISCNAR NITORING REPORT lDMR) I 1
<br />111 /17-191 tl L HU R Form AQDrov~~
<br />wonE1[n,~ph7~Q-L1jtIF,-__-_----_- COC35C017 C(". A (S(1HR~ N4) tlR)MBTNo. 2040.0004 '
<br />_--~}~ STj~TR PIGHUpY 13 ____ - PERMIT NUMBER wlscr.Awc[NUrw[w F' - FItlAL EXplres 9-30.91 ~
<br />_ MEF{EP. CO A;5U1
<br />-- - LOADOUT LOOP SEDI/9ILSON Cf'Ei:Y
<br />
<br />-------- - MONITORING PERIOD .
<br />IACI LITY
<br />~~------------------ YEAR MO DAY YEAR MO DAY ~~
<br />LOCATION FROM ., t0
<br />-------------------- D - ti _ ' I !; !; ~,
<br />t-r NO DISCHe4GF'
<br />A'PT N : R I:: N ~: R D ~ . .q T K I N S p [1 t~oap Ilaai) (31-ZS/ ne ni 178-19I /30. 1/ NOTE: RBBd imtruetiom Mfora eomplatinp this form.
<br /> (i Card Only) aUANTITV OR LOADING (I Card Only) OU ALITY OR CONCENTRATION
<br />PARAMETER (16-13) (31fi1) lie-1!) (16J3) (717) NO, FREOOUf ncY BAM PLE
<br />TYPE
<br />(72.37) EX AHwLrs15
<br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNITE
<br />e2ei)
<br />(61fie)
<br />(69-70)
<br />OIL AND GREASE SAMPLE t~=~'~=' ( ?4) ~~~~~~ .~:z;:,- ,-ri•YVt ( ) O1 ~i
<br />l
<br /> MEASUREMENT O f 0-7 Sva
<br />VISUAL
<br />EuD66 1 G G @~a ..rslr<R fE~X+ceV113xu: qr®~ x~A~«~° E5=1 `<
<br />`cE
<br />+Rl
<br />~v'r~a'snk '"; «i(Sk~$?x ~,
<br />~ ~T~hP nr '"
<br />,
<br />~~ ~~ ,, :t{~ a«~ 'a:
<br />~~~
<br />~~~'
<br /> SM6f1T®
<br />*EQ`)" exa
<br />-
<br />: ,
<br />,
<br />,
<br />a
<br />x
<br />°
<br />s°~
<br />® :
<br />~
<br />«e ~
<br />" °
<br />~
<br />°
<br />E°FLUENT GRDSS Y ^
<br />AI. ~x
<br />a,a ~ s°~'~LR~R ~ NO=D R
<br />a
<br />~
<br />~~« a .,~f;r m~~ ~F
<br /> SAMPLE
<br /> M EABUREMENT
<br /> ~:"PEAM7T aq ip ax®r+r.. a>a'. .~<«
<br />'
<br />a ~="`ae an sa :an A~z®° `+`~'
<br />. `°„g "s < ;~«.~am e~%~o «°~
<br />s
<br /> ~riltGyallleyE{[r° >~, m
<br />s
<br />Aa@.a~~ ~ a~„ ~ _
<br />~a
<br />
<br /> SAMPLE
<br /> M6ABUREMENT
<br />
<br />ERM 17: °'"
<br />h
<br />s«~
<br />• •• n R^iz ~'r«~°nw •q w a «,A~
<br />'
<br />"~<- ne..a•v
<br />° .a.°..
<br />n me
<br />~
<br />' m.ar a:n'..«nr
<br />
<br />.
<br />«a'° °wb ~mae nn ~.n°
<br />° a.a e
<br />' ae'+~~a',
<br />«¢ ~.
<br />'~"
<br />'
<br />'
<br />°'
<br /> .
<br />.
<br />.
<br />~'RBQOIRiiMENT° ,,.
<br />R ax.mm
<br />a.n
<br />¢Y+a zr p,
<br />~<
<br />e a
<br />,:,
<br />:.a: «
<br />y R~n>y
<br />s n~,. °~mza«n«
<br />.gr«.x m„., F
<br />«
<br /><m>^•~«s..nn
<br />°
<br />~ mm~as a',.
<br />^~p a.v~mn<., $
<br />n,
<br />;
<br />nn~
<br />;
<br />"
<br />`«
<br /> n
<br />Wn« °.
<br />k c.
<br />si~a Rrw^ce~°. w.P °......w.«R «
<br />'* ~mx
<br />4'w ID.oaewbmnwa.°N b
<br />®9, A$m : ,,
<br />,.
<br />,
<br />° ime¢•. tie°
<br />IDr'0 bm g ^" ®, ®'e.x'®aa; "a
<br />e
<br />e
<br />ffia•a.ptt®.x.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> '
<br />a PERMIT ~~ msm•+e®?9a •fi<
<br />e~., a«»m«~a m< ¢x~R6°pe.a ~~
<br />e
<br />@
<br />a
<br />~
<br />'
<br />s mxx, ..Ep
<br />" ~`xeeep«
<br />ca bees em 'xpgRy n:
<br />"` ~saemnn
<br />°'« °' s
<br />e gj,°c ° end
<br />a"• ~•m
<br />~' 'n w:
<br />~'np. rx«°m°PK°
<br />edam
<br />~a s
<br />aa :.
<br />aoei
<br />
<br />~RC~tti~lENaLrsNT~'
<br />.«~m;ffi .«, ¢.-n.
<br />4 .
<br />q
<br />, fie.,«e
<br />,
<br />g
<br />s
<br />@. mw «e
<br />a
<br />«ssaa:<ms
<br />R m
<br />o-a .~sv.ffie~a ew sx,
<br />'sa ;~ ~;e
<br />'%a° .
<br /><
<br />-
<br />ID nffia
<br />~ ;'°"
<br /> .¢wFb o£®'a
<br />#e s ~"q. n.A,av +an~O' b ~o-~Y ¢.q, a4ttnN
<br />R4
<br />4 0®II~w&.
<br /> SAMPLE
<br /> MEASUREMENT
<br /> bra. ..d~a
<br />nsna R3sse„4 e~bw aa$¢ev®°
<br />°n
<br />e
<br />;~e °an0'[•x
<br />;o-ljaa~~
<br />^
<br />;~~
<br />'m
<br />;e,~W '"P n'
<br />~
<br />'
<br />st«~:R~d w
<br />a"~~~m~.;e
<br /> e;~ovl
<br />N7< c g
<br />~
<br />a ^ ;.~~7
<br />«
<br />'
<br />~ °
<br />e B
<br />x
<br /> R wRw xB¢ .a •A @
<br />m 6b @`c®
<br />&$~d&'~tae
<br />b g
<br />a.
<br />a.:Rx dB &w ~M•8 SwmRn, xA a Ax
<br />~a,ae
<br />
<br /> SAMPLE
<br /> MEASUREMENT
<br /> ~n '"*8~
<br />•>nTERM/T' .,.&o aex u»°wa ;;.«...<..,y n.m'n re®
<br />xg:y n.AS ffi'S.ro
<br />aA' ~deq.Rn erevc sv,n nw Y&s~8'aa zm. ms<
<br />
<br />ID w;~m.m~wmsn&«p: '°a~ ~'~e~,e e
<br />R~
<br />'w<a'II 54m
<br />••, •,.
<br />
<br />Y
<br />c~F-
<br />Q{++S`~~~~~~ s@¢~. y.wII aa4A8,~n
<br />
<br />n
<br />. 4aem
<br />
<br />x
<br />x 'k:<~af@ebP¢'
<br />
<br />°em. a.. w
<br />~«n aq a~."R6w
<br />
<br />v ffi'e Y.F e¢ppnattmuw cbtt ,~
<br />6a:
<br />Reb' dRm~wynr
<br /> ° .y
<br />x
<br />«n g.n mn x°ce
<br />¢~Y3 n w
<br />w .bi
<br />b&am¢mi «.mY~ ~~x°$R@°ua.ye«pa ®8e :wrnAr6°my a«ggyg a,g~
<br /> SAMPLE
<br /> MEASUREMENT "
<br /> '« .
<br />'°PSRN7T .g^ffi
<br />~ r eases e
<br />~s
<br />x' e; °-~ ra~
<br />'tt
<br />a 3 '¢<~;¢«~a
<br />;
<br />~"® aa« w
<br />° axe
<br />~'
<br /> ,
<br />°eir;4ylgtrACr+!rm w.,;.e'~@
<br />~i~: mA®w'°
<br />~ ~c
<br />~
<br />az-°e
<br />>~° A~
<br />~
<br />re~n~e ~
<br />a
<br />a
<br />'g p«.
<br />ae, "¢m
<br />
<br />° .R ,@~b»: _~
<br />« .. >
<br />&
<br />~a
<br />°
<br />NAME/TITLE PRINCIPAL Elr[CUTIVE OFF10lR I c[wn[r uwD[R PENALTY OF uW THAT
<br />I HAVE vEw50NAUV [[AYmEO
<br />•ND nM F\MRIAR MTN THE INFORMATION SUBMITT
<br />[ TELEPNONE D A T
<br />E
<br /> ED N
<br />REIN AND MSCD
<br />ON MV INQUIRY OF THOSE INOVIDUALS MMCOIATELY RE51'OfI51BLC FOR
<br /> OBTAINING THL IMFORYATIOV. I BELIEVE THE SUBYIT![D INFORMATION
<br /> IS TINE AGGURATE AHD COMRETE I AM AWARC TNAT THCRE ARE SIG
<br /> NIFIC•.Nt PChI0.TlC5 FOR $UBA1TTRiG FALSC INFORMATION INCWpNG
<br /> TH[ Fo551&Lrtr ar nhE AND IYgf50NYEhT SE[ IB UsC 4 IODI AND
<br />
<br />33 USC 11]19
<br />rP
<br />If
<br />IA
<br />1
<br />mN
<br />d
<br />l
<br />d BIGNATDRE OF PRINCIPAL E%ECUTIVE
<br />
<br />TYPED OR PRINTED .
<br />rn[
<br />N• un
<br />rr
<br />r~ •
<br />[
<br />• nrr mr
<br />r /Int. Vp A• 71/IIm
<br />u
<br />u•W ••r'^r•I^Ir,^I^P•re•ulnl.rH ../Arru Y.nAmunrA. and.:.n,•'
<br />OFFICER OR AUTNOR12E0 AGENT
<br />A A
<br />NUMBER
<br />TEAR
<br />MO DAY
<br />ur4wnwnVn Vr wnT Y1VLwTlOns tngrrrw[r an urwCnmr N) nett)
<br />SdTTLEA6LE SOLIDS f.7MIT g2PLIE5 ONLY IF <= 10-YRI 2V-RR PF.c".CIP cV'L:NT IS CLR.7"IEi+. ZF CLRIr APFR')VFD 9Y
<br />N1^DI T53 F IRON LINT_TS NI LL NOT RP. APPI•I~D TO REPORTED !1FA.SDPERL'NTS--552 I.++.lAF P, II A!10 I.Ii.l~. °~ /i.
<br />EP f ~ 7 Rw: ) ^ B Ptlidoli3 ey be sed. IRC-LwceE EPw PGRM rro rN[cN MAY NGT BE usED.) Pwae oP
<br />oIIIU/yzo?oq-i?iu ~
<br />
|