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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 />