|
r[RMITT[l NAV'~ppDR [tt (hntludt
<br />h'tTilify NRlntlLa[d Uiffennf)
<br />!!fps-,~:i_]_:L;`I.:I~'? YL~,1-------
<br />ADDR[[1 r~_( 1 ~ C
<br />P_wc(uTV_ ___
<br />I.OC ATIOM ---------_ ______
<br />I ( f..IIPFI~, I• gih•TI ~i ~,
<br />NATION wL FOLLUTAr -(SCMARGE ELIMIMn TION SYSTEM (NYDES)
<br />DISCHAR4 .ONITORING REPORT /DMRI
<br />1 l6 171 fl
<br /> (~ 1
<br /> PERMIT NUM t[R ouc NwwcE nvNUw
<br /> MONITORING PERIOD
<br /> YEAR MO DwY YEwR MO OAV
<br />FROM I . . v 1 TO I •l ,. f' ',
<br />/501!/ /5571/ (11~7J/ (16-5 / /78591 / 0. !/
<br />.-.
<br />i
<br />„'r, ()+~ Form Approved
<br />(_• 1 ~ ~i i, ~; ,t) (• OMQgNo. 2040.0009
<br />.' - ;'I fl,i L Expires 9.30-91
<br />I~dDJ~~CI' SFI; d1./'~C~.)6 ipRI!IG CIi
<br />NOTE: Raed instruetiont bsfore - detinp tAit }Olin.
<br /> (1 Card On1Y) QUANTITY OR LOADING (1 Card Only) OUALITy OR CONCENTRATION FREOUtncr
<br />(AMPLE
<br />PARAMET[R (16-1J) IJ/61) (IftAJ) llbS)) (Jl6f) NO.
<br />E% OF TYPE
<br />(J3-)71 AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MA%IMUM UNITS 676)) ANALYSIS
<br />(Nbb) (69-7U)
<br />
<br /> MEARUREMEHT
<br />
<br />... ,. 11 I ll C "
<br />:::'PERMIT'::
<br />::; ~Jj'~{:'"sfw°C i1`'
<br />"
<br />~
<br />..: «'s s`,.:dYt. P"r:J,'~ -
<br />F.;;:,
<br />~'*ri~~y~:.,
<br />°
<br />'~
<br />~
<br />((yy ^
<br />'iV
<br />
<br />LY"
<br />K' A
<br />
<br />~
<br />''
<br />.. .: .- R[OUIREM EHT . e. '..., ~
<br />~:.`.'s.. ..
<br />g
<br />I J . %
<br />&
<br />T
<br />..
<br />I
<br />JTA1.
<br />•1.1 !)„ SAMPLE .: ( ) .::::y :; :; :; ( I.))
<br />
<br />.L i•. IIGLi:
<br />I MEARUREMEHT
<br />.
<br />
<br />
<br />
<br />_
<br />. I+.G 1 G G ~..~P.ERMIT.''• :'.F.iyfi.is nS+~_ '>:.:t;')<C,c r[f
<br />
<br />
<br />.
<br />'
<br />
<br />
<br />
<br />
<br />'
<br />.. ~:~sAY.: {-
<br />,~
<br />
<br />
<br />
<br />
<br />
<br />.
<br />^
<br />'
<br />i .. b.
<br />
<br />
<br />
<br />.:
<br />j
<br />°
<br />' s.. •~
<br />"
<br />° °w~., ~
<br />gi~~
<br />' ~j'x; s,
<br />-
<br />. R[OUIREM[NT .',e :::...' ..
<br />~
<br />
<br />.
<br />,
<br />'e.
<br />...
<br />~~~
<br />
<br />.
<br />:.
<br />:
<br />:
<br />
<br />~
<br />B
<br />,
<br /><. ~>a
<br />.
<br />
<br />
<br />
<br />F
<br />.l
<br />rx
<br />:i
<br /><e
<br />.'
<br />
<br />~
<br />ip °a „T,
<br />a
<br />
<br />
<br />
<br />
<br />
<br />¢<
<br />I
<br />c
<br />r"I(1ct11 Lti'J-... VA 1.11 " ~
<br />a
<br />' ~ .
<br />.
<br />.
<br />~-...-. :. x
<br />~
<br />., ..
<br />i.. `e
<br />a ... ..
<br />a'
<br />ILIG.,, .LTIL.°.PI'L~ SAMPLE .. ... ......
<br /> MEABUREMENT
<br />-
<br />
<br />
<br />
<br />~I. IJ i G n
<br />.. ~
<br />..
<br />
<br />...n PERMIT ";
<br />
<br />...
<br />,
<br />
<br />
<br />_~+CT~'AY.LL
<br />~_.~
<br />-
<br />
<br />
<br />
<br />:1i i1-'};{T-'.F
<br />'~.,
<br />
<br />
<br />
<br />{::.`-
<br />
<br />
<br />.
<br />Oif ~tfi~SY°a
<br />
<br />i.~. ..a
<br />
<br />.•~yklF lt?f aY.
<br />
<br />.
<br />
<br />
<br />
<br /><
<br />.Cy p~^q
<br />°~
<br />°
<br />°
<br />•,
<br />
<br />
<br />i
<br />e~%e
<br />
<br />
<br />
<br />
<br />
<br />.
<br />~. ~
<br />~.J
<br />
<br />
<br />
<br />
<br />a
<br />~n~ x
<br />~
<br />~
<br />~
<br />
<br />
<br />'~ Ili iS :!'.OSS V I!'
<br />.REOUIREM CNT: ,
<br />.
<br />..,
<br />~~ `'~ x
<br />
<br />Y ,
<br />
<br />
<br />~. ...
<br />.
<br />,s
<br />"
<br />_
<br />.,
<br />~
<br />$
<br />
<br />,
<br />~
<br />a
<br />r:
<br />g
<br />•
<br />
<br />!l. .4;1f• ,.RF.A$F SAMPLE +;:~::;:;::~::: ;:.:::;:,;;:;: )
<br />( :::::::::;::: :::r,::;:::::;: ( 19)
<br />I ILL. iI k.Y I~R-(;RAV h~;'!'! MFABUREMFNT
<br />
<br />
<br />:
<br />•.iS~G 1 `' 0
<br />
<br />..
<br />~"'°a P[RYIT ..`tg.
<br />..,, i
<br />~p~s.~if R)«~i•!>anq
<br />
<br />
<br />"
<br />''>?I~L'!,~~>bsH
<br />>t+:'.`.
<br />~.'kis'~dF~'f '/6,~IQI.:x
<br />
<br />yy°
<br />a<
<br />bE ~~~sF ~
<br />'~ Y
<br />r k~~°a-ef Y~.l~
<br />
<br />
<br />As
<br />~a~~b.e
<br />
<br />~
<br />-
<br />
<br />'
<br />~ ~~ -..
<br /> ~1l1rGU1R[M El+T~ ` '
<br />,:•'~
<br />~
<br />b
<br />V ~'
<br />a
<br />Y „r
<br />~I'
<br />Ys
<br />R~ : ..$,c
<br />g'
<br />Y o
<br />g
<br />y x
<br />$
<br />~°<
<br />C F S I BF. ~x
<br />k'a, x
<br />Ax
<br />Y
<br />. i:.{:
<br />~ E.I
<br />9 s ,
<br />,
<br />k s e
<br />?.
<br />11(JtI, TOTAL RAMPLE +::k'•:iriS: :k1'+F:::::: (
<br />) ... Y.~+x;:
<br />. ( I9)
<br />(A,O FE) MEABUREMENT
<br />L L G I4 S I () O
<br />.
<br />" ~ a
<br />`' Fl!ERM li'" -°
<br />'mq
<br />~At. ~(!p t4:
<br />~ '&<°~' ~!~ ?i1::.:'
<br />
<br />
<br />a '" :: ~ r'~;Yi il(
<br />!t
<br />
<br />s
<br />p> :3 a~ .,.pg ~, k°:
<br />
<br />qq ",
<br />Y•a ~" ~`4 ° s~'1~ a ~~x:as ¢~ ~
<br />
<br />
<br />18
<br />x
<br />e ~g ~~~
<br />
<br />
<br />«~ ~
<br />
<br />~(
<br />'
<br />' ~
<br />
<br />
<br />~
<br />~
<br />~
<br />' ~#QQUIR[M [NT. „ p
<br />p
<br />n9 ~x .
<br />e<
<br />c
<br />xa. ;~~ _
<br />3~ P
<br />'
<br />.LIB i. S
<br />1 YF s.. ~rr r.
<br />1 :.OG, IN CO4Dl1IT OR twMPLC ( G3) :+::::::~= 'Lt+#::'aF F:tur:Y;: ( )
<br />
<br />'Irl}!ll TfiF:1TY,ENT PI
<br />NN MEARUREM[NT
<br />.
<br />IJSf
<br />- 1 1 0 D
<br />" •T[R4
<br />rrn'`• ¢
<br />pklf~I:®
<br />(TA
<br />~ :
<br />BP
<br />OR!'
<br />`°';tt g~ r
<br />.1Ttt'~i^;.
<br />i~?i
<br />;
<br />a: ;ts
<br />~ >~~:
<br />6~~t
<br />IGtiig~. ~ar
<br />';$;~ ~
<br />t r
<br />r.a
<br />~~
<br />e 8~.
<br />~ ' ~'
<br />f 'FLUENT GR(155 VRLII -I(EGYIR[MKIfT:
<br />
<br />. .. ... .. .. .. ~
<br />.
<br />.
<br />'~«'
<br />.. .. :
<br />.
<br />;
<br />a ..
<br />~( .
<br />.
<br />`.g•.°«y~:a :~ai
<br />a r
<br />Y. .
<br />e~n
<br />~ y$<`~-~"^
<br />... "s
<br />.°ffe~~'r ~$[b,xey"'.9
<br />+(T~F;: «
<br />~
<br />Y S® q
<br />x• ~
<br />P ~P l' ~~ ~`°p`o
<br />~.g.
<br />-..)t.IDS, TOTAL swMPLE t:t~7~;: ... ~_:<
<br />.' ~ ~ •' ( ) k;=::::i: ( 19)
<br />L(SOLYEu Y[ARU REM [NT
<br />I
<br />
<br />
<br />
<br />~
<br />. „
<br />s.
<br />g x~,•,
<br />- .,.,. .~
<br />. .
<br />' ::x r.: Ks~~:~iAi OP1(
<br />>:
<br />Q~~~!3ii+ Kro!1uFX?Y'
<br />;•"
<br />~
<br />:r[RNIT
<br />NRS: =RL`PO T';'
<br />: >~a
<br />T<CS
<br />1
<br />1295 1 0 0 .
<br />
<br />
<br />
<br />
<br />_.
<br />~.
<br />(t'~
<br />Ys'g'
<br />>~1(
<br />~
<br />.
<br />.
<br />.,
<br />.,
<br />.
<br />~
<br />.
<br />_.
<br />:
<br />e. .
<br />RcoulaeM[Nr• "~
<br />- AF.,.-`°<' •:-•r~
<br />•
<br />'
<br />> x .
<br />.
<br />.
<br />A
<br />Lae:z rpr,s v ut >•..
<br />:
<br />11
<br />~
<br />~
<br />TELEPNONE
<br />NAME/TITLE PRINCIPAL [%[CUTIVE OFFICER I CERTIFr uMOER PENALTY Oi LAW THAT I NAY[ vEwSOHALIr fxwMIHEO
<br />AND AM FAMILIAR MTN THE INFORMATION SURMITTCD HEREIN AMO BASED /
<br />'
<br />f D A T E
<br />E INdVIDUAL$ IMMCdAT[LY RE51
<br />OH Mr IHOl11Rr OF TNO
<br />ONSIRLE ipi 303.824.4451
<br />OBTAINING THE INFORMATIO. I BELIEVE TNC SUBMITTED INFORMATION
<br />i
<br />I' 0 7
<br />IS TRUC ACCURAT[ AND CCr•YLtTE I AY AW/.RC TNAi THERE AR[ SIG _
<br />~_
<br />I. 1T
<br />R.G. ATKIIVSON I
<br />NIFICANT PENAL TIES FOR SUBMITTING FALSC INFgiMATIOH INCLUDING i
<br />I
<br />^PYnxO:M'HT
<br />.CE
<br />IrN:.~
<br />r
<br />«
<br />~;;^ 1 IWI AND g16NATURE OF PRINCIPAL E%ECUTIVE
<br />VP LAND/ENNRONMENTALAFFAIRS ;;~s~;'a~„•
<br /> „
<br />I
<br />•I
<br />,I
<br />I
<br />n
<br />,
<br />• •Y l.. 111111 •.
<br />A A
<br />'
<br />TYPED Oq PRINTED 1•d ..• ma.~Illrm InIY•I.•+Inl.lll 1.1 !.lawn I m..n,.l. and .: .rr•.I OFFICER OR wUT HORIZEO AGENT NUMBER YEAR MO DAY
<br />COMMENT AND ExPLANATION OF ANY VIOLATION6 (Rrlrrrnrr all u,wrnmrmr nerq
<br />.1"1LEAH:.c SOLIG~ L7C1T APi'LIF:;; nu!.Y Lt' <= 1J-'f.'.r l4-!!r. ."'r'LIN r.V!:tli :5 CL!!:Mt:L. I° rLAIi7 gPP9f1VED 9Y
<br />I .~:I, '15~ f. T@09 r.Ir.I~r; JILL 7:q'i P.5 nl?LT.:.L °U (~i~Jb'I'31. .+`'l.;l'i:F`:i:';T;--_f h!: I. H.1 .4, ?G it F. •1P C. f1. L6, i'v 6.
<br />EPA rOffll 1 RtV, p-!!) ~PfwbuF'adlfl6n !na bR used. " IREPLwCCa EPw FORM T-to wNlcN Mwr NOT tE ut[o.l •wot oP
<br />i I / ' - l ~
<br />
|