Laserfiche WebLink
-RMITTCC NwM [IwDDwc6f (/ndgde <br />cdlty Ncln<~Jlo1[[Itbni tntJ /~ c <br />AM[~.L1.4~~ ~1'1!Ir--~~1JS.~.I1.l.~ll~~__ <br />+cluTv <br />pCATIOM <br />wwTIOw AL PD UUTwnY m cw+At[ [uM m+rmn sr sr[M lNPDEJI <br />DISCHARGE ITORINO REPORT /D.AIRI <br />1 l6 1719 <br />PERMIT NUM YER olLCw+wf[nuFl[[q <br />MONITORING PERIOD <br />VCAR MO. DAY YEAR MO DAY <br />FROM TO <br />tlINDR Form Approve <br />(SUBR NJ) R9M@1'No. 2oao-ooo4 ' <br />F - FINAL EXpire6 9.30-91 <br />DISCIfARGE TO TRI$/DRY CREEd <br />GAY: NO DISCRdEGE ~ ~ 3#r <br />__ _ ___ _ __ _ _ __.u- E.-~ <br />a aUp Mav r..l-T 4• JI'•Y l"]J^ rn r.~LUDnL 1[.rarr u..ul I•~~ •+r I.v-ur r•~..n 1 r - - -__ - <br /> (! Card On1YI QUANTITY OR LOADING (I Cerd OnIP) QUALITY OR CONCENTRATION rA [OUENCr <br />6AMPLE <br />PARAMETER (16.3J) (JEfiI) (JBIS) (16-JJ) (Sldl) NO. <br />X OF TYPE <br />(JI-J7) T AVERAGE MAXIMUM UNITE MINIMUM AVERAGE U <br />M <br />MA%IM UNITE E <br />,lbJ) •w AL Yf If <br />(E~ <br />6C1 (69-] <br />U ) <br /> <br />N <br />6AMPLE <br />r;["r k#;( <br />~~;: ;: ice;: <br />( ) <br />v;~"`r •'F i~r O <br />I <br />g <br />O <br />( 1') I <br />/ Q <br />e <br /> <br />MEw6UREMENT ~, ~~ / <br />/ ~ I~ !ID <br />~1 /~ <br />JaG1J I G V PERMIT e.,~ISNiNr%F(k <br />~: <br />~" YY'T•-~v~ <br /> <br />. ti<+~kr <br /> <br /> <br />.:' <br />..::; <br />6s0 <br />: <br />. <br />: <br />"~ <br /> <br /> <br /> <br /> <br />,. <br />-'Yti9(~.?;T~#. <br /> <br /> <br /> <br /> <br /> <br />,;. ... . <br />, <br />9 <br />-_~ <br />~• •. <br /> <br /> <br /> <br /> <br /> <br /> <br />L <br /> <br /> <br /> <br /> <br /> <br /> <br />D - <br /> <br />PFCUr;t~T Gfi,7~S - <br />Yp111 R[QUIREM CNT "°:~ <br />"~ <br /> <br />_: <br />.. $;:r;[ <br /> <br />. <br />. ''' <br /> <br />... <br />JLIDS, .J: AL SAMPLE ;:3#k+r #~:.':;=.k ( ) :#Y#r ~J <br />q ( ]9) l ~ <br /> <br />u;PENr.~, <br />MEA6UREMENT J/ 5Z, 3d <br />2 GR/~B <br />nn <br />.153a~1 1 G J PERMIT ~" :'. #~{i ii v`~.~ #;fi,'k :#t:, r'J: ~'L`##1Z.'fT 35 <br />f~y <br />; •~•... <br />'?0; <br />%}ICE/ <br />IID .. <br />(N <br />PPLU~t~r <br />;P~S <br />S <br />YALU: REOUIREM ENT .~6,.: A,r ., <br />r ,:;( <br />• <br />Y . <br />, . <br />L <br />[ <br />~ <br />IL A'1D J •,EM1.JL <br />SAMPLE /L y <br />YY•` fY'j <br />Y'~YY Y,I <br />( <br />) A .y <br />Y~YT Y~ <br />-`'i`'1`~YYY <br />( 1~) <br />RED.1 EY'R-GRAY r.erf MEA6UREMENT <br />0556 1 G D PERMIT ': :.T,;=#r<TxQC .' ,,#;=#Ik;l,~•' M`## iG3$+k## #~f v'+f$;(; ], <br />0' <br />' <br />'ONTIN <br />R$D; <br /> <br />P1.11?hT :.8055 YALIIi REOUIREM EN7 ~ #GG:k . ./` <br />ROh, TO: :LL 6AMPLE CG;[.;#~k tL##C4;( ( ) ai:;::.:#4 ~ 19 <br />( ) <br /> <br />(A : }'E) <br />MEASUREMENT <br />--~`~~ <br />3r ~~ <br />(7 <br />//~ <br />6 gg <br />k <br />1045 1 G 7 PERMIT' "'~+5~#tr~.: ~~'St'KL#¢ Y~;: ~a#;<ut(. 3.0: 6.0 NCE/ RAB <br /> <br />P I.UENT GPDSS Va U REQUIREMENT ; <br />R;(C: <br />ar/ <br />LOW, IN CONDUIT OR 9AMPLE ' ( G3) a##:~8# 4YtII=~ .ak#:~~'= ( ) /, <br /> <br />II11D TRE.-T1;ENT PLb17 <br />MEA6UREMENT <br />O (-fas ~ <br />b. ,Tjf <br />~'1 <br />V ~ <br />/! TNA <br />A <br />0050 1 0 u PERMIT REPORT:.. OPTIONAL #G~CG~ ~~?G#r ;:;:Gtr: :s,= L+EKLY RST(1:1 <br />}'}'L(}}; 1~T GRDJ.ri VALU' REQVIREM ENT 30' 4~ <br />OLIDS, .OTAL SAMPLE ~~~~~+ 4+k L:C L~f ( ~ k##;(#•~ 19) <br />( <br /> <br />ISSOLYc., <br />MEASUREMENT <br />7~3 <br />~ <br />O L' <br />7 9O 1p <br />~j~/!,(/ <br />0255 1 0 Ci PCRMIT `3#~#G#: ##~;<~+.• .w :: #:(irt:3~ OPTIONAL REPORT ITRLY RAD <br />FFLUEhT GPDSS YAI.U` REQUIREMENT Y#,~ <br />1GL <br /> <br />IL AhD ;ILtdSd <br />SAMPLE <br />CO:'-F [k C%k <br />O <br />( gy) <br />ik ~~r~ ~v <br />rs is ~}(:;: <br />..-r ~::i :;Li <br />( ) I-P <br />( [ <br />L <br />L S D ~ L MEw6UREMENT O // v(JI~~ <br />4D66 1 G G PERMIT ~:~s~xa : 0.:, r.S=1 t(•YY;•~k(k ;=;,a~k~xsr i's~~klx#:k .. <br />' 'EdKLY 'ISU9I. <br />.Uca :P75S Y4 Ur RCOUIREM ENT <br />~ Fc' ~M' =0 ~ <br />AME/TITLE PRINCIPAL E%EC UTIVE OFFICER UND[R PFNALT• OF LAw THAT I HAV[ Y[PSDNALLY C[AMIN[D <br />I ELRl1rY <br />M rAMI <br />1AR wITN iN( INI OPY1ilON SIIBMITI(O NCNCrM AND B <br />AMD <br />[D <br />r TELEPHONE OAT E <br /> <br />GA{~ Q~ A <br />L <br />. <br />S <br />ON w• INOUrRY OF THOS[ INpv10UAL6 MMLDUT{lY NLSPONSIBIC rOA <br />O61 +IHIM1G TMC rNrOgM1TIOV 1 BFLI(V( 1H[ SIrBMIrtFD IN(ONM.TTrON( <br />IS TgUL ACCURII( 1ND COa.PLRC I AM AM.q[ THAT TH(gL 1qL SIG ~ ~ <br />, / <br />/ <br />/ <br />/ f <br />y^/` <br />~ e T r. J. \~a ~C <br />laal T! NIl rC1NT P(MAI TnS rOq SUBMITTrNG fAISL INI Uq MAIIDN IMCLUUINU <br />THL POSYBR IIV Of rMC AND IMPRgOHM[NI SC[ IB VSC 11001 pNp <br /> <br />)I USC 41)19 /Prnollm .Mn IArv palulr. nur uulrl. /rnr. aY 1^ Ilu l.u / <br />L <br />~ <br />~ y_SZ `• <br />61GNATURE OF PRINCIPAL E[EC UTIVE QZ 77 <br />-_ ..`~~~11 <br />y3 O / Z <br /> <br />- --. -. _ .. <br />TY-CD OR PRINT[D •.d..r mumr.mrn•Y^...mr.nr../A.u-.n 6n..n M.An J.r •.anr OFFICER OR AUFwOwIZCD AGCNi AREA HUMBER YEAR MO OAY <br />JMM[NT AND LX PLANATION OF ANY VIOL.ATION5 Iwrlrrrnrr ull uOUanmrnu nrre) <br />IL E GR:aSE--GFE }'DOYaOTd F/, PAGE 3. QRT:tLY 3AtlPLING II15TfiUCTIDWS--fO0T1ID'rE U/. <br />(Rw. 988) PlBVIOUS edlionJ maybe Dsod. IR VL.A CCS vA FowM T-EO wNICN M+v rot .[ usED I <br />