FLXM111 EL NILM IIAUOXE!! (In C(Yd[
<br />Ficlfiry N~ule/Lonrbn l/dlJJernr/ Xn TIONAL FO LLV TII NT OISCNx RL[ [LIM INxT10X fYST[M lNPDEJI
<br />DISCHARGE MONITORING REPORT /DMRI
<br />1w1Lr"-S_~' LZDbIt~SL_(.SEHE.ClII~---
<br />~ l~-l9 MIROR Form Ap
<br />wooREn~
<br />~TU_y~y~--------- ~ (SUBR NW) RLmb1eTNo. -0004
<br />_-_vr n:~'j'At~------~•~~(~~- PERMIT NVMIER DI•FN^R~[X„M•[R F _ FINAL EXplres 9.90-91
<br />
<br />-------------------- MONITORING PERIOD DISC HARGP. TO TRIR/SAGg CREEK
<br />rwclurr
<br />_ _
<br />------------- YEAR MO DAY YEAR MO DAY
<br />LOCATION FRO•A- TO t;rA !+0 DISCH?IRGF. ~ ) #'0Y
<br />ALTN: CE;INIS L. STEYFNSON PRRSIDENT Izozl/ 11S.7J/ 11+1s) 1197/ /7819/ lJO-lI NOTE: Readinstructiorobato c pletinpthi9form.
<br /> (J Card Only) Dl1ANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION
<br />
<br />PARAM ETlR
<br />(16-1J) (llfil)
<br />(JB~J) (1637) 13161)
<br />NO. FREOU ENCr
<br />
<br />OF
<br />SAMPLE
<br />
<br />TYPE
<br />(3!-!!) EX wN AL r$IS
<br /> AVERAGE MA%IMUM VNITB MINIMUM AVERAGE MAXIMUM UNITE 6767) (6.491 (69-]U)
<br />PH SAMPLE ####r# #+'Tv##r ( ) ~i rY#r ~ 12)
<br /> MEASUREMENT
<br />004C0 1 0 C ~-"PErtw~r' ?ks~#rfiA ~:##,4>rx~F~' "## 6.D -#~#;.~#; '9.n rsE:iit RAB
<br />EFFLUENT GROSS YRLU, !EEOl11REM ENT-
<br />p ##,k# ~ ~ T`
<br />SOLIDS, i OTAL BAMPLE ###:## r##### ( ) c.'>k#'vi~ ( IQ)
<br />SUSPENDED MEASUREMENT
<br />G053U 1 0 D P~RMir':; ` ±Gi~l>k:':#:; "::~~t###4: ### ; #~~st~t~:: 35 7~ ;:r NCE
<br />/ RAB
<br />EFFLUENT GROSS YRLU. R[OUIREM HNT
<br />e5° ,
<br />#Y
<br />T .
<br />SOLIDS, iF,TTLFABLF SAMPLE #+#### ###### (
<br />) 3Y###;= ^.,,-, ( 25)
<br /> MEASUREMENT
<br />G
<br />DD545 I O D
<br />.'PERMIT.,~•.
<br />..^•"vt#YiT#~^.;
<br />.
<br />~
<br />~.;#
<br />>~#S`-#$
<br />'r~-~#
<br />%rk#~##X`~~
<br />,.~`C^####''
<br />Di5~
<br />~
<br />V c
<br />NCE~~
<br />RAB
<br />
<br />EFFLUEN GROSS A REOUIREM ENT,
<br />" ;s?i;~-..;`, .
<br />a A
<br />"~
<br />=
<br />..:'.. ...:
<br />. .
<br />„
<br /> ,.
<br />:.. •~,.
<br />,
<br /><>, -" ####
<br />,
<br />DIL AND ;REIISF. SAMPLE ###### #=k#~F#r ( ) ~1;###t ####"~ ( 19)
<br />FREDN E~~R-GRAY hRT MEASUREMENT
<br />
<br />00556 ' L' O
<br />'PERMIT ~. ~
<br />
<br />
<br />R yam.`
<br />
<br />r
<br />~ -•Ai•~#Y•f(/' a
<br />9,
<br />' /A~,. y .1, J~),
<br />Y#$T#'T.„
<br />
<br />
<br />' .y
<br />TY# .Ay,~y A
<br />''YYM#!I.
<br />~' y~y A. ~yA
<br />.V •IY'!YYY .
<br />1D r"
<br />' F
<br />'
<br />" T~
<br />ONS
<br />N
<br />RAB
<br />f, D EOUIRCM ENT.
<br />.. _. sue...:. ",r. ~ ". ,.: +,
<br />n ., a .
<br />p A ..., ..,
<br />-
<br />. ,_~...~
<br />AA . e
<br />".
<br />i
<br />~
<br />
<br />^ .l
<br />IRON, TOCAL SAMPLE ###### ###### ( ) ###Y## (
<br />ln)
<br />(A1 FP) MEASUREMENT
<br />C1045 1 C
<br />D
<br />PERMIT ~# #~k#'~
<br />- ~ ~$
<br />#~'•~~~ #r
<br />#
<br />A.y
<br />s
<br />
<br />3'.0
<br />
<br />6"0
<br />
<br />
<br />~ r,
<br />NC
<br />
<br />R
<br />1B
<br />
<br />
<br />EPFLUENT GROSS YRLU RSOUIREM 8N7
<br />";
<br />,"
<br />~;; Ar
<br />
<br />`x~ >e
<br />'
<br />
<br />###
<br />
<br />'_
<br />-
<br />
<br />.
<br />. , # '
<br />FLOP, IN CONDUIY OR SAMPLE ( 03) r##,'~# =.-Y##.# ,..,.,-,t ( )
<br />THRU TP.EsTtlENT PLAN MEASUREMENT
<br />
<br />50050 1 0 O
<br />
<br />a
<br />PERMIT~,° n
<br />"°R~FORT;a
<br />OPTIOtaIIL ~`.
<br />'`;Tk#t~±e!?"':
<br />>X~~~4.Xa`:
<br />:~I~+X##:
<br />_:
<br />''~~
<br />ESISLT
<br />HS7'A'
<br />EFFLOENT GROSS YR
<br />LO .pE7U1REMEMT,' , '..p'•', ~a . ^
<br />.
<br />,..r _
<br />~ ,,.' :-:~
<br />-
<br />SOLIDS, CDTI!L SAMPLE ~~#,.-.# r####:, ( ) ###### ~ 1?)
<br />DISSOLVED MEASUREMENT
<br />70295 I D O PERMIT ~„~
<br />
<br />a
<br />~n_##*YY##'
<br />
<br />"
<br />ny]Y 7(Cz
<br />1iF~ 4
<br />r
<br />" r##
<br />
<br />
<br />
<br />,
<br />;'F##~##"•,
<br />
<br />
<br />
<br />
<br />P
<br />IQvAI,>'
<br />T r FDp
<br />a
<br />
<br />
<br />
<br />RT
<br />: ~
<br />
<br />
<br />
<br />
<br />C
<br />£/
<br />~ •
<br />
<br />
<br />
<br />
<br />AB
<br />,) V RCOUIR EM ENT.
<br />i • e %r. o-•. r •
<br />)~ ",1r~ee
<br />
<br />6. ...1.
<br />•
<br />s
<br />yeF ~
<br />..a:.y'
<br />AAA~L
<br />
<br />•....
<br />.., ~..: .., ~'
<br />
<br />
<br />.
<br />.
<br />. ,
<br />
<br />
<br />:
<br />yI-
<br />
<br />
<br />.
<br />.
<br />NAMC/TITLE PRINCIPAL [X[C UTIVE OFFICER 1 C[RTIFV UNDER PENALTY OF LAw THAT 1 HAVE vEw50NALLr Cx1MINFD
<br />AND AM FAMILIAR WITH THE INFORMATgN $UBMIITED NERCIN AND BASED TELEPHONE D A T E
<br />G12nd
<br />(~ DN MY IXOUIRr OF T.grE INdVIDUALS IMMEdAiCLY RESPdT51BL[ fOR
<br />OBTAINrNG THC INFCAMx}qy 1 BELICVE TNC $UBMITI[D INFOPMATION ~
<br />I
<br />/
<br />.
<br />L 1 IS TRUC ACCURATE AND COMPLETE 1 AM AWARE THAT TNER[ •RC SIG
<br />NIf /CANT PENALTIES FOR SUBMITTING FALSE INFORMITION INCLUpNL -
<br />W
<br />^
<br />r
<br />5
<br />TH[ oOSfrBluir OF FmE who IMPR50NM[NT 5[E IB u5C 1 IODI AND
<br />7~
<br />Sz Q
<br />~ /~
<br />l ~
<br />~ 1 ~1
<br />1
<br />l]USC E 1]19 rPrlMlllr. uMr. IAfv Fmrur.. ^a nrldf /m•.
<br />b, llu r.n BIGNATLI E OF PRINCIPAL EXECUTIVE ~ - / V
<br />~
<br />TYPED OR PRINTED ry
<br />v.d~.•^Iaal^r.n.nrP•I.~n^I..,r„/A.IUwnAn.,^rA. and.i ...r.r OFFICER OR AUTHORIZED AGENT A A NUMBER YEAR MO OAv
<br />COM M[NT AND EXPLANATION OF ANY VIOLATIONS (Rr/etrn[r yll yrluL'nmsntt Afr•J
<br />OIL E GREASE--FDDTNOTF F/, PG 3. SP,TTLEA9LE SOLIDS LIMIT APPLIES OILS .TF <= 1G-YS, ?.II-11R FR~CIP EYFNT I'
<br />CLAItlED. IF CLAIM APP ROYF.D RY VQCD, TSS F IRON LIHITS 'GILL NOT 9f: A~FLiF.D TO R4P03T.ED I!5.4SURE.IRNTS--SF.E
<br />A A C3 1(R .ld8) d r6D 'yb sb . ~ '1 PL a dcF E•. Mw bT BC US .' i --- •• -- ~ • FAGC or
<br />I)0747/420F75-7?U] 7
<br />
|