|
PCRMITTC[NAMC/ CS!()nClYdr NwTIONIIL POLLV TIINT CNwwGC CUMIN ATION fVfT[M (h~I~OI SI
<br />FrrQity NFne/Locltbr rnr/ DISCH ARG ITORING REPORT JD IIRI
<br />N/(AT!- V.D:.Ii: _rOla.LJ.2-~.r-~.J n.~L ZI ?~16 1119 4: I ~
<br />)_--_ I'. ~)„ Form Approv
<br />wDnR[..13L~~~~TA f.^ --------- .~ ~n ) (SIl '!n yff) "ItD 1AH TNo. 2040- 004
<br />_--~~~'~'~___---~~yD'11L1L_ PERMIT NUNraeR R~aT r,wnca wuM.a, F - F'I !IA 1, Expires 9.90.91
<br />------------ -- MONITORING PERIOD UTF(:Na!~r;%; rr) TI'IC/:'1C°. CRF,EE
<br />FAClurr
<br />- _______
<br />--~------ YEAR MO DAY YEAR MO OAY
<br />
<br />LOCATION FROM TO 1.
<br />- _
<br />::n :~ ~J (1 17 (!.C11~ r{(•;• +•+• ••
<br />,
<br />~~
<br />'
<br />llo~al/ I71~7JI !.~ 1s1 /:a~nl l.d~_91 /JO~JU
<br />r1 'CT F : D c I N I i L. S T P V E N S D N P P. RS I D R NT thit form.
<br />co pletinq
<br />NOTE: Read instruction befor
<br /> (J Card OnIY) QUANTITY OR LOADING 11 Card Only) QUALITY OR CONCENTRATION
<br />
<br />PARAM lTEA
<br />(16-7J) (71611
<br />(la-IJ) (16-JJ) (Jr6f)
<br />NO. yw[OUFNGr
<br />DF
<br />swMPLE
<br />TYPE
<br />1J1 J)) ER Nurfls
<br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAIM UM UNITS
<br />60.70
<br /> 67611 16rhx1 )
<br />1
<br />17IL 9)ID .rRP,"5,°. 6AMPLE r=~r`-v ( rl (() v.`•1.`--:Y %~i= v~.`-1~:`..r,:-w .. ( )
<br />VISUAL MEASUREMENT
<br />11 iICL6 I Q D "I'PERM T ..
<br />i .it.T~,~.w
<br />
<br />`
<br />'
<br />~'
<br />
<br />.:.
<br />~
<br />,.
<br />'1=::,:
<br />~:;;,,
<br />'
<br />=
<br />
<br />
<br />ES 1 ''i• r. r.-..
<br />f,•t~.-.-Tk
<br />
<br />
<br />~:
<br />, ~
<br />.t fr ;c kr.`. ...
<br />~{I to G..,- .. v.
<br />1'vcK
<br />
<br />
<br />
<br />Y
<br />
<br />
<br />
<br />
<br />SUAL
<br />
<br />EFFLU!4NT 3P~SS YAI,U1 REQUIRfiM ENT ".
<br />; ~
<br />~
<br />~ ^•.
<br />
<br />~
<br />-
<br />
<br />
<br />..
<br />°
<br /> SAMPLE
<br /> MEASUREMENT
<br /> :: .. ..
<br />' 'PEftM1T .~: ..:: :~.; Y
<br /> RHOUIR [M HNT' .
<br /> SAMPLE
<br /> MEASUREMENT .
<br /> ~.' PCRM IT.: "
<br />~•
<br />•••,"•
<br />s. • .. .
<br /> ~REOUIREM ENT .... '.. .•.
<br />. .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> "~.P CRMIT ~.; ~~
<br />'
<br /> REQUIR CM CNT'
<br /> .
<br /> 9AMPLE
<br /> MEASUREMENT
<br /> . .. y, .,, .. '.. °° ~..
<br />...:' ..
<br />4'.'
<br />ai~-
<br />' '= nT
<br />NAM[/ADORCL (/nC{Ydf
<br />:n ~•^'yd(/J~ar/ NA TIONwL roLw iANi auc••ww o. LLw~nw ~ Fyn . r a i wm L•, uu,
<br />DIBCNARF`CMONITORINO REPORT /DMRI
<br />~`
<br />~COAi;s~1$Pl1Pr~ rrr- --- 7 ~-- 1717-f9
<br />~ MTNOR Form Appl~1
<br />i
<br />_
<br />.~Stlr_S.QD.IN-T.AILE_-----
<br />-
<br />-
<br />_
<br />__.T 0 '
<br />~ (SUER NY) -0004
<br />P,ONBTNo,
<br />•
<br />I
<br />~
<br />~~//~f
<br />p
<br />n~~~
<br />~5 fA p~-----r~,y_iCLJtS/,`- PERMIT NUMS[R .~ i' orFCnAncF nYM.fR p ~- FINAL - - Expires - 9.30.91 -
<br />• y .. `' ~~ ~
<br />--~-.: --'~-=-~-_--- :-= ~
<br />' i~ ? MONITORING PERIOD DISCNAkGE TO,. TFiIB/. AGE- CREEK
<br /> ~ `
<br />-~ -----------~
<br />X ~
<br />-~ ~
<br />' ~ Y[AP MO DAY YaAR MO DAY
<br />] ~ -
<br />,
<br />.
<br />-. :
<br />_
<br />~ FROM TO _
<br />~ F~{f
<br />W
<br />u
<br />(
<br />'
<br />~
<br />r +•
<br />a
<br />DENNI .L. S,PYENSON PRESID,.NT ~ '' - ~
<br />no.2q 1usJ/ 12+-s1' r1e-) ua~21 ( u latin this form.
<br />for
<br />NOTE Read inftr
<br />etiona
<br />eon
<br />a
<br />' _ -
<br />~ (J Cord Onry) QUANTITY OR LOADING _`
<br />•.
<br />'
<br />I (! Card Only). QUALITY OR GONC[NTRATION _
<br />~
<br />- - FR[OU [NCY
<br />PARAMaTEIt,
<br />:
<br />~ :: t ..
<br />(16-7i) (71fi1) - _ :_ (i8-IJ) ~ (i6.f)) (716/) _
<br />:- ND.
<br />~ .QF giYPl
<br />,
<br />:'p]d1a ~-U+ ~ t'
<br />AV[RAQE.') - _/
<br />~`MAEIMUM" E
<br />UNIT!
<br />~~MINIMUM
<br />AVlRAO!
<br />MA%IMUM _
<br />}UNITS
<br />67fi!) ANALYnIf
<br />(N6d)
<br />(69-7b
<br />D:G&EA§B:,,:. w -aAMPL! Rap#Ca i-~ c ~ >. (a 9y)
<br />`as~aaaa ~. aaaaaa : aaauaa ~' ; .~ ' ,~.
<br />+ ^
<br />'
<br />~
<br />Po.«E•`.~.
<br />'^y7#~ a.X[:.
<br />',~a's 'g
<br />Y.
<br />~ ~ ~?T7~TM„>~~ ' ~QO~ ..K [FTi'(» «['. '..
<br />w Y:
<br />b ° a
<br />
<br />~
<br />a ~ ~.
<br />~ Q.Q.
<br />.. -_ .,, +' ~
<br />C' ~'~ .~
<br />.~~
<br />~`'~
<br />q
<br />l
<br />I._- = - E
<br />~
<br />~ /
<br />&i+~pwY q: AYE R« '~ ~ 5x.°'^.w ~~ YA ~l'% •x'6 c..8~m ObPo'.e. ¢ .~
<br />T
<br />`J . Q. ,$~ v` .Ih
<br />
<br />
<br />~ • g; 0..
<br />~• re ~ ~
<br />.
<br />-
<br />
<br />g
<br />s~K~
<br />'~°-;.°~.[>nf~x iF£ ~ ~ ~
<br />~911ki'z"?8 6%,S$ W ~
<br />s+'t'9~'~a.~s~"
<br />y
<br />(V ^ ~ t
<br />l C S
<br />..
<br />'.~V
<br />~Y
<br />YISUAL; ~'4 - r MswaUR[Y [N7' O U - r ~ -
<br />6y066_-'1 ,,.~.m0;.- - _' Iq~,~is ~~~~~`.~' ~ ,"'i~~M ,° - ESar'
<br />
<br />r .V: t! .I
<br />O. iC it - .-
<br />. Q. rIP'
<br />~ N D
<br />I';~1 i.J B/... is .,; `. !V G ~ L L: v V r N -. ~ y+. _
<br />,. •„f~: i'O ~`:. ~- SAMPI:[ _ m. ~ a CJ s ^ _' 4 ~-+ tiM ~ ~ q ~ _ J :; V
<br />•• I:~ ~ ~.'Ai~ Va:'j- _.;~ :.~ . ' K _~ M!A[UREMINT. N .. Q _ C J C T7 =_ ~, C. ~ ~ u ,r T. U q ~ I ~ ~ Q ti ` O O ~
<br />f. ~'~:.r_' :i. ~.., - ,:!, .,.: ~ to -O ~ rl...~" .. .. I .., -.
<br />' ~ c~ ~C. ~ K.sl "`+. A~ ~~Y+~ .,iY`. .'a ""as*k'n>s>t:.~q c C ~ s l ~~ •aw. nxy ~ ._.., ^Fm ~'.: ~ ~;'~.. n' ~ «¢:re q vi:'
<br />f LRIA ~ :. z'~i° o-. ~ °.tl, # ~ . `..x"x},; : ~ ;8 ~~ ^ a -a .. ".<%-F~
<br />":> . u ~ .U (~., .r' :~•, U#{~clllrii „~~'^~^'~.«'°~aa ate` s «f ~,:`sxo,~ % C ``p~«'«Ra$•s»~a,~."k:.~+-at?."~t"a~~~..~,~n''xF^F~.°~'~~x~.~,e ` O _ ~'t •...T a;:
<br />r O Q ~ _ aAMPLE 'ti , D Sp L >.i .~'.. .U R1 - w J & ++ W ~ I W TI . -.
<br />~. ~ ~ ~ MGSUREM ENY -a 1. L' ' ~ i. - r; i C IVi .. ,. r.m~ S .- DL
<br />~ ~ ' .m< -~R: c.'2`:.; ':~~.~ :~'x~n~^ s~°$r .. y . O .. ~., x._.x,_;yn '.. ti rR ~ ~ ..
<br />U U.„" ^w rWC~ .~~..,za ~ ~ `~~°gPoe Ca ey;TRb~xga ~e ~x rv4. a ° s„g A'x,., ~' ;at 8 ~ Jc ~. '3"a--; xW,r~ "°
<br />- O ?c ~' "'Ii~Cy81REM ~~'f,d ~"«a.. ~<. .;,M~ sA~ ~~m n a..ffi a.. a9 ~o-~ ~~ a~ a'« x,~5~xe-°`.°l;..i ate. ~ ~ _ ~g i~.e: ~i.,sr. ,..
<br />+c ~ :n.+x2:.,. °~m.'n`yx~r~,W.:+'~w°~8a~ys.,a~8~`~,~^ 5' '. ~e ,~.m~an ~' ., ~'~®¢~~}~=_~ 'x :'~- As~~^,y x - c _ :$.a';
<br />~ N iV C SAMPLE r. x ~ Y - f` ~ n C C aj ~.' ~.' ~ it _ C) I O .] o_ ,. L~
<br />~. .. .. C ` ~ MEABUREM EN7 `. ~ ~ - C ' .. -' .. C ~ ~ .
<br />:.P O+t`3 n - «n+N~ .,~wx,e.~~~:•rg~pa~`swa.« '~.G- - ~ +~a Tq,a~g,'° s.:y.q<~x'.~~x~~RO°r~,°.`w'ae y~'.r~; ~r a':'a wgII',%-> >. s~-'' .~; ~,•
<br />v - C' ~« [SRMTt°. :n' a,~. „ ~, a;, .` s..a..~~'« 7 _ ~ r °:w ~.~ :.a x .. ,rc+e.: r
<br />:y •i '+ - 'R M1tREIEENT ~w' ;",~/ffi~g«' ax :~~q~„ ja I ~«~a9"~~m~TB' sdx;.3•s e'.c.:~4':c ,. ,..~i«~Ana'.'~' '` ~.g.R rvm~ J ^ _ ~ '^
<br />'~ Qf Oyl` j C •. SAMPLE S~a~ ~W~ ,[ °O a %••gy;sL ~ 3 L - .1 CYr .. `I +' F' I r J TI --
<br />1 q O O s M[ASUREM ENT -. _ - .. ~' - ~ O i' - _ _ ~
<br />Y a' ~ C Q, _ >~.• a.'<:a:a',~ »e~' :Be R{,twp. ~ C s t~"y; y. x~m y.ss,s mqR ttga, ,, ~. ~~A .Q~,x x'.82 V :. .,~4..;g.:'.';t.
<br />.7 _ w~ ERN7Y«~7+i:x ~w. ~^ ~,r-."A 8,«~ p y'r:'`°°a»~II ;a., a~: a. ~. _ z ,CA,T
<br />I1'7 U ch°n :p!"~',n.' .xe ~.., ~ nos ~ . '~ia..~,x. r , $.cA ~"+ %' `°;A, y:. i. < .. ° x° 't..°°`
<br />- ^3t IRE~pI b'., ',~.e ,`~'. .- a~ c phn ew ~ x,'x`s^°.v ox.; s.. a~°x ~+°I« x~•°
<br />.. _ : e~^,., n:~a _°.,°i a : s. ~.~~« a.%w. ; £"• . 'sue. «,a» ~ o.. x ;a~'..., '::'
<br />{ MAM[RITL! PRINCIPAL [%[CUTIV[ OFFICER° J c[RrrFr unoER °P[NAVY OF ALAw THAT I NAV[r vEASOneur [YAMW[D &' _ n, _ _ T!L[PNONE~~• D A T C
<br />1 'AND AY FAMILIAR aYRN TNF INFOrIMATION SUSMIR[O N[REIN AHO aASED LV _/ .' ~ -
<br />~~ 1'~ IY _ '.+ t- V ON MY INOIIIRY OF TNOS[ INpVIpUALS IMMEOIATELV RE..Pd+51RlE FOR. ._ 1 -- ,~. -
<br />F~'L - 09TNNING TN[ IMFCRIMTIO:1. 1 BELIEVE TNC SUBMITTED INFORM/.TION' ~~// ~~ 1: ~. ;'~ -I V
<br />) ~ ~ ~ ~ w.. ~ ^ '.6 tRUE. ACCURAT[ AND CONFER[ I AM ARAB[ THAT TNFR[ ARE SIG - ^ ~~• (.{/.~/{'~ ~' ~ '~
<br />LL G O ~ -- `' :MFICANT P[NALTI[S FOR lUMITTING F.fIS[ INFORMATgN. 'WCIUdNG.
<br />1 ~~~' ~'JV ~ V15[~' -. ~It~• AFB<IFrS L)7uS~C 11&119Y~rR IR..M.•IIArr5a«ir`Mna TMFr~nrldr hors Y,t ,;,°IIn MD SIQNATUR OF PRINCIPAL E%ECUTIVE ~'n~ 77y-SZS 9.~ ~~ ~
<br />' TYPED OR PRINTED ~ 'rM.i.nlr+riwwlr1nOn.ww.wr a/h.rw+.n 61nunrA. rod .f an..r ,OFFICER OR AUTHORIZED AGENT A A NUMSER YlAR MO Dr
<br />`) COMM[NT.AND !%PLANATION OF ANY VIOLATIONS (Rr/ennrr R[ urrurhmrnlt hrrr)
<br />' OIL E GRLSSE=-FOOTNOTE P/, pG 3. S~TTLEAHLE 501.205 LIY.IT APPLIES ONLY I£ C= 1G-7R, 211-IIR PRF,CIP ''VENT
<br />CLAIMED. I£ CLAIM PPPIiDYED BY MpCD, T:iS 5 IRDU LI!fITS UTL1. NO: BF APFLI.°.D TO F?f'F'ORTED IrEASURcYCMT•S_-^,r
<br />.:~ A X320- (R .0.88) /17' y SBtf. Lltc deP d 'Mw N T'•aa Da D. ' 00152/920615-12111 r -wca L of
<br />
|