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FEOBir Nanr Lar.rbn 1 di erenl <br />l '^m~ I /I ~~1 11 ~ yur N~ yDISCH ARGE MONITORING REPORT~/DMR! uL~ <br />NwME-PFAJOi)~^D~,_[~l'D. f5?NP.CA TT1 IL13Y~ /17191 \!rrrnn a„rn. eNH.,...-. <br />ADOREn13 yTR VALE _____'-___ nq 11 (sUOR UY) RIDMe'!No. oaoa <br />_--~~ ~'~' ------~~~~~- PERMIT ^[R RISCNAncE HUYwrw F _ FINAL E%plres 9- -91 <br />-------- <br />---- -------- MONITORING PERIOD DIS^fiA °G^ TO TRI9/DRY CP,EEK <br /> <br /> <br />------------- <br />PAUUrr- <br />YEAR MO OAY YEAR MO DAY <br />- <br />-- <br />LOCATION _ <br />_ <br />- <br />FwOM ' U1 TO 92 2 31 ='" t10 DISCH3RGE ~ T~'= <br />TTN: E./NIS L. $TZV ENSON PR ES Dv, (f 11011/ l111J/ 111.151 (1a 17/ !18191 13011 NOTE: Read instructions befo e[o pletinp this form. <br /> (J Card Only) QUANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION FREOU ENCr <br />SAMPLE <br />PARAM ET[R (1a-1J) 1!161) (IBIS) (1a-1]) (7141) NO. <br />% DF TYPE <br />(J137) E AHALrsls <br /> AVERAGE MA%IMUM VNITB MINIMUM AVERAGE MA%IMUM UNIT9 <br />616!1 <br />161681 <br />169-101 <br />Pd 9AMPLE YC~-irrT •w'#:i ri-.i- ( ) r•. i'rN-i'V ( 1~) <br /> MEASUREMENT <br />69400 1 ~ D +. .PERMIT''. '..G#L''#'.r ~(f .. <br />. Tk lk=~ltn`v+., y'"•-" <br /> <br />,. <br />bwG <br />°. ":. '" <br /> <br />.: <br />.~~I`r~:k tk .: Q • <br />i.G:~ <br />'.~; ~ <br />~ `~' EpR <br /> <br /> <br />LT <br /> <br /> <br />AB <br />EFFLUENT GRDSS 9ALU R80uIREM ENT. ..~ a. s .. •. ! Y- fr ~",•• . <br />° . <br />:.. <br />SOLIDS, :GYRE SAMPLE ~~'-^~~~~' ~'~'ra#r ( ) '~'+-v~Y ( 19) <br />SUSPENDED MEASUREMENT <br />00530 1 0 D ""PERMIT."(. .: •~~~~ifQ : <br />" ; 1°.r~~fk~#'. <br />' #r; r~l###~<• 35 <br />°-.`::=:.':=; ` •~0 <br />: HCE/' RA$ <br />P <br />PFLUEpT GP <br />OSS VA <br />O ReoDiREMENT, p'5 ~ <br />- %; r, ,- , <br />la; . . <br />, <br />. <br />L ~` <br />~ <br />DLL AND ,P.EASE SAMPLE "i~~~'f=^ir ~`~~~`~k ( ) .Y##r# ~It'~#r ( 19) <br />F'R°ON ER!'R-GRP.V MET MEABVREMENT <br /> <br />OOSSb 1 G D <br />r. ,. PERMIT.. .• <br />..' rft7k##v#." <br />"'~1C<#T?~^%.t.° <br />trvi-v `rayy yy <br />YYY4#Y` y <br />YYasxl~i•. <br />.1G'.: <br />OhFIN <br />RAB.• <br /> <br />EFFLOENT GROSS VALU REQUIREMENT: <br />•.. ... ., ~. •,°' <br />~,:•: •=1::a:. <br />.~~ ;" <br />~##Y <br />~ <br />IRONF TOTAL SAMPLE ~#aa~r ##C### ( ) ~~>~aa~ ( 19) <br />(~~ F. Fn) MEASUREMENT <br />C1045 1 C C ;PERMIT " ;+ ',#L`?k%tOt` .' ##3 "~¢#I(.'#T`r <br />EFPLUENT ~ P.OSS VALU .. ..." ....,. .~'_°-,," a<,`>:; ••":'"°_-.'..":•;' . ##ri ~ <br />FLON, IN CONDUIT OR SAMPLE ( 03) ~a~av: era::-:: YcYY:; ( ) <br />TRRU THE+.TYFNT PLAN. MEABVREMENT <br />50050 1 0 0 <br />:.: PErewiT'~:' _.. <br />;~.REPO_RT'; <br />OPTION$L,": >~f`•°r~.~-#AI <br />' <br />•, $iiraYY• .~~rk;`# i t <br />.. "•i <br /> <br />EEF:I <br />Y <br />STA: <br />N <br />EFFLUEYT GROSS V t ReourRENeNT; . a . .. <br />itAA . <br />SOLIDS, -GYRE cAMPLE '1'66'1^6'`' a##a :: ( ) ^aa•a#a ( 19) <br />DISSOLVED MEABUREM ENT <br />70295 1 0 O -ERMIT. - ~Y,[¢#$1~Yn,; ". Al~~i`~T~Ti aaa "pg 39/#R## . OPTIONAL . 9EPORT', £ = T.BLY., RAP <br /> <br />EPFLUENT GROSS VALU <br />NEQUIREMEryT' 8 <br />ps_ <br />i~r,u~ <br /> <br />4. . <br />DIL ARD ;REASP. 9AMPLE +aa6ca ( 94) aara6a ;:.-k,1„T ,.r... ( ) <br />9ISUAL MEASUREMENT <br /> <br />84066 1 G D <br />PERMIT y <br />'!kYt-'JIfFi4v;' fL <br />{), ~':..r":p°.. <br />E3-1 ~Tr, rr.~ <br />I'F~EYIZYM y <br />•'#IG~~~F•r'r ~N <br />•taYYY-an <br />~•ka <br />EEHLY <br />ISUF.i <br />EFFLUb'NT GROSS VALn• . .. ., . ;;..".„„r :;:°: ;" tt T'.M` NO=O <br />NAM!/TITLE PRINCIPAL E%ECUTIV! OFFICER I CERTIIV UNDER PENALTr OF LAW THAT I NAVC PERSONALLY FAAMIN[D <br />IAR WITH THE IMFORMAl10N SUBMIl7fD HEREIN <br />O AM FAMI <br />MSED TELEPHONE D A T E <br />1 <br />~ <br />rT AN <br />L <br />ANO <br />ON MY INQUIRY OF THbSE MpVIDUAL9 IMYEpATELY RFSPON9EILf FOR <br />V 1 BELIEVE TNC $UBMITI[D INFORMATION <br />OBTAINING THE INFOPYAiIO <br />' / <br />l . <br />IS TRUE ACCURATE AND COMPLETE 1 AM IIWAR[ iH1i THEq[ Ap[ $IG ~ <br />// <br />/ <br />1 NIFICANT PENILTIES FOR SUBMITTING FALS[ INFORMATION INC'L UDING , <br />Y <br />Y <br />V <br /> <br />~~I ~ f~1 <br />TM[ POSSIBILIir OF FINE AND IYPR50NM[NT SC[ IB USC { 1001 FND <br /> <br />])USC \ 1]19 /Rnr/11tH uMrr IArv rlalulr. nlsr ~nrl•dr Nwr. . <br />TIN IIII <br />l. <br /> <br />SIGNATU E OF PRINCIPAL E%ECUTIVE O~ ~~~`~~~ ~~ ~~ ~ / <br /> <br /> <br />- <br /> <br />TYPED OR -RINTED V <br />• <br />r.d•..naa•nr.l^•nrR•In••I^Inr•r •./A.IU..nAn.•nlA. wnd.:.rr..I <br />OFFICEp OR AUTHORIZED AGENT <br />AREA DUMBER J <br />YEAR MO OAr <br />COMMENT AND E%PLANATIOH Oi AHY VIOLATIONS IReJrrrnar ul) ullurhlnrnlr Aor) <br />OIL E GR:A.SP.--5F.E FOOT77T!? F/, PAGE 3. REP03T 0Y FEASIHILITY OF SALT RE:IOVAL R°2Ui3F,D E'3FORF: ANA <br />DISCRARG•: IS ALi.OwF:D °RO!; 'PRIS POINT--SF,F. HATIUt{ALE, PP.GE 10. <br />EPA Form 9720.1 (R[v. 9-B8) PredOU! sdillons maybe used. IR EPLwc[s ePw rowM r-.e wNlcN Mwr Nor Rc use D.) Pwce of <br />^i97U/92'.)615-? 2111 1 <br />