|
r7f/17) A'~/LRawMMre A~eAU[ /Indd=
<br />r//1/71M1/
<br />w/~ef_511!iJ.9.ti.~..-_=1~_:a~.~DL~Ejlf "L---
<br />~oeR[[/ltu~(1_~rlv4r D~L2a-------
<br />ArrN: DAVIn a. "ANVTe:
<br />RATIORU IolaYrwwT encN wwo[ [uYrRwnDN [r[r[M /NlD£J/
<br />O 16CH ARGL MOHITORIH6 R[-O RT /DMR/
<br />l /E /7.19
<br />I[RMIT MUM 1[R encvuc[
<br />MONITORING PERIOD
<br />Y[AR MO DI.Y Y[AR Mp DAV
<br />FROM rp 1
<br />no.ln n).7b r}dasl r:e. 1 Il. 1 r /
<br />r ; II •: o ,l I Fam'rApproveG.
<br />[ _ c (~; ; [ OMB No. 2040-0004
<br />~i ;'u [ D F• 'APPrpvE F-explree;7P31-94
<br />NOTE: R[[d in7tructiom b[fpr[ compl[tinp thi! form.
<br /> (J Card Only) OUA NTITY OR LOADING (I Card Only) QUALITY OR COHC [NTRATION ,w[DU [ND•
<br />(ARAM [T[R (d6.7J) fJd4l) (Jd~7) 1=6~7J) 1lld!) NO.
<br />[% p, •wMIL[
<br />rrI[
<br />(l7 J7) ~•[~[
<br />Yw
<br /> AV[RAD[ MA%IMUM UNIT[ MINIMUM AV CRAOf MA%IM UM UNITE
<br />
<br />P~i
<br />•AMIL[
<br />{: rt.;Tt ;: ,7 4 M1 i l t '1
<br />r:',
<br />( I ^ Q ': ': ': ( 1' I
<br /> M[A[UR[MLNT
<br />~OOu 00 1 a n _f...rr~i[i-' ~ :.aaaat=a# ~ '~~~arfa;ab4€... 6'':.:5.;. °. P;,
<br />'.:: ~.z: ax'ac*afx: 3:"0;
<br />"~":'' °- F.$: L1f All~ °". ~
<br />•
<br />
<br />FLIPNL ;ROsS ~4:. RRWIR[rfRT,
<br />~ i,.^.,
<br />x~< .~, ., y..
<br />s •1-<,:• ~
<br />-
<br />'F1:.!i«',`?!!'t .
<br />._ ~
<br />.,"AXLNb!!r
<br />f 'r ,~'y
<br />.~ .
<br />o~
<br />~!_'
<br />SOLIDS, SEttLFnq[.~ [AMRL[ ,~'^-!.; rlc:=c,5 ( I ,,r?'Th:: :: ( ~~I
<br /> MGWR[M [NT
<br />D05u5 L 0 0 "g~r[blii"' ''drAax Fs ""~^ a~0#EFICz?a:';,. :~r :: cin ekapa:'; aPT~l~'J~1lt; .d:
<br />Sq x ,'_; ?rCz~~:~ Rgk-R:'p:
<br />11•:I
<br />F' 'J P
<br />'R0
<br />F R~OVIR[MtNT "+` xA-z~ i
<br />x n ". ~ ~ n ~
<br />~ A A Vr ,
<br />''D [ L >r., r; C
<br />~ `'9'+1 N 1"k .
<br />~.,:: _
<br />,K
<br />,
<br />55
<br />-. ~
<br />x .... -
<br />.
<br />.
<br />.
<br />~ rc
<br />OIL AND ;P~ASF [AMIL[ rr^:r ,ry Ci:Chh3 ( ) .f:F:'. '('.... ~ ~ ~I
<br />FREJN F.I I'k-GP,~r YC^ M[A[VR[MENT
<br />D.J55/~ 1 ^ ~ '~..~a-[1~7~~IT _... : . hlxU.p~!'iF~r~~
<br />
<br />~ , :>4'44YFtr
<br />
<br />` .. Ahnp"R~t~::
<br />
<br />° ~P;t?CL'3.aA':~,
<br />
<br />:a.
<br />$ .;~.- .Fq-.t,g;._;-,~.a::
<br />•~ € e
<br />T n ~ e~.:
<br />
<br />.' ~'~~:f:}pN N~1L~'•';•!
<br />r•
<br />1/
<br />: 'i1~7,}B IR[M [HT' k::
<br />•
<br />a
<br />~ ~- i^•l.~"~, ~- ~~
<br />~za'a .
<br />d~ S- K&yri+
<br />~•" ~
<br />~~~n .
<br />~ T"
<br />1f
<br />' - : r . ~ ro°
<br />N - F' a z-~
<br />FLUENf P.~SS
<br />~ U.
<br />F.
<br />L +r:R.r :.. rq
<br />t> ~••q> xt:, .!.
<br />diE
<br />1J, . K
<br />, ~
<br />iY- 3:
<br />P[..74~[ Ih rJN[~[)I• 1~ [AMIL[ ( .'13I ,}'42.Y ~` :: fr .. ) I
<br />iIIRU TR:.AIw PFI 1 L•E4 M[A[UR[MENT
<br />soos~ i ~ ^~1=niirrT .'.. ;.asP.~.R:r.°~;. ; ~ a~~o.rt ,i': a sC+;+lx'ttrS<.: ., a!~,",Mk lam>aa"oar;. . ~" ~ - ?F~^~S. RssAu
<br />EFFLII~NT :r. ~5~ 'i 1I r1. '~1~: .'a'.~. $ A~•AV `." :s':' .,t<T... '
<br />SJLIDS[ 'DtI1G •AMIL[ ?". : y'' ` ~ ~` ( 1 ) `
<br />DCSS~LYF.D M[A[UR[M[NT
<br />7:)295 1 7 0 '.-~KkF11Tia r>!x+xa¢a~• ;a,¢L.:nadr:~ ,1. ~.aaaa.aa:;
<br /><.c S~TF:A
<br />~,~L• ;
<br />Y;~~'~Q-3'; PR4;Y;" .^A.P"..
<br />
<br />j:FaLUF.Ni Ca~S '!~L'i: 1l~ODUI[If[NT o^Q ~
<br />~
<br />as"n. .. ,
<br />}' .+'A;I''•r ,
<br />-
<br />}' °tf'A'
<br />/
<br />a,. ~
<br />JCL AND '"FEES.` ^AMn[ ~"~- ( ~4I .':9•, .: .. .,a ( I
<br />Y I."• U A L MEA[UR[M[NT
<br />9i05F l 0 r 's'~.It3tT-... aaalaaa .
<br />: ~~ ~_=;:a=,:.t.;;. °;=t ~r~0~ti9!;d.~~- ',b!!rx'Q.RA'~ `a'xaa`G:a°: h~;: :P.RIC =~_Sit
<br />~t.
<br /> .. _
<br /> •AMIL[
<br /> M[A[UP[M[NT
<br />
<br />a
<br />'.'.$9 NM K. ~:
<br />
<br />I
<br />RT
<br />'
<br />
<br />
<br />:i
<br />z' ~d. :.`K v'.
<br />.; . .- '
<br />
<br />..,
<br />y K+ ~. _•
<br />c' ~:. :~'> ~x'.¢ p;'. ": tf
<br />
<br />
<br />
<br />: ,..A,
<br />.~j.::ua.~YS• : i?• " ~y. ., ~
<br />
<br />
<br />
<br />
<br />'
<br />' 7@. ~ },e >;nv;.: '
<br />
<br />
<br />
<br />,s '
<br />
<br />
<br />:...,
<br />~. .~:'.
<br />:~}:f'<d?• eii
<br />~
<br />
<br />r
<br />
<br />~;
<br />~+~
<br />~~
<br /> II
<br />LM [
<br />~Q tk' ~. e4 .
<br />~"6. -
<br />q. .
<br />~i+
<br />ti ' (
<br />Si~['
<br />!' YJ .
<br />,
<br />,
<br /> t
<br />~ Y .G _
<br />NAM[RITL[ IRIMCIML [%[C UTIV[ OFIIC[R r C[wrR• uNO[R RwLrr p LAw rNwr r YAV[ rtRSdrA.w [[AMm=D
<br />1ND AY rAYr[rIR MTM TN[ rMOwMAIrON SUfMiT[D Y[ITrN 1N0 Y5L0
<br />/
<br />,,
<br />' T[LCIN ONE D A T [
<br />~/~~/ I' (~~~
<br />1TrON
<br />SVM•1riT[Oroi rNfCMM
<br />I/Lrrl~ ~-
<br />(
<br />/,~/\/
<br />r'~
<br />p
<br />~CY /
<br />'/
<br />1
<br />~
<br />i
<br />_
<br />~
<br />r
<br />~
<br />/
<br />^~V
<br />~IwIH
<br />U1r1 (~N
<br />LUrhCT[ [1Y
<br />1YAw
<br />K A
<br />IORY
<br />M
<br />UN
<br />UP
<br />G
<br />SL
<br />r
<br />w
<br />r ~
<br />7
<br />~
<br />(
<br />~ ///~~~~
<br />~ ~"J ! O ./r
<br />~
<br />~~ ~r~~/~ HM [
<br />V Z
<br />~
<br />U[
<br />I
<br />N
<br />D
<br />ro,S bL
<br />/.NObYVMrrWYLN
<br />ItY
<br />O[ (rN( ~
<br />,- / /
<br />f~1"
<br />]] oSC 1 r)r9 ~M1,YIw. •nd•. drr a urLd• /.n•. q u, [wr•u [IDNATUR F IRINCII AL E%EEUTIY[
<br />TYI[DORIRINT[O ••d~••n•.~n.••~~+0^••^^~•^r.J tir•.••Rw..nM.•nd :.nr.. OFFICER OR AUTHORIZED wO[NT '[ NUM[LR Y[AR MO DAY
<br />OMMLNT ANp E%ILAMAnVn VF AnT vrourrVNS rnrp.rnrr uu unw n.nrnu nr .r
<br />lCl. G ;Pc Ar, c_-:^r v~~r•,1]" °/, ^AL 1. "T'[. `P. 11. ~ )! :''' ..- •.^.. = '~` ~v T~ _ 1-r' ?I_uD ~ ac-ra
<br />'Y°N. CLAi".F~.
<br />PA Form 33241 (R[[.C3E) Pr[IAou[ WiUon[ may D[ used. IR[ILAC[• [Iw FowM r-+e/rNICN Mawr nor .[ ~[[D.1 ,~// /J ~+', ~~{ (/MC[ of
<br />
|