Laserfiche WebLink
-awMITT[[ NwM[Iw°Dwaaa (fn(Ide <br />F[AIy NeN/Ltarlbt/J q , <br />wsewa_n1dU') 5' 1'~,I Y11L7; ___ <br />-------------------- <br />-ACIYTY <br />LOCATIOw , <br />IlT'!'Y: N flr)'.J.1?(Ll CAl1~J~w;.':iI~ii:_i".--- <br />nwnonwl rou.vr•.r DnrNwwc[ u1MINAnaN yr.L[M lNPUE51 <br />D19CHAHGL MO RING REPORT IUMRI <br />7~f6 /~ <br />PlRMIT NVMttR one Nwwe[nVN[aw <br />MONITORING PERIOD <br />YE DA YtAR MO DAY <br />IwOM TO .. ... <br />176~7/I 177.1)1 l71~ SI /16- 1 178791 / 1 <br />' ~ " ~ ~ Form Approved. • <br />('' ' " )OMB No. 2040-0004. <br />- ^ 1 :i;,; Approval a%pires 6-30.91. <br />NOTE: Ratd Inlv9etioro Mfort eomplatinp thl[ form. <br /> (J Card ONy) QUANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION Fw[OU[NCr <br />tAM PLE <br />PARAYRtR (16,7)) (ldfil) (JH7) 116.7)) (3161) NO. <br />% of TYPE <br />(3367) E Anuvala <br /> AVlRAOE MA%IMUM UNITt MINIMUM AV !RAGE MA%IMUM UNITt 676)) (~~[) (6y-70) <br />VLF J 11 i !I ~ <br />cElllooePr:~+~rL <br />.AMPLE <br />M!A[UR[M[NT ~:.r .,:...... ., .. -....,..; <br />` ~~U .,..: -.... .,..r ..-.~ .. -.. ...,. <br />- <br />D <br />~ 65 <br />(>.,f.lb <br /> <br />P k tl 3 d 1 ' ~ ~ <br />"FFLU NT !'11`1:;: <br />Y9LU1 ;. ~=i~a w ir':. <br />Rltp(I <br />RlMIJi~T r <br />y <br />~ <br />" <br />' . -. <br />: ' . .~ ~ <br />: <br />1 <br />"~ a- <br />; <br />~ <br />~ -' .. <br />~ : ~ ~. _ <br />i~' <br />IT y . <br /> <br />~ <br /> <br />~ <br />~ :~.,, , <br /> <br />~ <br />, <br />: ~ <br />$ ~'a <br />, ~-, <br />f~ ,~ <br />;~.~~ <br />~.~~~ .. 16(:'1 <br />~ <br />~ r ~ <br />.. ~• <br />~ <br />*-.~.,~.~ ,e~ ~ <br />._,~..~. :[ ~-~ . <br />m ' <br />~ <br /> tAMPLt <br /> M[A[UR[M[NT <br /> ~ <br /> ~ ' ~{- <br />` ,, A.l ' ~ <br /> M?`~Y `e S ~. . <br />~S,A A , $... ,bw x '~-.SAO w~'6+. S <br />F <br /> tAMPL[ <br /> MEAtV R <br />CM[NT <br /> g~b <br />.~1'a MIT~r¢,. ~ <br />k <br />~~ <br />t <br />~T '~~'~ ~: $~;'¢8 <br />" +TTT ~~~ '~+ w'~;~".'~:1~'~ . ~~ ,4.~",`•`~i,' (~'.i~ <br />y~ ; e',:~~'~.~~ .~.F <br />7 ,"~. ~i~sfi$.~ ~~~:.,: • . i 'w~-.:' ~~/~.`' ~~'•'~.,~ <br />ap <br /> ~ <br />r <br />. <br />~ l <br />M ~ ~ , ~,: <br />' <br />' <br />~~ ~ <br />'~ ~ <br />~ :§:.. <br />~ t~ '~ ~ ~ sr <br />t <br />~'~ . <br />a' .., <br />b% "' <br /> v . <br />b. <br />.a <br />, s <br />~ t <br />.~ z . .mo .~;«.: <br /> tAMPL! <br /> MlAaUREM [NT <br /> . <br />Y <br />t .oaf `~: <br />~- ~ ~ <br />~~~ 3 .' <br />'e' <br />: ~ ~ <br />°~ <br />~F ~ '~'' <br />' <br />~ ~ ~ '~~~ y„aR ~a <br />~q, <br /> R~tlU1 <br />Mgt <br />i p ~~ ~ gy <br />..v.~ <br />`• .a <br />r <br />, ~, <br />~ b ~ ~ <br /> <br /> tAYPL! <br /> MGtUREM [HT <br /> <br /> <br /> <br /> tAMPLE <br /> M GEUREM[NT <br /> A![RI~ITr~ ~ <br />; ~ e~x~"~ ~ ~ ~. .;~`.~~ .~~~'f" <br />"mi <br />~' <br />~ s~.e ~ "x ~, ^~ <br />~~a: <br />~' ;~° ~ "~.a ~~_ '~" <br />' <br />~ <br />~ <br />"'~~ ~" ~ ~,""~, >~ E?; <br />~ <br />' ~ "° ~.> <br />~ i<k~ ,~~, <br />r- <br />'' ~ ~i~~~~„ . <br />~~ <br /> ! <br />QutR LµY. c ~ <br />l s~ <br />;<% ~ <br />.x~^-' s <br />~ <br />' <br />~ ,~ <br />.a~ _4 a°~ <br />.~? <br />~ 'rc <br /> <br /> tAMPLC <br /> MCA[UREMENT <br /> Rt <br />~ ~ <br />1 ~' ~' <br />~' ' ~ ~ - ~ ipY. ~~ ~' ~ ~~ f. ,: .. <br /> ~ <br />QlUI L <br />17 ~ <br /> <br />NAY[RITL[ PRINCIPAL E%ECUTIV! OIFIOIR ' c[^rr uNDq r(NALTr or ur TNwT 1 NAVE KR[ONLLLr [awln[D <br />u <br />T <br />N <br />U <br />N <br />D <br />I <br />A T[LVNON! D A T ! <br />T <br />V~V <br />~ <br />t <br />s' ~0~~5 q My wgU1111 <br />0I <br />TMp6[ I <br />M°YtDUK6 <br />W[dAT[ <br />Lr <br />R[ <br />yON[I[L[ <br />[q <br />O[IAINMr TN[ YYgMAT1ON 1 ALIVE TN[ SUwNITT(O INFORYIITX)1 <br />^ <br />` <br />, <br />' IO11M <br />IGN <br />(N <br />UdNG <br />[ <br />LT <br />( <br />( <br />T '' -• <br />1I <br />!1 <br />I.1 <br />~ 1 <br />~O U S <br />L <br />m <br />D <br />fN <br />L w0551&L <br />i <br />r <br />G[ [WL ANp~lV1115O11 [NT <br />SE( O ^ <br />~ <br />~ ~ 0 ~ 1 <br />~ ~ <br />4.J(V V <br />J <br />' D USC L Illy rhrno nJrr nrr NI•N• •.u mrW Awo y e. 114NU •IQNATUR[ OF PRI IPAL EIECUTIVE A " <br />TYP[ OR PRINT[D ••d~~.•r.n•uw~•rwn.wn.nr ~I AN•r•nlr.~nll. ••I.fln..' OFFIO[R OR AU NOwIZED AGENT NUMtlR YEAR MO DAY <br />COMM[NT AND R/LANATION 0/ ANY VIOLATIONS IRrpnnrr al/YUw[61wm° Arrr) <br />SEE PANT l.it(5 FU3 .+3'T iI),S uF 'l c:;1 .^E.^C'~CT!?''. 'i.:NOil: 1.01t i•::! 1'`L UTIC't (.~ :rl L'.I ".'I'!) JiI LCU .l5 L1 T'!AL 'TU <br />-iUX OF' P°.:'1' CI %i„i11I$rl~; (I,C70) r".1.'U pT'''ACi: llCq'P` POXICi'1'Y f 4SP !~';P')n'1' e'UP:'1 'I':1 I; ",?. !.)!7 i'i OF ~1L1. <br />EPA Wrm 79461 (RtT. fi19) Pmfvnt tdNlont mey6s UetE. Iwa-Lwcaa a-w -owr T-IS wNlcN MAY weT tt uamd , ~ (:' ~ 1."' /'+':' "! t , ~ - I. i ;"1 Pwaa ~ of <br />