Laserfiche WebLink
I[RYITT[[ NAM[/AODAEff //nNde <br />[-LaDy M.r~cofr/aR. u///~~r[~~~ <br />I!1!!li-ai.lcl-.t l.'J.IL CU. _______ <br />:eeRSp~i1'J :;UUfll Y4LL ___ <br />FADI4TY <br />_____ <br />AGATIOR <br />3TTIJ: H. IIUd,U;ll CdfISJ?', PkF5I!)%.) T~ <br />M/1 T.ON wL wOLLV T/.MT OI[CNAI.G[ [LIY INw T10N rY[T[M INYDESI <br />D18CNARGE MONITORING REPORT /DMRI <br />]-16 ]7.19 <br />.' ,.. .1,' ~; ~1 I <br />PlRMIT NUMffR m.cMUa•MUrrLq <br />MONITORING PERIOD <br />rE M Dw r[ R o owr <br />/ROM - .. i0 . <br />I]9~111 /]7~]JI /11.13/ /]6~ I /]d~] I I I <br />' `~ Form oved. <br />11 '. 11 i ! I <br />('' ~) OMb N .'2040-0004. <br />' - ` i ~' ` 1 Approval expires 6.30-91. <br />.'. ;: 1!.L ii t1FT ~P F.:i'!'Iil ~~ F)1: IJ'! )~• <br />NOTE: Refd in7truetbnE haforf eompl[tin0 thi[ form. <br /> () Card 01Jr) QUANTITY OR LOADING (I CaN OnIT) QUALITY OR CONCENTRATION Fq[OULNCY f11MPLE <br />PARAMR[R (16•!)) (7131) ()!-IJ) (d6d)) (.7[31) NO D[ TYPE <br />(~,7) <br />AVERAGE <br />MAxIM UM <br />UNIT[ <br />MIN IY UM <br />AV[RAO! <br />MAE/MUM <br />UNITE Cx <br />6)3)) ANALY/If <br />(N3!) <br />(69-]O) <br /> <br />CEHiODAPII'IIA fAMKE <br />MlAEURfr ENT ~ ~ ~ ~ -. L ~ I/3G 6vK J <br />' <br />T ' <br />i <br />AM3B 1 U 1 <br />' <br />~ ) tNERT <br />~ ~ <br />i <br />~ ~ ~ <br />:, <br />i ~ .- <br />~ <br />~ ril- ~ <br />~ ' <br />~ <br />~ r <br />~ ';~a• <br />iFFLUEHT FSLOS~ YALU A ,y ... ~ ~ .~ ~ <br />= Ci?N f ~ , <br />,~ <br /> fAY/L[ <br /> MfA[UREM[NT <br /> . ~'~ <br />' C ~ <br />~~~~ ~' <br />~ ~.x ' <br /> q' <br />. y <br />; <br />T T <br /> fAYPL[ <br /> M GEURCMENT <br /> ~. <br />Y) <br />4 <br />~ <br />! ~ <br />~" <br />`*` <br />~ <br />'~ <br /> i . <br />. t <br /> fAN-L[ <br /> M <br />[ <br />AEUA[M <br />[NT <br /> pY <br />;yy <br />. <br />T. ~ <br />[t <br />7~ W" <br />° <br />+~ &f~ ~~ i~ <br />~' 'jx~,:'' ' <br />3 P ~ ~~'~ <br />A~i >~:'~ .~ <br />~ <br />~ <br />~ .>£ "~ ~ ~i ~'~i i5 <br /> { <br />i <br />[4 „„ <br />/~ <br />~ p~ ~ ? + ~ <br />. <br />z <br />a <br /> <br /> [AMPLE <br /> r GfUR[M [NT <br /> .. wy: ..: <br />P(p7~ <br />t <br />l <br />'~ <br />_ <br />.-~`a"~ '~'' ~~}, <br />' ~~''d:: ',~'T'. ~''A> <br /> <br />'R~ ~: <br />~„ <br />g '.~~•,,. ~,:'~,.'ya'«,. ,.. <br /> <br />'^~1' ~,' ,'ka, "~:.a <br /> <br />n <br />3`~ <br />'` <br />° <br />~ ~'~sr.'r.~..,; a,~~. <br /> <br />.,~~ .c$r.~. q., <br />~ ~. <br />:.5~ ~. K.> <br />~. ~ ':' <br />~3~+~" is <br /> ) <br />4 <br />Ul. _. <br />; <br />.° '< <br />. <br />~ <br />y <br />~ ~, <br /> fAMPLE <br /> r EA[UREMENT <br /> EP)RrtM1CNTl '~''~'~ ~ a~~ si'~€Y~`~yw ~~`~5~•>~ £?~. `.q~~' ~• tW'?~' ~~b <br />:~'~ ~?~~ <br /> ~^ . ; <br />i <br /> <br /> ewMPL[ <br /> M!A[UREMENT <br /> .~~ <br /> <br /> ~ <br />MAY[/TITLE PRINCIML EX[CUTIVf OFFICER 1 CEIIT/Y UNOU1 PLMLLTY Oi LAM TNAT 1 wv[ KREONLLLY [aAfIN[D <br />AMD AM fANILIM rTN TN[ WIOIINATMyI SUfMITT[D NLMIN AMD fAFLD T[L[PNON[ OAT [ <br />(` c ON MY IMOUgY 01 TNOFL WbV10ULL5 IMMLOIAT(LY II[6PON51[L[ 1011 <br />v <br />kK\J GKF O[TAIMWG TN[ WOAIAT1pN 1 f[LRVC TNL wfr*TLD 1l1lOIIM1TIDN <br />ly N <br />CN <br />L <br />Y[ <br />~ <br />T <br />q <br />I <br />L <br />' ~-y <br />c { <br />1 <br />G~t/ <br />~'('1 IV <br />~ U S <br />I <br />SCL B <br />iD7sleLrtV <br />O FIM( <br />AND~MPF <br />40M <br />w001l AMD <br />NS <br />~1L '1 <br />~ <br />~ [ <br />63 ar,, / <br />~~ <br />( <br />\ )]u5L 71]1• rMw.nr. .wdrr IAr.r N.I.N. wr• u.ldr /.n.. y e. b4un fIONATURE OF P NOIPAL E[ECUTIVE / ~ J I <br />7YP[D O PRINT[D .w1 w wuiwM .wFn..ww.nl.f M1Y.1. r.n.nM..nd 1...n' OFFICER OR UTHORRED AOlNT NYMf[R YlAR MO DAY <br />OMM[NT ANO Q-LANATION 01 ANY VIOLATIONS INgorgn a0 mwrnlwrnu nrr0 <br />SEL•' PIl1iP I.7.5 °U:( `'•:TJILS ~F 'fE~7 "•'~C`1)UI".. :L.IJ":: LLI.~i.51' ?IL']L"L.:i' (;:, .p4(.ll.i.") u•ILC:1 .L:i LE'1'll±,l 'I'n <br />iJ: OV fk..C J:fG iiNC~''(:i (LCDO) dir l? 'l""R(.:a A(-!t'f 1'U`. !..:l l'C !'i•1.r1' ;~":1':f ,`~: '. 'i ~" "}''. t: ~): L~. :'I'' Il 1. t. <br />may <br />Iw[-Lwc[f nw PoRM r-1E r~ rwr Nor f[ uf[o.l t' 1 ~ . ,! ~' / i', .. ". 1 .I - I I ;; '! Pwc[ <br />