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PV 11 MiI III IlAIIlII11,'.r: �lllllll•ll' 11A III III AI 1'r 11 f11111:, Ilnllr,l lllr.11l/n III,11•:: .11 f.1 1/lI/.,! <br /> Facility A'aulr . Ion iJ d1JJru•ntl l otnl Approved <br /> DISC L. MONI701tING REPORT i1/,111t/ 0 OMB No.2040-0004 <br /> NAME MTfI� � 1"SCF L(�___ 2-/6 17-19 F — FINAL Approval expires9-30-85 <br /> 03-9 SECT 17 EFFECT AT ALL TIMES <br /> CA ______ t,11 PERMIT NUMBER DISCHARGE NUM UER <br /> ---------�J MONITORING PERIOD <br /> P AG I <br /> ��--����--�---------- YEAR MO YE <br /> AR R MO DAY <br /> LOCATION FROM 8 p 12 O 1 TO YE EA 12 31 M INUR <br /> Ito-21/ /22.23/ /24.25/ (26-27) (28-29) (30-31) NOTE: Read instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING /4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER rweoveNCY <br /> (32-37/ (46 53) (54-61/ I /38-4-SJ <br /> (46-53/ (54-61J No. or SAMPLE <br /> EX ANALYSIS TYPE j <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62.63 (64-68) (69-70) <br /> PH SAMPLE <br /> MEASUREML'N7" <br /> 00400 1 O PERMIT 6.5 T 900 <br /> REOUIREMEfJT A L <br /> KL{ 4V <br /> —�41irFY-i <br /> SOLIDS, TOTAL SAMPLE * # # <br /> MEASUREMENT <br /> SUSPENDED <br /> - 00530 1 u PERMIT <br /> REQUIREMENT *'I 5 70 0 4CE/­GRA8 <br /> BCf <br /> OIL ANU GREASE SAMPLE * ,K*** <br /> FREON E.XTR--GRAV MET MEASUREMENT <br /> 000�C <br /> .'PERMIT _ REPORT 10 I+t 'EKLY..G AB:. <br /> 005 56 1 U <br /> REQUIREMENT <br /> IRON, TU1 A L SAMPLE #* ** * <br /> (AS FL ) <br /> MEASUREMENTERMIT <br /> T <br /> 1,0O1045 1 U REQUIREMENT 2.0 V CEFFLUENT 6RUSS VALUE E1 ;G A4 FLOW, IN CONDUIT OR SAMPLE *## <br /> THRU TREATMENT PLANI <br /> MEASUREMENT JRORT <br /> 50050 1 0 REQUIREMENT PERMIT REPORT ****** ** ** ****. * ** W EKLY STAN <br /> _ -_ II <br /> SOL IDS P TOTAL SAMPLE <br /> DISSOLVED (MG/L ) MEASUREMENT <br /> IT ` <br /> 70295 1 U PERM REPORT REPORT, ,LY G AE <br /> REQUIREMENT <br /> rMFELUENT GROSS VALUE -- CIA_A <br /> OIL AND GREASE SAMPLE <br /> VISUAL MEASUREMENT T T TTT TT <br /> 84066 1 RE P UIREMENT ERMIT ES= <br /> R cPUkT ,�*, ,�,� I1 4y a EKLYV ;5UAL <br /> Q }I ,{�1,� 1 n.p+9•,. Ipcl� <br /> INin <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER RTO— u ..R re.AST-r OF LAw THAT I HAVE PERSONALLY EXAMINeo <br /> AND AM FAMILIAR WITH THE INFONMATION SUBMITTED H.REIN AND HA9ED , ;AREA <br /> LEPHONE D A T E <br /> �� MYP INQUIRY OF <br /> THOLRH 1 DIV IOUAL3 IMMEDIATELY RElPON SIBLE FOR � P_ <br /> :V(© OBTAINING TNC I.F. <br /> I BELIBVE TNB 9VBMITTED FORMATION `WW <br /> IS T ACCURATc ANO COM PLE TH, AW Rc THAT THfiRE ARE p10- <br /> -ANT P ALTI-L PO UBMITTINGI ALL{AINFOR MATZO N, NCLUo1NG <br /> TI e11PO SLIBII.II Y OP FIN- AND I-PRILDNMfiNT. LEE 19 U.9.C. 4 ....AND / <br /> TT U.S <br /> n19. 1p,Ilalti es undrr tllesestanvesmayinelude/inesuplo$lo,000 SIGNATURE OF PRINCIPAL E ECUTIVE <br /> TYPED OR PRINTED and/or masimum.Imprisonment ofhetTl'een-6 months and Syears.j- _ OFFICER OR AUTHORIZED AGENT - NUMBER YEAR MO DAV <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (R eference all attach men is here) <br /> IF N9 DISCHARGE UCLURS REPORT NNO CISCHAkGE'• FLOW IS MEASURED AS MGDE=MILLIGN GALLONS PER DAY. <br /> SALINITY SHALL BE MEASe AS TOS=701-115 MG/Le _ GIL ANU GREASE 2 PRAM. NO SHEEN:840 <br /> ACES EPA FORM T-40 WHICH MAY NOT BE USED.) - <br /> UNTIL SUPPLY IS EXHAUSTED. PAGE OF <br /> 0136C/082_88G-1527 1 <br />