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NATIONAL POLL UT ANTDISC H A RGE ELIMINATION SYSTEM - - <br /> t/ • Approved <br /> DISC"ARG'".ITORING REPORT <br /> 'rm <br /> y &R AO. !Sri-R0079 <br /> r i D-CI C,)AL (PREP PLANT <br /> PO 3Ox. Ise <br /> CARB,);JDALE INSTRUCTIONS <br /> Co) 81623 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> L 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> I2•al 11-101 117-191 In site units specified for each parameter an appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is average computed over actual time discharge Is operating. "MAXIMUM" <br /> h and"MINIMUM"are extreme values observed during the reporting pertod. <br /> M ( o U G!)3yh 0 k0c <br /> 3. Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> ST PERMIT NUMBER DIS LATITUDE LONGITU OE permit conditions in the columns labeled"No. Ex." If none,enter"O". <br /> cify frequency of analysis for each parameter as No. analyses/No. days. (s.g., "3/7" Is oqu/va- <br /> I20.21) 122-21111 424.2e1 12e-271 I22•291 Ise-su Ions to 3 analyses performed every 7 days.) if continuous enter"CONT." <br /> S. Specify sample type("grab"or"_hr. composite")an applicable. If frequency was continuous, <br /> enter "NA". <br /> REPORTING PERIOD: FROM 9 114 qI TO 9 7 q 1 0. Appropriate signature is required on bottom of thin form. <br /> YEAR MO DAY YEAR MO OAY 7• Remove carbon and retain copy for your records. <br /> g. Fold along dotted lines, staple and mail Original to office specified to permit <br /> U7•e71 let-sal lea-Tel <br /> (3"rd only) QUANTITY (4 card Orly) CONCENTRATION FREQUENCY <br /> PARAMETER laa•�el I�e•aal .lemon (el-e] lam-om 140-esl /e+•ell le2•ea OF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNIT3 ex MINIMUM AVERAGE MAXIMUM UNITS EX• ANALYSIS TYPE <br /> FL0'W IN CONDUIT REPORTED <br /> p h MGD <br /> PERMIT <br /> 50, So CONDITION ri tI IttI i1 # * if p # tF ft # fI ti p r R il. t1 >� u MGD 7/7 IN <br /> S!''L I9S9 TOTAL DISS REPORTED * * <br /> (nt55_LVEn1 PERMIT KG/DAY MG/Li <br /> 7J3•,IU CONDITION p q * R p A 1l ii l Y If # # #' ♦♦ A <br /> 1. 7 GR <br /> ± 3GLiGSr TOTAL SUSp P.BPORTED <br /> PERMIT /DrY <br /> MG/L' _ <br /> CONDITION 1I 1I 1I tI i► 1I 1i 1}' '1l• �l— "'� N' 1I 34 I/•/-r CO <br /> i <br /> 1 PON i TOTAL(AS FE) REPORTED Is * 0 Is # # It p It IT/ <br /> _III� r� <br /> PERMIT K GAY MG/L1 <br /> I(;45 CONDITION 11. q # # R if p 1I t p' !F j cj 7a <br /> 1/.7 CO <br /> Pr!T;IF_LD REPORTED is Is <br /> PERMIT SU It r� 1.4. <br /> 04JU CONDITION G N 1t M * 6#0 # #' W 9a I 1:: <br /> �.., 1/7 GR <br /> OIL & GRE.ASEvVISUAL REPORTED Is p I <br /> J , PERMIT •I <br /> A1)�'J2 CONDITION Is Is <br /> Is # p Y )l. # {1 �}' # {Z IO 1/. <br /> 7 <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> _ f certify that f am familiar with the Information contained In Chia <br /> JO,1. 1 A• Qp.`C`'��' ! 617 <br /> Q report and that so the beat of my knowledge and belief such Infor- <br /> LC <br /> (� J p IV !I r t' J { melon Ie true, complete, and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Fors 3320.100.731 <br /> .S WOOD )1q l NC - 3 PAGE OF <br /> ORIGINAL 1 i <br /> DOS` IS —f R E A M-£$•1�—PRf�ACK�T I17Nt"F'1� <br /> -APtfi ANY SI14GLE GRAB CANNOT EXCEED 45 MG/L FOR TSS <br /> s. <br />