NATIONAL POLL UTANT,P!SCH ARG F LLIM114ATION SYSTEM
<br /> • DISCHARGF ITORING REPORT
<br />.J.
<br /> )-(T COAL (PF7r'
<br /> IL�A
<br /> t-V-H'1-if)ALE INSTRUCTIONS
<br /> L co 816:?3 f 1. Provide dates for period covered by this report In npa,7c,it.a,:i,-1-1,1:110P IING PEVIOT)".
<br /> J 2. Enter reported minimum, average and maxi..., values -(.t:A7.`1 1TV"w,d-(-J,Nr'F-f 111', FI t I.;
<br /> 44-1 a; 117-191 In the units specified for each parameter as I)', ,-! -tij, 1,,111.
<br /> ---- -- asterisks. "AVERAGE"
<br /> RAGE" is Overage computedo— act,.4.1 li,,, is .;i,7"di.,j:-
<br /> �IC
<br /> 211 3. Specify the number of analyzed samples that -xcr,,d it,,! (,,,:� ,, as
<br /> P — and
<br /> "MINIMUM"are extreme values observed III'tring the I,1-,1 p,
<br /> I C.
<br /> PERMIT NUMBERLON..Ti,np permit conditions In the columns lubeled"No. I x.- 11 iv-o, , i�-r"I
<br /> Ij — 1 4. Specify frequency of analysis for each parameter as N- nnah-,iz/N- d.,vs. (tolq, 1'I/7" i- T,i--
<br /> (20-21) 122-231 (24-26) 12647) 420.291 130-31) tent to 3 analyses performed every 7 days.) If cmilintiour (int,r-('014T.
<br /> S. Specify rumple type("grab"or"—hr. composite:")as appli,n1d". 11 fnsluoncy was-nfirtw-s,
<br /> el enter "NA".
<br /> 7 1 p
<br /> w REPORTING PERIOD: FROM -1 TO -10 6. AV, form.ropriale signature is required on bottom of this form.
<br /> -A.
<br /> YEAR MO DAY 7. R nove carbon and ietain copy for your records.
<br /> a. Fold along
<br /> dotted lines, staple and mail Cirtgitjtd to offi,Is tzl,-ifi-I h,I-:;6t.
<br /> t A2-37)
<br /> (3.. tonly) QUANTITY (4 card only) CONCENTRATION F.!-Q U EN1.1
<br /> PARAMETER 06-451 148-530 (111�6 11 (61-431 1 36-4W -- (M-631
<br /> MINIMUM AVERAGE MAXIMUM IINITS NO, MINIMUM AVERAGE MAXIMUM UNITS I X TYPE
<br /> Ex
<br /> JVJ C0,4_601T 0 0. it
<br /> t PERMIT MGD ---------
<br /> j CONDITION
<br /> REPORTED 0 a 4 It It 4 it I*
<br /> ( 71J�L EiTSC;,I I LVFf,-) KG/DAY
<br /> PERMIT it
<br /> 5 REPORTED TYfAL 1 , i A
<br /> PERMIT KG/DAY
<br /> it # li # p # # # # # # # # it 30
<br /> CONDITION
<br /> fOTI%L(AS Fi'-') REPORTED It It IF 0
<br /> 6-03 0.OR
<br /> KG/DAY
<br /> PERMIT
<br /> CONDITION
<br /> `1 Ii T L 1) REPORTED 51
<br /> SU
<br /> W FERMI T
<br /> CONDITION 6.ft
<br /> �11L 4 G:?EAS)EtVISUAL REPORTED
<br /> PERMIT
<br /> CONDITION VT
<br /> REPORTe6
<br /> PERMIT
<br /> CONDO TION
<br /> REPORTED
<br /> PERMIT
<br /> C ON III TI N
<br /> NAME OF PRINCIPAL EXECUTI OFFICER TITLE OF THE OFFICER DATE
<br /> (teal I alit familiar with the information contained in this
<br /> i�-� j OHN /I ppc-sibraiv r report and that to the beef of my knowledge and ballet such infor-
<br /> madon Is true, complete,and accurate. SIGNAII-IRE OF PnI14CIPAL EXECUTIVE
<br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTtIORIZEO AGENT
<br /> EPA For.3320-100.72) ORIGINAL PAGE I OF
<br /> (.'Nt IS 'ETTLFn HTNE NFATER FROM 0LJTC H CREEK ANY SINGLE GRAB CANNOT EXC
<br /> F E 0 49 FO,-� TSS
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