Laserfiche WebLink
PERMITTEE E/ADDRESS (Include NATIONAL POL IT nlS'11A11617 1 1 IIIIryA 11Ott SISTFM Form Approved <br /> FaetlttyNamel_--ationnftf1ldffffer(entt�J[t�� ,, DISCH L E MONITORING REPORT ]01R) OMB No.2040.OW4 <br /> �Mg_MIu_CULUIL 7 L 1�Ll,OA L—L��F l�y�--_ (2-162 _ l7-I'tl F — FINAL Approval expires9-30-85 <br /> ADDREsstlQ&-1!?-U —_---- --`" -LOQ-0()039 SECT./ '21 EFFECT AT ALL 11MES <br /> -- �"�(j A( f_------�u a i 4— PERMIT NUMBER DISCH ARG!NUMaLq <br /> ----------------------- <br /> MONITORING PERIOD <br /> IrACI LITY -- "-- ----- <br /> ----_----.---_----------- YEAR MO DAY YEAR MO DAV r, <br /> FROM J. TOkits 121 M I NOK <br /> AT TN: BOWMAN. _ (2u-21) (22.23) (24-25) (26.27) (28--v,) -36-31) NOTE: Read instructions before completing this form. <br /> (3 Lard Only QUANTITY OR LOADING (4 Gard Onl v) QUALITY OR CONCENTRATION NO rREOUENCY SAMPLE <br /> PARAMETER (46-53) (54-61) (3845) (46-53 <br /> >< EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-63 (64-68) (69-70) <br /> PH SAMPLE # * * 4L # <br /> MEASUREMENT <br /> 00400 1 0 PERMIT *##*** ** * *�a** �,.5 - -- - T * -l9.0 W EEKLYG kAB <br /> REQUIREMENTMAXIMUM SU <br /> **# <br /> SOLIDS, TOTAL SAMPLE 76C 7{f 7bL7aL 7oG 7k <br /> SUSPENUED MEASUREMENT - - c /+ AV <br /> p <br /> 00530 1 V PERMIT >Fkpc 5 70 O CG M <br /> FEFLUENT IS3 VHL REQUIREMENT <br /> OIL AND GRLA Sr SAMPLE <br /> FREON LXT k—GRA V MET MEASUREMENT — <br /> 005t6 1 0 PERMIT ax * ** REPURT 10 W EKLYG AB <br /> i=N1 'ROSS VALUREQUIREMENT <br /> IRON, TOTAL SAMPLE # * <br /> (AS FE ) MEASUREM T ,L — '1 A p <br /> 01045 1 0 PERMIT = #xK* # ** ** 1.0 2.0 O E/ G AB <br /> L EFFLUENT Gr�,1 IA��(��1'1 r L�1 REQUIREME T <br /> { LOW, IN L•UNDUIT OR SAMPLE <br /> THRU TREATMENT PLAT-4 MEASUREMEt T T <br /> 50050 1 0 PERMIT REPORT KEPORT WEEKLYIN4STAN <br /> EFFLUENT GROSS VAL t REQUIREMENT — I -$T u Mr•V 14 _ <br /> SCLIDS 9 LT uTAL SAMPLE 7QC 7�C7�7QC>�JpC # *1"� __ Lr <br /> UISSOLVED (M(^/L) MEASUREMENT C �` (��p <br /> 70295 1 V PERMIT #�k##* * * �Ik#�k#>dc�c KEPORT REPORT Q RLY GRAB <br /> EFFLUENT GROSS ,A u REQUIREMENT *7�** y 90 A y �Wy G/L <br /> OIL AND GREASE SAMPLE <br /> VISUAL MEASUREMENT ��}} _�y(� — �� L� C �( <br /> 84066 1 0 PERMIT R LPORT #'►TT ES—1 ** ** 7�* *** # * ** R GK" UAL <br /> EFFLUENT -r O REQUIREMENT —DAY MIX O=0 *** <br /> LJLU4 vENALTV VERfONw LLV t MINtO <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I ctarlRr uN TELEPHONE D A T E <br /> ANDMIL'AIA. OP LAW TNAT I NAVE WITN TNt INPOR NATION fU•MITTEO HK"WIN AND BwftD <br /> NO UIR O. TNOfE In01V IDV ALE IMMEDIATE Lr aEf H EOa <br /> � OBTwININO RMwTION, 1 BE LIH VE TNH EUB MITTFO, NATION <br /> wry;v R A AND .LtTE. I AM AWA"'OTNAT T 6� — <br /> .I<aNr . N :f .—TINa .A,a I ��" <br /> B - F 1N. AND IM.IIIfDNMENT. .�t ,I.M�Ta��"4N;o`A.. ---- — - Q3 S5' 1 9 <br /> 111Y E1411 o//'`rm(ulswtdrrlh ese smtutes may lmludefules up to$10,000 SIGNATURE OF PRINCIPAL XEC UTIVE <br /> TYPED OR PRINTED and,or tna iunum Inlprlsonnu tit of hetH een 6 months and 5ycars) OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br /> CODE <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Referencc all allachmentshere) <br /> IF R-J DIS"HARGE OCCURS REPLRT ISINO LISC:HARVE" ON YUUk UMK.FLLIW 1S MLAS.AS JIGD=MILLlGN GALLONS PER DAYS, <br /> SALINITY MEAS.AS TUS=70295 M6✓L. 2 PRAM FUR U'&G NO SriEEN :b4066=Gt556=0 *A SHE LN:84066=1 ,556=GRAB SAMPLE. <br /> F'..-L F.irY1 i-C ,{L.I A PREVIOUS EDITION TO 11l US[D (RLPL-ALES EPA FORM T 40 WHIT H MAY NOT BE USED I f� ,r-7 PAGE OF <br /> CI' R1 JJJ333 LLLVVV ILl Cllllll IVVV--_ UNTIL SUPPLY 15 LXHAUSI ED. 001�t,/VO 7f18O„�152 1 1 <br />