Laserfiche WebLink
PERMITTE CIADDRESS JbICllyde NATIONAL P01 NT 01- IIAR,1- I l IMINATION SV51LM/,1/'U/;$/ Form Approved <br /> FacllltyAarne Iontjdifferentj DISCI E MONITORING REPORT 4),11N) OMB No.2040-0004 <br /> sM� MlyLL[jNl l N EhL /1L —L-LL&E—Ljl_-- --16 17-19 F — FINAL �LyD Approval expires9-30-85 <br /> GQ(1396 SECT 14 <OR=10YR24HR <br /> G❑ A l i,23 PERMIT NUMBER DISCHARGE NUMBER <br /> -------------------- MONITORING PERIOD <br /> FACILITY--��—__----------__— YEA MO DAY YEAR MO DAV <br /> LOCATION FROM � Fit TO r 1 MINOR <br /> _ (20.21/ (22-23/ (24 25) (26.27) (:e-29/ NOTE: Read instructions before completing this form. <br /> (3 Card(Jelly) QUANTITY OR LOADING (4 Card Onl v) QUALITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> PARAMETER (4653) (54-61) (3845/ (•16-53) (34-61) of <br /> (32-37) EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-63 (64-68) (69-70) <br /> PH SAMPLE71C�*T* <br /> MEASUREMLNT ,A, <br /> 00400 1 0 PERMIT �j 4,�T*7�T¢#* >]L**1 7a' �C*7� 7.0 R EEKLYG rtAb <br /> PRO <br /> REQUIREMENT <br /> SOLIDS, SETTLEABLE SAMPLE ****** ****** TX <br /> MEASUREMENT <br /> 00545 1 0 PERMIT *> **, `*, * ** * * REPORT 0.5 0 E! GRAB - <br /> REQUIREMENT NTH <br /> fj <br /> OIL AND GREASE SAMPLE <br /> FREW EXTR-6RAV MLT MEASUREMENT <br /> 00556 1 0 PERMIT *** ** ** >�** ****** REPORT 10 WEEKLYGRAS <br /> FFFII,PNT (, AS_R REQUIREMENT ** , <br /> FLOWS IN CONDUIT OR SAMPLE *** ** *** ** ** <br /> THRU TREATMENT PLANI <br /> MEASUREMENT ty �y <br /> 50050 1 0 PERMIT REPUR REPORT ** *** 't'k**** ** #* * �* WEEKLY STAN <br /> REQUIREMENT +` ,' <br /> _ ,I T,..N y j;— y <br /> SOLIDS, TOTAL SAMPLE <br /> UISSULVED (MG/L MEASUREMENT ^`--- <br /> 70295 1 0 PERMIT ** ****#* *** ****** REPURT REPORT Q RLY AB <br /> (. REQUIREMENT ,rl,�•,`6. *# __y__ 90D A AV <br /> OIL AND G(.EASE SAMPLE <br /> VISUAL MEASUREMENT r� _-- t�j <br /> 84066 1 0 PERMIT REPORT ** ** ES=1 ** ** —' **** %�* * * W EKLY SUAL <br /> PFFI% REQUIREMENT *** <br /> VA LLJ� _illy-ICY_ X Nf1=0 <br /> SAMPLE <br /> MEASUREMENT <br /> PLRM17 -- --� I --'— - <br /> REQUIREMENT <br /> CERTIFY UNOE ENn TY GF LAW 1 NAVE FER GONALLY E <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER T-F r INED TELEPHONE D A T E <br /> A r.,, WITH 1 E INF On n1ATION SUB MITTEO H ASfO <br /> fit,Noa CC �F rDSE IND IDDwLG IMMEDIATE 14 TT- ;Na E FI <br /> ' lNGt TCUI 1 O No IIUN•FIFBELIHVE THiAGUBM:TrEDIIlNlO RlTION <br /> NS T I. AF nTE AND COM L TE I rA AW RE T IAT T R A SIG- <br /> 7 I1 <br /> E NA LTIGS 'OR f IB IlTING L6E INFO DING <br /> T,It FO66IBILIrY of FINE AND IMI RIsoNMfNT. aEe li u.s^c. § loal wHo SIL NATURE OF PRINCIPAL EXE UTIVE <br /> fi.c, 4 I au, /pina:u,s und,r these slandcs rnav ulcl11 c IIncS up 10$10,00 <br /> TYPE D OR PRINTED cnd,/II nL7(,wum Im/)nPmment 01 her—cri 6 rnowhs and 5 jcarst OFf ICC17 OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br /> COMMENT AND E'PLANATION OF ANY VIOLATIONS (RlytnlRre all allachnmentshere) <br /> IF NO DISCHARGE OCCURS KL-PERT "No UISChARGE" ON YUUR UMR.FLLW IS MtAS .MGU=MILLION GALLONS PER DAY. <br /> SALINITY MLAS.HS TDS=70295 MG/L. 2 PRAM FOR 'UEG ► O SNEEN:84066=0,55b=0 ,A SHE EN:84066=1 ,556=GRAB SAMPLE. <br /> EPA F(.), 3320 (Rev. 10-79) PREVIOUS EDITION TU BL USED (REPLACES EPA FORM T-40 WHICH MAY NOV UL USED I / (� I,(� p� PAGE * OF <br /> UNTIL SUPPLY IS EXHAUSTED. 004 0 8/08 28 86-1 527 1 <br />