Laserfiche WebLink
to MI IU.ML 1'UL I..U' I 1 1111111 l 1 I 11 v4}1.,1 LM <br /> PISCHARG am Approved YOKING REPORT 111 NO. I58-RO073 <br /> r <br /> r1,'1`-CT C(,AL (PQEP PLAN <br /> '�0 tirx 1SR <br /> CAnii^'J,)AI_F INSTRUCTIONS <br /> 1 <br /> 1 COA�6c 3 � I. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> L2. Enter reported minimum, Average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> 12 y 1.rat rr7 rat In the units specified for each parameter as spproprlsle. Du not enter values in Noises containing <br /> - - ---- - asterisks. "AVERAGE" is average computed over actual time discharge Is operating. "MAXIMUM" <br /> and"MINIMUM" are extreme values observed during the reporting period <br /> [ <br /> L n �yb (rV 1 i 1 3, <br /> Sp Ll fy the number of analysed samples that exceed the maximum(and/ormmrmuun a appropriate)ac <br /> t <br /> PERMIT NUMBEN DIS SIC LATITUDE LONGITUDE permit condittons in the columns lab w labeled"No. Ex." If rne, enter"O". <br /> _- �__ ____ -_ —_-- _ i. Specify frequency of analysis lot each parameter as No. analyses/No, dnya. (e.g., "3/7" la equiva- <br /> IS7.2U (23-_73) Ito 21P Ile-x,) 129.2a1 13o-31) !cat to 3 analyses parfomled every 7 daya.) If continuous enter"CONT." <br /> 5. specify sarnp►e type("grab"or"_-.hr. cumposile")as applicable. If frequency was continuous, <br /> enter "NA". <br /> REPORTING PERIOD. FROM 4•C i To 7 1 6. Appropdste signature is required on bottom of this form. <br /> LAR `MO DAY YEAR MO OAY 7. Remove carbon and retain copy fur your reLorda. <br /> 8. Fuld along dotted lines, staple and mall Original to office specified In permit. <br /> 132-ell _In/-ear Ina.701 <br /> V- (I card only) --'�-- QUANTITY (4 Lrrd only) CONCENTRATION — FREQUENCY <br /> 1]e-.el I.e-631 ltl.-e II b2_NI Ue..el 1.e-a,i 1tl.-e11 le2'e3 SAMPLE <br /> PARAMETER - _- NO. — - ---_---_ NO. OF TYPE <br /> MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVe.RAGE MAXIMUM UNI iS EX OF <br /> FLOW IN Cfl;lnUIT REPORTED o 0./8 - - 10, —ir N M # # # # # �# �► # # ------ 1/7---- 1N --- <br /> I -PERMI, NGD MGD <br /> --__ _..-__ --- --- -----'- <br /> 7L'..� CONDITION <br /> I/i Iry <br /> T1JAL DISS REPORTED - - # I # # �► p # # # # # # --` # # # # # +* # # d 'AD <br /> (nISS"LV':D) PERMI, �— -- KG/DRY ------ <br /> 7 ',3)u coNoltioN 4 * * # # # u # # # a # # # * # # O # # # # 1/,�0 GR <br /> ­(iL I I?5 y TrT AL SllSp REPOR,ED <br /> G0 <br /> 0jJS-'ENf)Ef)) PERMIT -- - -- KG/DAY — _ __ __ _.�_ ;SIG/L -- "-- --- --^ --- <br /> ,53v CONDITION # # # # # # # # M #-# it * # # # # # a # 30 I/90 CO <br /> -.1j&1iTOTA1 (AS FF)-- -REPORTED # # # # # # x # # # # # A # # # Cf+dg _ o.r++.� ----- o -df♦9D� c0--'` <br /> PERMIT # # # # # # # # ty # KG/DAY # y #)I u45 CONDITION 3.5 7.3 leyn-�-- -CO"'-- <br /> A <br /> P H 9 F I,'L0 REPORTED # k # # # # # # # # # # -1r7 # # # $.I O f jyQ 6R <br /> PERMIT -` SU Jll <br /> -- C11 <br /> cONO L1 1TWN # # i # # # #' # M p # # 6a0 # # # # 4A I1Hi) GR <br /> -')IL G'tE`.3"eVISUA REPORTED # # * M # # # # A # A # # M # # # # # # �vra`— - - 4 - i�9U _%41 <br /> PERMIT _ <br /> 10 1/1<J VI <br /> REPORTED <br /> CONDI rION <br /> REPORTED <br /> CP c NMI T <br /> UrrDITIoNT_-- <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE C /, +�}�,�'^•-a -- <br /> 4--oii <br /> I certlfy firs!1 Aril famiinformationar with the Infaatlon contained!n thi��[� �OI�fJ Ac�$IS� /L/j' ` j`, report and that to the bea!of my knowledge and belief such info(_1 motion Is fore, Complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVEA <br /> LAST r— PIRSY— MI —TITLE YEAR MO DAY OF FICER OR AUTHORIZED AGENT <br /> EPA Poem 3326.100.74 -- -- OR161NAL PAGE I OF 1 <br /> 004 IS SETTLED HINC WATER FROM DUTC H CREEK ANY SINGLE GRAB CANNOT EXC <br /> EEU 45 PG/L FOR TS5 <br /> t"r' - .'ill. <br />