ML20064D096

NPDES Discharge Monitoring Rept,Nov 1982

ML20064D096
Person / Time
Site:	Beaver Valley
Issue date:	12/29/1982
From:	Feitknecht C DUQUESNE LIGHT CO.
To:
Shared Package
ML20064D088	List: ML20064D081 ML20064D096
References
NUDOCS 8301040560
Download: ML20064D096 (24)

Text

-- _

.m.

..-_,._m, m

m.

f c an, 3..E f ra emm,1 de"'

N ATION AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM t.% PDF.5)

Fonn Approved I

PERMITTE

. 4 A M E / A D D R ES S ( IH l'<*le DISCH ARGE MONITORING REPORT (Dun)

OMB No. 2 MOO 15 NAME f

(2 16,

<17194

-EN'L L!"iTb i

ADDRESS P*

b1

(^

L 5 'J C I O W @ I-( C s j j k 'i PERMIT NUM BER oa5CH ARGE NuneSER

____-._______---.J--------

MONITORING PERIOD i

MO CAY f8G13dIY. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

VEAR MO I DAV I k YE4R FROM

~

]TO

'l

_ f LOC A TION L. -

r sJe Jf s

1. 11 J #s

<Ja 19 rJe J's eJa 19

1. a iss NOTE: Read instructions before completing this form.

~( f ( erd Only) QU ANTITY OR LOADING

( 4 CarJ Only )

QU ALITY OR CONCENTR ATION FREouENcv P AR AMETER (44Si)

(3441I (38-43)

( 46-J3 )

(3441)

NO.

g gu ptg gp EX TYPE y

,7,

. g g,,,,

AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS p

I S AM PLE

~

MEASUREMENT h-COOb.

reCrdd

• 2 s~G.F C mTI

/50e PERMIT t

s R EQU IR EM ENT 1

SAMPLE D il '

MEASUREMENT 7.90 3.20 0

S/30 grab

s. ;

c:

.n

9. a centi cccao PERMIT REQUIREMENT

.t

, u v Ty

<u

} l D i) %:

S A M PL E MEA $uaEMENT

< 1

< 1 0

1/30 grab

'(/l (jh ( 3 /

hR d!

'T T r

[^

PERMif

• : J

'i" ;

i R EQUIREM ENT S AM PL E

1. t.~ 4 N Q i; > f V/ t MEASUREMENT

} [,4

]O.40 Cont.

reCrd<

eERMIT L

- ~

- s ce

ncum

.:g t s o

teta CONT T ' NCOND R EQUIR EM ENT g,

y

'l S AM PLE J

/

N 1.

" 12 N MEASUREMENT Q,G]

Q,]2 Q

(Q[]Q gy,g h PERMIT

.f t fi t ** ;'

$4

'7

+

'C/l C O t4 T 1 'ECCRO

~

s R EQ UIR EM ENT y.

q S AM PLE MEASUREMENT a

y

,w.'e PE AM IT R EQ UIR EM ENT i

S AMPLE gQd U

l MEASUREMENT trcc000GO WOGV UGd -

REQUIREMENT

, B,E E T E8.0. 9GOtrO TOC 8 -

.g N AME/ TITLE PRINCIP AL EXECUTIVE OFFICEN I CE RTIF Y UNDER PE NALTY OF 6AW THAT i HAVE PE RSON ALLY E M AMINED TELEPHONE DATE AND AM F AMILI A R WITH THE INFORMATION SUBMfTTED HEREIN AND BASED 1

~

ON MY INOUIRY OF THOSE INDIVtDU AL S fMME DI A T E LY RE SPONSte..E FOR b,s d 'l I ' II). !

• b,

'.3 0. b 3,'9 $.

OBT AINtNG THE INF OR$J ATION I BEIT'"

1HE SUBMtTTED 'NFORM ATION My

,)

{

a s

15 ' TRUE ACCURATE AND L NPL ETE t.~

y g

• WARE THAT THERE ARE StG-j? n j jf'

' - f gy Os Ii Tv.1 ?

'U li-f f d,, j Q;;

NW IC ANT PE N ALT 4 S F Ort SUBMITTtNG F AL./

1NF ORM A TION INCLUDING THE Poss.9, 4v OF FINE AND IMPRISONMENT BEE 18USC 91001 AND

~ D SIGN ATURE OF PRINCIPAL EXECUTI E 31usC6s s t u..rrnatra o under thear eratuwe man wiude tsnee s,p to sors rm TYPED OR PRINTED

"I "' "'* *'"'" '* P'**"a m*' 84 M" ### 8 "8"8'h 8 8"d 5 *'#"

OF FICER E.,R AUTHORIZED AGENT

,ANA, NUMBER YEAR MO DAY COMMEN T AND EXPL AN ATION OF ANY VIOLA TIONS (Mrfere n e c;!l.effus hments here)

I Gf D it T c 19 ? P 1 T j i t, t DC A T I *; O I 's T M '.. C C C1 I 0 TOW E R 5ASIN.

u-s

? E P A F.orm 33201 (Rev.10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USED.

i UNTIL SUPPLY IS EXH AUSTED q f,.; w21112 714b/p PAGE, OF

• 1

+

r _. _ _ _ ___ __ _ _ _ _.

tf q

oY y.

V,

- -.~,

~

n

. C F N E R A L.1NSTRUCTIO.NS

1..i? form hai been partially completed by preprinting. disregafd ' instructions directed'at entry of that information alrchdv preprinted.

2. En(cr "PERMilTI E NA f f/M All ING ADDRF%S;.t and facility. nan 7e/lodition.. if differenul' "PFRMIT NU_MHFR," and "DISCilARGE J M tMlWR" where indkyc1 < A separate form is required for each dichargg4 s'

. 3. I'ntd L:s beginning and ending "MONilORING PFRIOD" covered by forro y here indicatedJ 4 l~nte specified-in monitoring requirmnts of permit

5. En!.r,4t h '" PAR A M FTT R" as"SAMP1 F hj EASURF M LN,l' date for eath parameter inder OU/,NTIT Y" and Ql!Al ITY" in "AWR AGF~ 'n norma!!v a: thmeN average t grometne as eragt f or bacterial parameters) of all sample measurements for each parameter 3

obtained : during '" MONITORING "FRIOD." "M TNIMUM' anit '" MINIMUM" are normally estreme high and low measurements chin (J exing " MONITORING *FRIOD." (Noi E td municipah whh secondary treatment requirement. enter 30-day average of wmple measurynsnts under AVFRAGEl and ent<r maximum 7-day aserage -of sample measurements obtained during monitoring period under i

" M -\\ X f M U ht".

[.

6.

I nto. 'PFMIIT REQUIRI MEN f" fori each parameter under "OUAN tlFY" and " QUAL ITY" as specified in permit..

7.

Under '"NO I X" (nter number of sample measurements dunng monitoring period that exceed maximum f and/or minimum or 7-day

. neure as appropriate ) pet mit reqtarcrnent for em.h parameter. If none, enter "O".

.. ; l-nter "I Rl; QUI'NCY 01. AN ALYSiv Foth as "SAMPEE MFASU REMENT"'(actual frequency of samplmg and analysis used during monitoring puiod) and as

• PI R MIT REQUIREMENT" specified in permit. /c p,. Enter " CONT." for continuous monitoring, j

"l/7" for one day per weck. "l/W for one day per month "l/ 0' fr,r one day per quarter. etc. )

9 l-9.

I nrcr "S \\MP1 F lYPl? both as "SAMPLF M EASUREM.E NI" (actual samp!e t>pe' uscJ during monitoring period) and as "PFR MIT RI QUIR DD NT." f ex, Enter "GR Ali" for.ndb iduid situple. "2411C" for 24-hour comrosite, "N/A" for continuous i

monitormp, etcy

( ASHid 34(3H 0903)

10. Wilf RT. VIOi ATit >NS 01 PERMli RI QUIRE'IEN TS ARI. RITORIEO. ATTACll A BRIFF EXPLANATION TO DESCRIBE'

" C AUSL AND CORRlWTIVF AC'llONS T AKEN. fd ERI NCF F ACil VIOL.ATION HY DATE.

i If "no dncharge" oc/ars durmg momforing period. vt t r "NO DISCII ARGE" across form in place of data entry.

I F:

12 fn:er "NAMl/ TIT, F OF PRINelPAI. I XFCUllVE?)1 FICER" u nh MIGNNIURE OF-PRINCIPAL EXECUTIVE OFFICER OR AUT!f 0Rl/l:D AGEN F/ "Ifl FPililNE N UM BER ' and "DNI E" #.t bottom of form.

IL Mail egned Report ta.O!!ieeig by date s) specif6! M permit. h?am' copy for your records..

I 11 Mm e deta: led instructions for uw of thn D15CifARGE MONII ARING REPORT (DMR) form may be obtained from OITwef 0 l

specified in permit t

l

~

l EG AL NOTICE l

This report is required by law W U S C.131R 40 C F.R.125.27 h Faoure to report or f ailure to rcrort truthfu!!y can result in (nil penalties not I

to eveed $10.000 per JT of dotation; or in criminal penahies not 40 esceed $25J100 per day of siolation, or by imprisonment for not more than i

one year or by both.

I l

~

i I

s I

l 1

)

.l

/

l

...............................__......._..c.Nc.31_s..a.u.2H..a.%.s.....____.....___..._...........____.......-

)

i I

i l

l l

I l

l 3H3H

~

dWV19 30V7d l

l t

OulH1 383H 070J I

r t

1 3H3 H 31dVAS I

i w

. m-'

PE MITT N ATicN AL roLLuT ANT oiSCw ARGE ELIMiN ATiON sisTEM i s roo,

Form Approved i., a, v 3.,,N A M E f A c o s E SS i s m-m.lc b "" o d' *"'" '

OISCH A RGE MONITORING REPORT (D 4#R i CAfd No. 20N0015

, ^,.

'g'",'

NAME l

1 AcoREes l

I"-"'"-""

L MONITORING PE RiOO i

~I v E A sa eso DAT l

~ vf Aw sin Av

_AG _, g g I y

_ o_, _c_. -

g I

FROMI 4

TO '

t LOC AflON

,. ;i,,,,,,.,

,;. r,

, M er' NOTE: Read instructions before completing this form.

lN

-;ti ( urd (hale )

QU ANTITY OR LO ACING QU ALITY OR CONCENTR ATION 14 4 (.ird Oelo p P AR AMETER

\\

t d6 S f )

634 6f g a f 9J1 p g ds.jJ )

(344/3 NO.

$""*C '

S AM PLE

'"E Em

PE A N.m..

,,,, m I

i AVERAGE M AXIM UM UNITS MINIMUM A%ERAGE M A RIM UM UNITS 4

,j l

14.' e j 464443 g ew.?tr y SAMPLE q1 7f._.

,,,d g

^

5>

' 3 t

• A'.

28 as MEASUREMENT'

+

PERMIT R EQUIR EM ENT s

l MEASUREMENT l

}*7

• ) ' p'

• q S A MPLE 1

> 3 REQUIREMENT s!

' =[*~

• b' PERMIT T

w S A M PL E a

F MEASUREMENT

~-

l l*

'J

'f,.- )

• a N {i PERMIT

/

/L l [(

MEASu"REuENT

.Z 3O/L9. Calc.

PERMIT

• ~

I 4 [ C '.

I$lCY REQUIREMENT

• i I '"*

$ AMPL E MEASUREMENT PERMII R EQ UIR eiM ENT S AMPLE MEASUREMENT PE RM IT R EQUtREM ENT s

$ AMPL L MEASUREMENT PERMtf REQUIREMENT N AME / flTLE f NINCIP AL E X EC UTIV E OF FICER 8 C E Rt* V UNCE R W NALTy OF lag THAT a? A V E.

PEalSON AL LY E R AMINE C TELEPHONE DATE AND AM F AM*L 6As wiTM THE *NF OseM A TION SUMM.*TE D Mf'RFH AND BASED ON My

• NQt_hNY OF THOSE tNorviDu aL % 6MME D' A TE L Y RE SPGNS'RL E FOR g

/

4 L

OHr A*NG THE m.p osaua T ON

• Bf t sE vE THr SUDM'YTf D WFORMAT*ON

/

r

['..

is t on ig Ac(usaf f AND C NPLETE D AM A n a.it THAT THE Rf ANE SIG

{'

p

~

,I i - r NierANY 54 NAL T.E *. SOM SUIw f T rNG F AL $E INF (WM A TICae INCL UD8NG

--J-

^s

_j, i/

Tur sn es ote.t rT v os ' 'NE AND iMewe ONME NT SE E

+8 USC i 1001 AND

$l2 3ll Ibl3 3.b !

4n SIGN ATURE OF PRINCIPAL EXECUTIVE 19 t: 8 C 61319 bmo tar..omtre 'ha.e T Y PE D OR PRINTED e

em kde (mes up t<> Clu mno oto utre mas r

P"# "" "* "* '

• P'8 * *h me re r..! h* 'n ev'46 m. ark s v a f i we'*

OFFICER 09 AUTHORIZED AGENT NUM BER YEAR MO DAY g

COMME N T AND L EPL AN ATION OF ANY VIOL AT_ IONS I Ne ferrrh c *,ll of V I.Es m hort )

T ' "*

"]-

.

• r

'[

9 E P A t,Mrm 1U01 (Rev. iv.Jy) PREVIOUS EDITION TO BE USED iMEPLACES EP A FORM T-40 WHICH M AY NOT BE USED.B j > 3Y t' ' _ i',,..

PAGE 1 OF 1 UNTIL SUPPLY IS EXH AUSTED

GI NI R Al. IMI Rt'CTIONS f'

Ul.

%. Ntn r un dh

'e..

? ! I". P r cr' m w dweg..r J b!rus t e it 'es tal at ce s of that m fomia' on dtt : ids preponted

' l '. :

P1 I! \\1 t l il I N \\ill \\1 \\ll l% \\l)f)RI W ( and f i '.. n,w sation it J !!.: i m,' t' "I'l R\\f f l' N U \\tlM R," an i "l)l%Cll \\RGl,-

Ni M l;I' R + h u, o,1

. c.!

i t w; t f,. cwh !. ' i r i,. >

< \\

t r. A te m n 1 I

.?,

.re at.W

\\tiiNils WlM. 1-1 R D H )"

to.

ed ! ) fc rm w M e in lu a'cd s.

-I' \\ P \\ '.l: i' H'

'r.

tc1. omnoum t e.p as c o". s c' ra n d i !:

ei,

[-

i 3 \\\\1[1 i \\tt \\st R I s t i N I ". ! r i f.1 uh p i an c te - o r L r 'Of ' \\N i ll F M 7)l) \\1 II T " I'1 inuh W ud 8h Fer nM J

t

\\\\ J f: u,i c.

. i t

n,: we f.-

b.u mi r i'.e

.-r., of au

.imr'c mea s acmenS tot u h paran,e'er t

i 1.

\\t t )N i ll1RIN( e Pi R I> >f )

\\1 \\ \\l%11 \\f ' an! ~ \\llNi\\f t \\l" n e r.m m.!h (s h cme bs:6 and tow mr mr nicm s

\\le,slirmlNi, l'! R ir 611 ' iNiill t.,m

, p d, u 5 m d s, t r e u m a nt requ r e mer.:. ; te N da ', n es qe of sarnple

,p:,.i !

i

. if sa m p ' ' m e.w s mer k oMa;o;J lur;,; mendo mg renoj unJa i,

\\\\ f P \\( 1 ra r

a-

-d, s

s

\\t\\Kl%f('\\f" c 1 PI R \\tl t Ri(Jt iki \\tl N !'

f-

.u h r ' t me

"(?! \\NllIi' nd "OL. \\1 I I i ' n sW. lied in rer m t.

- i i Mi i \\"

t r

s s

,c'

. r,: n.

yi'-

pt wt th a s i sd me mum i ef for m n u 9 "i or,d4 r.

ac' If, i cn* i

'o a

r.

t.

4 i

'l Isl ( >l I)

(4 A N \\ ! T 31 % b 'i

' N \\ \\!PI l \\fl \\'l F l ill N I" i <

d f!'

I:

4

'i U I 3II Di 1Pl JN E

• W d M '"E 4

i.

!)

el H\\fil Rif)t IR!\\1! N1' cc t c.!

',, ' i t

1s ' ( i)S I

f. 4

'"M

4 s

i b,

i.t i.bt' f,i

<. d.i, e n.> :h. 't# fe oe de prMr Oc >

u l-r

.i\\UtI I 't l 1

'N \\ \\ll'! I \\ll' \\M k l \\Il N l' 4

d i mc ' t i R \\ it ' h-ns4 f u il iy; 'br l ' Pc '# l CJ

"'f"'V r( l " d I J" I d'

i

+

(

l1 N '.t i i P !. il'l!:1 ill N i ~ i

'lil( ' no.' 4 hour4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> c,im p i t:c. ' N / C fet too c us t

m.

i AS W 4 3H3H 070 fl

' \\ i n I, i \\hd \\ l U Ws t 1 cf k illi }!! vt IRI \\t[ N i s \\ !. !

kl Pi ll, I l i; \\lI v'il \\ likiti l' \\l'1.\\N \\ l D IN 'If) i)lM KlHI 3

i \\1

.I)

. <>.P'(

II\\ i uiPA. I \\i } N U I i l 41 M i 1 u 11 ilt :1 \\ t D >N in ll\\ ll' s

i.. r a a pl of d ita enn) l.

ti i

Ni l)N H.\\ R(,I

.u n 4

ti il

, i. '

e.

r. ;

I i \\ \\li til:i i 4 s-kl*i 11 \\l l \\t 1 ll\\ l t 'l I li i R ' e

' Ni t,' \\ll NI t ?] l j'. l M.11'.\\ l l \\l t i ll\\ l' ( Il l' U 'l M ( $

.\\ f Ilh iM ;/! I n U,1 N I ilitPih1NI NI Nf H1 R 1 ^ !) \\ ll

b

,>n i.tfan

,,ri

}? s i, g.

't..'

! U:

eb '

',,rc

- t sit r.,

t' Ni

!.so e! ff. m 4 % eist IHu if \\Rt 1 \\D Wil f W IN(, H 1 111R I (I)\\1Ri f>

J: '. ! -

r o i

a. - i n, : m 1I G \\1 M )Ti( l fad ni ;pa ! !

• i ',,, a n r c w h m i n d in n.dae., not s1 l's<

1T*

> t in 1 i i Orc to ti rt;.,t i

i c

pt n.

f.i( -

t) ja, J.

of stolat.on.

t" h meri or ment far r.ot more than t'

i s

a J,

i 3,m.

t> 'oh l

\\

)

l

.-.........---......-.__................--........JSld3H...--0708.....-----.--.......-..-.....-------......--

ONOJ l

I i

I i

--+.-w---

-.--.--_-_-.--e-l l

l l

l mm l

i l

l 43 D YIb

'J D y 1,3

~

~

~

~

e-

'N Y

9

.P I

l 3d3d

_} l _ t #

4 l

i

,m., _.. - _.

PERw NA N ATsON AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM t%PDf3) form Mppf0 mf 1,.t.fslT TE E.e n, M E. / A D D R E S S t l* / ede vo-

. m., er Mr.

DISCH ARGE MONITORING REPORT (DwR)

CAfB NO. 2000-0015 NAME

'2 '%

1. II I*

ADDRESS

~

'ry T,

i,

^

' ' ~

+

PERMIT NUMBER Disc ea a nGE Nuwsta

{

MONITORING PE RrOO

'] f { C g pg { }{}

j fA GLL lIJ _ _ _ _ _ __ __ _ _ _ ___ _ _ _ _ _ _ _ _ _

, VEAR_{ MO CAv !

• EAR. wo DAv l TO [.

OMj j _

l j

LOC A TION

,;. 2i. <;; 2,

.24 : s

,;A r,

,. ;e,

, s n, NOTE: Read instructions before completing this form.

i if ( urd (Jah )

QU ANTIT Y OR LO A DING l f 4 C ard On/p p QU ALITY OR CONCE NTR ATION PAR AMETER f 46 3f p I34 61 a I

( fMJ )

I d6-8.I)

($J41)

NO.

• ' 8 0',*

• C '

S AM PLE l

EX TVPE g

(

.g g, g,g AVERAGE M A XIM UM UNITS MINIMUM AVERAGIC-M AXIMUM UNITS

,,g SauPLE MEASUREMENT PE R M IT

'!(

R EQUIREM ENT

, y y

+,

4e e; y g SAMPLE MEASUREMENT pggg gy l

'5/(

T. [ U. t E-R EQ UIR E M ENT

,e t

1

.. + e' W.

,_T y

v S AM PLE MEASUREMENT PERMIT R EQUIR EM ENT SAMPLE MEASUREMENT a

PERMIT REQUIREMENT S AM PLE MEASUREMENT PERMIT REQUIREMENT S A M PL E MEASUREMENT PERMIT R EQUIREM ENT S AM PLE MEASUREMENT PERMIT R EQU IR EM ENT N AM E /TITL E PRINCIPAL EXECUTIVE OFFICER 4 CERDFV UNDE R PENALTV OF LAW THAT I HAVE PE RSON ALLY EE Aw1NED TELEPHONE DATE AND Au FAMILIAR wiTM THE #NFOpwATCf4 SURuTTE D MERE'N AND BASED

• 'f e /

ON wv rNQurev OF THOSE 'NDivrDuaLS 'wwE DI ATEL Y NSiBL E FOR

^

? /

RE SPONr oRw A ton sy l,

U.

p

-M,

,W t,

onT A N Nc mE *NroawAToN i eELif w E THE SuswTTE D u,

.n-W TRUE ACCURATE AND C Owp( ET E i Aw AnAef THAT THE RE ARE SG

,/ j 4

[

/

/

i 111 ' ci e

.r

!cr:

Nir c =NT PE N4tTES eor Susw TT'Nc FAtsE 'Nroaw A T ion iNetuDeNo

- F ',

'c A ^ / >q" l

39USC\\1319 Penahare under torre statutre mas snet.ute fuern up to $111rn, THE POS% %dT V OF FtNE AND iwpRtSCNwf NT SE E 18 USC $9001 AND SIGN ATURE OF PRINCIPAL EXECUTIVE M]O 7 Q 1

• f(!"] ')

f A

TYPED OR PRINTED

'*f*""*"'"'*#'"'"'**'"#

'""*"*U"'#A'"""*'

OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY g

COM M EN T A ND E APL AN ATION OF, ANY V IOL A T IONS 1 Re ferrat e' aid af t a lt'est rets Arcre t c ; y

{ -,

r L (i 3 g, P P E P A Form 3320-1 (Rev. 10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USED.F '- "/v >1jt ' - - ' l 4. C /

• PAGE 1 OF 1

I UNTIL SUPPLY IS EXH AUSTED l

. _ _ ~.

- _ _ =. _ _ _

i r

GFNf'R Al. IN$1 RLTTIONS

-i t

t !! for m hw bece r,noils wmr'ete 1 17 picerin'me.!hreg ad instrumons directed at entr> of that mformation already preprinted.

I n'cr "I'! R \\tli il i N 011 Of \\ll IN(i ADf)RI NN iand f el.t> narne 'loe.amn. if dniertnt 5,*

"l'I R.\\tl i NtJ N1H1 R,".md "DISCilARGl' Nt '\\f ul R" w here i A ved I T scp.c ate f or m is nymred for e:wh JNharge i 1

I - er aA, i.. mnn;.m j end ng " Att lNili'RlW l'! Rii)D" co er J h form where mJieated L 1twr exh "P\\R\\\\11IiR' n

vc mc.i n nmneorme icquaement, of permit.

Ir cr 's % \\tPl ! M1 %URI ill N I' d e i f.n et h p.c amete* under 'Ol' \\N1111' and "()t' Al ITi" m tmia spedried in permit.

W.

r Smi:.

nt u

< m ow. ).

.n e:.ge for twtenal par.cne'ersi of all unple me.nurements for cath parameter

\\\\lR uit' 2

r.

of I ur si J

\\tv WI f s >RIN(, Pt R h !!) ~ "\\1 % \\ l\\1l \\1 '

.n t ~T11N!\\ll?\\1" are norm d!) of reme h!gS.ind law measuremen's oM MJ: c-

\\1( Psif4>RI M, Pi Rifit)' iNtill u owner a u nh w sondary tre:dmen: r es,uirement, tr.'er 10-da) aserage of sample a

is n.o m m t la o e' r ge..f ump'e me.nutemenn oNamed darmg, monnoting period under j

me; en

'kr

\\ \\ l R Mil ~ i n.I M \\ \\l\\f t'\\11 ri I:M ~P) k \\t l l~ R f Ol 'I R I M i.N I'" far ca A p c ameter um!er - Qt ' \\ N ill Y" and "f)U \\1111 '.a specified in permit.

No i \\~

a nim >cr of u..p : mermemer, J. mg nun aonne permi that cw;eed rnaumum 4 and/or rmnimum or 7 day t

t,a oh p a.coc'er if rone cn:ct "o*

i

. m s.n

. i cc i ps i n at ny ren' fo' i

x 1t ' i P ! Q t I '4 Y a 11 \\N \\!\\ %Is M i n "% \\ \\t PI I \\f f Tst'RI \\fl NT" I..tual fic.toena of umphog and analysis used during to

• W rt

..l i :i "I i R \\1l f H f Ol I R I \\fl N T" 'peacd in per m.t s e g. f.n'er 7 ONI." fer ontmouc, monitor mg,

'.>..m In rcr ed. ' l/ 1f in

.r c J.n per mom "i Ar im ore Jn per quarter. etc. )

Ir

-r Vet PI I l \\ Pl " t,ch

's ut Pi l MI A%t RLMf N I" t aau il s epN n re uscit Jarmg monnonne renod) and as n

I i R \\tli U l (){ IRI \\fl Nif seg, i me- '(,R\\h'8or m b:Ja! umple. NilC for N-tou comroute. "N A" for sentinuous i

/

l s

.ti 1 j

( A S H I J l tO H Q 10 J )

1o will RI \\ U )! \\ l u m v.I l l R'fli RI et IHi \\fl N is \\RI kl P')ii!i D ATI Kli A liRII i l NPI AN ATION TO DESCRlitE t U s! \\NI) r i m Ri < 'l l\\'l

\\i i PM i \\ki N Kl 11 R1 N( l I \\r' li \\ l( >l \\ l l( 5N liY D \\'ll.

l t-o,

.! s m

s m.w, m. rein'd. tn (8 "\\f) lils( ll AR(il ' A rou fm m in pias e of da:a en!r).

a I

5 \\11, i II I l' < i PRINT it' \\1 1 \\1( t Il\\ l < il I !( l K ' u e "5f tin \\11'R1 Of I'RIN( IP \\l ITI CI'TI\\T OFFir rR OR s

\\1 110 iR!/l !) U.1 N I

"!! ! I Pip 6%I Nt Still R ' im! "l)T 11 a bo!!nm of form i si ge, e : I n pe.nnt Rd i, cors f.o s oi.r r eem Js 1-sf,1 J Pep.

.em

<s, bs J.

u-

..! % lif v 11 \\H01 \\lt 1Ni l O k l N(, RI Ptik f t DMR ) torm may be obtained from ()lhels t i

M..

. I r 1-n yt 4-pe; m n t

I I G Al Nf ) TIC I f.oh.te u r eport

• dh fu'13 can result m cnil penaltics not ib,

,m, 3

c.I h !. a !ul st' ills, : eC1R I r,

1..d'o e

. r crm t o

rc uh, n< t to t s cc I O.iW per day of sid.oea. or by mmrisonment for r'ot more than r.et e i v !

t.

i; i re d o of c! v.. m 4

i srm r i ime c.L!, i n F) lu d h I

i 1

......._............_.._.39._Ju.1H..G.1.C.d.

G reOO 5

-w--

m

=-a

..--'i-iw

-um--re-umw--

-ww_

m

. - - - -., +

.----.=mp.e.i-w+_

m-m====>e-am

_.%+-m._.,,.

_-.,we-.

4 N

-...=+-..=_--.........-. -

--.-._w

=_.- -- - - -._====*_..-

.==_.--.-.*...._....-.......in

._mie....e e

e.

O l

j l

3d 3 h4 3lnVAS 9

~

.. ~

. _ ~ _...

PERMITTEE N AM DR ESS f ladade N ATION AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM t VDt ))

bMU AMMIOWd N.t,4.was/4 E/AD,tde w.

arrror)

DISCH ARGE MONITORING REPORT <nua)

OMB No. 200 GOO 15 i

'_--_-t__.------_-

12 lti, (1719e

! - 1 i T { C ', L1 *I T 5 1__

_ _ _ - w unu 1

I

'E s1fb>

I A D D R ES,,.L,,,,,,,,

______,_,,,,,_Jg,,,.,,____.,,,,,,_

}

1 S

• e

.-L~

PERMIT NUM BER oe5CM ARGE NUMSER

=

____h

=__.

J_____.

M'iNLYORING PERIOD MEgEy vEAR l

• • O i DAY I l vcAR i MO I DAY q

+

FROM l. e i

t TO j

l LOC A TION

__,,,____._1 n

,Je Jit tJJ J f#

1. Je les

1. 'e J's sJ8 '%

f * '4 NOTE: Read instructions before completing this form.

t i Card Och) QU ANTITY OR LOADING (4 Card Only)

QU ALITY OR CONCENTR ATION

'Ny*

S AM PE.E i

PAR A M ETER (46 5 J )

(34-61)

(3 M )

(4651)

(544f p No.

o EI "PE ans 4Lysts I '*

AVERAGE M AXIMUM UNITS MINIMUM AVERAGg.

M A18M UM UNIT 5

,,yj j,

(,,,,,

{,,,7,,

f SAMPLE MEASUREMENT 3..l J.1 0

2/mo.

grab PERMtT "s

a 1: 9 "C/L Tr. ICE ' 'i r a t REQUIREMENT 9'NTW

,, V e

c6 e ie u,

MEASu"REME~T

• ^

3 5

0 2/ro.

grab 1

y.

,I 7!

1. i, / (.

fi}C(

b 7 I= 3

'*1i

}

PERM IT

)

i REQUIREMENT

,,., y y,

1 S A M PL E TAP-1i f' U $ U U '

^ ? i-7 0 MEASUREMENT C. m a. n, 2/ro.

est.

PERMIT l

? 7' U ~

?"

'ME' IC MCC*

I d I C !5 '(bI1M R EQ UIREM ENT p 3 7g 4

S AM PL E l

ME ASUREM ENT 4

}

PERM 0T I

REQUIREMENT i

S AMPLE 4

MEASUREMENT I

PE RM IT REQUIREMENT S A M PL E MEASUREMENT PERMIT R EQ UIR EM ENT 4

S A M PL E MEASUREMENT PERMIT j

REQUIREMENT N AM E/ TITLE PRINCIPAL EXECUTIVE OFFICER i CE RT'FY UNDE R PE NALTY OF Law THAT e MAVE PERSONALLY Eh AMINED TELEPHONE DATE AND AM F AMILIAR wtTH THE INFORM ATION SUBMITTED HEREIN AND BASED ON MY INQueRY OF THOSE INDIVIDU AL S IMME DI ATEL Y RE SPONSIBL E FOR

'g

?

I.e.

U}'niki.bb.

. t'! I. bdf$.

OHT AtNING THE tNF ORM ATION e BEL tE VE THE SUBMITTED aNFORM ATION g

tS TRUE ACCURATE AND COMPLETE I AM AAARE THAT THERE ARE SeG gg

' j g 1

d. d

'..) '. C', t% ( ] Q Q f95.Il Nd lC ANT PE N AL TIE S FOR SUEIMfTTWG FALSE WF ORM A T80N WCL UDWG e

q a

THE pos%B.uTv OF F iNE AND.MeResONMENT sEE isuSC e'

'^N stGNATURE OF PRINCIPAL EXECUTIVE L

0 19 U SC % 1319 < Pena ttwa.mder thrur erotuten mes endunir (snes up to $10Inno TYPED OR PRINTED

• *d "' **

• 8 m "* **P ** *'*' "f h' '""* 8 ***'* * * *d 3 yrere s OFFICER OR AUTHORIZED AGENT MD NUMBER YEAR MO D5Y COM MEN T AN D ERP,L AN A TION OF ANY VIOL ATIONS pJde'fer,rnse all wit.u hmrmis. lific)

T 7Jp { f g { '(

{ O C [ G '* h J,

I

• s

,I4 e_ r ;

T*

,1 4

". i s, EP A Form 33201 (Rev.10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USED.6>7yj[p91, g 31 ',+ e / E PAGE 1 OF 1 d. -*

aL

• UNTf L SUPPLY IS EXH AUSTED

i

__m.---

i GI NI:RAI. INSI RUCTIONS i

l I.

If form has been rarnalty emp'eted by prtprm9nc. dureg.;rd irstruttion, directed at entry of that information aircadv preprinted.

l 2 I nier "PI RNfl Fil i N Ull /N! \\ll ING ADDRI % t and fauht> name/loction, if Jil?crent i " "PE RNil f NU S11tl'R." and "DISCll ARGli Nf 3titi:R" bere indsa'ed i A wpnate fm m is required for cash dNharge.)

i t I nie data t'conmng and endmg "\\1t)NilORING PI Rit)D" covereJ h form where mdicated 4.

I nier cach "P \\R 01111 R" e Peaf.c ! in moniter mg requirements of perrn.t.

I I

5.

I rNr ' NMIPI 1. N11 Ast'RI \\f f N I~ d ita for taA paramtter under 1)U \\NTITY" and "QU \\1 FI Y" in 6 nits speeitied in Permit.

1

'A\\I R M.I' a nor m.nh a ahmets scrage i geomen s

-n erage f or bacterial prameter,) of a'l sampic me.nnrements for cach pararneter l

l oH amed dot er "\\1()Nll( > RING l'l RIOD " 51 \\ XINf t '\\1" and "\\11Ni\\f U\\1" are norm W) estreme bigh and low measuremenM oHuncJ dmine "$1() Nil t )RINii PI R fr 3DT ( Nf il f to m aracer ds w ith snondar) treatrnem requacment. enter 30 day asetage of umple i

i l

me nm emenn urt fer " A\\ l R A61.' and emer maumum 7 day ascr.,pe of samp!e measurtments obtained during monitoring period under j

'$1\\Xl.N!Uil" i

j e,

I n'cr "PI R\\fil R1 ()t.lRI \\lLN I" for cash par ameter or der "QlMN il!Y" anst M)U Al fry" as specified in pc mit.

l Un ter "NO I N" rnter nun.ber of wnple measurcmt nts daring monitoting period that cweed maumum land /or minimum or htay au r age as a;'pr or ute t pci m t scamienxnt for t ash par amete r. If none, enter "n".

l W. I n er "I R1 ()I I NC Y ( si AN Al Blv bo h as "N Of PI I \\!! \\NL. Rl3t ENI" (actual frequenn of umphng.md analys used during momtorine pc W )

tr.! as "PI R \\t! F RI ()l'IRI NIE N r" 'peemed m perma t e g. I nter "Ct >N T." for tentmucus tr.on;toring.

"t/7" foi une dav per urek. "!/ W for one dw pe rm m t h.

"l p o" *for one d.o per quar ter, etc.)

l 9

inkr "N Uf Pi l-l \\ Pl." b.it h n "s ul Pl i \\fl' Ast :R E N11'N 1" i.ictual s emp!e ts pe net Jm ine momtorin2 period ) and as

' Pl RN111 RI()l'IR) Sit N 1.

te g l-nNr ' UR \\lf' f or inda tJual sampie ' 2411C for 24-hour composte. ' N /A" for continuous l

rnmoor me. cte s f1Suld 3H3H Clodi j

i lo u til Rt VU )1 \\ Ils >Ns ( 21 Pl R\\111 Ri yt IRI $11 N t s ARI RI P<1R ll it AITAlli A fiRil l' 11P1 \\N ATION TO DF5CRliti:

g CTt NT AND ( (IR RI ( ~il\\T At 1 fi)Ns I WFN RiII10 N(l I \\CII VIOL. AllON IW DA'll.

i 1.

It 'no da ba' re" oteur s J m iry mon dor in-ret ut. toter "Nf ) Dis (llTiuit " aerou form in pixe of data tntrv 1.!

I nto 'NMH / T l'!! I t il PRIN IP\\1 i Ni( l'1l\\ l 01 I h ! R ' w it h "NIGN \\ll'RI. OF PRINCIPAL i X1 CUTIVI 01FICIR OR M:llif iki/l 1) M a l N !.' ~11:11 Pih1NI N t : Nilti.R" and " D A l l ^ a t bot tom of f or m-I l i. \\tml sncJ Report to t hi s s by dateiss pecific ! m permit IMun cor) for y our s ecords.

l

14. \\ fore JaakJumua:en,em ow of thn Div'il \\RGl; 5 TON 110 RING R1 PORI (DNtR) form ma, be oMamed from Olkc(s) p sproficJ m permit I

I FGAl NOTICE l

i i

i ihn repott i, rcq ared by law I11 L' S C 1118. 40 C IL R 125 27 L i adu re lo report or f.olur e to icpar t truthfWJy can rcsult in cnil penalties not j

to oc ed 5 ?" 000 per d o of s :elanon. or m cr un n d penalnes not to cu ee t $2$rm per day of siolanon. or b imprnonment for not more than ene year, or by both.

l l

L r

aNo3

...._......_..__......_........_.........3_s.au3H..a.70_4....__.._......._...._____.................._

i i

4 t

f h

t 6

l o.-e.---w._g 3H3H e

l l

anv2s i

i i

i m.

i i

t

- -m I

b i

l asas 2, avis i

j e

l i

-~---,.-.--c.--

- - - - _. - - _. _, -. - - _. - _.-~ _. _

_. - - ~ _., -. - - - - - - - - - --. -.

.I

_m PE RMITTEE N AM E/ ADDRESS (Iml>< fr N ATION AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM t.% ppf 3 )

Form ApprO6ed 6

t was, % ameje o<atwn st dderonel OlSCH ARGE MONITORING REPORT IDstR)

OMB No. 2O)0 00tS l

nau a ts,

<!7 t9s u..-

.i

,.iev+c n

y

' '~ u

e -

1 1

t C L s ' +,

>3Ce,'aiA, TC t

A D D R ED_ _!_ _ :.- _, '

~-

l PERMIT NUMBER osScmanGE weseER MONITORING PERIOD e

FAG.htIY _ _ _ __ _ _ _ _ _ __ _ ___ _ _ _ _ _ _

" * " 1 "D

D"'

I D

loc ATioN

_<te it,__[!( __< < ',

<

• J 's

1. 1* l

'd' TO L A, j 1,l FROM

,T,

,Y

• .J',

NOTE: Read instructions before completing this form.

i r 5

( f ( ord Onh ) QU ANTITY OR LO A DING 14 GerJ Ont))

QU ALITY OR CONCENTR ATION PAR AMETER

( 46.3 f )

(1441)

(1841)

( 46-$3 )

(3441)

NO.

FREO EW g a g ptg EI TYPE g g7 97, AN ALysts AVERAGE M AKIMUM UNITS MINIMUM AVERAGE M A11M UM UNITS p

S AM PLE 7.26 7.26 1/co.

grab MEASUREMENT 1

'N' W^

b'

' L ' /

' i' J P R T R EQU IR EM ENT o]pg { p4 l

i e

S AMPLE s

? f.

"qq-c a.

J: t 9 6 y

l MEASUREMENT

(,.13 h.hh

)[@Q, C3)C,

't

~ w c. t ct n

>O:7u r: O s-r 4-u

'r f u O 4L t /

L L 8. I PERMlf REQUIREMENT vggyp S A M PLE MEASUREMENT i

PERMIT REQUIREMENT t'

i i

i SAMPLE l

MEASUREMENT I

PERM BT REQUIREMENT 4

l S AMPLE MEASUREMENT

'4 3

PE RM IT l

REQUIREMENT i

S AM PL E MEASUREMENT i

PERM IT 4

R EQUIREM ENT I

SAMPLE MEASUREMENT PERMIT REQUIREMENT N AME/ TITLE PRINCIPAL EXECUTIVE OFFICER I C E R'rFY UNDER PENALTV OF LAW THAT i HavE PERSONALLY E X AMrNED TELEPHONE DATE AND AM F AMiL:AR imTM THE INFORM ATION SUBMf 7TED Mt.RErN AND BASED ON My tNOuiav OF TMOSE INDiviou ALS

'MM EDI ATEL Y RE SPONSIBLE FOR (7

/}

-?

j OST A ANG THE INFORM Af TON I BELIE VE TwE SUBMrTTED 6hFORM A TION - />ns X f, a ' ',

C. Teitiau c.t, Gen. Supt..

/

s TRut ACCuR AT E AND C ~PtETE i AM AaA E T Ar T ERE ARE S'G -

NrF5C A NT PENALTIES FOR SUBM'TTING FALSE INFORMATON sNCLUDNG

^

412 393-6513 8,2, /1 27 OS5i} ' OWer D'iN tlOn T-E wBoy w mE AND iMPRiSONME~T SEE 18uSC e iOo AND 3 3 U S C b 1319 ef>naltare under threr statutre mes melde (mee up to Slo.orno SIGNATURE Or PRINelPAL ExEcurtvE TYPED OR PRINTED and ne massmum ampnaesernt W Mann a nnthe end s prere s OFFICER OR AUTHORIZED AGENT

,A.EA, NUMtER YEAR MO DAY

~

COMM E N T AN D EXPLAN ATION OF ANY VI.OL ATIONS I Neffreerr *# mftsthments here) e

~

, s ' s o

l EP A Form 33201 (Rev.10-79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USED.) $ y 1/ g 21112-214 0 / r PAGE 1 OF 1

UNTIL SUPPLY 18 EXHAUSTED

_~

GI:NFR AL INSTRUCTIONS i

i If form h:n teen r utialh,omp cte i by preprintine, Jnregard instruct ons directed at entr> of thit information alreadv preprinted.

j 1.

l 2 I mer 'I'! R Mil'Il i N \\\\f t'/\\t \\ll ING -\\DDRI % e and facihty name/ location if daTerent U "PERallT NUMBI R." and "DISCilARGE I

Nt'\\t ni R" w here ind:u'ed f \\ s p.aate f u m is reauued for eac h di-eharge. )

1 I nfer J Ocs beg nnmg an I end nc ' Mt Wil() RING N R D )D" cos ered t'y form w here mdicated 4 I t.Pr e.u h "PT R \\ \\f l I t'R" as Tes tf.ed n moncoring requacmenh of permit.

4 1.-'er "% \\ M P1 I Mi %URl \\ll N I" d da f oi cash pr ameter under 'QU AN Til Y" and "QU Al ITY" in imits specified in permit.

J T\\ I R \\GI '

te m d 5 re : r tm r,. au ra.

i ums '

.n er.ge f o: Facterial parametersi of all simple measurements foi cach parameter I

s ont i,ne. t

.f m in "Mf Wil( TRIM, PI R U )D " "\\f \\ NINit 'M" and " MINI \\1UM" are normalh extreme high and 104 meawrements

1. cri.1 cmc M( Wil( *1M. PI'R h >D " i NI)ll to m :nup ds wi:h secondary treatment requirement. cnter 30 day aserage of sample r";.. m me n s e1

'TV I N \\(el ' and W ma um rm '-day aseuge e.f samr'e measurements obtamed dormg monitoring period under

' \\f \\ X IM l M".

~ PI RMI T R1 QI'IRI MI N I" for cash p camen maa ' QL.' \\N ill Y" and "QUTI.llY as specified in permit.

n.

!: a t %fer "N t ) i V (n numbe of ump!. meaecmnh J.u rg monooring period that eseced mnimum (and/or mmimum or 7-day s

r es n

.pp.. 'ra ei N Et r < w en ent fo u A parameter. If ronc enter "0".

I ru n ^ t Rt yt 1 M T ( il AN \\1 YMV" b vb u T \\ MPI I Mi~ Bt EU \\tl NT" f aaual frequees of samplmg and analysis used during s

, um pr t!i

.m t

.n "P1 R Mil RI yt'iki \\fl N !" specined m pernut. le g. I n:er " CONT " for contmuous monitoring, t ' m an

.! n

,cr week

'l / W ' for one du pa modh.

"I cW for one day per quarter ete-)

9 1 m.r 3 \\\\f h i I i P!

• h ah, "% \\ M P11 \\ll' ant R1 MI N I" t a.tual - "pic tspe use.! Jurmg monnorine perioJ) and as M U \\1li RI yt'!Rt Ml N 1 '

<et

!o

-(,R \\ B" f or indn Mual samp'c. 2411f " for 2 4 hom composite. "N/A" for continuous 1

,rr

. 7 iisat3 luas aloJi M 111 l').

\\ 1. M \\ l i t W. < il PI R MI T RI y1 IRI \\f! Ni s -WF E l Pi)k !! I). \\TI \\C 11 A DRil F 1 NPI AN ATION TO DESCRIBE 4 \\t M.

\\NI) ((8RRI(_lIVI

\\t i U W5 1 TK! N.

R1iLRt M i i u 11 \\ li >l AllON ItY DATf'.

. t.o...

. e --

+r, m-m: - pt m.l. e m ei "Y) l)lM If A R(st'" " crow form in place of data enn g.

t 1.

If*n i

I' t.

' N \\MI,Illl1 4 il PRI'.:P\\1 1 \\1 < l 11\\ l (>l I k I R ' v ch "MGN \\ i t'RI OF PRINC IPAl. FNI CUTIVf OFflCLR OR

\\1 Ilh,Rl/! D

\\(,1 N I J - 111 i Hl' WI N t'ilhi R"

.mJ ~ D -\\ 11 at botun of form i tM ci,r ' d ;. i s i ve. Sed m pa nni. Rcta,n copy for your recerdt

)

11 Mii n '.I R c rm t m

' S DINOI \\R( ) Minilt)Ri% Rl ! ORT (DMR) form may t e obtained from O&ch)

I;

'Is ui

!mor-.im, i

7e & J m pe r m t 1 FG Al NOTICI.

o, Ac I h ' m ii t 's t 1ilN M t i R 1252'i I aJu:e to termt or f.ulaic to scroit truthfu'.h can result in cisit penalties not Ib s y.. t s

• o cw t 4tu<no per J i, id s.:c.,

r m,

m nJ penanc tu to c u eed 52 5.u00 rer day of siolation, or b) imprimamem for not more than ne. car..a t>

hs.;b GNO339 lb1H G103

---

.----- -------------.---------------- - -------------------------------------------------------~~

.i.--w.-w

---i.--e--

.-i-p,...-

-4 i

ci W V15 1

l 3.) g

_-w w.-

D Y 4

G 383H 37dvi5 9

/

___m.

PER ITTEE N AM E / ADDR ESS (/nclude N ATION AL POLLUT ANT DISCH ARGE ELIMIDATION SYSTEM t %PDf 3)

Fonn Approved f wa > Mme /tuatw*a at darrent)

OlSCH ARGg MONSTORING REPORT tDMR)

OMB No. 2000 0015 un u3 I

• va i

1216 117 ! %

- _,,,,,,,,,,, 7

• '~ ~

E~l

'I*i-I*

I'

--ADDRES) 2V PERMIT NUMBER D65c MastGE Num eER

,., ?

e d

l

• ~

~

MONITORING PERIOD NO DISCHARGE 201 IM LLar_ _ _ ____ _ _____ _ _ _ ____ ___. ___ _ _ _

'E'a ! Mo i o"

i 'Eaa i Mo o^'

LOC AT ION FROM l.. l '

TO

- l 11l l

>f

1. Je 21, a " J 8,

1. 14 J's iJe J's

<Je les t 8e 8" t

NOTE: Read instructions before completing this form.

~

13 ( ord Onte )

QU ANTITY OR LOADING (4 CarJ Only )

QU ALITY OR CONCENTR ATION PAR AMETER (46 33) 15441) 3945)

(46 5.f)

(3441)

No. '"'O",'*C' SAMPLE g

E*

TYPE j

g gy.p g AN Aktsas l

AVERAGE M AXIMUM UNITS MINIMUM AV ER AGE'*

M AKIMUM UNITS tel AD (6449)

( 648-7 0 )

S AM PLE

^ '

"I l

MEASUREMENT a

j

+

PERMIT 1*

b " 1

^ '

A

• '4

'J L ' L

7 p;3lv...

M ; z 1 u; v 0 t; T r4 l

REQUIREMENT i

5 t

S A M PL E MEASUREMENT f

le

. r.f t uw. f

,<q-j c-

-n ene -

c REQUIREMENT jg{[y ;y p47(y gy s+ggTp g g y pg g v

e *

+Fs a

MEASUREMENT 7

4

~ '

(~ O 1 l

v V/L G D E /

4 I PERM IT i

f

,[

i

33() ay

• • !Ly Fi

&OMTM REQUIREMENT S AMPLE E

MEASUREMENT 4

+

O bi

~

I J

~

U b '- '

O'b I

Ii PER MIT l

R EQUIREM ENT pgNyp 3

S AM PLE MEASUREMENT r

y PERMlY REQUIREMENT S AMPLE MEASUREMENT t

PERMlf R EQUIREM ENT S A M PLE MEASUREMENT i

PERMIT

['

REQUIREMENT N AME/ TITLE PRINCIPAL EXECUTIVE OFFICER I CE RTIFY UNDER PE N ALTY OF LA* THAT I ** A v E PERSONALLY E R AM!NED TELEPHONE DATE AND AM F AMiLI AR wrTH THE INFORMATeN SUBMITTED MEREIN AND BASED o

.Ae' ON MV INQusRY.Or TMOst RE SPO.~NSIBL E eNDvouALS IMMED ATELY FOR

~ oRM-eN - BEufvE

~E

-mE D oRM-e~

-y

+

i C IOitLHOCht. nen. sunt.

oBT A.N ~e

~E

'S TRUE ACCURATE AND COMPL ET E t AM A*ARE TMAT THE RE A r*E SIG-M -/ ',./ o[.' 9 i

j t3551l D' "W' G r %-nernion

~"'N'ssm"uTvOr r'iNE

'ES o"

S*N 'ALsr iNr m-oN aCLuDNo mE PO revnatra andar rse.* oraturra mas snewie ima. so en s' to'ine SIGN ATURE OF PRINCIPAL' EXECUTIVE

~

AND iMmsONMENT stE iBUsC e' N

i as usC s sans TYPED OR PRINTED

• • d '# ma inmum ampris.mmewt of Arturee 6 mmoth end 5 ycess i oppgCER OR AUTHOR 12E7 AGENT

,A.EA, NUMBER YEAR MO DAY COMM E NT AN D EXPL AN ATION OF ANY VIOL ATION S, t #rAcrrne r m.[2fushmrnfs here) y y 3 pp [n

[ r.

(;

43a;ggy y 4 l pe

j' ;4 g g

, y. - ( y c, i,

f ra r

7.,

4

..u m i ia 4

EP A Form 33201 (Rev. 10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USEO.{- [( j/ n f 1 1 ] 4.-g 1 t,(;/P' PAGE 1 OF 1

1 UNTIL SUPPLY IS EXH AUSTED

4 S JVd77 H363 t

A 01' O H 3 st 3 L H f st C l

j sivWa i

H3H3 s

l l

l A01G H M SMON Q I

htob yb no rc > ero naht erom ton rof tnemnosirpmi yb ro,noitalois fat yaJ rep 000 52$ decc u at ton nhurep lan:mits n. t muid s fo n d rep hoinli 1,icu c a-ton seitlanep lisic ni tluser nac yl'uf hturt tropet ot nudaf ro t u.pe r ai eraaa f.. '25,R I.( a.it! 0 5 U 41i n 5 dtm qer h troret wh t s

i ilCITON LAGF 1

. tim rep m lehmg

)s tecmO morf deniatbo eb yun mrof.s)drocer ruw rof ypoc 1o.teRTROP tR GNIROTIN015 ilGR\\ flCNID,s m% fo wu r f % rod o ni d h a' e*i R15D (

s ot\\ L?

tim rep ni t eht y

.d M s h r u.,.peR lan fo f\\ t1

.mrof f o mottob ta ll AD" dna "REH!N tN l A hip 1 i lI" ?! N I,(\\ D l/lR)tillU\\

LETI l APICNIRP 10.IR:lTA NGIN-h"o w l \\IIU t iS ! 1\\PIeNIRP li (

r. or i :1 RO R ICIFFO EVITUyrtne atad fo eca!p ni mrof woru.lGR\\ H C%lD"R i k 1-})(

nu'l I111/ i.tu N ON" retn e,!ailer em :w mn m mI o

e;v S

.d on' tT t \\ t

.E TAD Yll NOll A "1)(1 \\ 11.(\\ 1 -lrN 1RL t 1R.N lh\\ l' R

%011 t\\ IVIl (IRkitL )IN A IRA 3 I N !!> IRI' tU i iltN R IP l> < s A <t 1 \\ l> U V IR lit % N

.illiRCS ID OT NOITANA IP A 1 F liRtI A liCATTA.D li RO'I'IR isolc sium aimsir

1. _ te. mocwr suounitnoc rof "ep/N".etisopmoc ruohL2 rof "Clf 42" u,elpma luaindni rof "ll ARG rein I. c ei J I N l1\\ IRI ty IR F 11\\ R 9i A

s sa dna. idoir em ioti. nom gnirud Je.ot ep >r e'pm lautca(.htm"I N f f\\E R L%. l1\\

"re'!P T 1 i.mo\\ \\ $'

711PIO 5" n htoh IP1 c ur I >

).c t e retrauq rep yad eno rof

<m ep ed eno rof rit / f' keew p nli -

rof TI

.gmratinom suounitnoc ref.

re'n:1,g e t. tim"oM I" iep m denicep-TN lm )!m t wt rw enom" gnirud desu ks >1ana dna gebpmu fo" TNOC 'rf iut'ca t "ne.E1\\ IR ~ tu. ret'lt\\ I"IPID'f f\\ IRI tO IR Tlt\\ R IP

)eneuqe TN S n htob vl\\Y i\\ N A !)( Y (N 1 tQ IR I" r tin I W

0" ret enon fI emarap h cae "rof tnentc @ qce em'ep l et u rro rr'. n et t

yad-7 ro nruminim ro/dnat nrumuun deewe ta"ht doire I gnirotinom gnm.d stnemetun em elpmu fo rebmun retne C I oN redn I 7

.timtcp ni dkficeps sa "YTI 1\\ UQ" dm Y ll} N AUQ' rednu retemaup hsac rof "I N ilTf RIUQ IR ! f f\\R lP"* tc:n I 6

!N tiSIX\\ 1\\

cinu "stneme unem" rednu doirep gnirotinom gnirud.deniatbo stnemewnem elpmas fo egsresa )ad-? memuon etne dn TDI'lR IP" lG A R IV\\ 'GNIRliliN01\\ ~ gm md t.:nuHo elpmu fo egaresa yad-ot_ retnc tnemermyer tnemtaert yradnoces ha w hapicuram ot llitN f lo retcab rof epi.re"n\\'.l,n\\lO 1\\" e"w>e n. !P' stnemerusaem wol dna hgih emertsc >iMmton era retemarap hct:e iof stnemerusaem elpmu lla fo )sretemart.p"1NUtNIN11%"

dna l 1 D hR

. MIRI(! !NI f f \\"

m roJ t.em No temon i citemhnia h d.m..n IG\\ R IV\\ -

n

Y f.timrep lo'stnemenuqer gn.rodnootmf atid "ep-I N ll\\ IR:1% '11$ E lP"IO %" rctn I

.timrep ni deificep.e stimi ni "YT! 1\\ UQ" dna ITN AUQ rednu retemarap hxe rein I 3 ni deifo n R II f f\\T R\\ P" h Ac J

.detac.dni erehw mrof >b deresoc "D01R iP GNIROI1N>(1\\" en:lin"e tuo. rnmmgeb nc d rern I 1

" itnereidd fi,noiti.eol/ ems.d hcae rof Jcriuqer h m:of etao.res A(

. ) egraheW deceh.ni ereh w "R f t113O N n ytacaf dna(

i 17(ll\\R tP re'n I 2

.EGR AilCS.detn"irperp"ydaerla noitamrofni ta"ht fo yrtne ta det.terid sno;teurtsni dragevid.s% IRDD A GNI ll AIS/ llM Nhloto p neeb sah m" rof fI 1 ID dna

.R; fill 5UN 11l$ REP

nitnirperp yb dete'pnrw

.i SNOITCUR TSNI.IARFN'IG

1 1

PERMITTEE N AM E / ADDR ESS f lestadt N ATION AL POLLUT ANT DISCM ARGE ELlMIN ATION SYSTEM t VDP 3 )

FOnn Appf0 Fed las shh Mme /L aarwn a dArren')

DlSCH ARGE MONSTORING RE; PORT (DMR)

OA1B No. 2WM015

___m i_w_s__________

12 16o 187 1%

~ ^' ': L L1M1T' ngug 1

I

+. '

,m

,,M"y

. "y; ADDREp

'C sy 5 i t

PERMIT NUM BER De5C M A 8tGE N u es R E st

________-_1di-___

MONITORING PERIOD i

fAGLLU___. _ _ __ _ _ _ _ _ _ _____ _ _ _ _ _

" ^ "

"O I

D*'

i 'E^"i "O

! ^'

u v, L ' 7 TO [

l I

l FROM

. 1 LOC A Tion

, eas ;i, a< is, ce r, es te, e wu, NOTE: Read instructions before completing this form.

[

t f CorJ Only )

QU ANTITY OR LO A DING I4 Card ()nly)

QU ALITY OR CONCENTR ATION 3

FREoutNCv l

PARAMETER (4431)

($4 41) tifL43)

(46-33)

(3441)

NO.

g au ptg gp EX TvPE A A <,..S AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AX&M UM UNITS J.

16243)

(644N)

(69-7(7) j n

g

?'

l S AM PLE 0. ).

C.

gNb l

MEASUREMENT,

.> l Chb U/

OEA" PERMIT

~

\\

4

?

~' ^"

l' -

R EQ U IR EM ENT

,,q7, I

fD 1

fUU 9

SAMPLE r

s7 MEASUREMENT s.U/

l /f50.

Calc.

pggg gy

,c, i

'&?"L

'3" U et;.

ON($/

(4([I I

R EQUIR EM ENT uogy-g S A M PL E

)

MEASUREMENT i

PERMIT R EQUIREM ENT S AM PLE MEASUREMENT 4

PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT i

4 R EQ UIR E M ENT 4

a S AMPLE MEASUREMENT PERMIT i

R EQUIREM ENT i

S AM PL E 4

MEASUREMENT PER M IT REQUIREMENT N AME/ TITLE PRINCIPAL EXECUTIVE OFFICER t C E RTIF Y UNDER PE NAL T Y OF LAW THAT 6 HAVE PE RSON AL LY EX AMINED TELEPHONE DATE-AND AM F AMILIAR WITH THE aNFORM ATION SUBMITTED HERFIN AND BASED m

~

ON MV INOut'4Y OF THOSE INDIVIDU AL S IMME DI A TEL Y RESPONS4BL E FOR 6

y '

/

r 4 + s P

dCbb, MO. DUpb.

ouTANeNG THE IM ORM A TION I BFUEVE THE SUBMfTTED IMORM ATION J

)- /

Is TRUF ACCLRATE AND C')MPL ET E i AM AWARE THAT THERE ARE $8G

! U yb-4,

_' A I} P F <. (' ut?MT3 LOG NiF SC ANT PE N ALT IE S FOR SUBMITTING FAlbE INFORM A TION INCL UDING

'g p

SIGN ATURE OF PRINCIPAL EXECUTIVE 412 393-6513 81 /A 29 THE POS%sHIL IT Y OF F INE AND IMPRISONME NT SE E ISUSC i10DI AND 31uSC%t3se !Penaltare an.irr these era:uien me, anctade tonen n,p to grororoon

d "' mea t*mem 8*Pr8 a"nmrM' al #'rf##'s 6 monf 4s end 5 wors #

OFFICER OR AUTHORIZED AGENT A,

NUMBER YEAR MO DAY TYPED OR PRINTED

}

COMMENT AND EXPL AN ATION OF ANY VIOL. ATIONS (Mrjersnar all stra hments twre) 4 EP A Form 33201 (Rev.10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FGRM T 40 WHICH M AY NOT BE USED.py qc / q y y y j y,,, L *

• g f,,

PAGE 1 OF 1 3*

UNTIL SUPPLY IS EXH AUSTED s

-v 4

1 i

i

+

8 GFNFRAL INSTRUCTIONS

~

i l

i 1.

If form tm been partially comp:eted by preprmtmg, disregard instru,tions directed at entry of that information alreilv preprinted.

5 l

P.

I r.tu ~PI RiflT~Il i N Oll /M All ING ADDRI %S (and facWi> namefksation, if different ),"

" PERMIT NUM!u RT und "DISCil ARGE, 1

NL3 fill R" w here inhated. 4 A <cparate form is required for cach discharge )

l l

1 l'nter dates bepnn:ng and (nd:ng "MONI"lDRING PI Rf 0D" cosered h form where indicated.

J

?

4.

Inyt e.ub "P \\ R V.it if R" as speared in moniinrmg requirements et permit.

j 5.

Enter "SA M PI l-MI.%t 'Rf \\ll NT" d ila for ca.h parameter under ' QUANTI TY" and "(JU \\1 ITY" in enits vecified in permit nut m di) withmem a w are e ecometnc 'aser. ige fm Mcterial rarameters t of all umple measnremenu for each parameter l

t

' u I R \\GI ' a oM.nned dadrg "\\f 0NilORING PERIDD " "M \\NIMU\\1" and " MINI \\tFM" are normalb estieme high and 104 measm ements L

j obtainot dring "MONilt) RING Pi Rtt iD ' 'NOIL to mar cipals voth secondar> treatment requirement. enter 30 day aserage of umrle j

mes mt eme nh un le "AVI R AblJ and enter maumum 1,l g.nes.iye of wmple meawrements obtained during monitoring period under

(

"S! T NIMl'M"

]

f..

I'nter ' PI R MI T RI QUIRI M EN T" for eas h parameter imkr "QUAN 11I Y" ;ind "QU \\111 Y" as speafied in permit.

1 Under "NO I \\" cruct immber of sample meamrements donng monnoring period that euced mn: mum (and/or minimum or %da) l

.ncrare n arr'or: w e) pernut reenement for each p.a ameter. L none. enter "0".

M i nter "I RI Qt i NC Y ()F AN \\l i Ms" Fwb.a

• S \\MPI i M1 GURI MFNT' iamal frequenn of sampiine and ana!>d used during i

rnon, onn ' pmod s a mi as ~PI R Mil RI OUIR F M F N T" ve:ified in permit, t e g. I nter "( ON Tf' for continuous n.onitoring.

l "l/?" f oi one d.n rer wed. "l/40" for onc das per m on t h. "l/90' for ore da) per quarter. etc.)

1 l~ns. S \\ M Pi r I A Pl ~ knh as ~s WPl.I Nfl Ast'Rl3H N I" t actual s emp!e ts pe uvd dmirg momtoring penodi and as s

"P1 R Mll R t f)1'!RI MI N IJ ic g, I nier ' G R AH" f or indni.fual umpte. Will" for Mhour composite. "N/ A" for continuous j

mm;os mg, s. )

y j

tassia au2H aloa)

L

{

j j

l o. % )tl R F Ylul \\ llin.% (11 Pf RMit RI Qt'IRF MI N!s ARI Rt Pt)Ril D AIT \\Cll A BRli l I XPI ANATION TO DESCRillE i

t ' V 'M

-\\ND ( Ok R F C 11\\ l' M'll(WS ThI N P.111:RI N( l I Af fl \\ l(11. A lli)N liY DA l f.

11. If no Jxhm;. m m.!nting rm etu me per 4 cmcr "N() DIst li ARGif asrow farm in pbce of dila entry.

11 i arcr "N \\M1/Illt I (IF PRIV IP\\1 1 M (("IIVI f)! I M 'l R" w ch 'M(iN A I U RI ()F PRINF1 pal i XI CUTIVI Of FICER OR SU llif iRl/l D A(,I N i f ' ll i l'P!H )Ni Nl MHFR".m d "DAll ' at Nntom of form.

11 M.nl uns J Rcrmt ta ()t e t s) b, da et s) spec.ned in pe: met. Reta;n copy far mur records 14 Mor e detal mstruswn fa os of ihn DisCll ARGl' Mt Wil(1 RING Rt. PORI' (DMR) f orm may be obtained from Offices s) spndied in perrmt

)

i FGAI NOTICE 1

'Thn f crGr! h reWl: red h l iw lit tl S C.1118. 40 (~.F.R 124.27). l adute to scrort or fadute to scport trmthfu:13 can result m cisit penat ies not t

+

til cuted $10.fuo per da> et vioLiton. or ni crim'nd pesulties not to c ueed H3. tuli) per day of siolation, or by imrtisonment for not more than 3

Dne year. or by ho!h f

1 I

I r'

a I

i

(

1 l

P f

6..

...._....._......__....._ _ -.... _ -......... O. J. J S. 3 M 3 H....10_3..........._____.._..._..____.....__...-._._

CN Q

a i

b l

i 1

e i

g i

L l

r--

l anu i

\\

I

)

7

\\

m w

..___________.___ __..___________.____....______ m________a m ____. ___.____________________ ___________.

S f

6 783H 37dviS k

\\

.-.m.

- - __ _ _._ _ _- _ ____ _,.__ _ _ _ __ _.~._ __.._. - _ _.

- ~ - - - -

_.. __~

4

]

1. E R M I TT E E N A M E / A D DR ESS f ind".le N ATION AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM t%fDf3) bOUU MMMf0V8d h aan.%a.ma / e euwn or dArrent>

ogscmanag pongyongna pgpony gogg, Ogg go, 200gggf 5 l

j d lei, Il 7-19e C

~

2 I 'd A L L I MII 5 uaug a

l

- *3

=

s

{ *' '* '

• 4. ' '

r 6 a - ggy r

h i m _,;_ _ _ _ a _ _ _

A DD R ESJ_ _ -

PERMIT NUMBER DescuanGE NummeER

___L-_

MONITORING PERtOD j

EAG11tIY_ _ _ _ _ _ _ _ _ _ _ _ _

"O I

D

i "^"i "O

i 3

FROM 4. l r.

To

, t.

gl ', '.

i l

LOC A TION

_ _. _ _a; v,

_, v, ao r, as 2.,

, se si' NOTE: Read instructions before completing this form.

u ce Ji, a

(

( 3 Card Unh )

QU ANTITY OR LO A DI NG t o CarJ Only)

QU ALITY OR CONCENTR ATION F R Eou, ENC v gagpgg P AR AMETER (46 JJ)

($4 41 )

(38-45)

(46-33)

(3441)

NO.

g EI TYPE f

g g,7; AN ALysts AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS a

16243)

(644#)

(69JP)

A t

S A M PL E MEASUREMENT

.[, b 4 7,92 9

2[pQ, Of3h

- a t,~

t20 a n

', n

'; 's T.4 I C E G l '! 9 PERMIT R EQUIR EM ENT y

y y,, y

g. 3 g y I

I '

S A M PLE s

' +

C 8

0 2/30 comp.

M E A$u aEM ENT 1. _.

b / l.

IN[CE

("MP2 PE RM IT 1 I., i

("

/

i ' f '/ n s V: fi ""

• 9$'

REQUMEMENT g,y,_,

y

• r " A. Y u s

i S A M PL E

(

7t1 17 f7" Q $ $ 1.1; s t u & "U 2

1

~

~

MEASUREMENT 0. N C,-

0.16 30/30 meas.

1

• Yt 0 3 C '31 14 7 ;.,

• 7'n1CC ~ M ( fl $ R PERMlf v's ""1

?i; P EQUIR EM ENT r - p a y 9, S AM PLE MEASUREMENT PERM 8T REQUIREMENT

-. _ ~

S AMPL E MEA $UREMENT PERMIT R EQUIR EM ENT 4

$ 4W PLE MEASUREMENT I

PERMIT

[

t R EQUlREM ENT SAMPLE l

MEASUREMENT PE R MIT REQUIREMENT N AME / TITLE PRINCIP AL EXECUTIVE OFFICER I CERTIFY UNDER PE NALTY OF LAW THAT 4 HAVE PE RSON ALLY Ex AMtNE D TELEPHONE DATE AND AM F AMtLtAR wtTH THE INFORMATtON SUBwTTED **EREIN AND BASED ON MV INoutRY OF THOSE INDVIDiJALS IMMEDI ATELY RE SPONSIBL E FOR

')

j b.

IGi hll0Cb b, b(il Udpb.

OBT A.NING THE INF ORM A TION 4 SE LIE VE THE SUBMtTTE D INFORM ATtON

'(ym4 2 /m 85 TRUE ACCUR A T E AND COMPL ETE e AM AW ARE THAT THERE ARE sag 4

4 c: 0551l N.Or WnerSt. ion o

N n ANT ** Nn T* 5 FOR SuawTTtNo FAtsE iNrORM A mN iNCouDiNo 412 393-631, 8.2.

/,2 2

THE Posset TTY OF FINE AND DMPRISONMENT SLE 18 USC 6TDDT AND SIGNATURE OF PRINCIPAL EXECUTIVE 33usc6s3ee iPenattwo under theer erarutes ma, soclunto fenre op to sto snus TYPED OR PRINTED

• *d "r ** """* 8* P"* ""*' '4 A# f"9 8

• "*'h * * *d 3 '#8 '

OFFICER OR AUTHORIZED AGENT M A, NUMBER YEAR MO l DAY coM M EN T AND E xP,L AN AT4QN OF ANY, VIOL ATlONS J Rrt(rrn(f adJ ulten hnsents h(rt p.

pg,

v.

e T T.-

i

[ EP A Fgrm 33201 (Rev.10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USED.) 7 =i 3 ! g 2 *, } } y 7 3 4 r / v PAGE 1 OF 1 UNTIL SUPPLY IS EXH AUSTED

. - - _ - -. - _. - -.. - -. =, -....

- - - -~...

]

GliNFRAI INM RUCTIONS 3

1 1.

If form has been rartially comp!cted by prcprinting. dareg:6rd instructions d;rected' at emry of that information alicadv preprinted.

l 2.

I nter *PI R \\flTIl l N \\\\11'/Nf All LNG ADDR1 % t and facihty namefloation, if J:tferentil "PFRNilT NU\\11tf R," and "DISCil ARGE NUNilti R" dere mJsa!cd t A separ ate form is rc<pnicd for c.nh dncharge.)

i

{

3 I n'er dates l'cgmn:ng and endmg "$10Niit) RING PF RIOD" cosered by form where mdicated.

I J f n'er ex h "P \\R Ulf Tl R" :n 'rcuficJ m mum!orma requucmems of permit j

i linter "s AN!N I NII O! Rf Nil N1" d da for cas h par ametet under 'QUTNTITY" and NjUAl ITY" in units specified in permit.

' Wi R m t

• e mu m ilh a r a brnet t

.w spe imometm eerage for ba terial parameters) of all simple meastirements for enh parameter i

obt a med Jurm; "\\1( JNi l O RIN G PT RIOD ' ' \\1 \\ \\ t %It'\\l ' an ! "\\11Ni\\f C N!" x e nor math cstt eme high and 104 measureme nt s oMamed do irm ' \\1(INilt) RING PI Rl(il)

• d N( 81 ! ' i m mdp A w.th second.ity treatment regmrement. cnter 10 day aserage of sample i

enosu enree. imd/r " O f R AGI ' and enter m.mmom 3d.c. avrage. f samp!c raeawrements oHained dudng momtoong period tander j

" Nf TXI',10 \\l".

(

A 1 mer "N RN111" Rt Ql.'IRI \\1EN I" for cash parameter on.ler "QUAN III Y" and "QL! NI ITY'

,s specirieJ in per mit.

j

? Und:r "NO l N" cmcr nurnber of vmpfe measurements dur:ng morGrorma renod that es ced mnimum t and/er minimum or 7 day l

n er>Fe e a rim opr nac, pc i m a rc# ocme,t for each parameter. I f none. entc r "o".

k i nic ' l RI Of I N( Y ()l AN \\lDis" tvh as "N Of PI l-NII \\St. RI Nfl NT" i aaual f requency ef samrling and analysis incJ during momroung per od t md as "P1 R \\il f R1 QL!lRI N1f'N T" 'recied in Perrmt. le g.. I mer

• CONT " for centmuous monitoring, t

" l /" tor o.: Jn per m eek "l/ o" for one day per mo n t h. "l/9u" for one day per quarter, etc. )

t 9 I r.Nr "s Of P1 i'li PI" bo?S n "S OfPII \\ll' A%l'RI Nil N !" e actual vrnpie is ne used duriv monitosing period) and as I

l PI R N!_II Rf Qt'IRI Nf! N I J t e c, Lmer O R Air f or mda tJu.d sample "NilC" for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> com,ome. "N/ A" for continuous i

mondermg. cr - i i

usuta au3H a,oa) l lo u itt RI-. \\ tr n \\ Ilt >Ns of PF R %tli RI Ol'IRI N11 N IS ARI. RI Pi >RIl D. \\1TAcil A ItRil'1 F.NPl.AN A TION TO DI SCRilm a \\t.M AN D Cr)R R f ( l l\\ l \\r iIt >Ns I \\ki N. RIi1RI V i i \\ril s it)! \\llON ItY DAlli 1, r, u g e in u s dm m e metoi me per iod cnter "N ( ) D15Cil-\\RGl" asross it tm in plate of data entrb

[

II. It

.o I? I ::t ' N D:1/llI! I 6 61' PRIV IP TI I \\f1 l IIVi 01 l'l( l R" v. A "Sl(iN A I URI UT PRINCIPAI 131 CUTI\\ l Of HCER OR Al: Filo'<l/l D AGI N 1.

"I t I l Ptit INI N t Allti:R" aed ~D \\ 11 ' at bottom of form.

11 Nf ail siuned Report to (hlsefs M. date's, %.fied m pa mit. Retam copy for sour r aords.

14. Stor; Jetatic 1 inoration im us of f 6 DIV II \\RGI N!(>NilORING RI PORT (D\\1RI form ruay be obtained from OIT:ce(0 I

spec 5cd m pcimJ 1

! EG Al. NOTICE i

I t

'T hn r cpori n it q..hed by l aw ill liS(. 1314, 4a ( ILR 12(2? > I adttre to report or f.ulure to leport truthfu'Jy can restdt in cisil penalties not to c u zf 510." M Pt r d y of siolanon. cr in unmm d pen.dtu not to ex eced \\25,000 per day of siolation. or by imprisonment for viot more than en 4 > car or by both

[

{

r L

P i

i GNO33S 3d3H Q103 p

i l

l

..e 3H3H dWY1S l I

l J D V%J l

{

at :m in]w c,0s r

i 383H 3 7 ci V I S r

I 1

, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -. ~.. _.. - _ __. _ _. _ _ _ _ _.. _ - _ _. _..

PE iTTE E N AM E f ADDR ESS a lm fude N ATION AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM tvun, Form Approved M ' M *' *'"'" 'l dd "' *' l DISCH ARGE MONITORING REPORT (DVR)

OAfB No. 200G0015

,,,y$

-t

. Y Q 1m

,17 1%

}

naug

_ * *~ ~

50,".c'r Trit.TM NT SYSTEP i

i

- rJ ADDRESJ _ -

I

_4:_.________

PERMIT NUM BER DiscM ARGE NowetR 1

1 j

MONITORING PE HtOD MGh t.IJ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ __ _ _ _ _

' ' ^ " _

"o, o^Q "O

'.. j l l TO {

.j

.l I

FROM[._ _

1-i i

LOC Ar son t

,; m

,;. rt

,;e ;+,

e ** n' NOTE: Read instructions before completing this form.

,;. v, s

_(f Card Onh) QU ANTITY OR LO A DING 14 CdrJ On/F)

QU ALITY OR CONCEN TR ATION

'"Eoy,'"C' PAR AM ETER (405I) 4 $4 41 I

( Jb45 )

(4033)

($441)

NO.

S AM PL E E3 TYPE 4 9,,.,7 )

AN AL ysis AVERAGE M AXIM UM UNITS MINIMUM AVERAGQ M AXIMUM UNITS i

+n.

S AMPLE MEASuREME~T 5

la O

b/mo.

grab i

t a

=dG/l i e i s. ;

L ;. ! # -

J PERMIT REQUIREMENT q[4 gy 7 ? *, ;y \\

6' f] N T M i

SAMPLE I'

iC a MEAsuaEME~T 6.10 7.10 0

2/mo.

grab

.w :

3. :

tu usu

, s a w m

a-r REQUIREMENT y;y{gg MAy]wyF

• Wi T -

l l

I i.-

S A M PLE MEASuaEMENT 26 44 0

30/co. grab c,

a

~

r.

m s;

A :

>t T iu m-y NEQUIREM ENT y *, { 4 ;9 7p3 Ay yQNfH c :- a r- -r

?N

"t

? r. ? 7t. G

~ > $ 6 ;;

S A M PL E MEASUREMENT o, m.;

C.010 A

l/mo.

est.

t "0WUV "GDf IWiCl M.:A)%

'Oc;

,J 3C;U9V OCR 2

1 p g,,,7 R EQUIREM ENT

• t) h T rt

(

+.,

ay s

^.,

J S AM PLE e/iwo 3M MEASuREME~T 0

0 0

i

3 r;

't.

20g002 (PVC

.: % r 4

z(y 4Q, I C O F'l i mi L L :;

'unAd pg,,,7 R EQ UIR E M ENT

> g9A gb3

"[ [; A 6gg WCNTH S A M PL E

-a MEASUREMENT PERMIT R EQUIREM ENT S AM PLE MEASUREMENT PERMIT R EQUIR EM E NT N AME/ TITLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UNDER PE NALTV OF LA* THAT I MAvE PERSONALLY E X AMINED TELEPHONE DATE

[

AND AM F AMittAR WITH THE INFORMATiON SUBMITTED MEREIN AND BASED CN MV INQutRY OF THOSE individuals IMMEDiATELY RESPONS;BLE FOR I

OSTAW WG THE WFORMATI N I BEUEVE TME SUBwTTED WFORM ATION 1

j-

/

C dtkirCht'

'O r' " $ J p * *

[*

A

' o-

'**'c

'o" S

"*o

S' a'o""'o*

ac uoao

' / /g

15 TRUE ACCL'R A T E AND COMRLETE i AM AWARE THAT THERE ARE SG

.M gj

-i Fossi'* Pc'm r G'enerat1on

'"'r' F W E AND'**PRISONMEN'T i 100'1 THE POS4B>UTV O M

SEE 18 U S C AND rPenaitses u ider thene statatre mas mciude innes up to $10SMnu SIGN ATURE OF PRINCIPAL EXECUTIVE M

3 3 U S C b 1319 n

TYPED OR PRINTED aW or ma nmum smpnemmew eNuren 6 mien hs and 5 years '

OFFICER OR AUTHORIZED AGENT l,^74 l NUMSER YEAR MO DdY COM M ENT AN D EX PL AN ATION, OF ANY VIOL ATIONS, t Nc/rrence all ustra-4merus fert),rq[

>g,,y J

(ga 3 [ r,4 [, g g y; g j r ggmc;

-r ((;N[,

p, T r*

i L*,.

(1su u w m a,o.o to ult) Rf \\ it pl.A T I' >Ns ( s! PI R\\1li Rl 8.)t IRI 511 N is ARI Ri POR'll D. ATITCll A 14Rll l-I XPt ANATION TO DFSCRlHE i -\\ t %I \\ND UiRRt FIlvl u 'ilt m 'l ut N. RI I ERI NCI: I \\Cil \\ 101 AllON HY DATF_

4 ti I f "ns. 4.c h.u, c " wxs Jm m nmq n me re!!od. cnter

• NO DISCl{ ARGF" acrow form in place of data entry.

i? P er

• N OH,Itil I i )! l'RIN IP \\1 I \\lt L Il\\ l U1 I ICI R' u ah " SIGN A I URE Ob PRINCIPAL FXi CUTIVF OFFICER OR

\\L i Ht ml/l D \\( I N IT 'll I i Pile )NI N t ' 511tl R" and "DA11

• at bottom of form l

11 Nf a l Ami Repo: t to td arsi 1 Auc si spec fie.1 m perm;t. Rctain wpv for your records.

7 a

it \\f or e Jr Ad arNrmt:en, for W of thn ()!M ll \\RGI-SlON! f 0 RING RFPORT (D51R) form may be obtained from Officefs) sp-eihe i m rernw I f-G Al. NOTICE i b:, report o tcu m d b) W i l l l ' s t., 111% m ( l~ R IP P t Iailuie to rep.nt or failare to repoit inahfully can result in chil penalties not to en ee.1 $ 1418 # # {Yr il ;) et s mf a'Wn' 4 r ;a gi;mlnal pen.duc, not (0 esceed $24JiOO per da) Of s golatten, or b) Imprisonment for not more than One yeat, or b) hMh l

l 1

.......--....................................C.NO339Ju1HQ104..............................................

b I

-nm-~.~

1 Juan i

3 OM'H1 21:3H 070d 1

1 JH3H 3_7 d v is t

7 m--.e-

,. - -. -,, - _ - ~ -.. -.

_-~ - _.-

L PE RMITTEE N A M E / ADDRESS (Inda*de N ATION AL POLLUTANT DISCH ARGE ELIMINATION SYSTEM L APDt.5)

FOND Appf0 Fed f acotts san d us aw.n it Mrorn')

DISCH ARGC MONITORING REPORT (DMR)

OMB No. 2 MOO 15 NAME O M#

II

• I

.I Y " biE\\Ub A D D R ESJ_

N

+ - -

PERMlY NUMBER DescH ARGE NUMeEn

., j i

____Ma_w___

M( NITORING PERICO VEAR

• a0

[ DAV l TEARI MO i day f MMI Y _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,

To L..._

l i

FROM

- t LOC ATION

_, e it,

a. a _ m,

,2.a.,

_x.._

.s-.

,24 <

t:. v,

. 2

, se et, NOTE: Read instructions before completing this form.

F ntou,ENCvl S AMPLE El Card Omfr) QU ANTITY OR LO ADING (4 ( drJ Only)

QU ALITY OR CONCENTR ATION f

PARAMETER (46-33)

( $4 -61 )

(JA45)

(46-53)

(3441)

N O.

g Ex TvPc

. N A L,.,6 gu,,

AVERAGE M AXIM UM UNITS MINIMUM AVERAGE,.

MAXIMUM UNITS 1614D (644A )

(69.70)

SAMPLE

^

C.15 S.15 0

1/mo.

grab "EASuaE"E"'

7. [

$ ?ll E /

COI PERMIT T

Y y.

REQUIREMENT y

SAMPLE MEASUREMENT 26 26 0

l/CO.

Orab i

r er' II Mr/L CNCE/

GRAM i

PERMlY R EQUIR EM ENT p y 7 S AM PL E

< l

< l O

l /tro.

Orab "E^SuREME"'

i PERM i n' E : (

h 1i

'll / L 2NCf/

6 E< 0 d REQUIREMEh?

t $l 7t' $ AU Al q k T M 3

- u-

, f S AM PLE a

• I 5 C 1-10'

~ t t 'J f MEASuREu[NT 3, f-)'

g,np 1/nO.

est.

$ 1 %' U

• 74D Cli( 5 /

SbI[d PERMIT it(

ti?4'

"'A REQUIREMENT t

S AMPLE Ft E ASUREM ENT l

[

PERMIT REQUIREMENT I

S AM PLE I

MEASUREMENT I

l PERMIT

/

l R EQUIREM ENT l

S AMPLE MEASUREMENT I

PERMIT REQUIREMENT I C.

UNDE.R PENALTV OF LAW THAT 4 HAVE PERSONALLY EX AMINED TELEPHONE DATE su' RTIFY N AME / TITLE PRINCIP AL EXECUTIVE OFFICER AM F AMILI AR WITH Tr4E INFORMATION SUBMITTED HEREIN AND BASED I

A MV INQUIRY OF THOSE INDVIDUALS IMME DI ATEL Y RE SPONSIBL E FOR a

,/

b.

fO b kIIOC b b,

O').

bdhb.

OHT A;NtN/

THE INF ORM ATION i BELIE VE THE SUBMITT E D INF ORM A TION f

s iS T RLE. ACCUPa 'E AND COMPL ETE f AM AW ARE THAT THERE ARE SIG A

g ",

j f G S i i l ? ria r Ca r t-:> l'"i ti o n

'O O

NtFIC ANT PE N ALTIES FOR SUBMf 7 TING FAthE sNF ORM A TION eNCLUDNG t

SIGNATURE OF PRINCIPAL EXECUTIVE 412 393-6513 F1

/.)- 2 THE POWBILITY

~)F F tNE AND IMPRISONMENT SE E 18USC 9 1001 AND

3) U SC 51319 frnaltern under three statutes may sndude (wre op to SitatNNI TYPED OR PRINTED

• *l "' *8 8'""* '*P'8 ao'emc # of b. tu res 6 months and 5,were s OFFICER OR AUTHORIZED AGENT kA, NUMSER YEAR MO DEY COMM ENT AN D E XPL AN ATION OF ANY VIOLATaONS A N<ferens r u# utras hments / tere).,,,,7,'

'**h

.C 6.

b bI f.. fiYe n,.e,3 r Yn I.,,, v,.a8 I r (' 'J

)-

AA i e

u 1 1

y r;A r

u A

. s

-. s

.1 A w.

4 s p

.r,:

wr s

s g

{

i ll E P A F,orm 33201 (Rev.10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 Whit rf M AY NOT BE USED.)

• 1 g 7 a s, I * *N

• 14 e* f a PAGE 1W 1

' UNTIL SUPPLY lS EXH AUSTED

' d

• 4 a

4 s

I

av "A

r

-s GliNFR Al. INSTRUCTIONS,

I.

If form has been rartially completed t y preprinting. disregardtindructions directed at entry of that information already preprinted.

2.

I nier "Pi H\\fl fit i N U1i /M All ING ADDRI % (and facih:y name/Jocation, if different)," "PERMI F NUMitr R," and "DISCII ARGE NUMill R" where in<taated A ser_a.ite form is required for each.drwharge.)

i 1.

I nier dates bepnrune and endmg " MON 110 RING PERIOD" covered 1,y form where indicated.

l 3.

I nter efeh " PAR AMf TF R" as 're i6cd in monitoring requuements of permit s

5.

I ruer "SAMPI E M t ASl'R F MFNT" data for e.nh parameter under 'QU \\NTIIY"and " QUAL ITY"'in units speci6ed in permit.

"A\\ l R A61 " b nor m.div a ithmeth aserne t veometne average f or bacterial paramerersi of all umple measurements for each parameter r

obt ained during "M ONI T ORING PI RIOD." "M \\NiMUM" and " MINIMUM" are norma !> cstreme high and low meamrements t

o tained da:;n. "\\f 0Nilt > RING Pi Rl()DJ (Nf>Il to manicipals with wcondary treatment requirement, enter.10-day ascrape of sampic b

mea su r eirents under "AVI R AGl.- and enter maumam Niay aserage of umple meamrements obtained during monitoring period under "M A\\lM UM" 6 I nrer "PI RMi r RFQt'lRFMI N f" for each parameter under "QUAN IIIY" and " QUAL ITY" s speci6ed in perrmt.

7 Urider "No i X" cn:er number of sample measurements during monitesmg period that escced matimum (and/or minirnum or 7 day as erne as arpropr u e) permit r equu ement for each parameter. Jf none. enter "0" x i nier "FR F OL I NCY OI-AN Al i MS" to'h as "STMPI I MF A5L? Rt. MENT" (actual frequenc> of umpHng an.1 analysis used during monnoting period ) and as "PF R Ml l RI Ut'IR F M FNT" specihed m pernut. f e g, l'nter "C ONT." for sontinuous monitoring, "l /7' for one d o, per week, "l / W for one day per monthJ "li90" for one day per quarter. etc.)

9 I nier "s \\ M PI I i Y PI " both a, "S \\M PI F Ml'A5URidfl N f" q astual umple ty pe used dering momiming period) and as j

"PI R MIT RI QUIRI MI NT.'

t e g, I n'er "0R Alf' for indiudual sample " NilC" for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> compmile, "N/A" for continuous ma normr,ete i j

usa A au2H c7oJi to will RE VIO! A FU Ws t W PI RMI T Ri QUIRI.MLNis ARI Rt P()Rll D. ATTACll A HRil F I'XPL AN ATION TO Of' SCRIBE l

(' \\lV AND COR Rl_C il\\ l At !It As i AK! N. RI ii RI M I i ACII \\lui \\110N ItY DATE.

iI if no.! A b ar re" m un O n iru mon.tu me permd. emer "No DIStil ARGi acrow form in plase of data entry.

1 I? I reer "NTMI /Ill! ! Of PRIV IP\\1 iN a UTIVI of I ICL R' w uh " MON AT UR E 01~ PRINCIPAt i XI:CUTI\\T OFFICER OR AU filORl/l D AGI N ii" "[ Fl 1 Pll(WI NU \\fiti R" and "D \\ l F' at bottom of form.

11 Mm! 4ned Report to Otliets) by dated,i specified m permit. Retam cery for your record;.

.14.

h e Jetried irntrusnons for use of thn DISCll ARGl' MON!!ORING RFPOR T 1DMR) form may be obtained from Offree(O spesdied m permit.

i' I LGAI NOTICE l ha report n teamred b l a ( 3) U S (1 1118. -to C I" R.12t2? L f ailure to repou or fadure to rero:t tn.thfuh can result in enil penalties not to eseeed ilo.ui>0 per day of siolarion; or n com nal penahia not to euced 523SoO per day of siolation, or by imprismment for not more than one S car, os by both.

f f

I l

ONO33S 3d3H 070J I,

j 4

4 s

4 4

1 1

1 i

3H3H M Y1S -

i 33vu

~--

/

-............__....... _. _. _ _... _ _ _.......b.m 1..a h.m.

0 7 0 4 o

f J

J 3 8 3 H 3._%_. 4 LS a

l f

,,,, -,, - _ _. -.. _ _, ~

m PERMjf 7EE N AM E / ACDR EES (18M!ade N ATION AL POLLUT ANT DISCH ARGE ELIMIN ATION SYSTEM t AfDU) bOIM NEMIUVfd Iac, Isis Sumr/ aw aren el deferents DISCH ARGE MONITORING REPORT (Dwn) m,

l OMB No. 2N0015

,,* g e 7

_nggy _ _ _ _ _

_e. _.,_ _. _ _ _._________

121m 117 1%

7., g7 gy.pp AoDREss

~

_ _i*

PERMIT NUMBER Disc s. ARGE NUMeER MONITORING PE RIOD f.8 DtII - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

, VE A R MO i DAV I

!

• EAR I MO ! DAv FROM l

TO f d. l k1l J LOCATpH_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

"I*

'## # 6

'2' J*

NOTE: Read instructions before completing this form.

(.i ( urd Onts )

QUANTITY OR LOADING (4 CarJ Only)

QU ALITY OR CONCENTR ATION PAR AMETER (46-33)

($4 61)

(3Adf)

( 46.J.f )

($441)

NO.

F m utNcv g gg pgg gp EX TYPE

. g g g,,

AVERAGE M AXIMUM UNITS MINIMUM AVERAGE M AXIMUM UNITS 9

,g g

a SAMPLE MEASUREMENT 5.07 3.07 1/30 grab

's 4 Y (

N (,]

4L i/

4> 5 L'

+e

' 2+

-' s:Us s,

R EQUIR EM ENT 84 0 y f M S A M PLE MEASUREMENT

'. 21

< 3 Gl l

0 est.

t 0.

? - 40 3'

OCOVVb 7k /U G ITbbE C !C L/

EhI1I

.}

r s

7 pggg gy REQUIREMENT VQNTH S AMPLE MEASUREMENT PERMlf y

R EQUIREM ENT S AM PL E MEASUREMENT PERMIT 4

REQUIREMENT S AM PLE MEASUREMENT PERMIT R EQ UI R E M ENT 4

S AM PLE M E AS U R Dn ENT PERMIT REQUIREM ENT t

S A M PL E MEASUREMENT PERMIT REQUIREMENT N AME/ TITLE PRINCIPAL EXECUTIVE OFFICER I CE RTIFY UNDE R PE N AL TY OF LAW THAT I HAVE PERSONALLY E H AMINED TELEPHONE DATE-AND AM F AMILI AR WITH THE INFORMATION Sur:MITTED HEREIN AND SASED P9 p

ON MY #NOU'RY OF THOSE sNDIVIDU ALS IMW DI ATELY RE SPONSiBL E rOR p

'1

, i b t' 9 P C S l t, 219 0.

.Jd h b e

+

L OHT A NrNG THE INFORMATION I BELfE V E THE SU8MiTTED INFORM A T*ON L,

7 E 0 % i l f.% lr CQherdtion AND COMPLETENG THE RE.NcL uD.NG 15 TRUE ACCURATE I AM AWARE THAT ARE SiG NiicANr PE N AL tie S FOR SusM,TT rAtSE,NrORMA TION

/ g,

g'

~p.

>g SIGN ATURE OF PRINCIPAL EXECUTavs 412 393-6513 83

/2 Af TME POS4B8LITY OF FINE AND #MPRSONMENT SEE 18 U S C i 1001 AND 3 3 U S C 6 I 319 Penattaen under the.e erotates mes snelude (men up to Sle. tux >

TYPED OR PRINTED 5'i'i "' "'

..num mensonment W Arruren 6 months and 3 veers s OFFICER OR AUTHORIZED AGENT

AEA, NUMBER YEAR MO DIY COM M EN T AN D EXPLAN ATION QF, ANY VIOLATIONS (Nffe'retis t artcherrWs here{ ]w 3rr..,. ; t.

i,;

' C 12 '

.3'I[.'N5.

P A Foem 3320-1 (Rev.10-79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH M AY NOT BE USED.p A, yJ/w * '{ } } j e j 1 4 ( / p' PAGE 1 OF 1

UNTIL SUPPLY 16 EXH AUSTED

Gl'NFR \\l. INSFRlTTIONS if f m m S n b~n p a tull3 me,* c. I b) rreprmfing Jnreg oJ :nstromons d rcetcJ ; t entry of that information aircad> preprinted t

2 I vor

• Pl R \\fli Il I N \\ \\1l 31 \\ll ING.\\ DI)RI NN t and I m!.r> namef!ootam. if Jnferent 1/ "I'F R.\\fli N U \\flil R." and "DISCil ARGF N f ' \\f lil R" w N r e ir.1, e c.I

\\

-r r ce fm n n r equh ed for cash d.wharge )

i i n c ! A,, N r mng.ind crdr. ' \\1t )Ni l()R IM s l'l Rit 'D" co.cred by form w here mda.ceJ a

ie'er e i< 4 ~ P \\ R \\ \\11 Tl R' v.ntd ram" 'in requoemera of perrmt

n

..s 5 Il er ~ \\ \\\\t PI I \\1l %flRI sti N 1 t' ca f.,

cmh piar;cN im ler *Ql.' \\N II TY" and 9)U \\1 Ili" in units speufied in pctmit.

\\ \\ l K u,1 '

lor Futer;al 0 trameters i of all ump e me.nure nent, foi cash parameter s

r,<

c :t '. m.

ce we

.g.w

. ae 3

t i l r.

r

.t J oi"

~\\tt Nil ( m!Nt, I'l R ii lt ) ' "\\1 \\ \\l\\f t '\\!" and "\\11Ni\\t t'\\1".c e om rn d's ew eme high and low m e.nu t e me n t s

'!Pr t if f r r. ' \\l( >N l l e W l M e P! R D rl) ' IN4)ll to n i

,Q J, w d h s.s.indan !!ealment rcq @ t " eni, cnte: Md4 aserage Of sample e.; e

, <.s

ter u l R V,f It, tr o n rn ~ 1 -) acr of samr!e mmwements oMarned thn aig monitoring period under 6

\\f \\ \\l\\11 \\f" f n's r PI R '.111 R f ()t 'IRI \\fl N I ' ts cLb Pc me er 1.

Jcr ' t)U \\N ill Y".md "Ql' \\111 ) ' as pecifkJ in per na.

+

l> h r Nil I N" r m h< of serk

, i a c' e m.i J u.ng ma co mc per mJ tbt eh' J mmmum land /m min mum or Lday ptic, p<no st mem f,

coh p.e. r e'er it m m.

enter v

• IM

'I RI f)I I N( ) t il

\\N \\1i N!s b.,a N \\ \\lPI i

\\fl \\Nt R1 \\11 N f" r acto d frequt res of umpimg and an.dysis used durirg i

P! R'Ill' RI'JI'lui \\13 N I' src d

permi re p, I raci *1 i )N'I." f cr s ortm uo, mo n it ot in g, Ic tl)

'i a.

o b=

'. ; er scL.

1/tti for 4

.. dw

,.t rw n:h " I. 1' I ' fo oc Jay per qu ir ret, e:c.)

I:

N \\'t! I i ! T l'1 '

t 5 \\\\tP) }

'il \\NI Rl Sll N 1' I x U; d s, m p'e t s pc used :lu m g mondof rs p<rio 1) and a, I R 'd ! ! R1 /t IF1 \\ll N 1.

i: e i r-

t.. R.\\ li for M: idu it sampit 2 :11(~ foi 24 Lou composde. "N/ \\" f or cent.nuous Il s bl J 3 u1H Q10 A >

l u lil Rf \\ Ir H \\ 1 f t >Ns < 1 Pi R\\fli RI i.it IRI \\tl N f s \\RI UI Pi)R II !). \\ 11 \\t'll.\\ It Rif 1: l' Ni'l \\N.\\ TlON TO DI- $CR'111

\\1 si \\N[1 e imat ( lis t u ih m i sk) N !:111klNt i i \\t il \\ p ii \\ i p >N IW DA ll'.

.t

-M1 1)l4 li \\ R(,l.

a o, f orm in phu of dra cr:n.

it s

' 4 PRI' ' ii ki ! il t ll\\ l t s1 I M I H oh "M(,V\\it R1 of PRINCIP \\1 l'\\l it'Il\\ l 01 FTl R ()R 1-

\\ \\fl Ill! I s

\\1 lib iPl/l D udN1

'llI: c!D Al N t \\liit R

- D\\ll at. L.m of f or m i.

l i e>'

s>

i m povr Rt!ia sops f or,om ra eJs

' t

't,t

. I h q.

it ni

..I

!.n I)is 11 \\ R t.1

\\1(Wil(IRING RI p(>R I e DNIR ) f orm may be oM,nned from (hef s) it.

1i s

m

..I.n pe I

I FG Al NOT)( l repmt tr a" fo't> ean result in dul penalties not i ( lM 12 "

Iadu.

ro rear fad :c

!!.rgs ra6 H

'e3 t si iti' o

i s n;

l. t cssi ;J 42Ei'FP psr t' :) t,{ s ioljl ton, er H. l'11B honn1Cht for not more th an ict.

s,i' 5

pt,.'.

1

.1 sf.

per r> Fo

. r.

s ; i'

,o t

I l

i

{

i l

l GNO 333H G70J

."J35

_m.-

.--m m

... - _ - - *- --- + -,.

.-e-*

1 I

T

'383H i

i d W T.lS l

f.;Y,d

-] c, :uA 3.}p

-^ 4 O

e J

JuJH n a n; o

...___.m_

m i

PE RMITTE E N AM E / ADDRES*5 (19dade N ATION AL FOLLUT ANT DISCH ARGE ELIMIN AllON SYSTEM t%PDf3)

Form Approved t a. % t% ear ri < - > v e er.u*rrent s DISCH ARGE MONSTORING REPORT <DMR)

• • TT

OMB NO. 2M0015 c loh 117 191 1~ 1.v'TC 3

. t

~

~

• Nau

'~ ~

• ~

.r e'rL1NC T ,w c e -' U " % 2 tl $ F j

A DDR ESS

~

l PERMlT NUMBER onscm ARGE NuwBE R MONITORING PERIOD EAGLL8IJ_ _ _ _ _ _ _ _ _ - -. _ _ _ _ _ _ _ _

"O f

i " ' " '

"O

^'

LOC A TION

[ i~ _

_ f ? _.*_

TO [ _

{. l j

<.'s Ji,

< Jie udJ%

s.'e J's s.'s.'*

P'"

r NOTE: Read instructions before completing this form.

( 4 Card Onh )

QU A NTITY OR LOADING t o C4#rJ Only)

QU ALITY OR CONCENTR ATION

' " ' $"r,* **C '

PAR AMETER

( 44-$ f )

(54 61)

(3041)

(46 5J)

(3441)

NO-8 AM PL E TvPE E=

ANAL...

AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS y

,g g

4 SAMPLE MEASUREMENT E. 'l.

8. 7 0

1/ra.

arab

(

~

~'

^

1 PERMIT l'

L' r'

\\' U

'L'/

+

REQUIREMENT j T((y, s.t ;, {p

1,

/, Q P2 T rj i

"3 i

1 S AMPLE MEASUREMENT r'-

N O

I Ma. en i

r:

!v -

"(./ L ai; /

usa:

. (.

t R EQ UIR EM ENT

't*,, T L y * '.

Itt ni M C' N T e S AM PLE MEASUREMENT 1g 1?

] fr;0.

crab 1

4/L c '. t /

us.'

, c c: "

e

; 0 ;

1:

r:

. C,.

PERMIT REQUIREMENT f.3 Y ( y f., y

]5 j s, y yi M {. h J +<

r y, '"l

'2

,J g it y' y

1.2 i

's S AM PLE MEASUREMENT t.

g

}

r g7 p g y

3 u..; e 6 '_

rm n n a n.at

' 32'

i. 4 L 6 /

-): &

e j

7 M G N T F4 REQUIREMENT S AM PLE MEASUREMENT PERMIT REQUIREMENT S A M PL E MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT R EQUIREM ENT N AM E / TITLE PRINCIP AL EXECUTIVE OFFICER I CERTfFY UNDER PE NALTY OF LAW TH A T a M Av E PERSONALLY EX AMfhED TELEPHONE DATE AND AM FAMtLIAR WITH THE INFORM ATiON SUBMITTED HEREIN AND BASED r

ON My eNOutRY OF THOSE IN0sVsDL ALS IMMED' ATELY RESPONS*BLE FOR

'7 "4

(.

Tt UN d6L. # (!..; d p (.

OBTA%NG THE MORM ATION I BEUEVE THE SUBMITTED MORMATiON M

.I Cy E['

15 TRUE ACCURATE AND COMPLETE 4 AM AWARE TMAT THERE ARE SsG-

,,Q S S l fC tW!;e N E M N+F 'C A NT PE N ALT IE S FOR SUBM TTtNG FALSE NFORMATiON #NcLUDiNG THE POSABILITY OF FINE AND IMPRSONMENT SEE 1B U $ c 5 1001 AND 9

N ME" PO E*O NE n "b3 -

N'

- J 3 3 U S C 91319 rPenaltire ander rarer eterarre me, 4=clude /enas up to sto.orm l

TYPED OR PRINTED

1. 9d "' *8 88"* 85P'8*'M *'nt o/ berurre 6 most4s end J wers '

OFFICER OR AUTHORIZED AGENT

,ANA, NUMBER YEAR, MO DdY COM M ENT AND EXPL AN ATIOM OF ANY VIOLATIONS A RrferrRrr;ead uitcheerrars here{ g

((,

j { (,..;

,3 g g g,

g (g9 3 Jjgp g p 7, 7

v. p ((;.; },

r

'I.

- :T[LN2 4

t

' E P A Form 33201 (RBv.10 79) PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T.40 WHICH M AY NOT BE USEDQ 721/3/111&/14y/F PAGE

1. OF 1

UNTIL SUPPLY IS EXH AUSTED

---

j

GI:NFR Al. INSTRt'CTIONS I If f orm hn been ra: dh v mp'etcJ b) prerrHinc. Jisreg irJ instruenens diretted at entry of th:d mformation.ilrcaJv preprmted.

2 1 er

• l'l R \\tl f !! I N ull /\\f \\ll ING ADDRI % 1and fa@ name/!o ation. if ddierent 1," "PF RN111 NU N!81 R." and "D15Cil ARGli Nt'\\fiti H a bcre u1 ce ! t\\, p.u me im m L requFed 6 mh d4s harge.)

s ur e.m 1 er las Att W ilt)RI M. PI Ril)D" su'.cr ed by form w here mdn; ate <!.

1 d

4 4.

Ie r e.

4 "I' \\ R \\ \\fl 1 i R" n i hcd n mon im me reanuemech of permit l:'.

"s t stPt f t!! ut Rf \\1F N1" ':if c u h r r.m ete" orJIr 'OU ANllIF and "QU st Il r in units specir'ed in Permit.

u I R u,I '

s r.

1,1 v*s

,. ne icui,i s

n era re f.-

bacMi d p irano; cr i of ail ample meamrements for cash parameter

.ur.a dc

\\1: WI I( W IM. I'l R i< >li

'\\f \\\\1\\tt \\1" and 511N I NI U \\1" r e noi m A13 estreme hich and 1o4 mea sur ement s

m: "\\1-A l l t

• J N(',PIRDH)' < Nt il l

n. m u cp d, w ith sesonilar) trument re.puement, cn'et 10 Ja aserage of sample

, J :,w 1

• n.

,o 9-

' O' f R u,1 '

.m i

(

, m, s > e a T J..) a s e.4pe of amp'e mt asuremenh oh'.cneJ durmg moni'pmg period under

' \\t \\ \\l\\fl \\f '

o I i cr Pi R \\1li R1 (11 ~1H1 sti N l'

.e ;to a m c a rJ; "Ol' \\N t Ili" and "Ql: \\1 IT\\

• s speUned in permit.

' l o !:r ' Ni > l \\"

r ur-cr '

m @c r cems'

ine TerW the cheeJ maumom t and/or minimum or 7-Jay 1, m m '

t s

i.,

,ei r, n, r

.ere f.

cia ;

<m wr. If m t.

emer "C I n'.

'l RI Ut ! V \\ f >l

\\N \\f A W h i n m OT PI l' \\tl Bl RI \\1I.N T" (.u n.al frtquena of s m'rbng and analysis used durmg M'

f..

me

't

~; r s a

' l ;.N '

f..t o. dm pc au&

"1 M for or:e ilay per quarter, e:c. )

per.J '.

' PI R \\1l!' RI Of IRl \\fl N I" sped' icd in per md te ; I n'er "( (IN f " fer tontiruous mon hor mg.

s

'e Ii s \\ All'l ! ! \\ PI '

'ah

's \\ \\1I I l \\11 \\st RI \\1f N !" ea;iu.d s.tetp' t s pe t.'ed Juring momior mg period }.ind as 11 H\\fil F. I Q ' I E l \\ f l N I ~ ce; 1;'

't.RL for ' b. imil s irrp e 2 4 tic ' foi 24 hou ampostic. "N / A" for cent nuou'.

i s

t's I

(1SMid 3 H1H C1031 ulu Rf \\UH \\ rp Ws 'a 11 R \\lli RI Ol'lk! Nil N i s \\RI kl'Pi >R Il D..sTf \\cli T IIRll i i NPI AN AllON TO DF5CRIHF t \\1 M

\\ND'

' R 411 I1\\1

\\'

ID AN I \\ k t N. Ri 11 RI M i i \\Cli \\ h a \\ l b )N IW DAll..

L mJ.. m c-

"Mi D!st il \\ R(,1 '.u row for m m plat e of data enri).

i!

?'

., J. '.

s t

i N \\ \\ll illIi <,1 PRiv n' \\1 1 \\1( 1 11\\i ( >F 1 l( I R ' u e sluN.\\ l t'RF Ol PRINC IPAl I NI CU TIVt 01 FICI R OR il ' i 11< mi/l l }

u,I N 1

- 1I ! ! Pio WI N t '\\1Hf R"

.nd "D \\ lI '

r h -: tam of f orm.

t 11

'ta !

.J R.,

.t t.4'

.!. o s ' pcc icI in p. ru!

Reti., e ps for y our reu :J s.

s 111 M li;R(il.\\1( A l !()R I NG R f D()P.1 IDN1R) fot m may be obtaincJ fron10he(O

'l-J Moo w

s ecs J J. pe; m a.

I I-G Al N OTICI I*

',s e 11 I si

!s is to ( lR I?",

la m to i.pmt o: f a:ha c to r cr_. ? truthfuh can roult m tail penalties not 1h

,or, o p.

i,r

,nJ p.,.h..s no to cuced '2 900 per du td siolaf.on. or by imprimament for not more than

-i s t ;, 6.i or b b.

I

....393H...704........._......_.....__.__..__.______....

GNOO3 5 0

)

l t

! ww s

a dOY1N i

m_

-%-m-

• O h

--__...-..--- --.-------.'--- -..-.-----_----... -_-_-....-===_-._......

G I

l s

$b N ! d Y 1.

• h O

_.