Text

NPDES Discharge Monitoring Repts for Beaver Valley Power Station for Jul 1991
	ML20082R787
Person / Time
Site:	Beaver Valley
Issue date:	07/31/1991
From:	Noonan T; DUQUESNE LIGHT CO.
To:	; PENNSYLVANIA, COMMONWEALTH OF
Shared Package
ML20082R781	List: ML20082R779; ML20082R783; ML20082R787;
References
	NUDOCS 9109160247
	Download: ML20082R787 (60)
	v • d • e

{{#Wiki_filter:i 4 'Af Duquesne Udit 1.,. _. m. _ '#t??"" Sh.ppingport PA IS077 AXM August 23, 1991 U. S. Environmental Protection Agency Region III, Pennsylvania Section (3WM52) Water Permits Branch Water Management Division 841 Chestnut Street Philadelphia, PA 19107 FPDES Monthly Reports. EPA Permit Number PA0025615 & PA00Q1112 Gontlemen: This letter forwards copies of our NPDES Monthly Reports as cubmitted to the Pennsylvania Department of Environmental Resources, Bureau of Water Quality Management. Very truly yours, ,/

T.

P. Noonan General Manager Nuclear Operations DNH/ijj l l f,thh $ i f) - h^ 8)'

'Af M T i.pnon e4m asa+xo Nuclear Group P O Boa 4 shippmgoort, PA 150774VM August 23, 1991 D:partment of Environmental Resources Bureau of Water Quality Management 600 Highland Building 121 South Highlana Avenue Pittsburgh, PA 15206 NPDES Monthly Reports. EPA Permit Number PA0025615 & PA0001569 G0ntlemen: NPDES Monthly Reports for Duquesne Light Company, Beaver Valley Power Staton and Shippingport Atomic Power Plant for July 1991 are submitted for your consideration. Please be advised that required techniques, even if performed

properly, do not measure actual conditions with 100 percent accuracy 100 percent of the time, and therefore, some reported values in the attached DMRc may not represent actual conditions with absolute cccuracy.

Very trul

yours,

' Y<& / T. P. Noonan-General Manager Nuclear Operations DNH/ijj Enclosure cc: J. D. Sieber A. M. Dulick S. L. Pernick N. R. Tonet J. E. Matsko Central File (2)

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1. If form has bctn parthdl) compkieJ b) ineprinun3 dhregatd tra:rucibn. d,re,ted a, ar) a tim A 'mmn uheady preparued.

2. Enter Termifec Name/Afa:hng Addren (and facibiy n.unc lxmion. il ddletrm t ' Po m ' L e ^ and "Di3chargc Numhcr" w here indiented ( A sepci ate f at m a requacd f or exh dishara - )

L Enter dates beginning and endmg '3fomtonne Pomd* w,tIcJ by foun w lucie mJamJ. 4, Enter uch Taramc!cr" as TccifieJ in monitoring requiremem, ci poum

5. I:mer %mpic Afew:urcmcru" dra tm uch puameter under "Ga;m!n3 ~ + J Vm n ' m m; s pie

per mit.

=An taye" h normaHy rathnmic avnage tg metric mere for b utcom pm m: q ut sil euph inceure-ments f or crch parameter ob oned Juring "Mam:ome /Wi" Sfawns <u,J ' t!9 o' a::r m :dly ev treme high and law meoutem at< ohlmn.d damy ^'ifon unn Pew! " (Note to mumtipah wHb m oadar) Oeatment requirement; Emer Aday us eray et wuM ' me nuemenh uder Im.i njtrar utmum ddy aserag of sample meamrrme m owned Juriq moniuuing permd unJa XW:vm ')

6. f re: " Perm:t Re:;wremed tot :ach p.e amcta e : Jar 'Qunia; cd V alip '

~pccided in punit.

7. Under "No W enter number of sample incasuremenh during monitoring peijod thai esend maximum (andt or minimum or 7-da) average as appropnMe) pennit requirement for each paramrto.11 none, emer "D. ~

8, Enter " Frequency of Analyus' both as '* Sample Afrasurement"(actual frequency of samphn; and analysk u+d duriny monitoring period) and as *Pcirmr Reymrrment'specified ut pernut teg., i nir-r Tont,' for continuou, manitoring, *//7' for one day per weck ~//30' for one dn per momh, "//90' for une day per quat tu, etel

9. Eram " Sample Ispe' both as "Sample Alwareme: ' ou tu d ampl: o,p: te cJ darm me onnc p;n:J) and a, Tcrmu R6parement ' (e,g., Enter 'GraV for mdwidual sainpL ?!HC im 24 hour em,,

1\\1.1 ' fo con m, nous monitarms, ect.)

10. Where violations of permit requitements are reported attach a brief esplanation to descnbe cau se and coneoh e actions taken, and refetenu cach violation by date.

I1, if "no discharge" occurs dunny monitannp period. cmei "No D:schar# acrow form m place of data enh y.

12. [mer "Name/Tule of PrincipalExecu:ive officer

uith "Stenatwe ofPrmcipa!Esnwoe O'(wcr vt Authmucd A gent,' ' Tele;> hone Numl#, ' and 'Date* at bouom of for m.

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14. Mor aetailed inernetions f or ut of this Diwl: ree Afonine; /tcr art <in!/O or o+

w 1. O f. 4 i tiw) specified in permit, Legal Notice This repen k icqubed b) !aw (33 U.NC 1318;anI. m 125 9 I W n nr L + r result in d :1 penahic, not to esced SiQt 41 p r d n o' m!an m.<> o 0 s O of sio!adon or M mpnsonmera lor not mon than m : car, m b M L s EPA I orm 3320-1 (itn. 94N) isin -se

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crape pcr respothe for some minor facilitiew tot 10 houn e an venge per respone for somimajor iacilities,_

-i with a weighted aarrage for majof und minor f acilitio of IM haws per lespome induding tihie for tmiewing h jnstructionn warching eihting data somces, pahering and retimaining the data:netded, and completing and -[ .l resiewing the collecion of informatior,. Send comments tejarding the burden c>timite or any bihet asped of._ j - this coCection of inf ormation, induding suprestions 100 reducing thh burdeh, to Chief, information Polio ~ [ Dimch. PM;223, U.S. Emiromnental Protectiaa Agency,401 M Street, SW. Washingten DC 2NtV); and to the 1 Orrice of luformation and Regulatory Affairs, Offke of Management anJ Hodget, Waihingtort, DC 2050L j ~j. + ~ ' m m m_,__, w r.-% ~.-~ ~,,-,-.~ ,J,,w. % -., w - .,,.~_.,u o ._.~u u-, ~p-- L General Instructions ?!fif form hadeen paniaNy cortpleted by prepriming, dirregard instiuhtiam directed at entry of that information 1 - already preprimed. i E2.l Eater "3% re Name/Afvilmg Addren (and indlity namo !ocation, if dif tetent)f

Permit Number. tand j

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Oischage Number' where indicated. (A seperate form is regtnred for each ducharge.)

j '3; Emer daies beginning und endmg "Momforing Period

coscred by foi m w here indicated.

-4l Enter each " Parameter" as specified in monitoring requirenRms of per mit, I$i Niuer "Samp/c Afeararement" data for ech parameter undet

Quantity [and " Quality" in units 3;wdied in permit.

"A wruge" h normallyarithmetic avuage (geom tnc average in-bactetial parameters) of 'au 3 ample measute- ~ e - menu for each parameter obtained durhig "Alomtoring Period", "Afatimum %nd "Alinimum" are normally eb treme high red low measurements obtained during "Afonitoring Period. " (Note to municipah with secondar) .trestmrns requirement Enter 3aday aseraye af sample measuremenn under "Awrarc," and emer innimum 7-day aserage of sarnple measutements obtained during monitoring pened under 11atinrsm *) N. Enter Permit Requirmwn/

for caen parameter under #Guamity' and #Guohty" a, specified ja remiit.

N 7 'Under "ko Et" enter number of sample measuremems during monitoring period that eweed masimum (and/or minimutn or 7-day average as appropriate) pennit requiremem for each parameter. If none, enter "O,

8, Umer Trcquency ofAnulysis" both as ' Sample Afeesurempns * (actual f r(quency of sampling and analysh med

' during monitoring period) and as # Permit Rein %mem

spccified in permin (e.g;, Enter ' Con /c" for continuous momtoring, "1/7" for one day per week, *//36 sr one da) per manth, *//99" for on day per quarter fetc.) -

-? ' ~ 9. Enter " Sample 7.spe? both as" Sample 3fmuremem' uctual umple type used during amni:oring period) and as

Permit Requiremem. "(e.g.. Enter "Grah' for indi>idual sample, 52#/C' for 2 5. hour composite, TN/AT tor con.

tinuous mbnitoring, ect.)

10. Where \\iolations of permit requiremenn are reported, attach a brief explanation to describe cause and correctise actions :aken, and reference each tiolation by date, j

p-

11. If 'no discharge" occurs during monitor ng period, enter "No Discharge' across form in place of data emry.

]12. Enter *Name/ Title of Princi;>alErecutiw Officer" with *Siinature of PrincipalErecutive Ofpccr ofA uthori:al Agent,' Telephone Number;" and. *Date

at bottom of form.

13.Maiisigned Report to Ofheee) by date(s) specified on permit, Psetairicopy for your recm dx [ ' 14. More dmaHed instructiora for av unbh Dbchagt \\fonitorme Report tD \\fR) form mn be obtaiOJ fwm Uf. ficen) specified m pennit. Legal Notice Thh report -irequired by law (33 U.S C 131E 40 MR 125.27).. taiNie to report or fmiare to repon authfully can resuh.in civil penahia not to emd 5 P~1A0 per da'. di siolanbn; or m niminal penaltio um to eseced 52590 per day of Sha!iOJ Of by impfhOiHfR*M for Hol mOf e than Om" yitar,-or bv both. l-EPA Form 332021 iRev. MO N 1 'W'Up*i-$d-T

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PMass? Tea N AMXf ADDRESS flechsde stattON AL Pot Lut Aw? Dettwe#GR tuwseenteow 9fB79M (NPDES / FenwrfNeme/Locarbe af dij7 avast) Dl3CH ARGE MONITOWND REPORT iD9fAl ____:. ;_C,,.;,,L, A dly 7PCL L _,_ (2 16! (1719/ " $.J " Form Approved. (1AM_f a- ?' - _e._s_ t#U 6r .? M 5 tW " . ) OMB fio. 2040-C004.. ann = a i ,__ _ m m _._.__~_. _., r,, PERM 7 N ues ee R ...< - a m c e - = # .-.* L Approva! expires 6-30-91 , - r ~ _. _._ _ _ _ _. _ _ _ _ _ _ o. ..,3s* cs 17 (in ! T

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n. .I wa.4.mm hn m.n,. ~,,,v-e--A .v.. .~;. _s? .w Paperwork Reduction Act Notice j

Public reporting burden for thh collection of informationjs chinnted tsary Ironi a racye of 10 hours as an

.averae per re3 pome for some m nor favilitiitollo houn n an average per reipome for som/ mWor Iaedities i with a weighted aietage for major and minor facilitics of 18 hours per repnse, induding time'for ic6ewiny l si ' instructions; seauhing exhtinF data sourecs, rathering and maintaining the data necdal, and comple! mJ .) (Teslewing the collection of information. Send commenn gprdmg the burden estimaic or any otha aspe, af { lthis collection of informatica, induding suggestions for reducing tHs bmdent to Guef, Information Poha l lirunch, PM-223. U S. Emironmental Protection Agency,401 M StrectAW', Washmnon,1)C MWc sud to the 1 ~;; Offlee of Information and Regulatory Affairs, Of fice of Mangement and !!udect. Wmbington, DC Mui. ] ] i 1 - -- a..- .a a General Instructions - 1 1, if form has been parti lly compkted by preprinting, daregarJ imtructiom directed a vmr> of that jarm niation already preprinted. l 2/ Enter "Permitec Name/Alaihng Address (and %:ili y name ksation, if diHerem)/ ~Penn!t Number,

and t

r "DischargeNumberf w here indicated. (A seperate farm b rcqmred for each dhcharge ) '{

13. Enter dates beginning and ending 'A/onitoring Period' covered by loim u her e indkated.

4. Enter each " Parameter" m spfcified in monitoring requiremems af permit.

5; Emer "Sanp/c 3feasurement" data flor each parameter tmder 'Ouanmy" and "Gua!ay".in unis sw&J ia permit, - %erage" h normally arithmetic average (geometric average for bxterial parameter 4 of au. ample measure. mems for cach parameter obtain;d during."Afonnormg Period"; 'Alarimum? and Mfinimum

are parmally ed treme high and low measmementi obtained during "3fordtorine PeriM " (Note to munidpah whh secomtar)-

treatment requiremnt:-Emer 30 day average of ump!e meandemems under "A verage. ' and emer madmum Lday avera:e of sample neaturemems obtained during monitming penod unda uruximum. ~) 2-

6. Enter " Permit Requirement

for each parumelet undo "Quanmy'and 'Quah:y * :a svedned in permit.

7, Under *Nolnc" enter number of sample memuremems during nhmitoring period that etered madmum (and/or

minimum or 7-day aserage as appiapriate) permit requiremem for each pr.rameter, if none, enter 'O. ": 8. Enter " Frequency of'A nalysis

both as " Sample Afeasurement"(aetual frequency of sampling and nualpis used

' during monitoring period) and as " Permit Requirement" specified in permit. (e.g., Emer ' Coni? for cohtinuous monitoring, "l/7" for ene_da) per week, "I/30" for one day per monthi "//90" for one day per quarter, etc.) = . 9. Enter

Sample Type" both at "Sampic Afea3nrement
hetual samp!nype used.durine monitoring period) and as -

I

Permit Requi&mem, P (e.g., Fmer " Grab' for individaal sample, "NHC" for 24 hour compmac, "N/A
for ton-

tinuous monitoring ect.)

10. Where violations of permit requiremems are reported, attach a brief explanation to describe cause and correcihe

~ actions taken, and reference each violation by date. II, if "no discharge" occur 5 during monitoring period, enter "No Discharge" an ou form in place of data entry. c i12. Ent er "Name/Tule of Princitml Executwe O)]icW wit h ' Signature qf PrincipalFtecutive Grihrt af A uthoriwi Agent. " *TelephoneNuri&,? and "Date" at bottom of totm. cl3. Mail signed Report to Officc(n by date(s) specified on perndt. Retain cop 3 fat 3 0ur resah

14,'More detailed imtructionifor un of thh Discharge Afonitorine RepornDAIR) f orm

my h h eJ 4m : Ob fic(s) specified in permit.

Legal Notice This report is' required by law (33 U $.C.1318; 40 ET R.125,2h. Failure to iepaa a-huW is repmt u munHy can result in cisil penalties not to exceed 510,000 per day of Woiarian; or in crinual pm dtin m o c wed t$ @ pc iby = of violation or by imprisonmem for not more than one year, or by both. EPA Forrn 33201 (Rev,944 = . 3 ~.v m n ,n-

P2nMsTTas Nauttaponess (lectade = ATso At cou uv A=T nesc Aeor eue..= Aveo eveT iM (NPDES / Faccip Name/Lecerine af dt/Tercarf DISCH ARGE MONITORING REPORT :DS'Ri f1AMJ_ l A11 'EL.l. 1__i 11 wi.21 l. '_ _ _ _ M M! Il 7-l'! ' 5 IO Form Acpoved. 1 t v; Anoms 3 .s_.

) OMB f6. 2040&>04.

2 A I. Approvat expires 6-30-91. .- a ma.r eeRMsTMuMerm mu - s u.. -- = = - - + n 51 - MONITORING PERIOD I' " ";77 ~d; :. ,tc 3-r,- s? nU* $14 .. v. ,... ~. ;- ~~ F ACI LITY ,g,, LOC ATION FRO *d TO ~ og, y . I8? -. $ [ f--. f E'TU 20

+ - -

" ; ; e is;n rn ns 124 s M'a r;g ;5 om NOTE: Read instructions before completing tNs form. (I Card Only) QU ANT BTY 04 LOADING ti ( and Omfp 3 OU A L f f V OR CONCENTR Af TON PAR AM ETER (44 3.!) (5441) t M.d!) (4431) ($441) NO. S AM PLE EE TYPE (Jf.J7) / 8'**L M AVERAGE M AKIM t *M UNITS MINIMUM AVERAGE M AXIMUM U NITS g, g f ' E? f ^ * $ 5 /) S AM PLE M E A S U R E.M E.d T . 31 s. ' REQUIREM ENT. Db U U @ fCDOC7D'di 4h 2 M CO4 9 [.~ - [ [ % h T.'IMS - [ ' pgg g gy a J, ,y 7y q pgy,yg.g i , a 4, ,m I

S AM PLE f

'I 5 M EASURE M ENT pggg gy. QQCf74 U@@C00 ? 1 - . O M fWQ C, iG {Qh .f (($hY(f.j O N = 2 [ F S t

i REouiR Ew EN T g

,.g g gy 77 c S A M PLE ) ( [ ') MEASUREMENT m f 1.I f,[ { [ iky*N 7 .CWCdh D O U R C C.' [# /9-e . pggg gy e NT 7 REQUIRE M ENT ~

, {

r y s i ) '>02 ( ) ?>' i S A M et E n t era. y'b,.' MEASUREMEfft dU fI 4 A# 43 3L g.: r i PERM at P ;; F GR T ? GGRt CAVC00 TM*M

VMNG 94 AILI?

OMIb REOutRE84 EN T j_s q. w S AMPLE MEASUREMENT PERMIT l { REOu t9tE M ENT S A M PLE M EASU REM EN T PERMIT REQU f ft EN EMT j S A M PLE M E A G U R E M E*dT PERM ET R EQU ER EM ENT Cf ww w u=Ma M Na OF ta= Taaf

- - a<*
T N wattv i s ****=" U ans ramean ism epte,t vv

,f NAM E / TITLE PRINCIPAL EXECUTIVE OFFICER I TgLEPMO*dt DATE e,et-was omeen tios. N.einerts o g my see ano mass o ANO or v oss attavgnsat s menetwate t w me sMw9sn t n.sm /,. / One * *

maou. set

~

/

regrta 4.gc, v ag ear (wessa eog a perg g of %*f SUBe*"t D 8Mr rimeen tone s er sr aw? w te 5 e w.rt smeG anM ima ma tsm is,o m. -/j i I,sh A C 5* a 14 es four ac&patt amen Crans't fit i asa meamg vena t 1** py ame' so. a r J G d N.T U r,1 -Yg u Rl 393-5113 91 03 23 1 '**f (* ** ** Se t t e U i, C 4 *Ont seso -) a *g nj } p-7g n a se s. m' w.., ,O

- - - 'V n*** * *

.-,,.1.,,~s..- S tGN A T U A E OF P.4f NCIP AL E ltECUTtyt - as- .. n. MNA TTPED 04 PR$NTFD 'E '*d " ame sumin em *pmass, mise er d Ademe # ***a

nd > *** **
gyy gcg g g, g y ggnegggg aggNy NUMBER YEAR MO DAV CQDEI Co*G M E N T A N D E M PL A N AT SON OF mWV VtOLAveoNs tsternm ou ance hmsws hm p EPA Form 33201 (Rev. 948) Previous editsorts may be used.

tRarLActs s*A comee T-4e w c M Ay or me ossna ,A.. or 1, /,+, t 4. g tt

~, + y 4 .+gm.+-o---._-d m.,

a m %

% w. mw qe.,, u m.... w eo._.m 7 -u-,ne. ,.2w b...e % 4 .m. ,,%~ 9 Paperwork Reduction Act Noitice J / t [UhllC KepCrUbg kH eR10 thjN c0heClioO Df inf0hmat10015 (THWale lh \\af ff 0H.! O lin@c O[ lh l103rs M Drl n j ^ averap pr resperise for some minor fakikis 10110 houn as an avnage n r response formome major f acihtiA .with a weighted m crage for major and ininor iacihites of 1R houn per respome, inclading time IAteticwine } ] ; l instructions; searching inhting data sources pathning and maintainmp the de,a needed, j - 1 reviewing the colleetkm ofinformation; had commtnts irprding the burdes eshmate or any other spect of l 1

~ :tta concenon et intortrnuion; ineinding,unesh ror reducing ibis buroen, to chief, inronnatpn penei i

i ' Branch, PM 223JU,1 Envhonmental Protet. tion Agney 401 M Sneet, $W, Washington;IX: 2NM, and to the. Ofhetof_luformation and Re olatory At fairs Office of Management imd th4et, Webinrton, DC 20MO. s m __. ~ _. _, _.. _. _ General Instructions

l. If fann has bcen partia!!y completed by preprinting, disregard instructions directed at cmry of that infonomion.

i altendy preprimed. .{

2. Enter 'Permitee NamelSlading Addren (and tacildy namulveation, il ddkrent)," " Permit Number. ' and I

- DochargeNumber" where indicated. ( A seperate farm is required for cact diwharge,) 3; Enter ducs beginning and endmg *3fenitoring Period" cov er ed by lot m w here indicated. '4. Enter cach ' Parameter *as specified in monitoring requiremem3 of permit. t

5, Emer JSample 3femuremet* data for wh pararnuer under " Quantity

and 'Odcli/j
in units spdal in permir I

"AverageEis normally athhrnetic average (reomettic was for baeterial parametm) of ah ample measure- [ . ments for eadh parameter obtained during "Alomtaring Period'; " Afadmum ' and "Afimmum

are normal!v ep ll tr;me high and low ' murements obtained during 'Afonnvemy Perhe/. " bote to munkipuh.wlO secondary -

-l m treatme i, requirunem; Enter 30-day awrage of umple memurements under ~ Average," and emer maumum - - 7, day average of sample measuremerits obtained during monitoring period tmder Waximum,') j i . 6. Enter # Perm /t Requireman ' for each parametet undu 'QuxtiC and "Gus/ny

as speahed in pa nuL I

7. Under "Nolyr" enter number of sample measurements during monitoring period that neced masimLm (and/or j

minimum or 7 day as crape as appropriate) permit requirement for each parameter. If none, enter *0. * - 8. Enter 3/'requency of Analysis

both as "Sumple Afcasurement"(actual frequency of samphng and analpn used during monitoring period) and as " Permit Requiremem
specified in permit. (e.g., Enter " Cont," for continuous monitoring, "1/7' for one day per w eel % "i/30" for one cay pe, month. "1/90* for one das per quarter etc.)

- 9. Emer "Smn;#e Ttpc* both ar* Sample Alcasurement"(actuahample type used during monitoring period) and as " Permit Reqmrement? (e.g4 Fnter "Grah" for indiddual sample U#IC* for 24+our compose, 'N/A ' for (en-tinuous monitoring, ca.) h Where violiuions of permit requirements are reported, attach a brief explanation to describe cause and coriccse

actibus taken, and reference each violation by date, 7 I il if "no discharge' occurs during monitoring period, enter "No Dacharge' acrms form in place of data ente:y.

~ l2. Enter "Name/lille af Principal Executive 01)1cer " with ~Sienature qr PrincqudEsecutive O!)icer cfA uthori:vd Agent,' 'Telephime Number,' and 'Date* nt bonom oi form: _1f Mali signed Report ts Offic)N byllate(s) gw;ified on pcmit, Reinin copy for y oun esmJu [14l Alere deuded ingradors for use of thik Ditcharge Afonitaring ihmI(DAIR1 f arm may he obtained from Of-3 ticeN apecilied in permit, Legal Notice This report bfeguired b' lo 03 LG C 1318; 40 FIR.125.27L f adore to report or failure to ceport Huthtul.!y can resift in th0 pettahics not to ecced 510Miu net day of vio!ation; or in criminal penahb not to eseced 52540 per day of vhilation or by impmampm fo< not more than one year; dr bv bmh 4 El'A Form 3.wi tRe*, M 1 r 7 a- .m.~my., a m w,-%,.. ,~,..~J.~..J.m.-- .......4., ,.,,,.m~-...,.-.- - - -. _ -. - ~,...~ _.. - 6

a PamesetT".ra senestimoomass (Include

== r,c==t souvea=, s>.30.aese s ue. av.o= o.ste== r.VDED Ferdary Ass.c/Lecee= (f d:Hevnff CISCHARGE MONITORtMG REPORT tversi " *?1 ? -' LEA l._ ___.E C 1_ ___ _. __ _._ (2 tet it ? t9f % g_ ffAEf_ l A*S.f'_'" u

~

(' 1 OMB th 2040,0('04 - r. j ACprovaI expires 6-20-91. n ,v =umeen - = 7J Ii {i. {d 4 I MONITORING PERIOD g rrcourv lveasaI een om, vga : een paw f Po** j i 70 i' - I I LOCArtOM ^ [ 4 " i = "'

~

(JC jf 2 .2 23/ (.4 2 *, f.'* 4 '/ r.'s.% tio j, NOTE: Read isostfuttions twfore plTt.cg ttws form. t J ('e.d (1sats ) CU mm. TIT Y 04 Lon De*eG i t o ( e*er f a,fa t OUALeTV ce ccMetMTwaf tc9e PARAMETER 446 38) f 3d Af t (8249$ ( A$ 7 ) (3441) NO. S*"8*LE gE T* P'E

a. sat vs4 g y g7y AVERAGE M a E 9W Uw tl*e t TS M !*e tee U se a TheGE es aA tas Uw UNg?S 142 A h teg y,

sa6 49 .i[ S assPLE k r ME.ASUREte f M T q - 5 i, [ ! - [ q I -'] r GU-1 C C 1"

Q

{(9 ' pgpas ;y QOgi?d r4 C' ? T t r.r ] 3 3 ( .y Mtousetes twr j. . = ' j,.,, g,=,. y ,x7 j, j j .a 5. y ,y.7 4 t c f. { i e s e s j 3 - mea &UREMENT I,, ' M N h /. \\ 4 P t S a ss PLg g 4 $DO = D"O'~"A ] IbI()IfSS

w '

eER M i T b N O }f Y YEIh3) OVU f ~ =toventie r=Y j q p4 = e t + ,,y ,, e,, } I t 4 1 i,, a Sa asPLE j M EASURE es t eeY I erau s? 8 REOVi*Ett ENT : s g I l } 4-sa eta I weasuneestu? i FC# te st acouterne rne - N 4 m I sawett l l f urasunteer=T i ne u er I etoviatut=T } j -_1-c a m-te ee EASU#Eas E NT t .1 atouintasur t ___._[_- ._.4-l l-

me rt t I

wen as= twt l } et w er i I

tou+seems EmT i

l ass' *mes.v.r ise***"e'm******O

- '**tt'
  - - - O Yttt1*eso*tt j

DaTE ' "o *ase 'r ee"n"g *ta= are.,'9 '**t '.'y N t 0' NAME/ TITLE P9tlMCteaL ERECUT?VE OFFPCEW mas v h e mF= esen na<me o u .f t l 1 rw v r- = e. = =,., .o,sr.t, .o /. /,, i i a,crw Dulitu .w cr , v+, t w a c. = s,.n ,vm wir u.,<, i t 1 .m..., , w w. / .a..

.e n.=e te
ve.

C?I C r.! (hCC16L g Ib,nnger v.w. *.<.ame n,t

e ss onem So===se=+

+ ww2. tw, ' / I < / ' i L. _._ ^ 3 -l 4 N^J ' ' 32 "

m.

41 '" * ", ' ' e< a c eg e a w e%v arw '*i ce .e =e

c

,a t te v

ae,,

_==-. a.u smafuet & ewewscat estcuTen 1_ _ _1 - ...,w +.v. } ve== ! w--=~'--~-'s*--"y+= I'c m j oert. e n om auf e.o ert o ace =r wumer* - wo ca* rvero om ene=Tro co =rwr ano czetawavion er me.v veci_avive... r,% e.,= * =, ae-- > EPA Form 3320-1 (Rev. 948) Pigmforts editioris trury be used. tweetacao re4 recee v-a s wr coe esa v i.of we useo ,1 L -- 2 e.. or ~

...- ~ r. _.m. _. s ~ ..y Paperwork Reduction Act Notice i i MUbiO ICporiluf 'UldtU ICT llds. COMccflon OilnforThdeuH N eMi nuled 10 T of y itom a f.mg of 10 h0div M in l l arcag [ ot respmue for somt utinoi facdities. tal10 hDua w. an maart pa scspomt for so.ne maior hubucs with a wtuhttd metare for major and minor f ad:ities of is hNo per topWne,inJu hug hme fm seuraior l imttudious, A; arching edging data soutees, pmbefity and nuummnity the data artded, and complehnp and l i resiceg the w!!rdion of infmmaden. Send wmiht en trptdmr the Imrdm estmutt or any Nher spect of thia collecdon ofinfortnation, uhluding >unettions for icducita it k burJ,n. io Umcf. informanon Febc) [ l liranch, PMJ23, U1 Enviromnund Proteenan Agnm 401 N1 hinci, W, WJdnftom IW NW; and in the Of!kt ef inlotmation and Rorolatot) Affans,0f ucc ol hinnanmi-m-3nd liudret Wmbigten. IX.00301 i { __..... _ -,_ m ..s -_m._.,m... .-s._ g GeneralInstructions 1.' jf follM h3% been partlAlly LofTiplCled by preprinting, dbrCpJtid inst.1Wilani thicclett us omry of 1jUti initi'mation - a(ICAdy plepriflad .'2. I'nter "Permitee Name/Afulling Addreu (and Iacility narnerluauion, if ddIciena, " 'Permd Nmnber. ' and j ~ "lScharge Niember" where indicated, O seperate Ds m b iegmted fm c;.ch dischat cJ 3 h bnlef dillC$ be$!nfikng !Jnd fndWg "$[PhlfprM( PCr/Od* Om Of td DJ toMn b hete iMdicduJ. L lintet each *P.trame/crias specified Ni msnit' orang requnemem u# perm;t .t l$, linlet % amp /r Afetimerment

data for exh paramtier under "Quantr(y' and "Qualhr" m unia edid W perrtnt, j

"A nearc* b normally crithomie ;nciage (geomeuic averne for butenal parameten) di ;dhunpli wasure- [ meats for each paratutter eMainex1 during M!vintorme Peris #, "Alammun' An 1 Sfmimum " are ncinudly'es-j sieme hjgh an( low measmemems obtamed during "Afurutusry Period. * (Note to munn lpah whh urundary treatment requirementt Fmer.W-day merge of sample meentemena under "A wmn, ' and enter mahnum l [ day avtap Chample memmenu n3 obtained dudr.p monitving perniJ unJes Ofaximum.1 j 6._Yitler hPt*rm5f PtyUlr(UltHl* $9r t*Mh parantelVi Undyr "Q4.t!'liff

Dnd "QHJh!) " a'. %peCiliCd in QClmit.

~

7. Undef "No & " enter number of sample measurements during monitoring period that tuced matimum (und/or i

minimum or 7 Ja) m etape as appropriate) permit requiremem for rach pas ametrt. If none enter 70. " - 8, Unter

Frequency ofAnulpis" both as *Samp/c Afeasurement" tactimi firquency of sampling and analyds meJ dmint monitoring penod) and a5-*Permh Requircructu" tredfk d in permit. (c,r., Emrt Tont.
for modnuous

.s; ~ monitoritigi f/H' for one dar pcs werk. *//30* for one day per month, "lM/" for one day per quarter, etc.)

9. I'nter *Somp/c 1)pc" both e "Samp!c ifeafurement * (actual wmple ty pe med dming uionitoring paiod) and as "Perridt Requirement, ' (c.g, I mer "Grah" f or imhddaal sample. "N//C for Rhour umposite, N/A " for wn-

} tianom moultormg ect.), iloi Where violatiom of permit requirements are reponed, attuh a Mcf esplanation to describe cauw and cencone actiom taken, and referrm e cach violation by date,

11. If "no discharg* occurs during monacring period, emer *No Ditcharge* acrnw form in place of data enny.

12 Entet *Namen1de of PrincipalExemtire Officer

with %ignature of PrmcipalDecutive Q%vt ofAuthorimi i

~ Agent *

Telephone Number ' and ?Date* at bottom of imm;

]' '13 ManignediteportLlo Office (0 b/dalchbpreifiedpn peindt. Mtudt@pr fot 3eur wrJL j -11. Note detailed iratructions'for uw of thh Divhark Afimitorine !$ port JD3/Ri fo(m sne be Wma hom OR fice(O specified in pet mit. Lega! Notice Thh report n requhed by Liw (.13 USCc 1318; 40 EJ.R 125. L l' mime : s repmi a td!me to wpod nunih4 an M

redilHn chil penalues not to exceed $10MW pei day at violmion; or in crimwd pmahr m : to to eJ Mom per du

. { of violation of by imprkomotnt for noi mote ihnn one yvar. m b) bmb. I b LPA Form 332U l (Res. 94M l + .Nt - t' y Q .C .ps 'O .r. J ?

)l l 'l6 E [ 3-a D v n. 'mm, t - c N 0 u 7 L v g c I r 5 c !1 o g t ,t g l ijl 'l'I v o g e ,1 a n l v P*, y 't t o b V T. 1 ? e r a r I~ L I t m a s. E [ 1 a t A u g t 9 ,e t I v

~ _ a.

ll .{,[- [b pl. u! 0 if; 3 ,+ dma 3 e' e jtg ,g g O 6 7 s ~. v

r l

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j

'i f i iiII!ti} T E

M" D m8 r

c 60%, M u Q ~ s y y 4." C t s n ,. i m n 0 ) ; u s 0 , d e 7 r Q .f. e a o4 v e e e 4 n ,R T0 a w 7 y a Q t s Jg Oo m e s E r a ,r T T m. =e O F' E g f t l; N C N g z t F O t-S C 0 g4 y o E t ll ilI W 9 s k D h' s r U o Ni = n O a y 4 u 5 a m 9 e M vL s a

R

}Ii fL a 7*4 v 4 p,

w n

et$E' 0 S 5 o o I e a g s<7? q i U ,[r,- = es D w O 1 s 2, l

t u

.e:C O } t I v i eP m r ts I e t R m.

== C ll P a p m r rE ~ o o v a E m p4 o. U e w u

N 7

l} We =G w a J a s s c v e t f t w u a s eI N o ae o,, e m =. n<e-

== n s-9 ( c s r eO w, e +r). m-I T e w Q D 7e D e sC ]j R l} a a e. e a m "u. t t . y. eT O 0 et c. a m r I mI T n ~ = e w. <o se. e t w 3 n

.N n

2 l e o 4 t I sO e N jit~ t a. v. D v.

u %

I e 7

u. e

) I e ,e M w O r s e e r r a. v Y =E 3 w M o 2 A

.=*,*v N

? aG* / + w w J. L = e*e*.- 2 = eMl ( s = uH e jl G i 1 r T,n%

u vo.~+

v f i M 1 u I.' g o m

e. *.s.e.d n

n 4 a D eC m a 4 .t.r a ~ 77 a O

. e. N += *

~ e o e e L. S g I r i O n a y C n C f i y e w.o=sn* 9 =D t L e u [My y s o w Rv am s,v. t v ll o Ce s O + u c e *u.* 4 a C 7 a sg m Vd m*** d t e t 9

(

e e "* t u s = T e e N e T 7 ( e m oe d' o' e N a 'o.. g ry u '.wt a -g. Q ere*w% 't e m 1 O f C i a a, p. g.*e% = b - g = F' ) G r 0 a O0 w s

. =r
a L. _

q" 5 5 C n

.ce s*e f

s

v. ' :w -

9 Dp eo 4 t o y o;vmn 'm. *v

- =

aN4 c e*s 8 v b E7 o =- p e e a 0 l c _,A = f L u T__su._ e ll, jl l y f g d.

e.. r.u l

e e a*w r s m=.~< ,=a<"ew-P. 1 u e ? t r 7 T ? T T r i T 7$ = v t e w s a '8 M m N M w e t t t t N s .. r g d S b e s e E t E e t ,E tu T t= r '. n O s *** e. n

tw a

p + r r t t t tw s# Eu ,r t* t lw .M L v T r N e e L Le eu t ee e s a t in t O t t et wt et wE P wE P wt ea wt >t wt et et m s a* sR .M sp at aew a# wR n w =u se t u wm = T w

n i

u .et nV a t' tu t nu u e s t s tu a r t a 1 s tu a t a a u ss a V a g U s tu a t, o e s eu c L s s r a ,o s e s e sa Q a o a sO s ,c s a a 9 a o o b a s r .r t E t t t t t t t t e t r l d i r a w w -R w M w D w w v L_. w a m o e . e l, t s ( s e n u e L_._ e v a o f s s w d. r o F o u t C f( e i P r C t w 8 _ C c O t sf a ) r ac'- s s u t T e d ss a t e A a S. af _, L. cdd,,em_i M o@ t n t, es h o a e v t, e e e o l R sa a,, u.- g P n wt m, s wi E - a==M, ( ( 2 e a ,y D 0 t c 1 y a r ac n e v. m 2 l es a / G_ s: ..i i n. h t s 4 3 I t a r 3 r um e - _ Y o T m M m v te . T r r tN e _. B t o y-t A L a_ g w a F s m e y F. = ns E n I er 8 s a e i C c _. A aacAo A o_, .a w O P pF H S F t _. C E

1
{!

iaf1 'iftjj3ij'.2i]1d1)

g , s. m. m -.i..m.u, un o .s m.A ><mwe ,e.. ... = - *

4 w,+

e. o. Paperwork Reduction Act Notice une uponmg bmden muumacuon of mroimanon h emmn%> 1mm a m%o moms mm 4 -awiaye p<r #cmume Im wuw mthw f acihtin,1u110 hooin a3 an mudg nt repne tot uune major f antnes, j with a wrighted ast! age 101 suim and minor faidines el 18 homs en iespeme, mcluding time for sent amp i irnriuctionn wat 'hing cuting data unoces pthering imd mainniiomy the data needed, and completmr arnt l tedewing tht colkction of inf ormation. Send t'tmnuthn Irpoding the lmtden (stmule of an) othel afect of { 1hhloucellon of infotmation. ithloding t,uyFotiom foi teduony thb budtn, to t hief, Infornution Pobcy j i- { llamch, PNK23. U.S. bivitonmental Protectian Aretq,401 M 'sttert NW, hhington, IK.M.th and to the Office of Infrmnanon :md kcruktory Afi.urs Otfia of Wr.agement and th dgt, Wmhhgnm, IX 2n30L - - ~ ~. - - -. - - ~ - a General Instructions cl. If foim has been pattiaNy wnM!cted by pitprinting., dhiegard iratrwthun dittato at crary of inf ornution - already prepnnted. ' 2, I ntet 'Perrmtre Narve/ Alm!mg Addica (und f a ihts t umcilocation, d ddlesenn." ' Perma Nmdherl and

Dachargc Number
ohere indicated. ( A seper ate fcum h requnt-d for each dhhar ved

3. f nier dates beginning and endmy *3fonitoong Period %eted by im m w hcie indinuedi

4. Entu

ach
Parameter
n mecified in momtoritic req"iremenn 6f per odt.

y= E liutet %mp!r Afeurement' data fut caen parametet tmdct *Quantdy* and "Gaa!uF m muu somfint in nTmh. "Arrt# h nornudly arnhmetic average (reometne aseran for beenal parameteN of all wunck meatme-mems for cath pasameter eFiained dming *Alonitormy PerioJ7 'Afarinnun* and #Afmum.rf ate nornmHy cb f rCmc INgh and low medsmcmenh obtdined duriny 'Afordurmy perimf * (%oly to munkjpalv Mith %CHmdar) troutntent requiretuenti Futer Mday wcrape of satopic meannemena under *A terver. ' tind enter inntimum 7 day m erage of sample meastu rmenn obtaiaed during mor itnrhig period undt "Afaunmm *) ' 6.1.nlet ' Permit Rrymrrment

for exh parameter undet "Gusntio
and "GuchC as spceitled m pn mit.

7. Und r 'No &7 enter number of sample mesurementi during monito ing period that escred rnasimutt-(and/ot minimum or 7-day merage as appioptinic) permit requirement ior each pasameter, il none, ente

'O. '

8. Enter

frequency of Analysis
both as *Somple Afcasurement"(actual f requency of sampDe and analysts taed during monitoring period) und as *Perrmt Requhemens' $gwified in permit, te.g., I ritn Tont.
f of continuous

- monitoring, "//7" for one de pet wcck, "lBO* for one day pa month. *//90* tor noe de per quarter, etej

9. LotePSumple'/;. v" both n " Sump /c itemuremem * (actual sample type uwd during numitonny pnioJ) and a3

' Permit Rufmrrmen4 * (e.g, Imtet *GwV for maiddual umpk, 7///F fm 24.hoor corupositr, "N/A

fm wn.

' tinuous monitoung, ett)

10. Where violatlom ci permit icquhements are reported, uhach a brief espianation to dewsibe cause and mercelhe acdom, takeni and refetence each violation by date, 11, if "no diacharyc" occun dming monnoting period, emer "No Discharge" aemn for m in place of data entt).

12.1 nter "Name/ Title of PrincipalExranis e Officer

witn *Sitnature of Prinequd Ihrenant O!)icer uf A whori:nl Agent,' 'Triephone Number: and "Date" rt bottom at Im m;

'll Wil signed Report h) Office (4 by date(@pecified bn permh. h tain < copy for y our records

14. Mme deh!kd instrwtiam fM me of thb Dtt haar Af.mitorme Repmt (mfki fonn ma be obtaincJ imm Ot.

i lice (s) Spmiied in petudt. Legal Notice wvepon h muwd n+ omw om.m ea nuunmm upon o, uhm,cpmt nouunmn rewth in chil pobhies not to meed $10M pd das of do!aticn; m m clindn.d penahe nN w ewred 525M per de o[ld!ddoTI o( h ilhp(i4DQ1TTnf tof hnt mdtf thdit one 33r, W b) hWh. i I PA I orm 33201(Rei. 9 8m ts..,. .........imi-i.

,i ) 1 b ' Nyi ~. ' i - I ly = = - t b i i

j

.' ?$ . j

J.1" l{.I

..mI s E '~, O_c w s"w (- ^ 3;;;.- e t a s i w f E( s 8 . m , M' w e c .p 3'} i! &}1 ii! {i v . o h M , f ]- a _w F 4 ) q A 9 'e /., f 'M v o

.4 t

1. c p L L w e + L i a s 2 e t j d r a 0 _.J .v e

d. 3

,J v jj. 41[ lj jl

te

..!{ };i i ' 'I v ,,t ) t l + i y4 ~ w W, m. j f e ys 8 e ,f a ~ 4j -)!j lij itl:l '[!. - s e5 O e o 4 i t e 4 r - w o 7,. g f s v e t r e b t w p l s C w + T coa w u fa Nv o i m ,la"]e. e o t mg x

.!;.1

!g-6lf-j lip 4' ! 4

ij; i M.

c. e r oa. t fQA s a = 3 L e 4 v y e I F ~ t n od + r,._

. t

.e t l = v i r O r u e t d n u R ud a 3-b,7 t o e 7 .'k a n w c c E t a e y u T m O t {- l,s {, )' l}tjj l j. t s N cs r a s e 5 o e m I y. u o.o o M I. l =- op o _f r;. s s f w ** .llgJ ar T V n of m ~ +e u J a 4 n v t 4 n a o 4 r&d v 4

- o*

e v e y-e s ePF =u !j t a J e ' o o t < S a _d e vY 3 v j a s

s. R C a.

D w o a(i; - !j {>! ' Ijf r { I P e I ,4tuK l u O W / / a m "o &O m a e R n v

v. R l.l P

s E e a a C u ra /ns o E n m v d Tp m ~i 7 .G e sN G ~ nJ Ili v e m A n e vI N O .s.. .e c ~ 0 4, 4 .. m..,- e R / C7 e ,( e e eO RI T a ~ = a . a. c

j

.T O e f .I v

e. a. ~.. _

L .M T n j}- f ll.l p< !l lte l* m ~w.e a e, O e N c I e .s <4 oS e s . n~an e O lgt r e s e .E u M 3, e

w...s,....,o"'

v w . G8 w u .. ~ .tR a 1 e 2 r i uA! t s l 3l tl> 1! _I81>Nj !i lf rm%v.e. c a s w, .e a mH a n w ~. " i, o e C a s a m c ..y.*

e. S e

o w ) r e, .I ..s~ u e c } w O D af s ~ mo.e., s 4 a e A c v ,j, O c4 + s e. c 3 a a a a R y ( w O n =- t e ,( a., n.=- - F re f e + e e.n w, s. e v A r m e . ~ n n t v a f l 1:!iJ n +. n a 1 o a." = c 7*

a..

0 e 3-u s rm, 4 . c.. n a. t. 0 c 3 6) a. r. ._.. _ 72_- NE .a E 0 O ( S t u n,.r. n e a r ~ 8 _ u_. d( v o O v ~.,- r G . r a ( .a, d_ _ #w - t l*s eli ) ll a ,m.-~ e f r a w

a., u '.

s r r v t t T t T E. __'m. P u t T T t v r u m = n w a w = w s u = w N <c e

o... v

.cn,a .r s b a t t e d____ t t e w t r r ,e rw t c ,r ta t tw T. c E t e z iw t w t Tw .e y w T eu v w t rw tw ,w t ew t e= wt er ,r e wr .t ,u a at t o t t ,ar w w wr e wt at wE s m ,t e n a rs w

a w =u n

a r w .et a tv DM oe w u w ,e v u =e u s,v ,u s e s et s PU c L u s a tn a E+ A s Eu s gu s u a a s n s u s s p sa o 7 s ,o io a c o a n a a a C a O it m w' d e r r u t r a t r a t e r t A w w w a w a w M w m w m w p M._+____ 4 l j. (g o e Y s N u f( i_____.- ~ m k. ,v a lm a e o F d. e s c. .e c. r C t P w

e

.a " a_.__ s=L ss ) O 3 r tT 8 eer M a ne .a o t 9 m oS" E T oh v D .c a s E L e mf - a" .~ o, a w e R w e e M_ w ( rb _ __e _ R t t wr a y o v ac P .u wa me m _. f'_t L t a w s, r, s e e r s_ _ o_ m a o e _ va e t r rN v t e o e y N. s . a w m F t naNc_- _ E. c t ser

o A

e o P foA. L r n e! c E eF f A. i I

i l i. 7, - _. - - - ~ t Paperwork Reduction Act Notice l euehe nponing tv, den for namneaion onntennanen wiuea to wn nonmune m amis mn - l JR!lt9,e ptr it,sppfhC fol hOms Jhindi fusditic, tOllO lloW h J$ Dh 60ef Sge lK-1 'Capuf tte tol AO!ht M&jul IM Ndhs, whh a weighted t.utan lot nwkr aind mmor f acinocs et th houh pet ir,pante, itnludmg time for ics waior inm uecom,w u un % ongd o som m.on % mcana oanen,ow d o nu md.tmd comseuny.ma i f esIeu ADS th0 CoNdlion O{ ifdO!Didtlon. *5ClhI t ofDn4hlk iOgdt d!ng t hi burden 0tlilfUf.c tir 40) olh *l E5pril Ol -thh collathm of miottnanon, nnlu hty; sugntions for reducing this buida to Clocf, lidormden pohc3 ) 3 thunCh, PM 22I, U.S. bnOODmOm.d eWlCdi0n beney, MI M hhech 5W, Dh!Hylph, lRl 2Mt and to th( Of fwe of information and Perubre)y Af f an% Of fhe of Man.yanent and iludget, Wa.hingon, DC MD). I a s, w-n. %. n. <w.w.a.n.~..-., e. w e w w-m,.c .%.4-,. ..+,-+.u_. - wanac-u. a-, ,,e r -

p. m

-.m= r General Instructions uf!=omum pmndumena b> rreponunr. dw ma meawm dit aa a ennm ounon>rinaon r already prepnoted. t 2 ) ntes *Permitre N.rme/Afathng Addren (and fuihty namellocawn, if kllesenty Ternut Number

and

[ 7 "DischargeNumber" w here indicattd. ( A seperale farm b required for exh dhche pc.) l

3. I!nter dmes beginning andirdmy *Alonunrms Pernul" uncied by form u here indicattd,

_4. linter tach "Parumcrer'a me Hied in numitoring requirements to permiL

5. Enter %un/ r Aframrunera" dita for tach ptrangter under 'Qu.mtity" and 'Quaht( m unns sidinalin permh.

d ha# h normaHy anthmetic metage (nometrieperup for bactetud parameten) of a0 snaple meamre- [ m;nts for each parameter eMained darhv "3/anitorme Period". *AfaWmuW andfA!nomun* a'e nornaHy to treme lhh and low meememems obtaintd during 'Af(m/turme Perio:/.

mote to mnedripuh wille memhir3 i

trrutmrtti requirtsuctil; Fluci 104tny merage of supple measuremenh undu "Ateram

and (niet madmum

( 7-day nerage of sample miawrements obtained dur' g. tuodtoring period unJer ' Afinimum, *) m 6.1 nler ' Permit Requircment" f or em h parameter undo 'Quanisty* and 'Quably" as spediled m pen iniL [ t

7. Under Po IM enter number of $ ample incasuremeuh during rnonitoring period that cured maimum (and/or

>[ minimum or 7-day avesage as apptoptiate) permit Icquirement for each paiameter, if none, e nte "O ' l 8, linter Trequemy ofAnalnh

both as " Sample Afraturemint * (ectual f requency of $arppling and analph uwd I

duting monhoting petiod)and as *Pctmh Requirement

specifini m petinit. (e.g., Enter " Cont. "; for (ontinuoe

I monitoring, *I/?* for one day per wed, '//M* for one day per mantin +//0fi' for one dai per quarter, etc.)

i

9. Unter *Smnple Dre" both n " Sump /c Aka:wcment'tadual sample type uwd during mimitoring perioJNmd as

" Permit Rajuirement."(c4, Lnter 'Grah" for mdhidual sample. Wl/C' for 24 hoar eem[Mte, W/A

for wn.

[ tinuous monnonny, ect.) I

10. Where violatiom of permit tuluhemenn are uponed, attach a brief eiplanation to descnk cauw and concak e t

- actions taken, and reference each Wolation by dec, [ t i1. If % diahatre* occurs dueing monitoring period, emer "No Dacharge" across form in plac of data entiy. ) - 12. Enier *Name/Titig of PrincipalExecutire Officer

uith *Signatwe ofPrmcipallhecutdc Q[hcrr ofAushortwl Agent,' ~7'r!rphoricNumber;* und 'Date* nt bouom of fasm.

L11 Mad kisned heport to OITicet9 by 5 ;itetsupecified on pcrrnu; Herbin cery fot your sc o* .14. Mme detailed imtrugdom Ior me of thh Decharge Afonitortny Report /DTfRJ f of m nm) l'e otiaincJ trom Of- -v l ECM) Spec 5fiCd kB pCFWits Leo,al Notice r DH TCpptf b feddled by la A (D IMO. 1318; 49 L i.R,12$,27), l'adure to leport of huhuc to repott O uthfuD) can 1 result in cnil penalues not to exrced $10,0!O per d;iv of dolanen; or innimin:d penahie, not to c*.eced $25MC per day - Of _ViMado!) Of b N0pdiomPenf lO* TiDk IP'tre thPU) One phr, Or by bmlL .I PA Foran 33201(Hei. 9M4 i m =wt--,,- e v se t-y= -%-vs.. 4 em.,qs y,es--,e-em-c-4.-,

ir,i, o

3
Wo p

3 ,a 4k

1=

t W 0 S 8 W is

e...

_ _...,_,.,,,.g_._ rn 1 c. 0 t f y?, y

n

,a 0 C-v2 ,2 7 r g g 4

1-9

_y._ l l;! _ _.E O 3.. O I l I' "' u 9 7g [' ^ ,i . 1 r e sa 5

p

7 r

,g

_ j e

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- r a

7 i O w

0 g, }

n v o r } ..b_u-s. ( e-

x g

{ 0 $ [I y 9- ' ( $$ ^ r,2 3' e s 79 I

i. $

.a w j @g-5

g tt o

x g g g 5 : C "n h A7 I g r 3 ss. 66 e lo -_".$ p o o 5 3 } h l 3 lll#Effli !? lg i, t

q. d. r h
go r

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3 "5

5 5 s yn;po a = ll)ll w: e* w3 6 t 3 t3 g g-3 t3 ~3

T f *3 t,

( *3 3 r.3 - fr tw tw 3 ag 3$ a. f$ ($ ,Ee s s. f.- g E, 4 aw s l l a$ 3$ ag g 3 aa es 3 a R 3 3 ..l j,q l I l rg i.t r3 4

8 3:

g rg g rg )j. .t s l .l l l 3 s' 3 3 4 3 's 3 g 3 a 3 4 l f.' 5 B $ I, e an ; o n. a cl3 [ f a 4 q0 t 2 gV; q" i s u s. 8 5 g s E '. s . -) l e 3 y a t a <w i l :) 1 a- =.u r, y 4 w g 3j. a i 4., I l { ,N 0 "e. l+ 5 d ;1 i 51 lIl ll!. !. 73 Il. au l .= ill!! !!ii i i

________ _ _~ r 3 ~ n_.-.-. Paperwork Ruluction AciNotice Pusic icporunmndenur imonco w mmunanon u onmoca io - trom a ime or nouw mn ~ actape ger response fin +me minos fadtics, tal10 ).ouu e on mo.we pu mpome Ica wna maiot Lades j l with a weighted meragt im nujos and ininor f aulines or IN houn pet icepome, luktg time im mbing a j instructioru, Scarriony emtity data somres rmheitng and maimammy the dati nerdrd, and ruful enty and i d mlewing the collection c! information, srnd,orunu m, septJing the buiden a tmmte vi my ethn rtta of l thh COlh0 lion of ihlol!!IaliUD, in.'hl;tmf Wj'ghlipm IDT tedVQnf Ods.buhhM, to ChRi, jntb!mMinh _poh-Q j litanch, PM--2D, U1 F mironmental Protection Agency. #H M Nitrct, SW. Wa hrion, IC 20N; and in un I ()fikv of Inimination and Reputatory Af Nrs OHist of Manapm(ni and lludf et, Wminneton. IK 205fil. i = GeneralInstructions

i. Il ioitn bra been partially mmeleted by preprintino dhtcyrd intructiom durced at uno of that inf otmeion I

alread) preptinted. )

2. Ibnter 'Permilce Name/Alading Athlren (and tauhty namc'louanon, if,Une'remV 'Pnmit Numbcr; and l

thscharge Number' w here indicateJ. ( A sepet are f arm h icquded im each diwharge )

3. !!ntct dates beginning and ending '3fonvering l'eriod" ws cred by f or m w ha e indimted.

i 4, Fntct tach "Pasuriutcr" at specified in monitoting iequiremenn of vrmit. ? 5, linter %//t:pk Alertturrmcht" data for each pahuurier unde; #Guantity' and ^Qualay

in Urd% grafili h1 peindt.

"Aerare* la normahy arithmetic avepige (nometric nerage for bx1ctial paranieteru of all wunple toemure-menti for each parametci obtaf ord during "Afonitorig Period *, '4/nmum" and 9fnumW atc normally ev r uetoc high and low tucatmenents obtair%d during "Afoniformy Permd. "(%fe to munwipah with moodary .;4 - treatment requirementt Enter 30 day nerate of ump!r meaunemetos ender "Awracr, em! r:uer mnimutn 7-day average of sample measurentenu obtained during monitoring pcral undei "3f aumum. ) f 6

6. I nier " Permit Regwrcment" ter casb paramuct undo ~Uuuntity

und Buhty' au peciucd in permit.

j .7, Under "Na Er' entet number of sample measurements during monitoring period that etcerd mnimum (and/or minimum or 7-day meiate as appropriate) permit tequirement for each patameter, if none, eniet, *0. " ' 8, Erttcr 'Fretjutm'y of Anulysit both as 'Sumple Alcasurement* tattual frequcney af wmpling und analpiL med during monitoring period) and m " Permit Requirement" specified in permit. (c.r.; Enter ' Cont,

for continuous J

monitoring *l/7' for one das per weck, "l/30" for one day per month; "///0" for one day per quarter, etc.) [ - 9. Enter "Sumple 7)pc' both a 'Sampic Afeamremera"(actaA wmple type und duritig mnnhering perioJ) and as " Permit Rninitrmem. * (e.g., Fater "Grah' for mdiviJaai umplc, "NHC' foi ?*hnar compome, N1" Or wn. tinuous rnooitoring, ect.)'

10. Where ilotatium of permit toquhrment> are tcported, at*ach a brief esplanation to desoibe cau se and wrrntis e actions taken, and reference each violation by date.

11, if 'nq discharge" occuls during monitormF period, rnter 'No Discharge

acrow form in place of data enu y.

I

12. Enter *Name/Tule of PrincipalExecutiw 0.1)ker ~ a it h TS!watwe of PragipalDceutiw 0)ficer of Atahotant

~ ~ Agent,' ?TekphoneNumber,' and 'Dute" at bottora of form.

13. Mail signed Repart tdOfficcia by date(shpecifle.1 on perndt kcutin hopy for sc nr icstdt

14. More detailed ithtrudiom f or me of this Dkcharxr Afonitoi!ne Mylort MAfR/ ich ni ne le cst.ima bom OfJ f

fice(0 specified in per mit. Legal Notice This report is tequired by law (33 U Accl31R 40 till 125 FL Fahire to renmi or tmhuc to u pmt nuM% ew result m chil penahies not to ewceed 51 DMO per dw of s;oudcm. or in crunmi pc n Ub rm u. e es D W pn g i of violation or by imprhonmeru !or not more than one year or M bmt' '1 - EPA I orm 33201 (Hev. %8N) +i I a

3 9 ,, y. 7 w S lt ? 1 a ' u m;. 3 gg [ l s t 3 m M e p { 3, f L{ O ui O t- + = j j { a* t y a; a e g+,- .g 0 --.3 o r e + ++e w .p ,y .m w 2 - g 5.

5 we

} t);g } ( )f${ .2 7 .a .a ai a O L.- i l. { "[ j , s{ tc J e ,s m m ~ w f} 62 9 f. h.4 + f, 6 i> 6 a g

_..e

. -. + ) l.5 $w k O h ! O Of b" I gg -1 t p,g g I l j i y w e e r-s 1 l m' w g.. e y E @4 ~*' ~~ - f 445 v h

w (a i

GQ d ** V s, e -a 3 ,e 3 gS gr) ] g 3 'N J L L 1 0 g I. 4 n I' 5 ] *w 5m,, . (K 4 a .a =+ 3 cse ,.i J t, vg f )s p 7 3 0 et g' O Ji 0 a W S 1 O w ~^ N 'I*O '4 e s .I d L .] / j{g y Q -- 4 s a ~ v H ~f a w. v rR 3 3: s e t ,[ ; e a p

c 3

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t 1w!

e. ? I-2 U + - - O l l e O 1- !} I t-I. U 2, N l

f"3 2

0 t E N' I oatig( ) l I 1r c = 4 o le0 E p G. *r~' . lEI O O t t .,s.- 4= o [. k,p 4 1 N' ( + b',I g o o 3 . 5c,,.t tg a g z !!'p 3 2 e Q~ e t-3 0 t. t ,M I[

3' t

IUEghfej, 8

1 1 { 2 pfD ', yr-p j p' 5 f ~ ii s - s s,!j{}- l = siIe i g M' s C- $d u 15 7gy 7 [

m w

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,.m-m._~+ we w _m. t Paperwork lleduction Act Notice Pubbr arporting buiden for this volltenon of irdonnaoun is coianord to um imm a wm ot 10 boun as an < astrate per nyothe far nome 'umoi lailtic% 1o110 hoars c An metag Wt response foi some maior f elain j u nb a w eighted as crag f or nuivi and tninor luihne* of 16 hoots en irspome, inilodmg tune for em,cMor j imdatictionb scarthing nnting dMa soutect, ratherum and naimaining the dnta netded. and comphling and - i renewing the colicction et inf ormation. Arnd tonunenb itutJme :la burden ertimate or m othet spe,1 of j tha colktiion of inlotniation, insindmg suppolioin for reJuring tih bunkn. to ( bief, loformaopn Peho - j lhanch. PM 22.1, l'1 linvironmtred l'rotection yency 401 M 5tttet, NW Wad.inymn, IW Mhn; and io dw i (Of fKe of luforntation and Regulat0:y At fairs. O! fee of Mananment and inadat. Wmhmpon, ir 2$0V } a -.....w._ ._a General Instructions _1l11 foam has been partially winpleted by preprintice, datetwd mittuctions Jaected at enin of th6 intuma!!nn .already pteprinted,

2. linter */'ctmiter Aame/Afadmg Addren fand f aulity nalne/loustion, il ddlertoth

Termi/ Num/w," and
Discharyc Numlat" w here indicated. (A seper ate for m is required for each discharge )

_3, linter dates beginning ami emiing *Afomforing Period' wver ed by inrm w hete indivut J 7 4. linter each *Paramrier

mi specified in monhoting requirttnenn of perrmt,

5. thuer %mple Afemurement" data for toch parat_nder on&r Tuantitj ? an) "paalo)

in unit 3 sp@d in pamh.

51trrorc" h norinally arithmcdc avone Qcometric averge for butnial patametery of idi sunple menute- ~ ments for each paramelet obt tined during 'Afonitor9:r Period"; "Afaumum' and "AlmnnW ne nonnally ch treme high and low mesurements pbtained duiing '3fonitormy PeriM ' (%fe to munkipid, w hh woondar) taralment respeirtmenti linter M day attrare of umph inmuremenh ender *A urcur " and crdtr madmum bday avelage of sampk measurcnienn obtained durity moni! ming periM undet "Aladmunt ") .b. Luter ' Permit Rcquerement' et ca+h parammt unda Quartnty' and Quality' a vpcedi:d in permit. L Under 'No Er' cuter number of sample meawremena during momtoring period that occcd nutumum (and/or minimum or 7 day uvetage as appioptiatc) permit iequirement for ca(h paratnetet. If none, eniet 'O.

O Enter Trcquemy of AnulyAis ' both as
Sump /c Afmsurement * (actual Irequency of sainpling.md analph ined during monkoting period) and as " Permit krquirement' yecified in permit. (e.g., ljnter Tont, ' for continuom monitoring, "/W fut one day per weck, "/Bo* for one day per n}onth, "//90' for one day per quarter, etc.)

9. Unter %mr/c Tyrc* beth as 'Nump/c ifeamremeru *(actua! umpk type uml during neonitoring pu ht ) and m t

.Ter/t/tt N6fHitriflCrit,"(C.p. I nlcr "Ordh

Ior indiVidudI Clpk 9///U for 24 luhu conipedle, W/ I
fol Lofh

= Ilnholb InonktoimS eCtd 110$hrre violatiom of permit requhements ate reported, attach a brief eylanation to describe cause and corttelhe actions taken, and t rference cach violation by date, s I1. $f *b0 diKhMfb" orCUI) durtDf rtlOrlilofIng petiOdiCHlel *NO /)!3(hat,1lr* Dero 4 form in place of data ently,

IN lilltet *NJrrk*/Cl}f QPrtflcipglfXCculi)V Officer

Mith "Siphalktf ofPrittrijh115:Actutisc Qljiccf Dl \\ulbuti:nl A gent,' ' Telephone Number,' and 'IMe" at bottom of for m.

i '_13, Maisigned Report 15 OffhcNb date(6 spedficJ on petmit Atain con fog 3cer swoIJs 0 3

14. More deta'icdinuructions for uwof thn Dsch.irre Afon/rorme Repyt /D3fR! fomi my bc ob mM hm Of-b

. licch) spetilied in permit. I,cga! Notice mwepon imquired nyiamm um mu um rmhac m me wumnm oum ew m m sJ $MO pcr day - 7ewlt in chil penaluci twt to exceed $10,M per du of vinhuion; or m cununal ps n-dus 1 4 6 of violation or b) imprisonment ior not more than one um, or by both. 9 l.PA l'orm 3.4201 G(es. 9 M) 4 ? e Y:%,

4 b Ptam YTss maenziaconsss (Ieclade Fordet7Ndaie/Lorwrama t'dt/JWerff am erossas. *euven=v e*w e****e ste=mme o= ewste== MDER DISCH ARGE 840 NIT,,;CING CEPORT @4th H.No E ___ _ 'w * _Q.____,__ f:IN (I T / *?

1~'

% fpg } i seosu - - _res o.

^ 1m (7

n y oug No. 204cca04- % -.'..a. -.,= ** * . Approval erpires 6-30-91 euerweT wo==eew --M---- __-LL_.----- 3 MONITORING PERIOD ~ FACfttTY - - - - _ - _.. _ ~ _ _ - _ _ y r s se

- o Day v t a se eeo_ ( cmv p

4. _ [

--LocaTsom rao= To

r, (2tr 1/i t.?2 23,

(.'d."i O.' ', t.1.% ^ <39 JTT' NOTE: Read iristructieves before comp 8etmo tbs form. + 4 4 g# (med (hery) cuassTsTV on toaoswa ts f e-d twe e ountrTv on co%ct%7matto*e PanaMETEm (463 f k f $d ef t if441) (*LJfp (3841) W I"" LE gm tvPE i (M M) 4' i

W(mage 68 a t it0 Ute UMITS m tN6asvae avsmagg mangesuu UgrTS 5.'94J e f k

( AdA* e 4 ** N S a n* PLE s. I I $8 ~ O [ A h 4 6' wrasuntwenT / O, j 7d7 e'.) J l v" s 'l ~ PEeMIT

.m. a,'e'sv '*'

'e g*~ *. - t %d''*"4 '8 ['t **T d ifs g / P' ,e-e /

A*.

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,9 p-

y

,g e i antasuoneenT rx i Lj y q l~ MP-8f i1 1 Penw,T C Oc t ' t.. l $ C 01.- 0 0.4 0 0 0T M 35 3 j if E/C v4 .^*., q g REQUsmEM ENT ' Ta4 Ds p.Y , t p. j, ,,4 e, .7 ,-s - -: ] +

S a M PLE t~

glff'kl QCM O, C I "j s 7 measuar=EwT L

g j

1 M 1 Pr==,7 .p.023 UNM M6C OW" +%* 9-i M LT ~ CA T NEOU0*EM E'8I ' p me

g..;

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k pgets IT D'TbOCD - O O h #N' C D O.I E O 3 0) @ #*$ O $' O I[ 'N[r N 3I k[ l aroura tu r = T ,,1 ,i y;. JA _.,, 4 g. t,. . d,4 -{ } sa tsPLE ( 'e ~ ( y'#M $ O' b' e ~',(2 k"r ./ ***, M O-< e4 E ASUREe8 E NT f / ' ~/ t t 4 p l =t ou.=s t? ' ' ICi19 If Pre as d '#C. T' .lT~ Ib ' CJ $i1E6[dC"2"? J gj c=T y._ g. ,,y , 7 ? SA M PL E M EAS U #EM EN T 4 4 PER98ST i proumeu rwT, j .a - E Mfa90REMENT ~~ PEm M IT 1 PEcumEu Em T NAteE/TfTLE PWtMCfPat EXECUTtvE OFFtCE# 'aa"so "ans 'e a'n"s*""es*. "m.%** **m tus aus o " ato m. %m"'* ?ng o.e og e, 'mer'*e.* O f_.. TELEPMC'et j DaTE M (*

* * * ' ' * ** *w**u 8 **

ca,.e go 'f 4 w. m. . w v we rm., e t w i.., s e,. o. , ' {,' l r a <ar a. m,rew IN _, a. ou,, m.,,3. m,,,m,u.. n. v m,,o. m., , w -/ ', w. .<~ ,/ m, j ..m. r u,e 7,- .e -n.c.. ,o e, r. .=y ,n,s,,,,,,,., s., - .,,m, w n1s,rf nger <,4 7-r. 4 q m,- n,- a q. _, g, gg,,,,c,,,, v,c y,,,, ...,x n. i o i ,m . r.,, ,. s .a , ~. m r,., ~ e L _.L_ 4 a N Tvero o.,,,,.Tro

d---*~~~***~*"*"'--

!ccQLl orru.aa o= aur oeireoace=r lvaan 1' o n. F =vu eEn o i co=nec e.T ano tar-LawmTvoo. or a nv veot.a reu*es t Prer*rme e ed one ha.em. Aer P i 1 t EPA Form 3320-1 (Rev. 948) I'rh addians tray be used. eneetacase PoeneT-ee .nc.ewa, ofes useo afr ' ' 4',, , ace oP i

i i r,.... j i l Paperwork Reduction Act Notiec l i runheupcionoa, denim m a unen o mn w w.nomsedto % imo - om a m n - u j auf apr per sepeng foi mine niinut fadltb, tol10 hou, as an as catus p r irmpuusr tol wuc mdor imiw, P 3 With it Mt"f lfd aWlapC lot In. DOI ignd tui AM.f Mdillf s (d Ib In'uti DCI f 6 port % ilhlu Amf ihhd. lo'f in ice iHp h - iminuaiom, w.uching naun dan ~nn%therne ana mwnin d,e sa nm wa nepwouna i j trsicaing the(o!hs tion of mitmnanna, SenJ 6.oinmenn s epi hty the batdro ruutun, on any o:bei awes t ol thb volkvtlan of inlarnLition, ithhtdmg surguiem for redscif'r d.k buidtti, in l hn-f, f r.hmoanon poh) liianch, PM@, (1X Em bomnental Pstedam Acency,49151 Mact. NW, hionyten, [W MM and to ibe .f I < orna 01 intmnution and RynMm AUain, Olha et \\1anaromrnt and Hud rL Wasntmn. DL PM j i t f ~. - -..~. - - - -,- General Instructions [ j, j[ lof th l%15 brt!! pard 3}}) (Omphled h) p!0pfiHlillf, dalCfdtd inNf UCibUh dhttinl at (Mi) (d iktl int u mut oll' .f clycady preptinted. }

2. linter Termitre Aame/Afailms Addren (and fxihty autmuloaiton, il ddicirm)J Term!! AWmin r. ' and

/)/%Chafff NWDlher" % hefe indleatVd. (A sepciM!P !m m h teqttiffd Iot each dim hdf ge,)

i

3. k$f1ICI kbilU }lOgiNiiDf N!ld t nd Ilf "$f Orfilof#U' l'e'r/O//* Dh flCd by IOT f n % hf t O IndMitid

- 1. linter each Tarameter' as > recified in monitonny tequh emenn of pet out, ' T! a' $ lintet "Aam;Vr Aframrrmer:t* dea tot ca.h patamcici under "puannt)

and 'paad ia soia spool m ;umn 4
Aicraxc" h normally urithmede nvetare Geomstic neranfor imtncd p uametml of Al wnik menme<

menn iut exh patameter obtained donny " Alomtorua: PerioJ*; '3faumum and ' Almmn # we nm nadly es l treme lugh and low membremenu obtained durmp "6foWroraw Pete! '(Notr to munkipAs Cth wramiaty { trrstnie nt regattrmerit: Enter 30 tho awtqc of uunple inemuemenh unan " heran,

und uner mnimum l

bdap average of sample intmuh ments obtMned duiing monhormy perioj un&r '3tannmm *) } 6; Entes Permit Ru;uirrinent" for cach patanuta under 'Ommtar and 'Ouahrf e spredh J m ponut.

7. Under "Noln

enter member of taunple meantre:ments duting tunnitoring paiod that acced muumum (and/or minimum or 7. day avesare auippsopttatc) permit iequir(meni for ciuh parameter, II none, ontes *0. " -

i

8. Enter Trcquerrey ofAnal,nn

both e; *Sumph Alcamerment"(achuit frequrthy cf nunphng and analph used j

during monitoring period) and e Tctmit Requin mett/

specified in t ctmit (e p., ler Tant,
for vondonous i

monitosing. "l/7" for one day ;wr wed, *//30* foi one day pcr omnth, "l/V0' for one Jay per quarter, etc.) -l t f % liljef 'Saf t!p!c '/Spr* both HC3umplc 3fvaturemrq1"(ast a;d umpk h pc Wed during monhoring PO iod) and as }' Termit Refuirement,"(e.g.,1-nter "Gruli' for mdnidaal sunple, W//C' for N hhi: conew, *N41 " On wn. NnROW, IDO3l loll!![, OCL) f 10 Wherr viobtians of perinis requiremenn are reported, attach'a briti esphmation to dnctibe embe and correctne -- actions taken, and refeience cach violation by date. l t 'II, If 'no dhtharfe' occura dtning monitoting period, entet "No thschartr

actouiler m in place r' data entt y.

r P l2. Cutes ?Name/ Title of PnncitudExecutive Offaccr

wi\\h %ienarwc ofl'sincipalExecutne t(IJhr of Alabori;ed -

' Agent,' ~ lelephanc Number," and "l) ate

ut botsom of fatm.

t +

13. Mail signed Hvport t6 Office (t) by dMe(4 sped 6ed ou perndi Rdain copy fet 3ouy 3p ord3 3

1 = 14. Alme deladrd instructiom for use of this l%clurer Alonnoririg !!rpet (/M!R) fonF WM bc MEMM ' i D Dm bf-f i linv) specified in pennu, Legal Notice is . lf 's te[ Toil k) fCQuilCd by btW (N kIbM l 3IN, SIl'.I.N, l2h.N) Ii NUli hl ! U(Vil d !' et r IL CPMI lim s dI diu ) f wm,wnau nony-d mmipo dewoor honomou- - em% of Wolation or b) imptkonment Ior not motc than one $ car, or bi bo h s'[ t { I:PA l'ortu 33201(Hen 9 8M).. [ .a w 'y

e - *EmeseTys2 nawasaoo=2ss (Iwasde natse=at *%sv,a=r moe wa=se eta =.=a v.oe s**veme MDES) i Facarp Nanwilmcarba if d2ffwwarf DISCHCGE MONeTONING REPCOT (Hth BMa1., .J' ! id. O !W !l 7 E9' '>] form Q4sm& -_e ma_ss -_ - s t 5: )EA?* l i. ( "; U - tJ 09/3 No. F/.0-.0004 Ac l o.w -a =<.e --* * ". * [. App

oval esperes 6-33-91.

e-1

e-t e

PE sewer museeew _. _.- _-a m_ . _ _ _ _ _ _ _ _ _~<. [^t t MONITORIN(, PER f 0D i g ,t* C, L L T' .+ m_ - FACitfTY TEamj ano paw-To [ ] 4-r -} vane l eso_ } omv - * = .t. o. Cat _ ion e-o= i ( u i., :n am a v, w,n +w note: ee.nm etwo e com ss wL r 1 t e Ced Ossip) OUateTITY OM LOADfMG (4 t ard f% ) Qu aLITY OR Co*eC E m m a 7 toes

F P 4 R a te E*E R 4 4 775

( $d M p ( 43Jf t t.6-$f t (3448,

- O Sa#NE

.i Ea !. m., art D avtaaGE ts a a tte une up.ITs Newsmuae awEmaGC w a s tasune un tys g +. s 1 + 3 A ne PLE g g- / 4 f .. 0 '~)- h: } j

- Ea sUMEM ENT t'

R / h( 1 ) PEPMIT ODDEUN DSDCDN ben ' O O I*3 ^ b i 7t ECusmEM Eest g I .,1 5 w., g 3.,,,,, =.*aa4. ar., i i D -#-*~ ( 1-( .r

t (;o y

3 <v' g e 4 sc',. 1 i ga meet g j w j ,f,f " ( /'*, O j Q g d' [-7 ^ teEASumf a*EMT w j [ ' PE#ed tT COUMIN DOUCM k '.. WI?=k 3 b E f. 1 1

EcuspfwEMT, 1

~ng j, f, ,A,y 4 ,g,p 7, m a v Sa4ePLE ) g i / p/ d 4/, 7 k fg. es EAsus tas ENT 4 /[ ] O 5 w P l ' pgMes,y CCMDG7 OOCCU7~ J-9$$UCC 2) [ ' 2. $ Y Y N A 3 *" b MEOUf 9EM E*st ,, p 7 r 3y e., { 7,, g l,,je i g i ~_ 'b, satsett ( )) k / t %a 1'J! e g 3 f, gn: < G, r, Gnr?, t . vEasuetuEns s -.) w } s* PERat !T - E [ e' h " I f d, I O I Y "# O

I

[ "Eov'* E" EST .l y. w w y,. .g r t., y 3 3. y l 7-i .4-s S a ***LE i g f l se E ASUREasEMT PE. ,7 i l ) REQUI*EM 8 AT. f f a t 4 1, saneett I 5 { es E AS Unrae ENT 4 j PEene d i 1 REQut#E4 E.dT [ SAMPLE l. j j M E a su m EM E**T j r 1 "I PEptesY f- { PEQU t# Ete CDET 1 _ -f 3 seaneE/TtTLE PweNCIPat EMECUTtwE OFF9CER v ( ? **W'T U*#W8 88888.** N t**

* * * ' * *** WE.terswega v f emammat; ygggy,,g g ggyg

,'r_;. meno aos Fames.aa est 4 tg eetmanee ws, seemer,g .a ny., ary enee.to <u ,r,e.

===r,.

e.. w s,

/, e j i o. -o - or ec. osrt ame.eG

- se
- Omene eww, swie d ** e sweemres o e namen **w b,

I /C j Ma* M. bd 1C L. .'".re."eE Ms *e e*'s *e*omC'M M c* *e**am***" o*** ? ****"w**Twrm'#-, /, g - / 7* j og

5. wv

.. w l t w ? ? 1-{ e 1- .1 '^ 1

p.. gi a< ~ t ~. q.., y s. e.

,,,r. y m, :. <= r, .- m,,,, .o e ,, u,s, 4 <-s**

~

s.. ~ s,qua,ung or,,tancseat E=EcvTtvE j j \\ lYEmW - On TvPED Ost PWt**TED "*"*~****"'**"*'d**"""****d*"**** OFF f8C ER Ost AUYpecef 2ED nGE84T Mute 9TW es CusEI ~ COeemaEmeT AMO EXPL AM AT80** OF a**Y vtota T*O**S ' Refe*-*=s e aff are c 4==*ars her*

i

?, 4 EP.*n Form 33201 (Rev. 9-88) Previous edcorrs mar be used. t=EeLac Es awa ro v-ee .e.c. a.a v usee, l 4 1 3 I i ,,r, -. + r w. %~-2 -r- , ~, _ m.

y 4 ) Paperwork Reduction Act Notice 1 puNie scporting burden for thn collectitm ofinfornutun is enimated to s ar) tram u 5.oge of 10 homs e an t averan per responst fu.t somc minot faduen 16110 houa 0 an attny;c pa eapome for some nqior lac!Liin, l with a wciphted acr4e for major and minot f acihtic, of th houn pc tespemr. including thne f or m e; wing l l } imtructiom. Acutching esisog data somco, ptheunt and vuontaining the data needed, and wrmlenny and j l ' 'tedewing the colla don el inf onnation, send wmmona irstdmg the bmden estimatt ut any othei epcci of thh mllenion -of inf ortnation, buindmg suggntiom for redusing ihn bmJco, to Chief, informaiton Pola > ilmnch, PW221. U.S. Eneonmunal ptolochon Annc% 401 M htreel. NW, hhios'en, IW 2W.0; and to the l l - ___ - -_gulatm y A1Iain Othet of Manayum ut and flodget Wmhmpun, DC 20$0L { j Offke of salornation and Re 1 . __ _ - __ - m._ _ _. _ -.. _ _.. _. _ _.. - ~ General Instrnelions. - 1; li forin luu beca partially mmpkicJ b) Neptintinr, disrepid istructions diteued at crory of that intorruation~ aheady pt eprinted, j 2/ linter "Permiler Name/3fathng Nr/r/tru {nnd tasility risme/ location, d different)." Permit Numbo. " and ~ "Dacharge Number'w here indicated ( A srperate farm b iequired fus cach dhchargeJ f L Entei dates beginning and ending FAfonitoring Pcme/ %ered by forin u har indicatd 4i Enter uch " Parameter" at opn ified in numitoring requirement; el pernutJ J .,j & hhter #bmp/r Alemurement' d4a lot cAh Wuunkter under 'Gaantity" and

Quality"in tuu!S siwdial in permit.

t

Arcr.geth normally mithmdk averap (peomus aserage for bacterial paruructen) of idl uunple measme-rnetus for enh parametet obtained dming "Alonneriep Period *; "AfarimuW anJ ~3fminhW me notnnlly ev l

trcme IOh and low rneasuremems obtained durmg "Afon/toring Pcriod " (Note lo anuiddpsh with secondan ~ = ttfatment requirementt l'1uct Edav ocrap of umple measurementr utukt "Amaus

and enter masimurc

- % day averag of sample meinnrements ob:ained during monitaring period under '$fatimum 7 I

6. I?nter

Permit Requireme# for ech parametet unJtt Guantuy
and "Onalay' a3 speedied in pd mit.

'f t

7. Under "Non' ente number of sample measuremenn during monitoring period that cuerd macimum (and/or minimum or 7 day asesare as appropriate) permit requirement for cach parameter, if none, enter "U. *

- 6. Enter *Trcquency of Anulytis ' both as

Sump /c Alcasurement" f actual f requency of samphnp and analysh udd

- during monitoring period) and as

Permit Rcquirement
specified in permit. (e.g., f nier.
Coni,
for entinuous monitoring. *1/7" for one day per west, "l/30" for one day per monthf u00
for one dn per quatles, etc.)

9. I nter %mple 7)pc' both as %mp/c S/camremeni* (actual sampic type med dining mocitoring ps tied) and c "Pennit Rn/uirememc* (e.g., bder "Gah" fer mdisidual sauirk, '2.sHC f or 24 hour composite. *N/ 4 " for wn; tinuous monitoring, cct.)

10. Wherr violatiom of permit smuisements are reporied, attach a brief esplanation to describe cause and correcin e actions taken, and reference each siolation b> date.

~ I1. If 'no didharge' necurs duting monitorinF peridd, enter *No Dacharge* across form in place of data entty.

s 2 Cutcr 'Namenitic cjPrincipalExecuwr Officer

with
Signature ofPrincipalbccuttec Ofttwi nf.1tahori:ed r

Agent, " "TelephoneNumber, " and

late' at botiom of form.

? 11 WI &ned Hepart to OfficeN byhtem spedfied on permit. Racio dopy for y'our ictora li Wre deiaikd instrudrioncfor use of thb Dhcharge Afonitoring Report (D3fR) form may be obtained f rom Of-ficds) spetified in permir. j Legal Notice ~ 4 m .a 4 9 iecuit in cW1 penMe not to execJ $10W per dn of viehuion; on in cominal puuhh 4 nm ta c3.eeed 52h000 ps rdn of %idttiOn Dr by impfinonmem Ior hDt mof e than One ) car, or by both. i 1 i II) 8 f (*% J h hI en X 7 _,_._.,__.m__.-._--_...,_____.-_.-__.-

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= vn e E. t= 8 a2 l i 3 l 1 l l 3 "* r - I h d a l l I l g at L. e Q. E I W i V W i __,.r , _. _.,..., _.. ~,.._

r i e. Paperwork Reduction Act Notice ) Publie leporting hud(D fol thb io IctitOn of infdlmidien is edhn4thllO val) hom.t lat;$e oI IU htHH4 D% nti i awlag per re4%w for some m!nk hiEtia (0110 houn e an ampe nu rr. pow toi soms noiot fducs { . i with a wt ghted asetace foi tuajet and minor f achitics of Ik houn pa mpente, induding tiaic im ieut winy j .instrmtion6 +carstCar ewling &ta ?. cotta gehering amt mentnininy the data nerdal :md,on:pkhnt' mi l .teniewing the collectiott eii.ninirnation. Send comtnenn icymdmp the burdra onmme or p> other M ped et j thlt CollMtidu Of }niCrD13 tion, ilhhlding loppntiom kit reducity ttm burJen to Chicl, info:maisn Pohg i j liranch, IK22L M, I'.nvironinyntal Protecten 4rno,401 M Niret, W. Washington, IX' 2m t; and t ; tN E Of fiet of lufot nution and Regulatory Af fain,Olha of Wnanmcnt and ituJea Wi shmr.n, DC 0m i i u h t e General lustructions

i. If f orm has been partiallywmpleted b) preprinting, divepid instiuttiom datuted at ena) of thiu inivinunon

{ ah eady preptinted. - 2; Cutet *]vimitec Name/Alaihng Addreu (and fnskhty natne: location, it dilletent),' ' Permit Mo*iler ' and l

Discharge Nurlber" where indicattJ. ( A sepctate f arm h acquired f or vach dkeboge.)

{ - Lilnter thates beginning arid endng 9femtorine />crienP vos ered by f onu w beie indhated I i

4. Futu tach ? Para *neto %pecihed in monitoring icquirementwf jvimit,

'$. INet %rmp/c Afegvurement' fata.lar each parameter under *Quantur al 'Gaa!af 10 unio speaned in }cmit l 'A +crat e" is ndrmally crithmetic averag heumettic merapc for buterial parann ten at all s.unplc mea <ure- { ments for each parametti eMained danne Mfonnornw Paiod'; MI,uuman # and Mhmm.# are nortually ed l - treme high and low measmements obtained dunny 3/unitorug lYriM " thee to municipah with wonday trestrotnl regidrementt twei Aday avetag of warap'e mrasurements undo "A wram ' m,d emer inadmum 7 dayperage of sample measuremenn obtained Judng manhoring pened cda Stunttwq. *) (L linter "PermitRequirement' f or cach parametc under 'Uavmui ad WiiO ' aweafled in permh. i 7 Undet 'No IM rntet number of samplt meMutements during monito>lnr period that escred madmum (and/or .[ minimum or 7. day aserage as appropriate) permit tequirement for each parametet.11 none, enter A ~

8. linter Trcquemy of Angl.nis

both as "Samp/c Afearmement'(actual Irequency of nonplir y and analpis ined dutmg momforing period)and m "Pernut Rcquirement'specified in penrhtI k-.ru i nier Tont, ' for (onlinootn monitofing, "l/P f or one day per week, "l#0* f or one day per month *//90" for one day per quatter, etcJ

9. Enter 'Sampic fjpc' bothm "Samp/c Alcawrement' tactaal sample 1 pe used dadng monhoritir pedoJ) And as 3

" Permit Rrvrmrment. * (e.g., Enter ' Grub

for indaidaal utmple, "St/IC" for 21 hoar compw ae, WM " fm t.pn.

1, ' th.nouirnonhoring, ect) i 10, Where siolatiom of permit requirements are tiportt4 unach a brief nplanation m describe cause and correuite [ - actions taken, and reference each siolation by date. f i 111f (no dir, charge

occurs during monitoring periodienter "No pncharre
aerou form in place of data em 3

.1L Un, ter 'Name/Tule of Principal 1:xecuriw Qtpccr

with *Sienctwe of Principalbccun s e qthctr ef A tahorud

'A gent? ' Telephone Number,? and 'Datr

at bottom of fosm,

~ IL Mau signed lupon to OffkeN by date(n >pedfied dh permit Retain egy for your remrdt jl4 Move detaind indructiom for use of thi> Discharre Afon/!orint Rr;mrt/IMfR/ fu m my tu, Y. va hi licchl specified in permu, Legal Notice [ 1hiy report h thqahrd by law (3311%C 131N 40 L.11RI 125.M i aihoc m repmt of ta u m wp.m t o tatuaih an . +

i resuh in cnil penahin not to eseced $' 10 tx0 per day of no!afion; or in cdan&l pmiu r m > m co O w po M 1

of violation or by imprisomnent f or not more than oig year, or biboth 3 EPA i oran 332thI (iten 9 M) I a y

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Paperwork Reduction Act Notice i

i u e tWporbHg dt eu for_ihn Coll 0Clitm OfinINDiallon h etuuuled to Wis if om p f arTC <!f lO h0m D 30 aa npuiespon,s mnunne w acmnoh w anmaayepare#,moormm man w,nm with_a weighted m etart lat major and tnines f acihun of IN hoan pet response. indoding timr for teucaing j l inutustiom secching culing data uuttces, pthering and stuunWuing the dati raJrd, arid complebor and 1 l t 'trtlewing the collee' ion et informatha bend mnuurnts tepn mr tbt buiden estimate or any other mprvt of 1 -i i this wheetion of inimtnation, inJudmg u igWom f or redu,mr ihn luiden, to ( hief, Jnimumtien Pobe) f ( Utanch, PW2L U.S. Lmitonneml PfotectMn Aycng. 401 'il Sitter, SW. %ybhunon, DC 2Nd and to the l omanre manon meyaemoun, me or um,mem anmayn w.monnn. nc m t i i i General Instructions-i 1. If f ortn has bei:n parthdly4ompleted by pseptintia, disregard hMnictiam dus ued at emty of flutt inf ormahon l Idremly preprinted, I '2., Fater "Perinnec Narne/Afmimg Ash!!rr (and f asihtv namulocation, il dif f rient)," "Perml/ Number, and l ~ "DigharyNumber

w here indtuntd ( A sepc:ste farm is segmted for each t tschstge )

i i f ilinaci dates twrinning and ending %nuoring Pcimd' emcred by Icain w hae iniated. i r k nf rf CFb *PdIUme"/fr

ds KpcLiIifd ib mo!Utorlng ICQuiTC10th!) of priIHIL

' $. f filer %m/ t Af6NiffmCh/" ddla IOf fit d WU#EMPT UHdeT "Gud!Nify" and "Qu.d/f' in UnH) MWikd M PCilnH. f 4 ' Aver.r# is normM1) crithmetic metan (ecomenw merage f or bacter,al pmumeten! ct u!! uunple me:rmte- [ meata f of each prumelet obtained dmits *3fonitormy Period' "Afautmsm" at J 'Afmimum" ate normally cv .t Jteme high anJ low measttemenit obtained dure r "Afortuoring Period. ' bute to inunkipah *ith secondar) treatment requirement: IInte 'O day netag m samde Inenutementi under 'A wray,' and emer innimum j bddy Mel:Ute of Sainple meUllf CWCuth ObtaiDCd duiIfly tDdidloritig peflod 0D3C19fatihstifN. ") f k bb!cT Nt/rl/l Nf7dl?t,~11(U/"IOf Chih p313$f 4Cl OHdd "GNJ# fits

JD'I *GWi/II) ' ib *.pdilled in pfiHlf t, f

7. Under "Noln

ruler tmtrber of stirnpfe memuremrtits durimt inonhoring period that cseced masimum innd/or ndnimutn or 7 day agerage as appsopsiate) pmnit icaultement for each patamtier. If tone, enter *0. E

8. Unter 7tequrmy ofArmbis" both as %mp/c Afemtemera' Metual f rNuency of sainphng and annipn used I

~dmig monitoring period) and m "Pomit Requirrment* specified in pertoit, (r.y., Unter Tont, ' for continuem l rnonitoring, "l/T' for ene day per wnk, *//30" for or day per month, ~140* tot one day per qualter, cid j t 'A Enter [Nimpf 3 7)f# hOttiM *%utt/W /c40Hft /1!CMI* (d&tal sample 4pc med duriuy monitorst period) and as j s ' Permit Requirement, * (e.g., I nt;r Wl'" for i tdnidahl sample, *24/K" forli hour cumpmite, "N41" for wn.

onuous motutennp ect4 t

t

10. Wl?re Otiam of permit Iequiuments art tcpormt, uttnh a brief esphmahon 10 describe came and cone (the

[ . actions talett, and releience cach viuhuiou by daic .i I ll. If "DO diScharl'C' 00011r8 (futing Hlopitofing periodi cH!rt *No //Mchd/ge* ai'Tou 10f m in place oI data erilly, i t i1. UtilCf *Ndmt'llifit Of PitnflysH [XtTUliW 0)ficM" MIf h *.5fk!1ufH!V Of Prit:CljsallxettflVC QffisY! Qf -\\UthotI:rtl Atet.1, *

Telephone Number and *Date' e twwm of imm.,

l 6 O. Mai! Aneit Report m Offket0 by JycN 3pri6ed ch perm!!. Rctas co;,y for your e eaudm j l-d L Mou d vDed inmucijom f or uW of fim DNharn Welloriq RefWl /D\\fR/ f oHh tha) be obtdihM fr0m Of- [ t u.e(O specified m permil E Legal Notice n repmhauwa ey w nc. oimrx i.un i mbae m iemm f aiune m iepon finson) un 3 isuit m thil pen. dub not to oceed $10M pu du of s uanen; et in cominal per ahn not m ewced W,0W per day ' ol@la00n et b) impsonmo i for nu mare than our scar, s : bs tuuh j r k LPA form B2N oteJ.n I I l I e -..--.---.u..x. --..-__,___-----___.__._.-______-_-_--.~---____--_.---_-.-.----...N-__.,x-_x__.____-.--_____---

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-. ~ w w, nn - ,,,s.e- ..~ aw- .~ 2 -es.k .n-I l -+e w - Paperwork Reduction Act Notice ~ ] Pub % ttpattinF huden ior thh (Witction of inf onnation h c>nmved to van f rom u rame of Hi hom o an ~ i aver #c per le>pou for some minor faahtia, follD hoan as an awnye pa ibpMc f m eur nujor f actWe, with a weighted.netare f or majorand tninot iaantie of th hours per retrome, iruludmg time im in tewinc l huttullom, mrrhing exhting d.ita murm. rathering and mamtatuit,p the data needed, and cornplcliu 4md } iniewing the collection el informahon. Scn.1 conmann tryatJm; the burden Nunate or bro othrt tupe,I of thb coutclion of hdoituation Muding sunutiorn for teducing this burden. to t hiel Inhumanon Pelk) ] liranch, P%I.221. UX Unutomnental l*tohydon yeney,401 M suet 9 SW %phmrten. DU WM gwl to or 1 Ofhve of Infmnation and Herutatory M f ain, Of fia of Maturcmtnt and liudret, Wmbmpon, IK ;03OL 1

k. _ __

f Generallustructions 14 f f form has beert partiallyiompleted by pseptinting, dhregatJ mitnytions discacJ 40 oun of that nlmnation -l already pieptinu d, y

2, Enter *Permitec Name/Madmg Addiru (and f acdhy namulucation. if dif f erentL' */wmu Namb<r," and

[

*Discherge Number ' w hetc indicated. ( A sepriate fann a re4mttd Iof ach dna harye.)

i i L Enter doet beginning und endmg *3fonitorine Pcilod" sows ed by for n w heie indwated t

4. Ehict (achParameirr

n specified iri monitoring equhemonts of pctruit.

b bnMt Ddnfp/f OfflT@rfmfrN dALM fut edsh pdfpfnvlel UDdef *QudnM(# dnd 'QNakly* JD Unit w Ndiej i3 [(TRUL f 3 , - A verate" is normally stithmetic overage (geometne average for butetial paramete!q 9f dl wampic nwasure. j menn far each parameter otuained dunne *Afonnormx Periodi "Afaunmm" and *3fnumum* are n,urnally es. treme high and low measureturuts obunned dunny ' Afonituting Pened * (Note su municipah with numdary trentment requiremenf t Fruer 30 day perapt of sample meawtetnrna under *Awrityr," and emer mnimum i "1. day average of sarnple menaremenh obeained during momtoring peno3 under "AfaiantnL') l 6 - 6. Fntet

Permit Requiremcnt* Im cach p,uameta smda 'Quantay %ual 'Quahty
as spedfled in pamit.

l t ~

7. dnder *Noln 'nact number 'of sainple menwtrmesu6 during tronitming period that neced tna Aimum (and/or

_[ minimum or 7. day average M approptlate) permit trquirement for toth pasamrier;If none, enter "O, " j

H. Enter 'Arqucmy g/Analys/P both as "Sumple 3/casurement* (actual frequency of utnpling and analysis used

{ duting monitoring period) and e

Permit Requirrinent" specified in permitar.r., i mer Cont,
for continuous monitoring */n" for ene day per w eck, */MP for one day per month, *//M" for rme day per quarter, etc )

.p

9. litit:r *Sumple 7ipc' buth e Sample \\fesuremrN"(actuS kample type med during monitd@g period) and as j

lPerrmt Reqmprment;' (e.g., ((nter

Grab
for indhidual unple. *24HC" fot 2& ham compu, 'N/.-l
For ton.

tinuous monitormg, tes.). l 10, Where violatiom of pomi: requitements are reponed, attxh a brief esplangon to desua, aw and conedhe f L actions takeniand referer ce cach violation by date. } [ '11. If *no dhcharer

occun dming momforing p;tind, enter "No Di3 charge' actou fm m in place of data enny,

12. Cctes *NameM ule of Principal Lxconive q(ficwr

kit h ?Signatwe o/Principallhavtivr quia r of A tahwi:cd

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13. Mad >iyued Repan to Offneo) by dateth speJified on perm!L htain con f or your e rsman j

I L ns. Mme detaih d imuucdonaor use of <hiwhcharge AtOnnorum ReportiD\\tR> toun uw w.w:a n m ut-L. ficeN greified in pir mit ? 3 e Legal Notice i .S llNAfepull$5IeQuilCd Dy blW h b.b.b, 1318; 40 f..F.R.12.4 27), I eibu e t< f r u t t e 'a ' ' e to rep.iri ti u ' of, vari i - result in enil penables not to esceed $10MJ pc! du of holmion; m tu am. ' 54 h e, om n mM DJUD per day 4 p(v}olation of by impthonment for not more than one 3cm or bv bel I - + 1 f ( ~! L tenorm mo.nnn. m l + ? si ~ t l -O I. .t

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r 'T .v.-,.v.e -.e n n,a. -- .,-m.- m.~, vr+ ,,_u. . a .~ Paperwork Iteduction Act Notice i Publie seportine bmdea for thh vaMecoon of information h ceim ord io on f rom 3 tanrr of to Inrus e un averag Wr to;ome for some minot facil: ties (0110 hours as an aietay;c pa tmuse for some magt iMialt<, l l wnh a weighted merage for tuajos and minor taedine, of 18 hour + per respume,induJmg tim fat icVraine i imtttaliom, searching rsisting data somccs pthermg and nmimaming the d> ta ortJed. und (emptciint and f rdlWingt lbC dlyftion L.d [IIIofimdiDM. bCDd ConUncfds 10fJiidine the intrden otinune or art) o' bet inpc,i of f this colkstion of inlounation, induding mpettium for reducirg tim budth, to ( hn t, inhu mition twbcy j l-Ilranch, PM423. US Enutonmemal Piottcuan hehrb 101 M SticG W. Wustmyton, DC 2414 and m the l j Office of lufortnation and Regulatory Af fain., OMice of Whanmod and lludgts Woeintton, IW MUL l L_ _ _ _ m j General instructions 1; if foun has been panlally completed by preprinting, dhrepidituttutrions dheaed at entr> ef that inf ormation 4 already preprinted. 1 Enter "Permitre Nurne/Alaihnx Adt/ren (and f wility name laulion, if ihflerenu." "l'ermit hnbir," and "Uncharge Numhcr% here indicated. ( A sepeiale farm is requited for ( Ah th>charg I 3; l~nter dates beginning and endmg '3fomtmng Period" wse ed by imm a hit :indiaued. i Enter tach "Parumc/(r* es spenfied in monitormy requkemems of peardt. ' $. Enter " Sample Afravmrvnw' data lot each paramerce unJet 'Gucmtny' and "Guabt3 m unio pnd in permit. "A terste? h normally aritbrnrtic average (geon.etric average for bac:crial paraturter ) of all sample measure-ments for each parametet obtained during '3/omforuna Period"; "Afuwnwn # and %/uunnen" are notnially et. treme high and low measurements obtained during Mfonitoring Permd. " (Note to munMpah *iith somndar) 4 I Deatment setpthement: Enter 30 day aseiaye of umple musurements under *.1mam

and tnter moimum 7sdsy average of sample measuremenn obtained durins monitoring period unda '3fai< mon. ")

? $ Fatir 'Penmt Rcquirement" f or cach paraaierei unJcr *Gasmuy* and 'Ga.du, " as speahed in pennit, /i

7. Under *No Ex' enter number of sainpfe meamtemenn dwing monitorint period that escred maimum Omd/or minimum'or 7-day menage as appropriale) permit requitement for each patameter, if none, enter 'O. "

8, Enter Trcquency ofAnaly3n

both as " Sump /v Afrawrement'(actual frequency of sampling und analys thed during monito:ing period) and as " Prim 4 Reqmrement" specified in permit. (e.go Emer Tont," for continuom

. monitating. *1/7" for one day per weck. *//Ja' f or one day per mont.h, "//90" for one da) per quarter, etc.)

9. Enter " Sample 7)fC both as *Lmp!c Afcshitement"(actual wmple type'u;cd during morsoring perioJ) and as

'Penmt Requirement.'(c,g.,1;nter " Grab' for indaidaa\\ sample, ?llX* for Whour compodg W/A " (or con-tinndus njoni:oring, ectj 10, Where siolanom of permh requiremenn me reponed,.ttach a brief explanation to describe cause and corredhe actions taken, and reference each violation by date. 11, if "no dbcharre* occun during monuoring period, enter "No Discharre" acrou form lu place of dat.a entry. 1L Ebter "Name/litle of Principal Exemtire Q(11cer

un h *birmuwe of Principalbewtii e Officer ofA uthorim/

Agent,' 'Telephonc Number.

andlDate
vt bottom or form.

13. Mail Sirned Report to Office (4 by date(0 spaified th permh. Retsin copy for nur ruordi lal..MOre detallrd in3t10etionifot me ofihh Dn(!!JJXO Ofen/lol/Mg NtpFi/D3/R/ fDH4 hW h i MMWJ h op Of +

y fibe(Q specified in permir. Legal Notice Thh report h requned b) litw (3) U AC.1318: # l'.1.K. !?$ 2h. I ailure to upou or tdu e to icpan trmhfoH3 c,m reqdt'in chit persdticr not to ereced $10jm per day of iivimiorn m in cannel meno r g w acwJ EW o -hv ofliolation or by impriumment f or net more than one yeas, or by bo*h. i d Iortti 3. 1(Ne%.948) .M

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.-4-. .c. .-.m .m_. ,,..,m -m [ Paperwork Reduction Act Notice j. PuNie icporting bmdea for thn colkctmn of information a culmated to un frimi e, t ms of 10 noun as an user,y;e per response for Aomt minot faciWct 19110 houth as an ascige per rt porne for 30me nujor f acdans j with a weighted merage for nuiior and nanor f acihtiez of 18 toan to te>ponse. im tudmg time for iniming inNtructiorth M'attldog c1Lhttny thatD $0uten, cathefifty itud inutDtaintnf the data ntTded, and (tHHp!eling and tes ttwing the colhclion of infwiu4 Hon. Send iommenn teprd og 114 I urden utmhite or any olhef atcci of 1 tlus colketion of inf otmatlun inclothng suppntions for redutmp thu, buden, to (lurf, iniMnunen Poucy thanch, iglyD, U.S Environmental Pre:cetian Ageney,401 M %nect, SW, Wmhington, DC 204% and to om .j. Office of Infounation and Myubtory At fain,()fOce of %nayement imd lludret, Waddnpen, l)C 20$0L f >. k._ _ _.. _ _ _ _.._. - _ _ _ _ _ - _ w GeneralInstructions .1 1f form has been part ally completed by preprintion disrepaid itatructiom directed at enus of that information i 1 already preprinted. J. Ynter "Permitee Namt/hfadmg Addren land facility namcriven'lun, \\f dif ferent),*

Permit Namber,
und "Discha,ge Number" w here indicated. ( A sepcrate iar m h requin d for each dinhm ge.)

NI$nter dates beginning anJ cadmg "Alom/priq Permd %ovet ed by form u here indicated,

4. Enter each 'Parame/cr* tw qvcified in monitoring sequiremenh of permit.

$. Entet %mple Afatwirmera' data for each pmameter under *paantity* and *Qualay" in umn evitini in grmit

A verage* h normally arithmetic peraye (geometric average for ba4.terial paranieten) of all Aampk mea *un 4 ments for each parametes obtained ddring 'A/onflorms Perw(/5 *Matimum"and ' Almunum
atc nwmully ev 0

- tanie bkh.tuJ low mehutements obtained during 'Afoniturine Permd. - (Note to municipA with setondarf treatmtni mjuirementt Emet 3041ay nerage of runNe measurements under "Aivrog

und enter unnhnum 7 day average of sample meamremento nbtained during nmnitoring penod under "Afas/tman,')

6. I mer "Permu Requircnient' Ior each paramcter under " Quantity

and "Guahly
as specified in pennit, 7 Under *NoEx* enter nurnber of sample measuremems during monitoring period that escred masimutn tand/or -

minimum or 7-day average as apptof ate) permit acquirement foi each parameterc lt rione, ente: "O.

d

8. I'nter *Drquency ofAnolysis

both e %ntple Afea5urement"(actual f requency of sampling and analpis used during monitoring period) and as
Permit Requirrment
specified in permit. te.g4 Enter Toni.
for continuous

. monitoring *l/7* for one day per weck "I/30* for one day per month, "1/90* Ior one day per quarter, etej 9 liter "Smn/# DPe' both e "Sainp/c Alcosurvmcrn * (actualiample type med during monitoring periad) and as ?Premit Rnymement * (ed., I mer *Gruh* for indhiJual umple, 24HC" lot 24+our c6mpmite, 'N/.1

f or con.

tinuous rnonitoring, ect.) ' 10. Where slotations of permit requircuients are reported, attach'a brief cAplanation to describe cause and correcth e

actions taken, and refetcace each violation by date.

11. If "no discharge' occura during monitoring pc riod, entei "No Discharsc

across form in plaec of dua entry.

IL Enter *Name/ Title ofPrincipalbccutive Qfficer' witb

Signature ofPrincipallkeutive O[lkvr qf.4uthorimi Agent ' *Te!rphoneNumber,
and 'Date* ut Votiom of formc 13I Wil syned Report to dffice(Q by date(inpeciGed on permit Retain copy for your tecmdr

~ . $4. Mote dt!AlICd lfl$lfhetiOrd fOr ud Di thh Oi5c Jrgf $f n larinf NCpi#l /03/10 [ Dim WD) De OhidWed fronk bl- ' Iice(4 nocificd in pernut. Legal Notice lhik report n required 53 Ltw D1 US C.131R 40 F.01125.24 f'atlure io repori or f ailure to ieport truthfully can . 'requh in chil penshin nor ts 6cced $!0,m0 pu das of vi6!ation; or in crimima penaltin not t of Violation N by imptisomeent for w! inure than one par, m by both. I: .i. l b f.PA Fo m 33201(itet 9m 4 Y h i i

emeestvsv unmessaccasos (foofede m a nom at eeu wwa=v osec = **e.e r..=*=.,,e= sverse. INPDES/

' Fecahrp Nemaasestem f ddfavar/ Ot;CH ARGE MONITO2tN3 51EPORT PWRI -~ j atMn_g +. ~ ' L,__y _ ' i

3 f !&

!! ? 19: '1 yy Qpg _n o_n_ = _ve.-_.. 's : 11 (N.tB & 20406. w et-wer wuween om=*= ~ ~~ Approvat expres 6-30 91 ~_.--_ _. - - _.-u-L_ 3 s '.L*, yoNgTORING PER!OD + 1 f AS!.8_8.TY. 4 ocareen aow to ! oav vem=l vta. o oav o . ; ;/i .J & 14 ;#~ r.+ ;i "i ( iJ ,. d iw ' 061i, NOTE: Read enstructions behee tw=*pleting t*ms forsu. " O e end o=#6 ouantsty on tonoswo c+sativv om c.owctmtmatum j << t med o=so

- c # *%.". *
'*v"a*t

'E pam aw ritse MJn t3*4ri i t ite t ( +4-5 4 t Sew, l.= <= < n17p t avamact me a s ses ues UM sTS

- tas suuw I

avtwant w a zim uw Um sts I t ea;a ew. sm... *W / sametc l' ) ( L, es t a su ntu tur } 4./ g l 's-g l W '? G s r i T L ; ;j u E ca

,, C

-r e = >, ),9 ,.t,,,, a l neoc ra tes t=T j. A - { i cs, ,,m,, y 7,.4,- I ' f { -l ?., . L s a neest ~f e7.e.e (u. j, %.. -/, e ?. i(. v.; r r, itP v r -

stasu=awtwr wa i

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CMD 5E*J ?7 f 3. c

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- -n vrtrewome i

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v.=

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c u rveto ose rimes'etro ' " - - - - - - - * " ' ' " ' * ~ " ' - * ~ ' " ' * * ' " ' ' o**'can om aut oeire o esta t l j uv=et. we cav Comen TNT A ND tRPLaseaf tO*. OF a nsv 1r A*>

somes. Fr;e.,n c ou.n.e==.e=re he** r 1

5 EPA Form 332M (Rev. 5-88) Previous epd."ar* may be used tacas. ace s e* a s'om.s v-se==*cee== a v *ov es use o e., er

j

, /, s + , ~. _ _. _ _.. -.,. _ _. _ _ _.,.

o e p.~.:.w n.. a.- ,m ,,m +-% m_ PaperworliRetinction Act Notice ~j \\ f UUNi010 porting k".fidCD Iof thh WlIfiNDn ofinIofm4Nml b CMhlF4tcJ to sa) f tom a <mre of to bo,its e nn asetage pcr remanse for same mit.or !ad6a.1000 hours as em au mye pt n>puuse for mme najof laMo, j with a weigMed ucrare for major.md minar f acihon el 18i bom s per rc> pome, iodinhug time im vedmng -l kiihtrlhlioh% %earchi jt ribtml; data sources rmhering und nutimainnty the datii mided, and co iphimr snd l j ti iedewing the collection of informattoin Send anmtrus tqadw the bathu esthnah or ara othct spra of i-MN5 C(dleCthoh of Allfo!Dhilhm. INlUdhy WfrDlioD4 lof rrduiNT thh hUldCD.10 ('hiCf lnf tCn31 ton I*0IN) Hranch, PM:22), U.S. Em acomental Protecuou Areng 401 M Suret, NW, Washmyton. D(' MM; and to Ibe Ollik ofinfortm4 tion and Rerulatory Af f,ory Of fiu of Matutement and Hudnt, Wadantton, DU 2Wo! l [ i i f General Instructions l i, n norm has seen partuunampkud by pupnmnv. dhrcma mmuua,s dmaca a emn onhm inrmnmion 'already preptimed. I 2l Cntet "Permitec Ndmentadtng Addren (and taalny name location if Jdtetent),* Penvit Sumkr. " and

Dhrhurre Nurnlicr" w here hdienth., ( A sepciate f ar m is required for each dhcharge.)

3. Enter datr$ beginning and ending %mtoring renm/* ws ercJ by intm w hete indicated

4. linter each "Phneter" anpecified in snointori 4 tequhetnemt of pernm.

j

5. Emer

Simp /c Afanwoment" data for each paramde tmhr "Gaaruny' and "GaaAtr in unhnnWel in permit.

N Arrrurc* h normally arithmale average (vometricaserage for bxterial panunctm) of all mmple measusc-ments for egh paramekt obtained during %mtorme Peno /'; Stadrmuv and *Afinimmn' arc norcin!!y cb lI . iteJDC hhh Ohd lo% inCdWifWolk oh:3!ned dufiny lf0N//urint P(Mad.

tMle IO mHHit-!pph whh seC4md8f) inumeni nyoinmenii rme,*am amore ommpa measmemems unda mance una emo mihnum Lday avetape of t,umple measuremcots obtamed dating monitming period under.9fetimum. *)

.j

6. rmei smu Rcquircme,a + ior exh pmmar unar euaminna euvia, %puolea in permit

7. Under "No L'd enter numbri of sainple measurememiduring monitoring pulod that euced madmom (araf/or

'I minimum er 7 day inerare as apptop,iatc) pct mit ieqtiirement for each pasatneter. If none, rnter 'O.

i 8, Ynter$requem'y ofAnalysW hoth as *Sumple Alemureme nt
tactual Ircquency of samplingt hvd anulph in.ed -

duting monitoring period) and at *Pcimit Requirrment' apecified in permit. (e.g.,1 nier Tortt, " Ior continuom - i monitoring,f//?' for one day per week, *//,10* f or one day per month, *//W for one day per quarter, etcJ U

9. Enter Sample Tjec' both M "Swnple Afcmurement"(actual sampic f > pe med durint n:ochonog perioJ) and as.

-[ (Perrmt Re,/nitrmerrt. " (e.g., Fuer " Grab" for indnida.d sampicl %fMC' to: 24 hoar compodic, MMf for (on. 4

l'inu6us monitoricy, ect.)

i

10. Where Wladom of pcrmh requiremenN me seported, attach a hiief esplananc.n to dewribe came and connoite l

actions taken, and reference cach s iolafion 19 date.

11. If 7 m dj5Charpc" OCCuts during monitorjrp perjod, entcffNo Dl5 Chaff [t* actOn form in place o{ data enuy.

t 4 I. Er,ter 'Nanic/Dtle nf Principallimutir e Offewr".s nh %iewture of Pnncipal13cann_c 0)yhrt niAuthori:cti h; Went, * 'Tr/rphone NumberJ and TDa* at bottom of foim ' ~ - f,1 'l.t Mail sigind Hyort in Offweto by ddte(a speefied on perm;t. RdMn Nfy foi )epr ru m A i

14. More detailed instructions tot mc of thh I)/vdarre Afonitor&g Rcpm!(IMIR) forrn ne t : A nn ! fnc Of.

I tice(4 wecified in per mit, j Legal Notice j -L - IkTrep{ittiTIftJUIlfd bVkah (M k b [ !)}NI M lh.} N I)k b).kOdurfloIfpditOf UUDIPloicpWlIlWlibih Cab f et+Dklin ($d! ped 4N!Ith not (O CWWd $10A0 per day of violadotu or in omn! I pen dii s not m em;d $2 4J a 4 4 pt : day .4 of violation or ti) impthonment for not mme than one year, m in both, g! ,J l A Forin 3.UU.i (Hes,9 M) h

i q

f I. .j ~-,,_,a. a a... -. -,... -, r

P;NMITTS2 N AM31ADOW2193 fleclanft 'suaTsoso AL *OLLUTAesY OtSCM A#Gg gtsensasay,Oss SvtTEae ($.PD[$) fachty Nmeee/Loce.@n tf 6ffarens) DCCH ACCE MONETOAEN3 REPORT tDM)t] HNd f p _

1-IlbY ' lW T L2, U.' L _, __ _ _

(1 161 // 7-1P! 2 -) FM @Oved 3.**. 38_h0 _ : 'ADC2SM' C11 A (5h 4 M OMB No. 2040 0004.

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PE = M 7 NuM een .=-..u-... ,r .. v r u E L Approval expires 6-30-91. s. e e po. e c. a -*\\ 't r --1--

n. - - _ _ _ u;y _R.L.2 - --

L ' w ,e ~f g y,."' t' s &3 w Y 71 r y1 MONITOR 'G PERIOD F ACit ITY ygap MO DAV

EAM MO DAV

, + < 5 yo

A

-* dy J. '., 5 j 4 OCATION rwone

s; q

t' cS: -w3 , _ f- ' 2slh 128 3 t3d 319 NOTE: Read instructiores before completing thus form, ' ' ' * ~ '2 0t ' ' o2h ll2-23* 124 2h i i d Card Only) QU ANTITY ( R LOADf MG (d (sed Omir) QU ALITY OR CONCENTR ATION ',",E C' S AMPLE PAR AMETER (#6-531 Od4fs ( f84) (44-30) 'd441) NO. 4 NE ER gy47y AvERasE M AxlMUM UNfT9 MINIMUM AVERAGE M ARIMUM UMfTS 1 j p g OU' ( ) ~'"n ~ g ++) s A'.s PLE s /,jw'7 wEAsuREMENT f' / Q g PER M t T ' MQ% M 4 G M - 71

1. O ~.l 9 4 WN hD'

U K Id C dD

C % d 1

REQUIREM ENT q j q py y-7, 3 I, S A M PLE ( -L,- y 4 - p ], gt} }lh , g [g i M EASU R EM ENT y ernM sf C 4 090 7 C WAC O ? OC C*n 50 LOQ 1 E S R I,Y C 93 E24 - O' m EaumeM cNT ' j w aT.. s+ i _7, ?' ' / I-M .m. w, ~ 3 V ~a MEASUREMENT (/,, ( 9) C4 e ( ) lT; r, gagpgg f k f ,E,,, g samt +cw:. q: WO4 W 20'

3GELU G S-9 REOutPEM ENT j.,r

' g ng y.. ,e 7 l, r. e u_.

n 5-3'

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[ *- i" y j .. gm 4. 3 y '>/:+- SAMPLE } .{ w s MEASUREMENT "f{Q ,y , s,,. 3f2 1 'PERMf7 NNNEI ' N f E C h*II ' D U "# U D ' I# OO# TDEO I$kbIl ONIb REWREM ENT y. F 1 9LT kA i i $ A M PLE i MEASUREMENT " PERM 1T REQUt4 EM ENT S AM PLE ] MEASUREMENT Pest M tT j REQUgREM ENT 4 S AM PLE F9 E AS U R EM ENT FERt4 f? ' I .i REQtJ tREM ENT t-t .I } NAME/ TITLE PR$NCl*AL EXECUTf vE OFFICER 'a.f I"w"' y useDE # *T asst n y -.te.ar a avyv,, t wasat t v= = a.tanmoinsto /p,,,--... TELEPHONE DATE a e .ou .a. rw vm s w v.o= o ma .n v.me na wats.su. ca. o, e.e s n s. e,no // .e 2 en. -, ., on t <= j /gp., 4 oevaa wc te.t eneronean to.s,.o.cc aat.rie vea,new ,s=t,v ar,v eae e sor te voet we.ovvto euron=eavice. / /< y u-A. M-np< 1 m. a.

==t s% .du11LL. e,tc2 ma,.rt .s t=ut e t Ant,,r W xL 0 wm. a.o -i,m.m ,r,< a 1 o.*( .s 4 ,sss uTW E h en h r

f O ** *** =-
.s t to usc e **c s navo i

"m s* *r. *, m",*P, '.'.'.",,,'*, "*-,.,' ,w,f _EI2 SO M i11 91 t_@. .D _4m- / w q-E s tc uTavE ^ VEAR l MO TVPED OR PRINTED

d+"*

"'"'"'P'*****'*********"""**""******' of F oc E R om A U T **OR t Z E D AGEN T MUMBER OAY cone COMMENT ANO EXPT ANATION Or A ;Y vtoLA Y tons t We s- /*. all.enashecaesA w ) e EPA Form 3320-1 (Rev. 9 88) F/pvious editions mar be used 4mseLAcEs e*A cowM T-ee wouces M Av esoT or usso.: cAsc cP , 7 /, ! a, t 4 t j -g -y. -wv. '1 9 g w.g __9 ,.p.g 9.,p. ,--gy7 y-qi-ey. -,p.- 9.- .y --+ pe.-.9ep-g,,-q-,-. ,w-y--.p 9..g-, .ggwy.y.,,, 4 .,----r .+, -y-.p g g .gy y ,,.--y,'

-h i

V l Paperwork Reduction Act Notice l ' pdDhC TepOrtkild blndCn Ior lh'ih t oNXlion o! MiforundlN) 3 eMlmaled to 4.d i IrtUn v IC1'Fe 'd }b be d' a* an a: crape per re@in e fo; MinM n$ tor f acilitir,1011D Itours as an aterap lwi Ittin c lin MC: c nethir f actl.ltcs, with a w eightcd aserace f or ngor and minot heibth 1 of t h hours pet te.ponse, insladhly time tot ienewing { insttuctienti, Marching esisun; d ua sources, ythering and m Unmimny the data needed, and etunpleting and i i reuew mg the coutuion of into:mation. send i ommttus tenuJmiIk burden eqitmic or any othe,. spect of thb coUection of inimmation in hiding 4agycshons for redut ay llu, buiden, to C hief, inimmahon Polic) i Nanch, PM-223, U.S. [.roitonmental hohtian Apucy,401 M Ntu t, W, W adun/100 IX' W; and In the 6 Ofhee vi luf onnanon and Regulaion Anairs, Onke of Matutrement and bdeci, % ashmp,n,IC 20W. ) I GeneralInstructions 1[lf f ortn has been parnally compided b) pcprinting, disrege d uau ocdorn dirnied at em rv of that miur mation i dready preprinted. 2, Enter "Permi!cc Nume/Afathng Addren (and facihty ncone loanon, it ddierenn, " Permit Xmn/vr. and "D.Ncharge Number" w het e indwated. ( A sepciate t arm is requn cJ for cas h Jiwhargel

3. Enter da!cs beginning pd endmp "Aforatoring Permd' co5 e: cd by 101 m u here indi WM

4. Emet each " Parameter" as specified in monitoring requirem nh er per mit.

$. bmer "Samti!c 31ctnurement' dau for each paarnuer unde "Quantin " and 'Oualsy' m unb s;uined in pertnit.

Amne" is normaHy arithmnie auraye tycametnc aseram f or bacterial p;trometery of uti sample meastue.

mems fat euch paramete: obtained durin, "Afc ironne Pmm/' " Afmimt.m" anJ "ifimmum are not mally ex-neme high and law measucmems obtained durine "Afonitu me Perial " Wote to municipals with mondar> r treattmm requirem-nt; Emer 30-day aterage of uunple measuremenh under %cruer, and <mer mucuum 7-day avciai of sample measuremems obtained durmy monnonny period under " A faumum 7 6.1:nter 'Penrat Reymrcment' ter ca:n puan.eter unJet Tasnm ' and Guc!nj ' a3 specu ted m peirni

7. Under "NoEv" enter number of sample measuremenn during monitoring period that exceed maumum (aad/or minimum c r 7-day average as appropriate) permit requirement for each paiameter. Il none, emer *0.

8, linter " Frequency of Analysis' both as
Sump /c Alca.surement"(actual trcquency of samphng and analpis used during monitoring peiiod) and as "Pcrmir Requirement" specified in permit. te.g.,1:nier Toct " tor continuous monitoring, "l/7* foi one Jay per ucck. "/M0" for one da) per nmnth, ~/Mr f or one da per quarter, etcl

9. ifuter " Sample T.tp, " both as " Sample 3/ca3nremcnt'(actual sample type used during nmnnerinF perimh and a,

" Pen"a Reqmrcinen: ' te.g., i nter Wah" for hidnidual sampic, SufC" f or 2& hour composa N A "forton. u tmuoua monitoting, ect.)

10. Where violanen.s of perinit requiremettis are reported, attach a brief explar; anon in describe cathe and corres tite actions taken, and reference each violation by dat -

11. If "no dii.ch-pe' occurs during monitoring period, enter "No Dnch.trge' aerow form m place of data enny.

12. Enter "Name/ Tide of Principal Executike Officer" wit h TSienatwc qt Principal Decutn e Qtpce, of A mhon;cJ A. cent,"

Telephone Number,
and *Date" at bonom of forsn.

ified on penni Renun copy for sour temdt 'll Ma signed Repart to Offic-N by dat@n spt t

14. 3. lor, d?ladtd in ?E' ions tof M%' e) rbh /)oc! rg \\f;mitorint NCro?llDTIN) 10M '. !!un be ol4aincJ t t om Of-ticeN speethcd in penni'

~ Legal Notice m mpeme,en,m u m m am a e m sum m pmm eemeronnunouu3can t s uh in a,J p m.d: not tu V ?!O nt !av o! sidaNn; i m iind mi pt duo m

o eweed 4 2(puo per de s

--m_~ ~~u on - bi'A I Orm.M2Dd (Me%. W)

_. - PSRM4TTtt N AMtJ AODRNES [lmedewie ee ATeoes At ecte UTAsst Of9CMARGE EL*Mweaveose SversM f %fDES/ F*4ry Nen/Laceren f/c*./farus#1 DISCH ACGE MONITOOSNG CEPO!27 #DWR/ 4 1 MAms v.J.4_.u;_;nT ~t

t + D.L.__ _

r2pi n 711n

AM' Form Approved.

Aonn:ts e.; .s f' 5 ) OMB No. 20404004. t L Approval expiras 6-30-91. ---n-PERw Y NuMeen u-..-*,-. t + -_-iL1 C-

_4 _l _ ;.l.2 - -

MONITOR 1NG PERIOD FActL ~ ~-~ _ATY l on, yg., wo on, ,gan wo LOC AT ION FROM To

a 01 s% 4J '-g 94-l_!

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r ,8 -.e e L a ' ~ + ~ ~ uo 211 G22.1, ll* 251 1:m ra :+ OMis NOTE: Reed instroEtions befors completmg tfus form. ^ ' (5 Cod Omie) QU ANTITY 09 LOADING 4d (med thely) OU ALfTT OR CONCENTR AYtOM o M7) (46-J!) ( $4.i61, NO. *"[,'"' d SAM M PAR AM ETER (4635) ($4 4r 4 ER TM asenevses g7) AVERAGE M ARIM UM UNITS MfMIMUM AVERAGE es Am tM UM UN g13 g 'I^^' U$I ( I ~ J h. /%' h ( 12f /

I SAMPLE

' MEASUREMENT REQutKEM ENT

e f.} i

- D D C Q U '.* 3,) w hh5M0 pgRuiy O O D W.% $. ' 7 0 D Q#4 9 -. t Tdd-r i p' y j t S A M PLE i s 3g e -<4 e nc I~ r 3 4 t '/ O.00' O,0 01 O W-FW MEASUREMENT 7 a C h f* ( 1 [* YIN $ PERMIT $EkOf1' $ ld h Q h I DOGDDO E# 04U-kDAN' j R EOu tR EM EN T i $ 8 T',$ '.% T 3 DbY -D' I $ i 'k*- s S A M PL E 4 MEASUREMENT PE RM IT .j REQUIREM EN T J 5 AMPLE M E ASURE M ENT J 3 'PERMfT l R EQUIREM ENT 4 S A M PLE 1 MEASUREMENT t j PERMfT RtQUIREst E NT 1 S AM PLE 1 i MEASUREMENT { d j l i - PER M rT PEQDtREM ENT S A M Pt E MEASUREMENT PERMtT R EQUIR EM E N T" NAME/Tf TLE PRINCIP AL EXECUT1vE OFFfCER

U****

UhDF R M *.*L f ' OF t** T**** s' appet*g o ug e a.f a aes =g o TELTPMO'8E DATE

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T *5 chat t v aamu aos f aamt eam metee ?**E mop o eas Yeone v.<>se cwo,At s uu a vv i.,.,, f oe co masso

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,p r. c / iW/ ~ ear on-a r o. . ew w oec a*.**. ve eo a vaue acnea o a~n ewive. *= <_ u r e w s,i. uul.t e s s , w,= t.o.r, 6 / ,4'5 4.M ' / r ' /- < A. 3a o e a.w r aa.? nw re s som weswrv a.n v.< sa .,w i t-t=.=.r. 'S GN ATURE of PReaecsPAL Entcurtvt " ^ Ghenisig.'ahapr 'o e i. uga.** a -.u ~. ,=*~..... _.e u,sc

u nn a

ea or < = = < aw = =*ma.=t % e we + m N' TTPEo oR PR NTEo ad<"-~~-'-*"-~~~d**~**"*'*-' orsicER oR AuTMoR1rEo soENT wvMeEm YEAR wo } cAv C2RE COM M E N T A N O E X PL AN A T 50N OF Ahv v eot A T eons t #efrecere mit.< sue hawatt Acer p EPA Form 33201 (Rev. 9-88) Provsous ed.tions imry be used. saurs Acss mea roRM T-ee w*secM w A v o?.a unto : y

. / 4 ;.

,4 4m, casa OP

p--n.+,. -x A~ mm + n.-e = - + - -. ~r .~nn.- i j Paperwork Reduction Act Notice l l Pubhc reporting barden ior thb collection of informatim h tuimated to un iruta a f unge el la i aan an averaf : per retponie for some minot faul>ttes,10110 hout.s ws an avenge per response foi somc neyor f a,.duic-3 { with a weighted aserage im majot and minor facihties of Ib hoan per iemome, mtluJmg inne iW tesiening { j mstruenons, tearching esisting data sources, gathering and mmnwning the data nnded, nd completiny and - { fes10% log the toucetion of information, ScaJ i.onnntnis regarding the burden estimm or any other mpert o! I thn couection of inf ormation, induding surgesdons for reducing (Hs bmden, to Chief, Infotnuion Policy } Hnm;h, PMQ23, U.S. Envirotuurmal protection Arensy,431 M 5 met, $W. Washmnon, DC W% and m the 1 Office ofInfonuation and Rerulatmy Affnin,01fia of Management and lludge1, Washbylon. IK 2%R l G,eneral Instruct. ions 1, if form has been partially completed by preprinting, dkregard instructions duetted at emn ot that intornunion already preprinted. 2 Emer "Permitee Name/Afathng Ar/dren (and facilny munc/ location, if JHferent: " 'Pomit %m/vr, ' and "Dncharer Number" a here indicated. ( A seperate farm h requir(d for each dnchareef)

3. Emer dates beginning and ending *3fonitoring Permd' emeted by f onu w het e indican J.

4. Enter cach

Parameter
as specified in monitoring requiremtoh of pernot.

5, hoter " Sample Afeumrement* data for each parameter under *Quannty" and "Qualaf m unia spa &l h ;rtmit. "A wruee" is normany arithmetic aserage (geometric average for b1;teria panunctm) of all uny le measute-ments for each parameter obtained during *3/mnwmg Penvan "Afmn:um" and "Almimwn" ar, uso maHy ed treme high and 16w :neasmements obtained curing "3fmzitoring Pcnod. " Wote to municipah whh mondar) treatment requirement; Enter 30-day averece of sample rocasuremena under ".h ereg, ' mid cuter masimum Lday average of sample measuremenn obtained during monitoring period under "$ladmum. ")

6. Enter " Permit Rerjuiremem ' lor exh pararntci undei "Guschiv " and "Omz!vr ' a 3 speedied in pernut.

7. Under "No L' enter number of sample measuremems during monitoring period that cicced maximum Omd/or minimum or 7. day as erage as appropriatc) permit requirement for each parameter,11 none, entet #0 "

8. Enter "Frcquency ofAnalvsis" both as " Sump /c Afrasuremen!"(actual f requency of sampling and analph used during mor.horing petiod) and as */>crmit Reymirment" specified in permit. (e.g., Emer " Cont, " for cominuous monitoring, "l/7" for one day per week, '/M0" for one day per momh, "//W for one day per quarter, etc.)

9. Emer " Sample Div" bmh as "5 ample remarem"nr (actual sample type u >ed durine monhorine period) and as

?Penn// Requiremem * (e.g., Enk r " Grab" for indnidual sam;*, WHC' for 24-haar compmae, TA " for con-timious manhonog, ect.) - 10 Where violations of permit requhements are reponed, attach a brief explanation to describe cause and correctne actions taken, and ieference each violation by date. I1. If 'no discharpe* occurs dming monitoring period, enter "No Ducharge" across form in place of data entry.

12. Enter "Name! Title of Pnncipalhecunve OJficer" wit h *Sixnature of Principalbecutnr Q!]icer n!Authwi:cil A gent," "Tclephone Number,' and "Date" ut bottum of form;

13. Mau >isned Iteport to Officety by date(9 specified on permit. Retain wa for your n < Js.

14. More detailed instructions tor use of thh Ihwhsrec3fonizmie : Repmt iIn/R/ f oi m rw b mu a h e 01-fice(9 specified in permin Leoal Notice en This repon h required b3 !aw D3 U.SL 1310 40 0,1 P 125 A 1 e ;ure m icp%

u. I sp m o s em resuh ir, chtl penahie> noi to exceed 510M per dn N s Mw o ; or.n c::nn. d ;n un, n mid'N'*e n' Jav of v:alation or b) imptisonment f or not more than onc ' car. 0: h bo:b EPA I orm 332fl+1 (iten 9-MO ~

PMMeTTes N AMStADOQs39 flMClasafe Ferday Neme/Lorerfon if Afferrer) . sg AftO*smL *OLLtsvateY O*SCMe#6E Eteusesaveces system f.TIDf 5! OtSCH ARGE MONITO,78MD REPORT /DWA/ ffAM.5_,; C _ l O O 56 1 CL.1_ L _ r2-161 (17-197 tJO: 6m Approved. 1' (5or C 5 ) OMB Mo. 20404004. aonmesw,,,,,,A,,,,,,;,,,,,.,,,,,___. y; ;2%i; 1 - - - - - _.~ nn-PE=M T wuMeen om - a... ---. r-yr es A L Approva1 emires 6-30-91 - a ,+,.., _. - ~ - - -. - -. - _ - - -. _ - - _. _ s tc. 1'? > il T ' VIC ' AC ; WI 5 H, wa"r _____-_.4 ut_-.-- MONITORING PERIOD FACI? ATY v e A s, eso oAvi vEAR Mo-cAv ~ LocaTsom '"o" To 01 EI II"! # $_I 0 # ~' si a e ,i 1

r#

2:1? :2 2h (24 25: t:s-l h 1:n-:a tM* 33 r NOTE: Reed enstructions before completma tMs form. ~ (f Card Onip) QU ANTf f Y OR LOADi*eG (8 (erd Oeft) QU ALITY CM CONCENTR ATtON

E $Y SA"PLE PAR AM ET ER (4631)

($4 4f ) (fh!) (44JJ) U447) NO-Em TVPE gyyyy a M at v $ tS AVERAGE M AK tM UM UNITS MINIM UM AWERAGE M A R IM UM UNtTS 42 A h (6448f t 199JO7 S s yo, ...c.. c g r .I. SAMPLE 'T ykI() a(~,)/ h (

h. M b-h.

MCASUREMENT y a4 4 '( 4 PE R M IT etPDET 4 t:-P G s T. - -. " M O C : ,c M 900- -90*C40 9; .EEALLt: ITin A REouiR Ew ENT gg jg -g -pp g; 3: q.m , 7 SAMPLE MEAGUREMENT - PERM IT - I REQUIREW ENT au. iB AM PLE M EASU R E M Eta T .' PER M (T j REQUtR EM E'47 S A MPL E ME ASUREM ENT PEWie IT r REQUIREM EMT f S AM PL E M E A SU R EM Ead? PERMtT REQUIREM ENT t s AM PL E MEAS REHENT PERMeT MEQutREM ENT B A M PL E MEASUREMENT PtRM ET

EQUIREM ENT l.

t N AME/TtTLE PR$NCIPAL EJEEC1.fifVE OFFICER F' *''s a*a*e*Df " e**e.M TV 9.geneTTt o '"eg ar em 'a*sD Sa%F D OF (** T***'

- - - f
T8 *C**u

( * *M*"f D TELEPe40ME DATF ',',s - /'e/"- aNo aos stwas w t V*af ne twassa tione n tw* *** *sous=v ca v ose puravt=amt.s manettmatn v as samesen t a cwo (JE9Y aanspeG Yset ear rgensa Y ub.g i par t st yi Taaf 9Aeum fv t ra coust3mmaea reO84 _/ , / '. I -

g

,/ -p < -. r*, is= se ar,t o.ma te mano connat.tw te.a.tw sqc n uc.s.,c cy.b t fes som s v.rv c sw o. 1 r + am 4.seg = aar e jf. mV ol.i c.h w ea~r ?,. M d rut? W wwmm F ast ama means==e w w te m 9 we aa r ' StG*d A T URE OF PRIMCSPAL EEECUTtVE _U]7- '9.3--.9113 oi 08-1.d.i...,,.,..'. ~ ~ g-1. -3g-.- .a s o-n ua s,m m

a. ~

a. TYPED OR PRINTED

*d *" *** **'"** '**PN==*. sees.y a.eee = 4 me=M e e.d i spee* d O*'F 4CER 08t AUTHORfZED AGENT MUMBEM YEAR MO DAY CODE COM M E N T A ND EX PL AN ATION OF A N Y V 4GLA Y tC*w S e A rf *resod e all andfath8'sean Wei EPA form 3320-1 (Rev. 9 48) Psevious editions may be used.

tREPLAcEs sea Poses T-as wrences es Av eso? or vsso n 4 ensu . cP g ( 9 ; /,4,,L'/J-&c4. i

n + + t pq + N-+ A nd h ~- :e+ A A,w p- ~.a.-~ = ~-~m ~ -.- ~, i s - ~.-++ i A, a ~ ~ -, -~. - 'a nn - - - - -,- ~~ \\dm -n----- Paperwork Redudiim Act Notice '~ e Tubhc reporting burden for this (d!!ectioa of information is esumated 19 vary from a raon of 10 hours e an merdye per response for sotue minos facilities, tol_10 homs as an asemge put rewme foodme majot f acihtivs, l Mith a weiF ted averste foi major and minor f acihties of IN homs per W3ponse, iriluding time for ieticaing [ h ^ Linittuctions; searching vikting data soukes, gathering and maintainmg the data needed, and completing and j LreCewinF the coueciinn of intornution. Send commems orgarding the burden tstimate or any othen a<pect of -I his tolleethm of information, including suggeshons for reducing thn bmden, to Ubief, Information Pohe) t .iltanch, PM423, U.S. Environmemal Protection Agency,401 M Strcet, SW, Washincton, DC 2N60; amt to the

Office of luformation and Hegulatory Af fair ( Office of Managemem and lludget, Washinyton, DC 00$03.

l i GeneralInstructions

1lIf foran hu been partially completed by p4eprinting, disregard istructions diru;ted at entry of that information already preprimed, c-2: Enter "Permitee Name!3 tailing Addren (and ta ihty namenocation, et differentl.' ~Permir Number,

and

- *DischargeNumbcr w here indicated. ( A seperate fm m h required for each dischargeJ d 3, Enter dmes b: ginning and enJing '3fonitoring PeriodNotered by fmm 9 here indicated.

4. Enter each " Parameter" as specified in monitoring requhemenh of permit, e

5l Emer "Samp!c Afea$urement" data for each paramuer under "Guawit.( and "Quahty" in unib sprined in permit = 7 "A wraM is noimally arithmetic average (genmetric merage for baetenal paranietern of al.1 sample measure. unmts for each parameter obtained during "31onitorin# Perind' 'Afatimum

and "3fminmm" are tioimaity en tecne Ngh and low measurements obtained during '3fonitormy Penod.* (Note to municipah with wcondar) treatment requircinent: Emer Wday merage of umple measurement ( under 'Averam " and emer maximum 7-day average of sarn;,le measuremenn obtained during monituring period under ~3faximum. ")

s l

6. Fmer *Pennit Requirement " for each paiamect under 'Ou;mtity' and ' Quality

us specitied in pes mit.

_7. Under "No Ex' enter number of sample measurements during monitoring period that exceed maximum tand/or minimum or 7. day average as appropriate) permit requirement for each parameter.11 none, enter *0 *

8. Enter! Ytequem'y ofArdlysis ' both as *Sompte 3teasurement" (attual f reqdency b(kampling und analysis udd during monitoring period) and as "Pcrmit Requirement'specified in permit (e.g., Enter

Cont,
for cominuous

- moriitoring, *1/7' for one day per week, */B0" for one dai per month; */r90* foi one dav per quarter, etcd

9. EnterfSample Tipe" both as " Sample 3feasurement"(actual sample type used during monitoring period) and sn

? Permit Rn/niremem. * (eg, Enter "Grur for indhidual sample?24UC# for 2?hout compositei JN/cl" for con- . tinuous monitoring, ect.)

10. Where violations of permit _ requhemems are reported, attach a brief esplanation to describe cause and corrective -

actions taken, and reference each violation by date, 11, if "no discharge" occurs during tuonitoring period, enter _"No Discharge" across form in plaec of data cmry, t 2: Enter *Name/ Title of PrincipalExecunve OJficer* wit 6

Signature of PrinerpalErecutne O[ficer ofAuthori:ed i'

Agent, ' 'Telephdne Number, ' and ?Date" at bottom of form.

13. Mail signdd Report to Officep) by date(o specified on permh. Retain copy for y our reemds
Ii More ddalled imtructions for use of this Digharge Afonitorinfe Report fDA/R/ form rua) be obtained trom Of-tice(s) ipecifwd in perm?

Legal Notice 1M icport is mquired by !aw (33 U AC 1318; 40 IJ R.125 m 1:mlure to report or.f aihue to report authfulk can-resuitim kivil penal:ics not to e3ceed $10pm pc dm of s iohuiorc or m aiminal penalties nm te escced S25au0 pa day of violation or b) imprisonment for no! more than one year. m by bmh. l s, EPA 1 orm 3320;l (Res. 4X0 M +- n, e 7+ ++ e @ ww-=y--.*Fe-31. Ob

PE2ueTTse N AMEs AODwars (factufe m ATiomet pouut As T cese aase eusamanoas sysvam fVDEIt r Facery Nea.c/Lorertwr ifejfaent/ Ol3CH AGGE MONITORING CEPO'27 <DefF/

e 1

T C Q __,__- _ /2 161 11719!- i.*..? ) r ffAldi_ _L__._w ?_ f ^ r An Form Approved. - _o = _se >2

c

- 5, gsUt 'J ) Of.4.8 Na. 2040-0004 - = = .. t,. .tw Approva1 expires 6-30-91. PE n M 7 Neween ..x-a.u.... nn_ --___m u u .L I --- - ,-%ct . ~ ,yr- ~~~ '~*z~

* ^

_ ~ 8,, .. r a MONITORING PERIOD F A CI LITY vtAn ano OAv vgAn eno ony ~ ~.. LOC ATION a ~} d ** ~

FMOM.

TO -4 I_I OPI t 3. t;u 2h 1:2-2h 12424 42s.3 r;8.% 9 h ih NOTE: Rest

instructionn befcre completing tras testw

($ ferd Defy) QU ANTITY On L.oADING (4 ( sed (Nty; QU AttTY On CONCENTR Af ton P A R AM ETE R - 146 $1) ($44f) ( $8-d1) (#4$f) (3d4f) NO,. "MyC ' Sa m E g Tv E E a a t.... (.92-17) AVERAGE M AN tM UM UNITS MINIMUM AVERAGE M ARIM UM UNtTS I P42.A f y s4J48) f 98 % t s AM PLE f. I f a- - / MEASUREMENT (*"'y N G pgRu sT-390 Cot. C @ e f C % ; C4 t: J O ~1009C7' j.3 .] "' W IC G C i:An' Rtouan g u f MT n. -r . g 7 gg q q; gg 1. s,AM,*gE i n' ,. 'q i ,y

g. 4 gg

( t i WICF/C05?-9! ' n c^ ^ 3r 90. 4} ". g, p, PER u eT VfD 27 ' U M U 0r ; REQUIRE M ENT C Q ; Go T l + ~ ~~ '~- l' o 'A' f M- '~ t, uEns5R$ MENT C 1; 3C30 l' PEpu s T-140%3 ' 9 MORT OM W D C M M' MMDC ]! ? E E K LY i E 13 R E. -j eEou REMENT -y,, p.. 3 m,,, ., 3 y 9- .f JL2 >y A..A- +t 6/ ( s A M PLE =- /h {,(y C /M h MEASUREMENT 7-PERU gT ' .D $d D Q D ' $DGsDO O E @ @ @ *7 D D 29) N9$DU h/ l N [.'M [I.',3 k h ME90tREM EN T ' i ), 3 f DA IS f 2 6DY i ' 'I F 9 AMFLE 7 3 s'..e r g. 1 .;g f. Y 9 ~1 . b -[ }/ DI rs (I)' / ,CO h M EA SUWE M E N T i e < PE N877CD M O d t O S' 2 TCOLD7 25 h ).' -'jN[(kh' CUE *b Reou RMtT ,, w, gg ,,f REMENT g S AM PLE M E.AF U REM ENT PERMfT' PEQutREM ENT S AMPLE l MEASUREMENT PERM 87 '3 PEQUIREM EN T new or v.=>c4 sonames,o es,c t g e, t vcsg,.1['z,,/- / ..c oey aewasc-i.c ones omena Yry = 4 asy L g ye v.4 tw 7 V/ aeg .,' / / J* ' ' V, f'- d*,.1 LI C A [Gli.if tf. h. ras ets - AC n eart a ap crmostrig a men aname e ag,w eg f i te s.eosea.s, emeer sra at se r.isn....c

.r.
s ame < Av av =at r; ,,9 393-3113 pI M,. A3 '+ A A Chedstr7 h.anarur ..m.seM <tv to e .o. - v su avu *.o n o . S tGN A TURE, OF P
't E31[CUTevt 3 3 0 %r %1389 P
te.r. cr<e t*, w seerne% w, r.,, au s ee. A h,E A 7 VPED OR PRINTED a'=d****'***#"*P'*""84'd*""***""*****#1***'* oareCER OR AUTHOR 42f O AGENT MUMSEW VEAR MO CAY ' CQpE I C Oeis w E pe T A me D EI PL A N A T SO*e CF A N Y W10LA 7 tO** S
KHe**me r C or**st 48uscar*v aree $
EPA form 3320-1 (Rev. 9-68) Previous editions may f>e arsed. tweeLAces e*A eone T ee wmcM w Av Nor se useo I eAGe or -ild/31042 h 10af
l 1 I Paperwork Reduction Act Notice l i of 10 le t e i Pubbe ivort;ne huden f or this ce" ction of i:,fanme a n t wn acd to win trom a < 1 > merace per re: pome for some n,inos fac!Lu. 10110 hou: a an :n t a m ;u mpame M wm mt o' R wc with a weighted a ct are for map an 1 iniuor taclite et is hoars per temow, irchnIme tn im t ni,mr 3 " i i W % ling luJ in% tTtKlioli). 'scitf t hing eshting d3(a iotn Jc', FalNrmM 'nd ni?inlaiidig the d.!!:t nCdrd f j iesiewing the co&ctian of infonnanon. 5 cad @nowns epiang the bard n emns m am We ' s: o: this colketion of informatk% 4tuluding su, n t :: r" hu tt-Jucm:. ttm ist dt n, o t hwi, h:ftr m una PM a j Branch, p\\1223, U.R Emironmtmal Prou cti in \\peup. di M $nect, W. W almerom i C h, wl ! i 6 ()!fice ofluformation and Replatory Atfair, Oifi.c of Manarena nt and theci, Wman + 1R 2 N1 l _ _ _. _, _ GeneralInstructions
1. If f orm has hen partially tompleted b) prep;mting, JiucgarJ nanucdan, Juc<ted u en a or thx mu madun alreaJy preprmted.

2. Enter "l'ermnre Aame/310;hne Addet u (and taulay namc lu ation, il date en:L Po m: L m!o.
auJ "Dischun:c Number" w here indicated. ( A sepdate f;n m b requecd for each diwhar n)
3. Enter dates begirming arul endmg "Alonnonna Perm'/* cowred % to: m u hac mdiated.
4, Ih r tach "Parameur" as get ihed in nenitorin*g t eqmrements et perma amn vl m ;wmn.
5. Enter "Samp/c Aleuremeru" dau f or each parametet under "Gutmno
anj "Q.n p ~ m : r
~ 4 wrgge" is normally arithmuie average Geomen: netag for bacta nd ;uumeteu m A,i n A i casu:e-ments hir each parameter oMained durus M!amte w Perir!; " Afa ww ~ anJ ' Ww m " ;um 3)ev treme high and low memmem;ns obuined i unne "Tfoniwmc Peral t%Ie to rauatiip.ds with m ondary treatment re.pvirement; Enter M das n ern s of samf e mcawremenS cmic 4 wrre, and ' mer m.; dmum -de cemge of sample measaremtna obuh cJ dunne nmnuoring penad udn " min:m ')
6. E ntet *Pcrmn &quircment~ f et ea,h parametu unJa ' Ownntj "
J %!,rj 9eaficJ !a p arat 7..Under "No Ex' enter number of sample measurements during monitoring period that escecd amitnum (ande or mirdmum or 7-day aserage as appropriate) permit rcquirement for cach twameter.11 none, emet ' O. "
8. Enter Trctjurm'y of Analysn" both as "Samfils Afeasuremem * (actual fnqurng of samphng and arnipn used duting monitoring period) and as " Permit Reilunement" specified m per mit te p., Enter Tont, ' for modnuous inonitorinn *//7 f or one day per ucck, "//30" for onc day per man:h, "130' for ane dn per quarter. etc.)
9 Lotcr " Sum;>le Ty pe " bath n "Numfile \\/cawremer, ~ tacm M a mple i> pe U-ed derme m i oring penad) and as "Prrmy Negmyrmen[," (e,p, [ Wer 'OfuN~~ [of Wdhidaal s Unph\\ ~N((I fm 2Mhom ' E I ~ h M Wu-W tinuous monitoring, ect.)
10. Where violadons of permir requiremems are reported, attash a Nief explanatica to describe catne and cor ra:n acnons taken, and reference each violation by date.
i1. If "no discharge
occuts during monitoring period, ente: "No Dacharce* acrow funn in place of dat a entry.
12. Enter "Name/ Title of Pnncipal Executn e 0]:licer " w it h %cnature of Prun ira il Lucu m e q?]utr of A mho:imi Axent,' "f elephanc Number," and "Date" at bottom of faim.

13. Mai! slined pstp(Irl to Of[h e(U b) daleb) 9 4 5 bed t a [s rudi. Rt !Jin-
<j'3 f.*1 y o?r iC H-
14. More de: ailed incructions for mc of thh Ibclurre S tenmun Rc;wt r t/ \\lRj F

m u
s .f weis) specified m per mit. Legal Notice This repon is requued by !aw W IN. lilR a I J.R.123 M L 1 jm. m 6 r at cm J: re uh in
penahe not te oe J iluJ m P., tm,
m im r m < o <v of violation or by imprnonmem h not more than one wa: - N v! EPA l'm m 3120-1 (Hes. 9 NM
{ w Avioae a t cottur.=* oisc.* aace rotweas a veo= se sveM IAfDEL ~ PERMaTTEE N Amer AnoREss (Include DESCH ARGE MONITORING REPORT D6fP) Facday NamelLocaram tf dtl1erents "? if gy gg t!. ? 4. . 'i ;, L___ v2 w (17-19' ggag _ + m *: (i T. ) Ot sB M M400A I Anoness - - a- - - -.- _ _ _ - - -. -- - _ _ ceRMar MuMeem l A L /sm<ovat espires 6-30-91. .+-* u- - -
t
-_----~-o-. 7 e-L 4 _ _ _ _,__ _;. n. m u '_____- } MONITORING PERIOO { l f l v s A ss Mo_ cAv aP ACI W1FY ivtan o. oAv r *'oM l y - To Loc. ATrow
o 21i t 22 lb d4 2' i s l'
,;M TJKW NOTE: Read imtstrctioru b=' ore completmo thus form. ( f Cerd Ogly ) QU ANTITY OR LO ADING r d f eed OWy ) Ot> A LITY OR CONCEN TR Af TON l l S A" PL E I NO l.-.<.m P A R A M ET E R (46 5 f) (54 4f 3 tiaJ5) a 44 50 (5441; "c 4 Er 8 i ,,u 7, AVERAGE M AurMUM U N tTS MINIMUM AVERAGE M A !'M UM UNITS p41 A f d e 4d eg
gdNJ
\\ I I [-, r-ej {;t Q } SAMPLE M L ASUREMENT l G h k. N b 2M 3 T51 4, i./ e ? S%L ^tw i (,. Q pg qu gy MEQutREM EMY ,, 9 ;# #y,, j, - - y,a,.,, t, v. y. t 4 T f -( 4 ) .e i i e f g: SAMPLE o O g/ /4 { Q { y, [ '.f. /, M E ASU RE ME.NT v wN e v e ,9., <l****'er4. d S Ait O } }< .a -4m m 1 g5 ,~.a.4,,- ,1 n; ~. ^ e~ 3y A e 1 I l pggg gy ,y R EQUt REM E=E T
yy p g Y.-
3,g w g ;e, n l w * - r ,.e x ~ t i ( - l l s AMn c !. 3 L- , Pf n O t' M I M E A r.u R Eu E N r a l I "LT' ' # C ' # W/ WC C MJ " O d-M'- ?5 a0'. eERM 7 8tEQUIR EM E NT y g,. a, -. /, *e
gy
,j= i u. -i ,/ t S A M PL E ("] /4 (gsw MEASUREMENT g n (yj PER M it L PG -T
PO 'T
N "WP' 4'
3h1
'hII' f
Ecusa EM Er 7 n5, y,
rQ, 5ey 4 { l 5 A M PL E i MEAsuREMEr.T PER M IT REOutREM ENT l SAM *LE } l 1 MEASUREMENT I. PER M IT I R EQUlflt EM ENT I S AMPLE MEASUREMENT e1Ru er R EouiR Eu EN T I e (t ow v umme re mat r. & tso ma e < ave a.r ww t v s am o TELEPHO**E DATE N AME /TtTLE PR8HCtP AL EXECUTIVE OFertC ER ameD des F Aas,L Am eu.Tw Teat' M C. Pee & Tense Miean-ftg p og ey sms awry sa%g o. l .e suma s . o. .o.vo+ s -ma er t. r .o.. or v.<wa ., o,..,s, tewa rc.w,e m rm,t m me.w,e e-so. w a.c= -, o ZC 412 y~3-3113 91 DC 24 me. we.w ,c. . u w.., .s m -irm
m., m sc a
WM m +s r*
* = * ~ *.
W

o=~a va ~ m ~< -
s.. p, , " **-w a.,n,'& s 'e+ -s w i ao ame va
r
=.a s ea u s, c
ve
no
.u <%p. - g stGM A TURE or PRINCsP AL E stCurtvt i y nms,m r~,. a.. n.+ .u. . a t~..,,, s. - "g l l YEAR MO DAY NUMBER
*d '""'**'"'*'*'P***"NfdM**"A"hM*-*#**"*
OFF AC E M 09 A UT HO# f f f D AGF N T yyg,ED DR PRINTED COMMENT AND ENPLAN Af TON Of AN/ V tOL A Y BON 6 6 Fr ir** *4 ed WMherst 4rre ) e A e.e or EPA Form 3320-1 (Rev. 948) Provsous edirons may be used. (RarLActs mea ro==a T-ee mMecM M Av aow ee unf o : i/ 3
g ~ T. U ms s 'll a a m.. -_..a.m 1-iPaperwork Reduction Act Notice, ~ g :Ifublic reporting burden for this collection of inforpiationU estimated to vary fron. n' range of 10 liours as an j 9 ajerage per respon3e fot some minor facilities, tol10 hbuts num meinge ;rt tsponse for u.me majof racilities, 1 %ith a we!ghted crerage for mejor and minot f acilities of IR hours per response,induding time for revicwing ' - insttactioitsiseaiching ciisting data sources gathering and maintaining the data needed, and compleung and ' a 2-feriewing the collection of information. Send comments segarding the borden estimate of an3 other aspect of ~i J hls collection of info tatiorn iridading sugrestions for reducing this burden; to Chief, Information Policy - i Branch, PE223, U.S. Emhonnkntal Protection Agency,401 M Street, SW, Washington, DC 2W4 and to the 4'
Office of Information and Reculatory Affairs, Office of Management :md Budget. Washington, DC 20503.
. L -~ -- -
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_.~ -._ -,.- - -.._ -. - -..~.- - -. w i ) 4 - GeneralInstructions { 1, if foon has been partlaUy completed by preprinting, disregard insuuctions directed at entrs of that information 5already preprinted, 2J Enter "Pcrmitee Name/Alalling Address (and facibly name/hication, if differvnt)," " Permit Number. " and ("DischargeNumber"Where indicated. (A seperate farm is tequired for each discharge.)
i
' 3; Enter dates beginning and endmgfMonimring Period" covered by forut w here indicated. -4 Enter each ?Parame/cr" as specihed in monitoring requirements of permit, r ~ 5, timer "Samj>le Memuremu;t' data for each parameter under " Quantity # and #Guakr* in unit,s sp:ciGed in permit '" Average" h normally arithmetic aserage (geometric ateraFe fcr bagterial parameters) of all Mmple measute-meras for'each parameter obtained during " Monitoring Period"; Warimum" and #Mininmm
ac riernially ev I
i trcme b" and in ineasuremems obtained during "Afonitoring Pensd * (Note to munidpaWith secondar) trestm_ i.cquirementt Enter 4 day average of sample measurements under TAverage," ami enter mnimum 7-da'y average of sample mea;urements obtained during monitoring period under *Meuimum. ")
6. linter " Permit Requirement" for v:h parameter under 'Qduntityiand ' Quality" as specitied m pumit.
y - 7.' Under "No Ex" enter number of sample measurements during monitoring period that exceed maximum (and/or minimum or 7 day average as appropriate) permit requirement for each parameter. If none, emer "O, " -~ " ~ H. Enter "Frcquency o/ Analysis" both as "Sunm/c Measurement * (actual frequency af sampling and analysis used ' ' dm ag monkoring period) and as " Permit Requirement" specified in permit. (e.g., Enter " Cont; " for continuous monitoring; *l/7" for one day per week, 'l/30" for one day per month, "1/90" for one dal per quarter, etc.) m c % Emer fSample Typr both as " Sample Measurement"(actu# sample type used duimg momtorms permd) and as " Permit Ret;uiremem. " (e.g., Enter # Grab" for indisidual. sample. WfC" for 24. hour comiwite, fN/A " tor con. tinuous monitoririg, cet.) - 10. Where siolations of permit requiremems are report'ed.. attach a brief explanation to ' describe cause and correuite actions taken, and reference each violation by datea a . I1. If "no discharge' occurs during monitoring period, emer "No Discharge" across form in place of_ data entry. 1 i 12. Enler "Name/ Title of PrincipalExecutive Officer" wit h
Signature of Principalihecutive Of]icer ofA uthori:ed Agent,? *TelephoneNumber,* and *Date" at bottom of form t
13. Maihirned Report to Officed) by.daten) specified on permit. Retain copy for y our remrdt
' 14.31 ore deiddinhuttionstor ute of this Dhcharu Monirarinh Report (DVR/ form may be c5tained from Ofs lice (s) specified bi perm!!. . Legal-Notice u - w rem inquimd by a m u.sn ms; ao n.rx usn rauure m repmm unme w,epormmhruumn - t L a resultin eiwH penalbes not to execcd $10.000 per day of violanon; or hi criminal penahin not to excehJ S25#0 per da) I. of violatiori or by impriaoumem for not more than one par, or by both. l EPA Form 3320-1(Ret 9 88) _s l e,. [P 3 t m. + - + l,,
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.e p.. = f p, u ga.m a, - @~.s -n -m.~ ~ e w ? I~ ' Paper ~ work ReductionWdNotice .v t ~ hblic seporting Emden for this colhelion of information h cuimated _to vary trom'rtrange of 10 bouru an { t 4crage per response for some minin facilties.1011.0 houn acan awtayr per reepume%x some umjer laaf acs, j t with a weighted at ernge fin major and ~ minor faci! hies of IH houn per icspoine;includi:ir tiine tu reviewirjp instructions, scarching esisting dataiources, eathering imd ninimainine the data needed, and completing nod - ! reuewing the colketloriol information. Send comments tegarding.the burden evimate or any other aired of. 4 this collection of information. {ncluding utggetiom for reducing this burden, to Chief, Irdonnation Poiky j .l Branch, PMC23, UiS. Emitomnemal Protecuan Agena,401 M Mnet, M Washington, DC 24b0; and to the Office of Information ar d Regubtory Affairs. Offke of Manarement and lludget. Washinston l'.C 20501 1 s i c .2._. _ _ .[ GeneralInstructions. li jf form has been partially completed by preprintiny, dhregard instructions direded at emr> of ihm infonnation : L already preprinted. 2.- Emer "Permitec Name/Afailing Addreu (and facihty unme/locatien, il Jillerem) " "Permir Anm/w," and j '" Discharge Numher" w nere indicated. ( A seperate form is required for each diwharya 13[Enkt dates beginning und ending *Aftmitorlim Permd* cmered by im m w here indicated. l W4; Enter each 'Parametei" as specified in monitoring requirenknn of Pertmt. y ': 5; Emer "Sampic Alcaturcment" data for each p;uarneter under " Quantity
and PQuabr/ in urdts wifkd in tyrmit 1"Aicrage"is normally urithmetic asetape (geometric averan for b&cterhd parameterg of alisample measure-i rnenn for each parameter obtained donna *Alimnwing Perio,1# OfaMmum # auJ 'Afmimum " are normily ed treme high and low incautements obtained during PMonitormy Period, * (Note so munidpah with mundar3 lg
'reatment requirement; Enter 30 day metan el sample meanaemenn under *Averaer. and enter mnimum i t 7 day rverage et sample measurements obtained during monkoring perial unda *Afaximum. *) I
6. Enter 'PermitRequirement" for cuh para:rner undet? Quantity"i.nd *Qualay ~ as spec; tied m permit,
.l = t 7< Under TNo Er" enter number of sample measurements during monitoring period that esceed makimum (and/or i minimum or 7 day average as appropriate) permit requiremem for each paumeier. If none, enter 'O. # { +
8. finter
Frequency ofAnalysts

boti as " Sample 3fea1urement"(actual. f requency of sampling and analysis used ll during monitoring period) and as

Permit Requirement" specified in permit M.A Emer " Cont

for cominuous Pdnitoring,?u" for one day per weck, 'U30' for one day per month, 'U90' for one day per quarter, etc ) -
l 9 Enter "Samp!v Dpr both as "Sumple A/eawement* (actual sample 1) pe used during manhoriny perioJ) and as t "Peririt/ Reqmrement."(e.g., Emer " Grab" for indnidual sample, ~'24HC for 2& hoar corupmac 'NW for un. ' lInuous monitorlag, ect.) j 10, Where siolations of permit requiremen" ac reponed, af tach a brief explanation to deuribe came and corrective actions taken, and reference each viobtion by date, j -11. If "no discharge" occun during monitoring period, enter "No Dacharge* acrou form in place of data emry. f i i 12: Ent&r "Name/11tle af Principal tDcewik Of.ncer
u ith " Signature of Prmeipallhecutive Of]iar qfA uthwiwi -

Agent. " " Telephone Number;" and ?Date" at bouom of for m.
l 13, Mait signed Report to Officeb) by datchnpecified en permit Retain 20pybr your raords j 14 More detailed irutructions f or wie of thh Dhcharg Afonitorine Refwer/D tIR) intm may bi obtsei (moi 6f f fice(s) specified in permit. I L Legal Notice ~ .. h h- -Tbit report is required by law (D U.S.C.131R 40 fil-R.125J/> liihne in icport m taiNe a report trmhii 4 can
i result in civil penahics not to exceed $10M) per day of siuh!!om or in enmM pe.n dN, um to ecM E0@ per da
~ of violation or by imprisomurm for not more than one year, or by bmh { .r EPA form 3329;I(Rev. 9 m
i 4
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Natsom ALPOLLut Auf ce9C*eamos tueesma teos. svsrsM f VDES/ PC#gMstTet M AM2f ADORX99 ffECIMit Escory Name/Locettu rf defferentf pr,;CH ARGE MONITOOIN3 MEPORT tDerA/ - HAga_g _,,, - - t _. 55'1 _ LdC ~
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' 5) OMB fJo. 2NO-0004. r - F ! t 2. L Approvat expires +30-91. PE=MtT MuMee R e.4 - a.. au- ** * . u _ra; o r, r. x4 ~ a__ u, !_ _ _ __ _ w _ w,t.-' 77 y-o <q. ger ng, MONITORING PERlOD FACILITY lvfAN MO DAV ~~ - - - - - - - - - - - - - - ~ - - ~ ~ ~ - - - - % EAR MO DAV ? y{="NE
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_l C4 s FROM To L 2 . r --LOC ATION j, .+- <. r. <r en a u;j, a::s gy n, aw,,;g ;s.,ju 3>> NOTE: Read irrstructsc before comptesing ttus form. (3 Ced Only) QUANTITY OR LOADING id ( erd only) QU ALITY OR CONCEN rR AT90N "*g,W a SAM M P AR AMETER (dM A) (544/s ( f re.49 ) (46 3J) (3441) NO. "'c u a ~. e,.. o,_,,,, AVERAGE M ARIM UM UNITS. MtNIMUM AVERAGE M AJtiM UM VNf75 P414 4 ( A4443 109J9) k f ( f S A M PLE MEASUREMENT d f h '[ :. N fdt } 7 pg;eg gy DD3097 C$$$$C EM' is, Q ' DOOOW 9,7, e fltEQUIREM ENT 4.# r ,ygg .ny. . y,A A s : v - - y 1s 3 ns- ,.s. ( 3 > <1 g 7 g y'. 7 '.' k 4. ii e a. ~i 1[ SAMPLE t M E A SU et EM ENT y JEQuiR E M ENT g g jg .p g g j,,,, g (I E 2,I]fAM E P3 S' % K9C 3h iCh.- j '] t pgg g gy TOC M $ ' YMkCC. Q s ~L ~ y, f .s, 4 S A M PLE l e 4 M r A sOR Ehe EN T CWCD --- "M CM ' 4
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'f* V i[ic 5NT4 [YN hbY M${ ']: S A MPLE MEASUREMENT l 1 " PEMkIT i RE QU t R E M E NT S AM PL E MEASUREMENT PERM tT PEOutREM ENT~ /j." j S A M PLE M E ASU R E M ENT PE R M ST REQU1 REM ENT TELE *MONE OATE 'uwwv uneorm s'e=Atte tr tse te at s wavt etersw % tv e s aae =e o "s NAME/ TITLE PRtNCIPAL EXECUTIVE OFFICER O** wv deCP.sev or v isos E permveDisa4 5 *aeme temvt t. e og sarmegget a roso
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ve Mvween rv v u eeg ,,s,. m,,.,j,,,,fE,9 *00t gag ,8 U $ r aam .o enee sza,onsent =v S#GN ATURE OF PRINCf PAL E EECUTIVE 3 e uM 4eO9 s em /,,, y,, ,4,w ,,,.$ gf. a ^
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OF FIC E R OR AUTHORIZEO AGENT NUM S E8t YEAR MO DAY TYPED OR PRINTED CODE COMMENT AND EXPL ANATtOM Or ANY v FOLAYSONS 4 A'sfruaw,,dt graan hsees us een 3 ,/_,J2: t 4-. e Ac.E Or EPA Form 33201 (Rev. 5-88) Prwous edaions maybe used. smerLActs tea corm T-se wwsCM M Av NoT =E usto.: _3 A
+ w L
Papersvork Rsduction Act Notice 1-Pubile reporthig burden for this c0llectitm'ofinfotinatmn i5 estimated to tary fmm'a ranye of 10 botus as an f
~ @eihe per tesponse far some minorLfaciutlektol10 hours n :m incrage pct repune for sone. enajor. f acihti4 {
with a weighted avaage for n.aior and minor licihties of 18 hoan per respone, iraluding tm %r Jedew in.e :
Lindructions, scarching niiting data sources; pthering and maintainin;: the data needed, and co. ting and
tedewing tne collection of information; Send komments regarding tht. burden estimate or am
.a spect of '
j
+this collection ofinf ormation; induding suggestions for reducing thu burden; to Guef.1. monation Policy ? Hranch,LPhl-223MS. Environmental Protecbor Agency,401 M Stre% SW, Wadunyton, DC 2Nto; and to the __._ _ _., _ _._;,_._ _a _ _ Jl ,0ffice of Information and Regulatorf Affairs, Office of Managemem and liudget, Washington; DC 20503. GeneralInstructions nl. If form has been partially hm:pletal by preprinting, disregard instructions directed at entry of tinit inf ortnation patready prepnnted. t 4 e M " Permit Number " and r ' 22 Enter "Permitee Name/Afathny Addren (and-facihty name/ location, if dif f erem),'
DischargeNumber", where indicateA (A seperate farm is icquned f6r each dischargeJ -
ie ' 3, Enta dates beginning and ending 'Afonitoring Period" cosered by for m w here indicated. [ A Erner each "Param.ter'as specified in monitoring requirements of pet mit. I % Emcr *Samp!c Alcautremnit" data.for each parameter under ' Quantity # and *Quabip" in units s[niGed in permit.
Ave;ugP is normally arithmetic average Geometric average for bacterial parameters) of ;dl sample measuto ments for each parameter obtained during *A(cmitoring. Period *; "Afaximum" and "Afmimum" are normally ev treme hbh and low measurements obtained during #3fonitarmtPwiod= "(Note to municipa 5 with semndary treatment requirement; Enter 30-day average of sample measuiemems under 'A verage,

and enter maximum
~ 7-day average of sample measmements obtained during monnoring pened under 'Matimum. *)
6. Enter " Permit Requirement" for cash parameter undet 'Qtwn:ity" and 'Qualitf an specificd in permit.

7. Undet 'No Ex* enter number of sample measuremems during monitoring period that exceed maximum (and/or
> ' minimum or 7. day average as appropriate) permit requiremem for each parametetJlf nonn ensei *0. "
8. Enter "Freq iemy of Analysis" both as "Sumple Aleasuremem'(actual frequency of sarbpling and analpis used
- during monhoring period) and as "Perml/ Requirement'specified in permit. (e.g., I nier " Cont, " f or wntinuous
nkmitoringc '//7* for one day pei we6ki */an* for one day per month; "l/90' for one day per quarter, etel s
- 9. Enter / Sample TJpe" both as " Sample Alcahuremnit"(actua! sample type used during monitoring period) and as
PermiiRequrrement "(e,g;, Unter "Gmb" for judhidual semple, "24HC' for 24 hour composite, "N/A
tot wn.
? tmucus mounoring, eetJ
10. Where violations of permit requirements are reported, anach a brief explanation to describe cause and correcthe

actions taken, and reference each violation by date, L1I; y fno discharge' occurs during monitoring period. enter "No Discharge" across form in plact; of data eniry.
L
12. Enter?Name/ Title of PrincipalErecutive Officer" with " Signature of PrincipalEa ecurive Q1/icer of A uthorimi 1

A gent," "TelephoneNumber," and 'Dare" at bottom of form, f13. Mail signed Report to Offies(s) by date($) specified on permi!. Reutin copy for youi reemdx
,14. More deta!!cdinstructions for uw of this Discharge Afonitoring Report //MfR1 fmm may be obtained from Of- ~ 'E fice(s) 3pecified in permit. Legal Notice This repet is required h3 kw (33 U.S.C.131R 40 F I RJ 125.2); iailure to report c' taihne to report uuthfully can resultin en il penahier no: to exceed S to,0W per du et no! anon; or in criminal penalties not to execed S25,tni per day i; ofviolation or by imprbonmem for not mme than one year. or h bmb. l. t l l'.PA I%rm 332fNI (Ren 9-8m J j - p 7~ w . +. ' w.,,+- m w.n v m --,w, . m.-,,o r w-w e, car.-, .,v,- -v e n. v v. w-m v ne n w qw -
s 1 - PsRMsTrat NetMEsADonges (f ednic = Aveon Aa. ecotut Anv ta s.w Amos r ussen A v.o= s v stz M !AfDEJ/ Fecday #sw/Loestem af defferent) \\ DB2CH ARGE W.JNITOMING CEPORT tD4fR1.. m_ .s y +y .gL___ ff f ej f f zief w(JO Form Approved. aonnesa. - . _e.__n. _ _ _ _ ___ _ _. _ _ _ _ _ _ Me- ' 7 '( m C S) OMB FJo. 2040 0004 T ! L a ', Approval expi<es G-30-91. ...m__ _ _ _. _ _ _, _ PERMIT wuMeem mu - a = = = au- *= = r e >4 e -- - - -.vmn .e. - - - _ _.__ _ _n,w u 3' , e n p',* g.s + w ~ n y "- " * ('~ n y ^a * ~ ~ c - , e c-v. t ' ' ' " '~~ ~ MONITORING PERIOD F Act LITY - _. - - _ _ ~ ~ ~ - * - - - VEAR MO 'DAV VEAR MO DAV = LOCAT8C [ --~~.N FROM to cy ,3*
y r.
4 g ( t. "; t-~ q_g 3; a s 4 g-(EU EE) 12) Eh (24 E39 (26 271 (;h Yi $)6 }}l NOTE: Read instTuctions tnfore completing this form. - + 'a f ( A f erd Omip) QU ANTIT Y OR LOADf NG (8 Ceraf Only) CU ALITY OR CONCENTR ATION
"E%""C' S A M PLE P A R A M ETER f 4651)
(5441) Ohl) (84J3) 158 41) NO. gm TYPE AVERAGE M AX1 MUM UN B19 MINIMUM AVERAGE M AN4 MUM UNITS 47q p#. 54' k i Ef f S AM PLE 9O SD f ) ~ + ' MEASUREMENT g"[ jf r t/4/s %Ct j IPER M 47 ' - f D%80E .NOOOOD d J.' ih M - I DONDM 34 OI ( k: IU 8bhbYI 3 S h.. REQUtR E M ENT ~ I.. ;i -r gr AQ M" { p { Q M. ,q ) mg4;ij Q ': 3) Y I. ) e S AMPLE k i [jX, M EASU R E M ENT [ g7 fj
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OccMO M ' AnU C0%7!M 2 eE R M iT M*CutR E.M ENT 6 'I' N ?i T H - R N 5 OLY Yh$' ~ 'D r SAMPLE M EASUREM ENT ~ PERM IT '- i REQutREM Etst 5 A M PL E M E A SUR E M EN T REQutREM ENT PE8t M IT S A M PLE MEASUREMENT e . PERM IT - REQUIREM ENT S A M PLE MSASUREMENT 1 ' PERtf IT R EQUf R EM ENT b S A M PLE i ME ASL*REMENT s l j . ' PER M IT 5 R EQUIR EM EN T N AME/Tf 71 E PRINC6 PAL ERLCUTlWE OFFICEg e Ct evin (moso Pf emat tw (y tase YwaY s *** wt *t *%Omaa t v E maner TELEPHONE' DATE [r" ' A*sD aos taamis tan wTee Tur ssomenatom guennovTro.erpf an aaso masto j ode sov apout#v OF Ys.sOE.E seDev0pW 5 munsf Dsaf tt w at tpte t FOR a 0~Vf [ OtrY sesevG vod wopoea rio4 e gef 6.st yt t aist e,tenarvgo.a.s Fomenavsp. e f f MadfLW L Eul1CK 'g'g 6 r*
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'""****"""'"i"*****d""**di"*"' OFF ICE R OR AutMORIZED AGENT NUMBED VEAR MO OAV CODE COMMENT AND EMPLAMATaON OF ANY w tOLA Y ooNs s Re?neserc <d warm 4*sesses ene r v re v. a n v v t e EPA Form 33201 (Rarv.9-68) Provsous editkrs may be used. tREPLAces er A roRM T-ee w sec.e M Av NoT sa useo.: Pact eP ..c... --. -, -,, -, -,,. ~. ._..,-..,-,,-,-.-r.- ., ~ - -.. -, -- -
~~ ~~ Paperwork Reduction Act Notice i i' PahlieFCpordtg hafdenior Nds Collsdion of mIO!W.u tod b V"ilPl ded lo s JIV ildHn h f aOpe l'I IO litMI A I is an j j I merm per respo:be Im smur mmor taciL6A 10110 t'ours e an ascwJe ptt :c,ptune f or +me mmut !as A with a wei hted ta erate foi major and mWm taciline. of 15 hour, pet tespanse. includmg tmic (m in um iny j g p!berinf uthl InMMUadung the dal3 fWeded. alid OHlqMiry alid f ireirHellofD s Ge!Mehing e\\b!!DR dalb soul &S resicwing the cuikedon et inhum:uion. Nend numm on icpilmy ds Imrden estrnate or any other aspect ut this CollridCn of infotDhillon, Ithludmg olylsli W fo! f educnif (Im k'Oldm. lo l hicl\\ inlof ahllion IohG j { Unnh, FM 223, US Enuto:n emel Prottsuna Arc scn dal M 5ttret, %\\, htmmmn, IK 2% and to the l Wh of lotormanon and Regulatoiy M! ion, Ofhce of Manapan m and thuled,hbmpon, IR MUL j l. General Instructions
i. n tonn nas been paniany compwd n3 preponmu aisrega a munaion dudea mm s ei duo ndonnacon alreaJ) piepunted

2. I mer "Permure Name/Matina Addreu (ana f aalay name hx ition, d dif f erem). "Per mit Number, and "OlVharJ!P N47*!bfr ~ Where ludicdICd. ( A sepelate !31m W requacJ for each diwluirpe.1 3, lifdei da!c1 begif mmg aHd efidil!f "3fohitiaritn' Perud[" Co\\ et td ni tGEm b hele indlQttd

4. Enter cach " Para n-ter" m mecified n: monitorio; reqanemenn o! permit.

5. I mer %m/ile Muu cmen!" dr i tot e. ash pmamtier unJer 'Gaanntf and "Gudtf m ouin 43rdial in permit "A wrcee"is normally arithmetic astraec ucoinctot aseran for bacten.d parametero ot ;di wnple measure onnts f at each parameten oNatned during 'Momforine perioJ* "Muwmm " and " Minimum " are nui m:dly es-tr,Ine Idf,h and low WCMUtemen!s Obtailu.d dunng 'Mo?MfortGP pew'/ ' (Note 40 Inunhipah with %rConddfy treatmend requirement; Enter = hdav e erage ut sample measuremech under Acraa, and enter m nunum bday aserage of sample inmiuements obta!ned duriny mandorme per tod under 'Mmimum ")
6.lnief #Pd/mit NrQW/rement ' [or eAh parame!c! U nir ([Mn!lt !
and '{fualaj ' M npw!!ied in peimtl, 7, Under "No Ex" enter number of sample meastuemenM during monitonnp penod that exceed masunum (and/or minimum or 7-day average as at propnate) permit requirement for each pmameter,11 none, enter V "
8. Enter ' frequency of Analysis" both as %mple Measurrment"(actual Irequency of sampimg and anal sis used 3
during monitoring period) and as *Pcrmit Requirement" spesified in per mit. (e.g., Emer " Cont, " for mutinuous t monitoring, *//7" for one day per week, ~1/3D" for one day per mar th, 'lMr for one da per quarter, et; i % Enter %mp!v 73pe* both as %mple Ucawement"(actua! sample ty pe med during manhoring penodi and as ' Perma Retjuirrmem * (eg. Emer 'GraV for indnidual sample. "NHC' tot 2Mour cotupmite, 'N/ l' lor on-tinuous monitoring, cet.) 10 Where ViolatiOth Of permit Icquitemenh art'icporled, ullach a blief e\\plahabOn to dcyril e cauW and ivriecthe actions taken, and reference cach siolation by date.
11. If "no discharge" occurs during momtoring period, emet "No Dncharyc" acrow tona in race of data enn y.
I2, l'.sa cr "Name/ Title of Principal Execuin e Qlncer ~ v it h *hienature o.1 Prmcipal D ccu;i ve Qincer otblwho!.&d Arent: ~ ~7'elephone Number,
and 'Date" at bottom of form.
13. Mail sijned Repr m Ofilco byItMeN 3pecified en pcimh Retam com for yom tem a 10 More JMaded inhetions f or uw v! thi,l% ' Nc \\fonitorine Rmort flMfR) !ot n N h staincJ t mm &
lQt'(si 5 pee!Ihed in pcTmM. I cgal Notice 4 m w.n mey ed n, mu m u m aa esm nu me- - w - m en m auddoh3mm rc,uit in ch ;l p nalue wt o. 4 xd5m9Hm Jn,4 M e on. a m tim a.!pc mdm 2> - C ;t ed M5,000 p i d.n D[ NdMmh (4 by linf mat 0; ' l + " ' i;(:! i 6>Ie d ML i Ge ' s " bi NF h f PA litm 33201(Hes.480
Surmary of R :u)ts for C-33 Parameters Perrait Neimber PA0005615 Parameters Units Outfall Date 001* 011* 002 001* 011* 002 7/20/91 7/20/91 7/20/91 7/21/91 7/21/91 7/21/91 Silver ug/l <5.00 <5.00 <5.00 <5.00 <5.00 ,<5.00 Beryllium ug/l <3.00 <3.00 <3.00 <3.00 <3.00 <3.00. Thallium ug/l <5.00 <5.00 <5.00 <5.00 <5.00 <5.00 Chloroform ug/l <0.050 <0.050 0.093 <0.050 <0.050 0.095 1,1,2-Trichloroethane ug/l <0.050 <0.050 <0.050 <0.050 <0.050 <0.050 1, 1, 2, 2, Tetrachloroethane ug/l <0.030 <0.030 <0.030 <0.030 <0.030 <0.030 2-Chlorophenol ug/l <0.526 2.16 <0.510 <0.526 1.32 0.658 Pentachlorophenol ug/l <1.05 5.09 <1.02 <1.05 2.09 <1.11
Indicates a 24 HR composited sample.
p [/AW AndrYw M. Dulick Chemistry Manager 1 .*,-r,. +,,, - -,47 e-,.ve< m -.rp y i==.r r#++- e-awe 3 v. ,,e.- s. -, < w,.-w w ~+-- +,enwem..- i-. ,-4-- -,.v...4, ,e--y .,,-o , - + %,r. ~ y n +- w
I d 73 3 .= 4 e- .x t g m 0 n 3 et a-m m D., s = 1 0J ~ a" I r _e W um an s a p-a . -,g-w g E E + + o eg d. s w n. iw m m c u .e A h eis,.-8 O. d af e .q : .o a m .o ew g, r m 8 3 ea. MW L e .n g e =. c a . g ,z q g = p d se m s Ql3 a g m 4 w a g it 3,e i't ~ \\ - 3 u. e4 a a n g = g m u; m O J: O E C a 1 a x 4 E x u ' Q.2 I,- O E .y.a i n a M s W e a _.y p y a y 2 0 w i W at 8 a a '5 ** Z. . e =* ...Bt* im e3 4 s. o. I
t S.. '1
= = o 3 u 4*:t.*10... .... 3 m 0 - -t *+ i a 6 Og ! !L',;*ti M o m 1.,,g}**t a S,i E g r- = )E .~..f.!! ** = 0- = o = => 8 O .F.1.13..N.1 4.E I o e s .: 3 l" a e i gg 5 U.L't.: = .: :: F:It E a 5 u IL. g* .g = a 7. G ~ ~ .. e a M 11.gg a 0 . e i .t ..... o _ t.*t.k. 1.'. W u+ g s Q
133*i1 uW tt*"**Ji ' '~.~
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. 1.T.1....... + J ..r ..r .. =, %... f e-Eb d .S. N ... =.t, S$ R.3, .e.,.3 s.$. b s.k.3 SU hN M 3 .= O.. 3 e E.r. p1 b e, L/).s h ee es. 9 3 C.f g ts) =.a L .a M es - Ge 4/1 g 0,m t#4 g e (fl e, C= = m m o m m N gu a i G 7
M e
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== W sa g UYe .N,o $ N N c.s a.J [Y -.a' 3 ~ a m S 4 F n A 6.es 4 Y b P'* 4 L34 5.J w .e. M y .4 %) 6.* d wl> E &.e e E LJ, . be b - 4.#. I Q *1 w S'1' th E 4 hO l 1 5 6 3 ,, _ m 8 b Q g a., 0, nS.? } 3b*u i' c. ~ . o a u ? c.4 c3 cm .o ui en n m f* e l' .e dy d i O ,*5 i c i t y. ** ~>
-.O A
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t 'a g;
m 'a h -- 5 '5 0 r "i 7,3 .E d 'i S2 -.c.. y A-3 ,g 3, 4 pe 2 u n ,q,pq
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' +
e s E 'le... *.'.-t" I.2 m-e
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!!!!.b'l. g i' i'.!. * *.. L.. 7 I w. Q a - N... F *.*. I I =w l' T ' a 17.,%....!.'.g i D ~ 4' ~ l ii! .C. o 5 3 ,1 = c. A = n u w
c-
J t
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.= 4 b.s,g.M 3=a-so ne 6* sib of .A S
h.*'*f.'
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e. $
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o W
4-- I ~ i I t T 'd g n. .e. _ 4 e.- c h I"b bJ I3*. 3 T $ 0 $ - :ae: =.'* M ". 5 $ 9 t-o l ... a,. .s .c m = N., - ). .e .+s i . %" e m w c a. .a u,. o. .o a %= jQ e w gJ 4 a N $ [Y N N e2 4, t; a, S. 1.;: l 3 %eI. a u-l sp - +e e o, i w' u ; - ."1 C3 Fs un we j f d ej l
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. ~. .... ~ - -. - I ? M w-I 9 3 N 4 2 a m 3 g( I m. 6fl b40 p j T 1 l-
q a2
= 1 M. W T { i.it Lm. u g s 2 .a: MW E-2 2 ? c n s ~ 'h c a w.a su fi s au s: Q= mb 45 d' 2 = - Q. O W .t l l G 4 In 3 3 M u u. -m --MW ~ = v, g y a ,$;3
4..

2:
'A t i a u _4 8 5 h> r, .= m 8 -2 = J cs. u. o 2 \\. m 1 m' e- .Z a a E \\ i 1 w t=== l tg \\ a M t; j 3 m, u 6D 4 4&2 "T H, essi m .a , t: b-m n., s e r X O >i M t qs hr -a n m f. o- . d* w 3" w a I.,nU.18F T-. ia e E. .II., '1 E . -..k.,I. TINJ 4 . =.... a cau i wa a m u. t-a W o = e o s l.. i
o..
...8. i E 4 m w 3t:. o s c- ..u.. w E 2-W m ca a .t = m ~ o 4 2 e m a a-t'.t'1. %.i o t -ett E -i .=..t. t ,t.. - lT3.::t.. 5 9 = w c., a s 4 3 9 "4?.!*.'1 -'8 m. 4 W g e.g.4.te.Ss.4.) be3t= 4E G. .3 i.se0 6
9. e.m.Lpea 44
>==. = b h 4 Go m. t+
===. su e.e. g3. s. G6 4 e e e e o a e o e e e .ef m
== e.8
G.A
.R.e 88
e. es
.- s.s we fl.g .e a.s . e.@ .e.as as.a e.d .e.s e.sem S.p .d.e E.s .8 Of Wlp a e t.>=e.=.e.e s. ras S .e i .g n .e M3 m w . =s .6
== m 4 G S ** 45 M== n3 5.* 83 J G. S. =5 S sA w 3 e te w F3 e* h3 S* @D e* . S. G 6u S 4A wS ou.a - Es e iA m est. st$ S wD
v. np 89
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tu a (* h t1* 4 M 9" 4 4' .'e b. r.L ?? ' K he .= S
1

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.t. t = a i .g w m n s- .4 a n .'i (N I b t-l4-6 Ga.. v., .n, .a. mv ca s. u s I l 1 g i t t y { e '== r t c Q*l 50 QB i 64 O. g ui
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