ML20215H424

NPDES Discharge Monitoring Rept for Mar 1987

ML20215H424
Person / Time
Site:	Trojan File:Portland General Electric icon.png
Issue date:	03/31/1987
From:	Hess R PORTLAND GENERAL ELECTRIC CO.
To:
Shared Package
ML20215H422	List: ML20215H419 ML20215H424
References
NUDOCS 8704200310
Download: ML20215H424 (17)

Text

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y PE" MITT'M NAME/ADDREN) (larisale N ATION#.l. POLLUTANT KISCNA%GE ELIMINI. TION SYOTEM (NPDES) F8 FIR 4mrsued foolas> .%sme/4wer=R sf dd<reRs) Dl! CHARGE MONITORING REPORT (Dwt) OW Afs. JOdO-000d nauy =) n g , e m erur: oat ri e t' t c y r c . (2_lu (17.19, p_ e y g .s ( hWeget My t'u i

• OtsCH,cpOr r n 1 L U T 1 C r, S T;.' U C T U t ADD Em ' 3 ? Le * ? wmirElf_________ ^ ' r o n 6 8: 1 PERMIT NUMBER OssCH ARGE NUMBER

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--- MONITORING PERIOD r_aqLLI.n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YEAR MO DAY YEAR l MO DAY I? F t 10 0 ( C t "W CM' LOC ATIoM a P? Cl ti l 1 7l '1

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A m n A' -J4q_ -roer,, _ _ _ _ _ _ _ _. _ . , v2oase e na3, 424 25, 426 v i e2529> < 30 34, NOTE: Read instructions before completing this form.

(3 Card Ostly) QU ANTITY OR LO ADING (4 Card Only) QU ALITY OR CONCENTR ATION (46-53) ($441) NO. FREou Ncv ggu ptg PAR AMETER (46-53) (5441) (38-45) EX n TYPE ANALysss g y7y AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS gp g g F w o r > 3 7 t,' " , isTc' SAMPLE t 4 -$ * $ ' M9?d& 4944+T Scg4c- Contin J M ASuREMEN' 45 0 OUS RCordP rTC,s WW t C IT q ;;l) t 1 r PERMIT **tett ***$$4 1604 $$$6++ 'R f.P P R T ****?0 'CMT!s aron 0p REQUIREMENT , ., n ,

JC i P C > AT t'r r , 4; *. 7 r S A M PLE =>- ( * * # c'r+)<^ ta3*46 e+o;+, Q Min'1

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REculREMENT 9 a -n. n t r .r *.eg ss Mw rw e- r 9nse S AM PLE $.!$$*1 4*$4 e? $ 4 5 t *t ( #4q?.

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MEASUREMENT e nl 0 Daily Contin i

Q (j C l - } 's PER MIT _$$$$$$ .7g PRT. / @ 9 %$4 $  ?$4%d4 &%%$24 7 4 ) 4 { {. Y 'CN T [E rr i s.v c 1

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MEASUREMENT l? 19 0 t' th N'mt

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.- PERMIT A a c s3 4 4 tetec eoe 44**+4  ;$ ler ]NC' / TenPOS l

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- PERMIT $t$$$1 $$4444 68% $1$$O 4 240 U / /j J N (' f / 'f]MPO$ l REQUIREMENT .A

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4 CERTiFV UNDE R PE NALTv OF law TMAY e HAVE PE RSON AL L Y E N AM'NE D TELEPHONE DATE NAME/TlTLE PRINCIPAL EXECUTIVE OFFICER AND AM F AMtL IAR wtTM Te*E seeF ORM A TION susMeTTED HEREeN AND BASED ON My sNQueRY OF THOSE #NOV6DU ALS #MME D ATE L Y RESPON99t E FOR ,.= 4

/ # l OST aiNmG THE eNFORM A TION f RE LIE VE THE SUBMI TT F D 1NF ORM A f SON Y*p w,# e

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e5 TRUF ACC UR A TE AND COMPL ETE e AM AW ARE THAT THERS Aftf SW'. '/ '

w YiE S FOR F AL5E INF ORM ATION INCLUDNG eg 4 h' . d. h'eSS o T e,EF IC A,NTOss PE NAL

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• ' .,9 s' tro entne SIGNATURE OF PRINCIPAL EXECUTIVE 11USC 11319 r Prseeltws useder these erotuten mas umlade fasere nap A

• '"I "' ** *'""* 'mPeswaa ment s4 hrfa ces 6 ses.aer4, esed i '** ' OFFICER OR AUTHORIZED AGENT N U M B ER YEAR MO DAY j TYPED OR PRINTED E COMMENT AND EXPLAN ATION OF ANY VIOLATIONS (Referrence <stl wit.nhmretts here)

(REPLACES EPA PORM T-40 WNICN M AY NOT BE USED.) PAGE '

OF l EPA Form 3320-1 (Rev.10-79) PREVIOUS UNTIL SUPPLYEDITION IS EXN TOAUSTED BE USED l 0 u (y Q / 0 3 2 0 9 7 ' 0 A '- ,

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, a GE NFR AL IN5'I RUCTIONS

t. If form ha Fern r a d.dh cowT ! cted b prepri . .. dmp d inc us own d recwd ..t entry of : hat in fo: mador, af ra!y prepi mted.

. 2, l'ract "PF R \H TI! F .N ull j M All AG ADDR1M (ad t.a My mm <!oemon. if &fmm if WRNH 1 N t ' M h f R .' and 111Sr li \RGE NUMiti R" where sidided- ( A wpm aic for m is regsed for cash Jkharge )

.1 I rder d.m bcp i tog .,nd cndmg "MONI10 RING PI RIOD' emered h form wLuc mJLied.

L I nkr ca(b "P \R Of LT f R" as spcufkd in mor m.rirg rcqmtemcrs of permd.

5. Fnter "5 Ot P1 ! ME WORT Mi N F" de fa 1 .L p c; at umk r 'Q1' \NTI TY' and 7)U Al ITY~ in i.nb weof.cd in pernut.

"AVI R Atil ' n nor math atahmenc a .t r..;c :n -

,nc it c. ci n e fo Lou ri.d param ce 3 td an un pic m, s a unt ' - for cuh parame:ct

@tairx d donny " MON!!ORING Pl R:(,D ' St \ \lMUM" and * \fiNIMITt" me om mau cnre h@ m i b ineeuremen:s obuined darmg -MONIT ORING PI Ri( >D i N f s I F to m.. v.ap ,b w oh sewndm y ru mm npacow. en M da, e t. age of sample menoremenn unda " AVI P AGE' .nd t m m A, 7 Jay a cr.>pe of s.u6 cu c a. onc en , . .' !.'ig :h. n uq penoJ ur:Jer "M A X I M U M".

' 6. F nto "PFRMIT RFOUIRI MENT" for c hh rar amc:c rnder -Qt t \ N il1 Y ' md 7)U Al 11 Y' a s; cuEed in per m.r

7. UnJer "NO I X" cnter mmhr of um 'c me . aem.m A. .og monunng per kd ihat e n cd maumum i and/ o m nimnra or 7-day a crape x appWaiate ) per rmt t ar ieme nt for cth par ameur, if nont. en tu "0".

8. I n:er *FRf Qt I NCY OF AN \1 YMS" bmh a ' 5 M1Pt.) Mf: ASl; Rt M F N T" s a,:tnai ..cw . y of sanTMg anJ ana!ph uscJ Janng mamionng pernh .:nJ as "PI R Mi r RI.QUIR F MI NT" speafied in per nut t e g . Fme, '( t ;N L" fer ton nuous mcnuarmg.

"l/7 for one day per w eek "i/ to" for one da) per rnon:b. "l/9a' for one da) per qwnct c!c. )

9. f nf er '-S \MPI r TYPF" both a4 "SelPI l' Mi AsLRI MI N I" t ae:u d un.p!e n pe used danrg m mtaunc pcoods and a, "PI R MIT RI QUIRFMI N ff' tc g . I nier "GR \B" for mdhidual tmpk "24!!r. " fu 20hom comro h. N/A ^ for ton:muous monaoring, etc. )

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .t s u r.a.i s. .. u.1.H. .o., c .a

.i

10. W Hf RE VIOL TTIONS OF PI'RMIT RTQUIRI Mf.Nis ARI RI PORll D. Al~f ACH \ DRIFF I XPI AN AllON TO OFM RIBI' CAUSE AND CURRI CTI\I ACTIONS TAKFN. RI I ERI NCI I ACH \lOf \ TION HY DAll .

II. If "no diss h. ape" osuns during monitoring renod. cmer "No DIRil %RGl' auass form m plate uf data enu).

12 I nici "N AMF/IITl f OF PRINrlP \1 F Xf A (TTIN F OFi lCI R" u nh " SIGN \ i t RI Of PRINCIPAL I NFL Uil\ E Of FICI'R OR AUTitORl/l D AGFNT." 'IEl i PIlONI N U M BF R" nd "D A ll ' at bonom of form.

1.1 \f.ul ugned Reroit to Oiricee d by datet s k speatied in per ma Ret.un cor) for 30m resords 11 More detailed insla us tiom for use of thn DISCH ARGl' \lONI TORING RI POR I' (D\f R) form may be obtaineJ from Oth,ets 6 speafied m permo, II gal NOTICE This rcport is required by law ( D (2 S C,1.110 40 C.T R.123.27 Failure to report or f.nlore to rtpori tridhluh san result m chil penalties not to cweed $10.000 per da) of dolation: or in crmunal penali;es not to euced (25.000 pei das of dotation. or 13 norrisonment for noi more than one > car or by both.

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PEIMITTEE NAME/ADDRE39 (larfade ' NATIONAL POLLUTANT DSSCNA3SS Er.LIMINATION SYSTEM (MDES) FGRR 4MrouSd 3

1. snJay AeRee/ twas =R rp d4<rew) DISCH ARGE MONITORING REPORT (DUR) OW 4s. 20d04808 gMJ_ S fi D TI t. f f e QN C Q Al !! r f' T D T f' O (11e (17 19) f- "]p( Aprovef enyirer SM AogEM21 % sat,MO9 STorr7 .ornp14st er i A rj ] 3 C H A p (;p , t *}(UTygn S y mtr Tur7 S p Q 71 a NO - 0J O7704 PERMIT NUMBER osscMamGE NumeE R MONITORING PERIOD f.8G.I.ldII _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ _ _ _ _ YEAR MO DAY YEAR l MO DAY LOCATION R. $$.M m __________ P7 03 01 3 7j P3 4'- " % .IC Q f S U f' P C'1 NOTE: Read instructions before completing thiS form.

A :: TO.44 4.1.C wM.-UA'1.Lt r,. .~.:: t.!c1L..v. t aS2s i a143 > G4J5) a6 2n cuavi vo-31, (J Card Only) QU ANTITY OR LOADING (4 Card Only) QU ALITY OR CONCENTR ATION PA R AM ETER (46-33) (3447) (33-45) (46-33) (5441) NO. FREoufNCY gp SAMPLE

'I ANALYSs$

gyg AVERAGE M AXIM UM U NITS MINIMUM AVERAGE M AXIMUM ' UNITS gg 3, com. Tcin SAMPLE ****** ****" * * " * *

,,3 g MEASUREMENT 0.09 0.09 0 Once/ Compos g

010?? 1 C PERM sT +++*** t***** r*** ****** 0.1 1.^ 4 C" / ' O g ns prci twNT PCn5% vai n "'"'"""*"* **** Wa n y r: NAILY My ac/t F 'm T "

f.LU"IMUM. T"T % SAMPLE ****** ****** ***$ u Once/ ,

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tae u.) Peonth Compos O.27 0.27 -0 ottu I e n ,E.M ,7

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• e+eee ****** '*o *****+ o.5 o.* 'Ncc/ ' C t9 0 5 9:ri ynT ncut v y or *aae innA ave 08 fly av er /t M 9 7: '

F L TA , IN rCNCUIT 'O S AM PLE ****" ***'** ****** ******

Taoa ver:TFrt>T PL m

""'^*""'"""' 45.8 0 Daily Measrd  ;

S')oan 1 ' n PERMIT ****** M ,1 **ee** *****+ es**e* n**-  : A tty q*5pr

"'"'"""*"T r e c t c e s: T r.c n s s y st it, ngyty yv M c r- ee+e CHLfM!TJ , TnTAL SAMPLE ****** ****** ****e* *****t Contin J M EASU REM ENT iJsti! W L <0.1 0 ous Record r (

SCOV 1 .

PERMIT ****** '***M 4 tot * ****** ****** 0,1 CNTIN DCO W r r; c t o c p T cons ( vst n. REQUIREMENT e4H OAUY MY M' /[ UW '

! 50 Lice, T c i n. SA M PLE

• • • • • • • **8*8O *N**@O ****** 8**D**

""^*""'"'*' 142 162 Weekly Comp 2d

! oI W Lvrr tTrsi m ..a. MG/L 0

! 7_ u n 1 r PERMIT c x u .n.1 +e**e4- m/. ****** ****** ****** e ;evtv C<p?4 crreunuT C a t '; V ? ' 81 ' MW44 FMC w" S AM PLE M EASUR EM ENT t

] PERMIT REQUIREMENT i S A M PLE MEASUREMENT l

i PEReesT

[ REQUIREMENT N AME/ TITLE PRINCIPAL EXECUTIVE OFFICER UNDE R PE NaLTY OF Law THAT e HavE PE RSONaL L Y E x amine D TELEPHONE DATE 4-e aNoCERTau *v,aweltaR WITH THE INF ORuaisON SUBMsTTED ME REeN AND sa$ED f GN MY *eQutRY OF TMO%E shueveOuaLS eMwf DiaTEL Y RESPONSiBL E FOR ,~'

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-~N e .$/r sdg .-

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• s Det a.NiNc. THE eNFORwaTiON e at tis vg THE sueuiTit TMaT o wor.ua?,0N l

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.'s,,c ANT a.ccuRa?E aNo cometETE ENa m s rOR sus-T e. a,uataware sE ,~,OR-aTo~THE RE.Nnu THE Pos%4 tie.sTV OF FINE *ND eMPHNONMENT SE E la USC % TOOT aNO a ,E sc SIGN ATURE OF PRINClPAL EXECUTIVE 503 +226-5666 87 04 /6'

< 15ust %1319 &na tter. ander theer Meretes mie s enrinde fmes up in S!n ene TYPED OR PRINTED *ad a' me n===e emprs=mm *t at A -f=+rm a aimath- ead i '#*" ' OFFICER OR AUTHORIZED AGENT A NUMBER j E YEAR MO DAY j COMMENT AND EXPLAN ATION OF ANY VIOLATIONS 4Krferrect all attenhasents herr)

Reported alumin &m value is r.et.

l Effluent was 0.67 ppn and influent was 0.40 ppm.

I 1

, EPA Fa'rm 3320-1 (Rev.10 79) Previous EDITION TO BE USED (REPLACES EPA FORM T-40 WNICH M AY NOT BE LSED.s PAGE OF j UNTIL SUPPLY IS EMMAUSTED 00'7O/ 3 2 O R7- 043  ?

I GI NTR AL INST RUCTIOYi

t. . . r4 to Ne canhD. c n,A W N perno 2 6- , ad msm% dh nd at en% of 'h inf-mmin dedy pmprin'ed

? & ' ll : 5th itf N N t f4 M1W TON D ';,. fT =

r a w fL(alirn :f dd

• Cif 'I*f RMir NU M hfK all "Dl%fli \RGE

% 'd n .s h :a fic .k :A . U le'n b ' : NJ 11 r c;s 1 d? b:u ge )

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,i V rg .= u en ! , ' r-' "M "st'li mi% Pt Rit V e vied h fo m w bcre ir'da.Jol

. t.a ,, P A F i M Fi l r a s e Red m nwoitor ing mire n sia of r-m L s , F: s 1 Met i M1 Asl'R: Mi N t ' ias tv c:.---h pr a me u r u -fer OL A N' n V ' a'.! 'QU \11! T ~ i uma pded m r<3 mil

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pt r. , g. . f . < = % m. s er r t>,uo m ;n - . fo~ bwh t pc ra mt h of uh w@ mun'em;"S foi cah param :er

< a d- ' W 'NI T ONI9 - ") t. .t m ' "M \ XI M i a rid ' MINIM' M ' a.c noi r. Ib emaa . hirf' and toa mee menwrn t ...d M vc -MONIIf MIM P! Mit m ' f Nrlii ' m s u neirds whh ";ond r 3 1: ear : su requ'icrarnt < w Mday perage ej 3 ample

i. , cw rb unV 'A\ FR ACF .tnd r m

• maMam 7 da) ater y of ump mew mena uhncJ tiudng movaor.og peri 41 under

-MANIWT!1

6. ( O n - Pi AVIT lt .QUIPl:M LN T ~ Tur e as h parameter urder - QU AN il f Y" ar.t "QF st ITY' as wcifici in i<irmt, 7 s ' Wer "NO EX" e ner n imber ef umple menrements darmg monitoring peiiod th.u ccud mavmurn t arvd/or minimurn or 7-day

.o .+ cc .n appropri ite ) pe rmit rupo ement for caeh parameter. If none. enM 1r'.

F ! r:c' "I RFQUl%CY OF AN Al 'stS" both as "S uf ri f MF ASU RI3IENT" ' actual tice:erev of samph.n; -and analm, med during man.kn mg p(riod ) ..rul .is 'tr k s t f r RFt 6CIRI M E NT" specified in perndt. t ep, Fnto CONT." for conam.om momtarmg.

!/? for une d.tv r+r w eek . l/ W for one day per mor % "l/90" for one dat ter quarter c:e. )

4. I n' . ~S WPI F TYPl? Nth as "SUIP!.F Mii ASUEliSIF NT" t actual ump'e t>pe uwd during momimirg period s and as

• Pl 3511i Rf QUIRL Ml NTI (e g Lmer "UR Ah" im indiWdual sample 7JilC" for 244 mar composite. "N/A" for soniinuous nu a toting. cic. i

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .u. .s u s J. s. ..u.2.H. .Q.,o. J........._..

i ................. ...............

10. t HERE VIOL irisiNS Ol' PI:RMIT Rf QUIRI MI NTS ARF RFPORllIt TTIM 11 A HRIIl- FXPI AN ATION TO DI3CRiliF U40%l: AND ( ORRI Ulltl' V 110% TAki N RI Ff RFNC I F ACil VIOL TTION IlY DA i f.

Il if "no diw har pe'~ oceuis duriny monitoring perh!, enter "NO DISCll \RGlJ atrow form in plase of daat entry.

l ?. I raer "N A\ll /TITI I 4 ff PRINCIP \1 i NFCU'llVT OFFICI R" w ith ' SIGN VIURE 01- PRINCIPAL. I NFCUllVF OFFICE R OR AUlllORl/l D AGI NI/ "l Et Fl'IlONT NI'\lBFR" and "DAl F" at bottom of form.

Il \fml ugned Report to Othet o by dstes u spcesed m perm:t. Ret.un cop 3 for som recordt il. \ lore hta. led mstrutiions for use of thr' DISCIIARUF Me)NilORING RI PORT # D\lR) form may be obtained front Offitets) specified in peirmt, l.I'G Al NOTICE Ihis report i, requned b law t 11 U S C.111x. 40 C I'.R.125.?? L railuie to reroit oc failure to veroit truibfuily can re uit in eisil penalties not to neced $10.000 per day of uol.. riom or in erinunal pen.dlies not to eseced %25.000 per d.a of siolation, or by imprisoninens for not more than one ) ear. or by both.

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EPA Form 3320-1 (Rev.10-79) PREVIOUS EDITION TO AUSTED BE USED (REPLACES EPA FORM T-40 WHICN MAY NOT BE USED.s PAGE OF 4

UNTIL SUPPLY IS EXH 00990/0120*7 'O4F 1

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3 r !: w- , a t s na oN a. C d a ing n.unwing pmoJ < a r M alMUM".

t. Frto "PFRMl! RI QUIRT ML NT" for ush raramco nohr ' Qt' ANil'i and "!L A! 1 I Y ' as ~ of.ed ;n per mit.

7. Under "NO FN enter numNr of s.rnple me i emenh formg m.m uonrm per 'J that euced mmoum iaqJ/or nunimmn er 7 day ascrage .w approrrute ) per mir r eq m r e n.c nt far cash pawnertr it nonc.en u V

8. Fnter "FRIQUFNCY OF AN Al.YSIV both as "S A M P!.F MI'TM ' R t Mi NT' 'ae:nal freymacy of samphn; and analysis used i!nring rnomtoring period t an<f as -PI RMIT RFQUIRI MFNT" specified in perrut. ic g I atei T ON T " for contmaans mo,itoring.

" l / T' for one J.n per week. "l/10" for one da) per month. "l/ W for une Jay per quartei, a fe. )

9. I nter "SAMPf l T Y PF" both as "S A M P1 F Mi ASL R F M E N i~ # actual sample ty pe ased daring momtes ug pcnod t and as "PI R Mli R FQUIRF MI N r." (e g . Entcr "G R Air foi indhidual umpk. "24t!C fos 24-hour composite. "N/ A" for sontinuous monitoring etc. )

(

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10. WilFRF VIOL TilONS OF PERMIT Rf QUIRI MEN TS ARF RI PORif t). T11 Acil \ HRilT FXPI ANATION IO DIXRiftl CAUM. ANI) (ORRI CIIVF AC llON5, T AKl'N. RI F LRt NCI i \Cil Vint \110N ilY DA1F.

11. If "no ihwharge" caurs during momtonry peinod enter "NO DIS ( ll-\RGl ' n row foim in plate of data entry.

12. Enter ~N Oli /Ti rl F OF PRINCIPil I AF( l'TIVF OFI ICf R" u iih "MGN Vil RF OF PRINCIPAL I NFCUllVF Of FICFR OR AU I'llORl/l D \GF N I / "f El 1 PflONI NUMHI R" and "DAll ' at bouom of form 11 M.ul signed Repos t to Olhet a by datet o speutied in per mu. Retain cops for s our reconis.

14 Moie det.nled instru tions for use of thh DISCII ARGI MONIIORING RI P()R T IDMRI form may be 9Nained from O&et s) specified in perma.

I FG Al. NOTICE This report b required I) law t .U U S C. 1318. 40 C.F.R.125.271. F:ulure to rtpor t or '.nlure to r eptu t truthfuuv san t esu!I m chit penalites noi to eweed $10.000 per day of dolation: or in trirmnal penah;es not 1o euecd %2.s.nsu per da3 of dotadon. or by impiiseninent for net more thar one 3 ear. or b) both.

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ADoRESS 1~+1 *w R A f M f' M sterry n c r' e p a' 4 51 '" '

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MONITORING PERIOD FAG 1M.IL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ YEAR MO DAY YEAR MO DAY FROM TO p g , g, p LOCATION _O_ M ote , I.',,A,p fu t. e7 p1 q qg q3 3$ { gge q}

.7. m . tc % 2_c_,g w4a_,.ccur4.tE._ m ao.3 e a2.a s ad-n > 06273 an.m oo-n) NOTE: Read instructions t)efore completing this form. ,

(3 Card Only) QU ANTITY OR LOADING (4 Card Omfy) QU ALITY OR CONCENTR ATION l PAR AM ETER (46-53) ($441) (38-43) (46-53) ($441) N O. FREQUENCV Op ggg pgg .

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PRIO2 TO '*!XING W I T >4 OT4 r WA9To STRr'PS EPA Form 3320-1 (Rev.10-79)PREVfous EDITION TOAUSTED BE USED (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) PAGE OF UNTIl SUPPLY IS EXM O Q Q 14 / A 3 2 Q 317 / () 4 D }

O' GF AFR R INgr,w fiqNS

1. If form hn bcen pat i la!!s con plem! by pregranne darevn! .nctu; e:n % t d ;c ; er.!ry of th o info mear, r aircad> prcprwd.

2. I n!er "Pt R \f f TI T L N ^.M F /M Alf ING ADD R T % m.; f aenty carnc /h *

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3. I nter J.ites begmnr., and enJmy ' MON FI ORING PF RIDO ' em m t ! M fcrm h re .".. head.

4. I neer rath "l% R A Mi T I R' as tocuned m mencony e eqeremu i 'f > s

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5. Frier "s \MPI F vi wCRI ut N T" ha fm eM pr . ne:c: edr 'i U \NTiTY" al

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6. Fnter "PF RMIT RFQUIREMENT" for cas h paranct:r uder "QU ANitT's " and %L AI i1 Y ' as swofied iq perm.t

7. Under "NO. FX" rnter numbtr of umple mcm.memenk dormg moni'anns pai.tl th.it escerd maumum t and or / minimurn or 7. day ascrape as appropriale t permit reqmrcment for cas h parameter. If none. ente r ~0".

ft . Enter "FRF(JUFNCY OF AN Al_Y51S" bo:b 4,s ' SAMPI F MF.6U Rf MFNT" (aaual (seeucr ey of umphng and analpis used during monitoring period) and as "PFR MIT R EQUIRFM ENT" specitie j in permit. t eg . l.n:er " CONT." for continuous monitoring.

"I/7* for one da per week "l/30' for one day per month. "l/90" for one ita) per quarter. cre.)

, 9. Enter "SAMPI F I YPI ~ both es "SAMPl.F Mi ASUREMI N r" acm.d uraple type used during monitaring period s and as "PI R MI T RI QUIREMENT." t e g.. Enter "GR Air for individual sarnple. "24HC" for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> compoute. "N/A" for continuous momtonng, etc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.S H f.J. 3. .W.3.M. .Q.10.J .I ............................................

10. WilFRE VIOL ATIONS OF PERMIT RFQUIRFMI NTS ARF RFPOR~Ii D. \1TAcil T HRIFF FXPt ANATION TO DI.SCRlHF CAUSF AND CORRFCilVF ACTIONS TAKEN RI I I Ri NCI F Aril VIOL ATION llY DAlf.

, 11. If "no diwharge" twurs during monitoring period. cnter "NO DISCH ARGl." asrow foim in plase of data entr).

12. Enter N utF/TIII t OF PRINCIPAL FXECUTIVE OFFICl R" uith " SIGN \IURF OF PRINCIPAL I XFCUTIVE OFFICF R OR AU filORl/l:D AGFNil "TFl.l PflONF NUMHFR" and D A l t " at bottom of for m.

13. Mad sned Report to Oiket a by dateN spectied m per mit. Retain ecp> for sont records

14. More det.nled instruuions for use of this DISCIIARGE MONIIORING RI PORT (DMR) form may be obtained from Othcal specified m permit.

I FG Al. NOilCF This report h required by law (33 U.Sf 6 31 A 40 C.F.R.125.27 ). Failure to repunt or f a. lure to report truthfully can result in eisil penalties not to exced $10.000 per day of siolation; or in triminal penahies not to eseced $25.000 per day of siolation. or by imps honment for not morc thar.

one 3 car or b) Ivth.

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• Vreeltern u*eder the,* eterates mov enelseude fanes up s.. Stro rnau SIGN ATURE OF PRINCIPAL EXECUTIVE 1 TYPED OR PRINTED s'=f<a**'*****#''**"*'ai""fa**8*'****'I5'#* OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO CAY COMMENT AND EXPLAN ATION OF ANY VIOLATIONS (Jfrferrect ali sett.nhments here) f 'PWl1Q TO M I v ! M. WITH qTure W A S T r' S TC E 1 "S.

} EPA Forr- 3320-1 (Rev.10-79) PREVIOUS EDITION TO BE USED (REPLACES EPA PORM T-40 WHICH MAY NOT BE USED.) PAGE OF uNTIL SUPPLY IS EXH AUSTED 00Q20/Q}2Qg7."Q4' 1

O GFi.FRAI INS T RTTMNS

1. If fm m has hen paHa!!3 cor%ted b, p:cpr;ndng diucy. M in rmbr.s Jk; ed at emry of th.n bfmmiun drtady preprinMJ.

L Fnto "Pl'RMITil f N AMI /M Af t 150 A DDRl 55 f ard fm'ay earne/ toc, s if d& rint iJ' "PE RMil' NUMlWR." w.J "DISCII WGC NUM Hl R" whers ,nh a el. # A .e,vr ak un is sequaed for ah dnchage.)

3. Unicr daics Feprinir; and cnding "M(Wi!ORING PFMIOD" cowed by form whtre Aln:aud.

4. I nter each "P AR AM E TF R" as spea&d ut monihaing t(q&erm nn o' ccr ry 5, Fnto MAMP8 F M r ASURf

• tr N r" data fer wh p ometer unJe V:ACTITY" and NU Al ITY" in um!s sp 9wd in permit.

' A V F R AGl~ h rwmalb arithmetic a arare ' Feme.s a ascrafe fo h"ria; paramem i of all wmple racasurements for cach rerameter oN.untd dur mg "MONilORING PFRIOD ' "MA XIMUM" and " MIN'MiH" are no< rmtis estrcme hgh and low me:ourements obtened during " MON 110 RING Pl RIOD " ( NOli to mwicin.ds w eh seso+fm tre.:mcot rcqwremcoh en:ca Nay aserage cf samcle measurements unde r "AstRAGl? and emer m annum "-d o .ncrag of nropic me nut menh vN.nned dwiag raonitoiing paiod utsfu

• M AX thlUM".

6. Enter "Pf RMIT RFQUIREMENT' ft.r e:wh parameter order "QU AN'lII Y ' and NU Al i n " as specified in permir.

7. Under "NO. FX" enter number of 5 ""rle naeurems nts dormg moncotirg period that oceed maumum land /or minimum or 7-day aserage as appropriate) permit requacment fm each parameter. If none. enter "0".

h. Fnter "FRI QUFNCY OF AN ALYSIS" both as "$AMPI F MI Ast;RFMENT" n actual frequency of sampling and analpis uscJ during monitoring period) and as "PFRMIT REQUIRFMENT" specified in peindt. ter. I nier " CONT." for continuous monitoring.

"l/7" for one da per week. "l/W for one day per anonth "l/90" for one day per quarter etc.)

9. Enter "SAMPI i 1YPF" both as "STMPLF MF ASURFMENT' t actual sample type used during monitoring period s and as "PFRMIT RI QUIRFMENT." t e g.. Fnier "UR Alr' for indisidual sample. "24HC' for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> composite. "N/A" for continuous monitoring, etc.)

.............................................i.l.sH.t.a.s.u.s.H..c.lo..a.l...........................................

10. WilFRE VIOL ATIONS OF PFRMIT RrQUIREMENTS ARF RFPORll D. ATFACil A 11 RIFF FXPI.ANATION TO DESCRIEF CAUSI' AND CORRECTIVE ACTION 51 AKFN. RI FFRENC F F ACil VIO! AllON ItY DAll .

II. If "no diwharge" (wurs during momtoring period, enter "NO Dl5CII ARGI ~ acrow fiu m in plase of data entry.

I 2. I nier "N \MI /TITIi OF PRINCIPAL FNFCUTIVE Of IICI R" w ith " SIGN \1URI OF PRINCIPAL I XFCUTIVF OFFICI R OR AUTilORl/l D AGI N FJ "I ElJ PilON F NUM Hf R" and "DA1 F" at Nicom of for m.

11 Mad signed Repmt to Office 0 by datets) specified in permit Retain copy for your recordt

14. More det.nled incru tions for use of this DisCil ARGl MONIIORING RI PORT IDMR) form may be obtained from Orfiset o specified in permir.

I FG Al. NOTICE This report h required by law t.it U.5 0. l. tit 40 C F.R. I25 27 ). F.ulure to report or fadure to sepmt truthfully can result in cisil penalties not to esceed $10.000 per day of siolation; or in uiminal penalties not to cweed 523.000 per tiay of uolation. or by imprisoninent for not more thar.

one ) car, or t9 vih.i

............................................g.g.,.g,.3..............................................

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NATIONLL POLLUTANT EISCNMGI ELIMIN ATION SYCTEM (NrDES) Fenn W DRICHARGE MONITORING REPORT (pif a) OW Aum Jesp4plM gM3_ O n e T* awp e t tacyl c g e T_t> f f* re a-tos (17-19 p p. ** } N g ( AgIprW agsbes LM

~ r, ADoR 3 171 eq c r i er o cy c t T r* 3 r c o q A lt s a WitTRALI7 IVC TAhk Ef f LWNT onoTty g _ _ _ _ _ e qJig _ _ PERMIT NUMBER 08SCM ARGE NUM SE R MONITORING PERIOD -

EAG11rtIY_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ vtAR MO day vEAR MO Day FROM TO py 1 0l ,7 , y 3t H M (5U Cbl loc _arjgN,_

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(4 Conf Only) QU ALITY OR CONCENTRATION

, PAR A M ETER (46-3J) ($447) (JMS) (46-33) ($441) g ENC V SAMPLE NO. F R EQu, j EX Amists TYPE

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NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER e CERTiFV UNDE R *E NAL Yv OF lam TMaY e MavE PE RSON AL L Y EmawwED TELEPHONE DATE AND AM F aweLiaR *1TM TME iNFORMATON SUBa*TTE D MEREW AND BASE D

! ON uv INQUIRY OF TMOSE LS st4ME Da TE L Y RE SPONSe9t E FOR s l OST amiNG THE- iNF OReea r omWO, VtOU BFUEVEA THE SUBamTTE D WS ORana riON , ./

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NpFeC ANT PE NAL T IE S FOR SUHae'TTiteG F AL SE INFORwa TsON iNct upNG SIGN ATURE OF PRINCIPAL EXECUTIVE 503 226-5666 87 04 THE Pos5,4hufv OF F iNE AND staPResONME N T SE E isUSC 4 100t AND 3)usCb9M9 s Penetrere under theme snetarre mes wtude faire so, t.s 8ter we

• *' "' ** ***** **PM *'"s e f W Artewe 4 mn=M a end i t re yg TYPED OR PR4NTED OFF4CER OR AUTHORIZED AGENT CODE A l COM MENT AND EXPLAN ATION OF ANY VtOLATIONS t Referrmer .e# stism hmeRas acre p l

PR:9 TD " I Y i ": G WITH ')Twfp l e. % T c STR E A Ms.

EPA Form 3320-1 (Rev.10-79) PREVIOUS EDITION TO AUSTED BE USED (REPLACES EPA FORM T-40 WNICH M AY NOT BE USED.D PAGE OF l

UNTIL SUPPLY IS EXH 00939/032Oth? Ode i 1

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

GENFRAI IN % ! ic ' (TONS

1. If fo:m hu oc en p uihL wpktol by p .piiatm !iq u a d noeNonsduct nl :.t wtry of ih.d nf .rm i%n ab uly preprinted 2 l mu "P1 H MD f I N AMI-/M All INC ADDR Fh C..M fx 6 rwule m. if dd!uer.t )/' "PI RMIT Ntatle." and "OlsrHMGE ,

NtalHF R" w heic ir.Jkak-d ( A sga ate e rn M icqui:t d for ext dm h u ce )

1 I mer .la a N;m Eg and enJ ng "\tONJ I(' RING 11 Ullir ee.ci d , y form whe rc nareated.

4 Fmer ca.ch *P AR AM! il R" as redried in man;ter m ? rete. 7 mtna of actmc

5. I eder 'S \MN I MI A st Rf MFN r dm far ewh pa metcr sni:r <?l 2.l lTi' and "QU A t ITY

• 2r. unm spedicd in pcimir.

A% f H %GF hns mR arithmene ocrue fnow a merage fo: twterL! naramerciu of <!t unpu measuremena for tm h r-nameter -

chaincJ Somg - MONI L ORin G P1 R h)D. ' "M A.\l\t t: M" :md " MINIMUM" are norrr-Jh estisn,e hirh .ind low measurements cN unsd donng "MONilt) RING PI I!!OD " t N()lf to tor.Jpah w ah sew :dary nevmem rtqdrcment cnter toda) cerage of wmple menoo:me nt s undo " WI R AGF and ;mir m..uuse 7-d_n ;oeup J u.p!c me .urttucms ob.amsd dur mg momtoring period unJer -

-M W IM U5f".

6. I r es ~PI RMi T REQUIRE NIENT" for i xh parameur under "QU AVilli" and ' UU Al f li" as sMdfied in permd.

4 7. Under "NO. FN" enter nomNr of sample memements durmg meoring period that cseced mavmam land /or rnimmum or 7-da, ascrage as appioptiaic ) pe r md v eyaae ment for enh parameter if r ott. enter "tr.

N. Enter "FRf QUFNCY OF AN \ LYSIS" NnS i.s "SAMPl.E Mi ASURI MI.NT iastual frwuency of samphn3 and anafysis used during momtoring permd) and as " PERMIT REQUIRI MFNT" specificd in permi te r., Fnte " CON T." for toniinuous moniturmg.

"l/T' for one day pe r w eek. "l/ 1 0" for one day ner mon t h. "l/90~ for one day per quarter, tre.)

9. I'nier "SAMPI F l YPI"' both as "SAMPLF MF ASURFMFNT" tacinal umple t3g used during mondoring penod s al as

'-PI R Ml T RI QUIRL MI NT/' ic g . Enter "GR A H' for indiddual umple. "24flC" for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> somposte. "N/A" for tontinuous '

mondormg. ete.1 f

(L i 3 3 i ..............................................S.W.d..N..H..G.10.J.8............................................ .

10 %IIFRE VIOL ATIONS OF PFRMIT RFQUIRL Mf Nis ARF RI POR11 D. All Aill A IIRitT I XPl ANATION TO DI SCR!flF CAUSI: AND CORRI CIIVF AC1 IONS 1 Ahl N. NII ERI NCF i ACII Viol ATION HY DALE.

11. If "no thshange" occurs durine momioting period. c. der "NO DISCll ARGl* across form in pixe of data entry.

12. Enter ' N \MF/ firi l OF PRINCIPTl I XECl* TIVI OFi lCF R' w iia "slGN \ l URI OF PRINCIPAL I XFCUllVF OF FI( FR OR AUllit >Rl/l D AGFNI/ "I fl I l'IlONI' NUMHI R- and "DAll at bottom of fotm.

I il M.ul signed Repost to Olliech) by dalet o speuhed in permit. Retain copy for sour resords i 14. Mose detaded instsustions for use of thn DisCil ARGF MONIIORING RI PORT D\lR t form may be obtained front Ottketo speofied m permit.

I TGAI NOTICE This report is required by law IM U.S.C. 1118, 40 C.ER.124 271. Faduse to report or f.ulure to scros s truthfully san.icault m osel penalties not to escced $lts.mo per da) of Wolation; or in criminal penahb not to eweed $25 inM per day of dolanen, or by imprisonruent for not mote shar one year or b) both.

I QNO335 3W1H 010J 1

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1. 88 **" /'*'*"*" 4 dd"'"8 8 DB2 CHARGE MONITORING CEPOR (insa) 005 Aust JIM 04008

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n n P e 2 i g r, s n+A -

'I t t / W A T E R SErFRATCR FFcLttrHT a n , 7, ,, , m . , , ,

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MONITORING PERIOD E M.!.M.U - _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ vtAR MO DAv VEARI MO l DAv SOC _umM__ _E.A A_ Ecis lLa rcer_ _ _ _ _ _ _ _ _ e7 03 a1 a 7l rl 3: Pr #co isup c*1 6

r n a r _w z re + v.7 - _ - rnr_ s a t _.x :. r _ esasi a2a>> ava$, e2 27. a vv , a jo.u , NOTE: Read instructions before completing thiS form.

L (J (erd osity) QU ANTITY OR LOADING 44 Card Defy) QU ALITY OR CONCENTR ATION  ; I l

PAR A M ETER (46.JJ) ($441) ( 3NJ ) g 46-JJ ) (3441) ..# N O. '"EOyENCY S A M PL E EX aNaLV515 TVPK g p3 AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIMUM UNITS g 7 I IN, T ' T .* *-

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S A M PLE M EASU REM ENT PERtdlT REQUIRE 88ENT l

SAMPLE i MEASUREMENT l

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i NAME/ TITLE PRINCIPAL EXECUTIVE OFFBCER t CENTev UNDE m PE Nat TV OF L am TMai e **avt MesONat iv f aaws.c o TELEPHONE DATE l

aND au FaustiaR erTM TeoE def 0pmeaTOM SuB**TTE D **E RE aN aND Batt D ON wv peQuest OF TMOSE weDeveOuath eneswe pa rtL v og 5 PONS 4m g Frw OEBT ameesC. THE shF Cpwa T ON 9 BE'L IE VE THE Su8amTTED l'eF Oswa riON a%D Cosa*L ET E

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f.5. <T a~Tout a.ccusaTt i ~am s rOa sue. rT sc. at s REe , TMaTa T O~ m uG~.

Test PO %4evTv OF Fees aners enspes)Neef %T SEE 18 USC 4 tant AND 03 N6 %*#66 U Of '

I I 3)usC 493iw fremetrar. .sufre then, .ter.ar. .se w ve. f.de rese,. 4,p s,. ire esse SIGN ATURE OF PRINCIPAL EXECUTIVE /

,Mb l TVPED OR PRINTED vad***"'a'"'***"'"*"#""**i"'"*'****d'*** OFFSCER OR AUTHORf ZED AGENT CODE NUMBER YEAR MO DAY COMMENT AND EEPL AN ATION OF ANY VIOLATIONS (Nrretrosu f 4:J5 estrus hneesets arre) l P (I V TO *' I Y I N , 4!TH GT# 0 WASTf S T ; r .. g s EPA Form 33201 (Rev.10-79) PREV OuS EDaTsON 70AuSTED se uSED 4 REPLACES EPA roRee T-Ao iiirNiCN asAY NOT BE USED.8 PAGE OF uMTit SuPeLv iS EIN 0"fl40/0320Ph?O4"  !

l si Gl WR at IN5iF M '!ONS

1. If fm m hen hen entth carnrted bi ro.r.%mp. dnaud w s :im A (M st sta y or that n.fmm m, abenJy prtfrmted 2 F rt( + "PI RMII flJ N \Mt /MSU JN C DR1M !"$IAii4N. i fn . if dd!; rra ).- "PE RMll Nt'Ml:FiJ anJ "DISCil F.GE NU M hlW w terc .r.h J- ( A sec:n f m , a equin a f r ca. h s, h t g >

1 I nier dato l (p9m.s wJ cadmg W F l it RING P." 4 !Oll t o' r i : f( rm wk rc CNaci

4. liter exh "P AR AM. f L R" n meti5cd m ruum w m rte n om n of 4w

.s . Inter ~S A M P F M F Ef L a i r N T" Jo for ts h r nete nJer XA N T I F  : l '-Qi 4.! !TV ' it. m ia sre kd in pcin.L..

\\ l R WI? is nm m.J h umm'etk a.o n i rcen n er ap b i L "wr ..n>c m ) of $1) umpre r9c.nuremer.ts foi och p.aarneter vetainej dm my ~ W INi l(IR bG P! Rh)D ' "t \ U W \t" anj "Y P t ilY are riorm dt. e ureme hgh .md IN measurern:ms ot t..m(d during

• W ,NI FORING Pf Rl(>OT t NO f t N rm n.irah w oh v u.dm s ) "c enwti :qs.cmant c ruct .M Jay as erage of samph.

me ncr emenh undc: " AN L R AGU and ents r.1. u .m. r r 7-0 y as ent , A < .uple mN ua cn,ena ola..a.el dming monnoning priod unJu "M iXIMUM".

6. F nn:: --PF RMI f RI QUlk E M F N (" for cau painmet;r imder "QU AN IITV

• and QU Al 11 N ~ as s;wi6ed in permit.

7. L'njer "NO I X" emer namber of umpic .nca .aenu ns '!u mg mer aoring period :h u oceed mamum t and/or min; mum or 7 day 1 ascrape as appropri.ac ) pernut retpa reme nt fpe used during momtoring peno it and as "PI RMll Rf QUIRI:MFNTJ te g . Enter MAir for indiudual sample. "24f f r;" for 24-hour composite. "N/A" for continuous momtormg. etc. l

.............................................i.19Ul.43.W.3.H.07045............................................

10. WilFRE VIO! AlloNS Ol' PI RMIT RFQUIRFMI Nis ARF RT POR'IFD. Til Acil \ HRIFF FXP1 ANATION TO DESCRillE CAUSE AND CURRI C11VE ACllONS I AkFN. RI I FRI NCF l \Cil VIOf A flON ItY DAT E.

II. If "no ihwharye" twurs during momforing period. ent r "NO Ill5Cil A14Gl~ asrow form in riase of data entr).

t 12 Enter ' N \MI'/TITi l OF PRINCIPAL I NR l' TIN F OFi lCl. R' w ith " SIGN \ l ORF OF PRINCIPAL F X FC UllVI OFFICI R OR AUlllORl/l D AGFN FJ "T El l' PilONI N U M HI R~ and "DAIt' as bouom of form 1.t M ul signed Repoit to 0%eh) by datet si speutied m permit Retain cop > for )ont records I 4. More det.aled instrustions for uw of this DISCil ARGI MONIIORING RI POR'I 4 DMR) fotm may be obtained from Offketsi spuined m pernut.

I FGAI NOTICL This report h required b) law W U S C 13 m 40 C I R. !:s 27 L Failure io rep.nt or f adm to icptut truthfu!!y can scvh in chil penalties not to escced $10.8100 per da) of siolation; or m timonal pen liies not to eseced CSM)0 pet day of siolation. or by impiisonment for wt morc thar.

onc ) car, or b) both, t

1 I

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.............................................*................*.*.e..........ees........................s ONO3353M3M 070J i

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Farshrs Asase/Escasma ti d4< rear) Dl!CH ARGE MONITORING REPORT (DtrR) OW Aht alMtNIlllM -

NAME ) N Tf ***r*

C C *! QQ_CLT e T D f P Pn s?-f a # (77-19) F 8']NA( Mares $41% .

rDDRx5S i , ' , en a eTe.rrs e r m 4c4 o > misc opON4CE.RFCREITION L*MF 4 e p ?a ,,e (= S t-p*p4 PERMIT NUMBER DesCManGE NuMaan wJ L -

MONITORING PERIOD f.aGRIT.Y _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YEAR MO DAY YEAR MO DAY LOC?CTloN l _J, W W Mnagr.__ _ _ _ _ _ _ P7 01 O1 97 93 11 " A f R ( SUW C*i

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_ee;4 .nmy. ., 3, e v _ _ r s ._- . _. _ _.. e m e m24, a2a3, a4as, a m e avave e3,$3s, NOTE: Read instructions before completing this form.

(J Card Om/F) QU ANTITY OR LOADING (4 Card Omfy) QU ALITY OR CONCENTR ATION PAR A M ETER (46-53) (54 4l) (18-451 (46-33) (34-61) NO. FREojNCY S A M PLE Ex aNa o ... TveE AVERAGE M AXIM UM U NITS MINIMUM AVLRAGE M AXIM UM U NITr. g N SAM nE 46 44. .S**4 ,*o***

MEASUREMENT J,Q4 J,Q4 Q Once/ >

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S A M PL E MEASUREMENT PERM iT -

REQUIREMENT l' S AM PLE MEASUREMFNT PERM IT R EQUIREM ENT S AM PLE MEASUREMENT PERMIT REQUIREMENT N AM E/YITLE PRINCIPAL EXECUTIVE OFFICER 9 CE RTIF Y UNDER PENALTV OF Law Twat 4 MavE Pt psON AL L Y t a aurNE D TELEPHONE DATE aND au F aMst iaR en TM THE sNF opwaTION SveMiTTE D ME REsN AND Ba5fD ON Mv vNQueev OF THOSE sNDeveDasat$ CMME DeaTEL F #f SPONSintf FOR /

W ST A AsNG THE *NF Opua TION f RE L it vf THE SUBMeTTE D *NF ORMa YsON C T*3 a-,./[U ,

O,s Taue accomaTe aND caMatcTr i au a mas TM47 THear ape s c y R. H. Hess 5=*"* / g#-

-' cant T Me PC% = 'o*r 5 ro- "t he F m.E ANO eMPwesONMENT ar SEEo18Ma'=

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""' a*ND SIGN ATURE' OF PRINCIPAL EXECUTIVE 226-5666

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• W"*********P*"a*""dA'**""8*'***d'"* OFFICER OR AUTHORIZED AGENT A ^ NUMBER YEAR MO DAY TYPED OR PRINTED c DE

' COMMENT AND EXPLANATION OF ANY VIOLATIONS 4 Rcfrrrnce WlJ m,fus fratreft here)

" IY!N, WITH OM? Pa5TF STREc F.

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EPA Form 3320-1 (Rev.10-79) Previous EDITION TO BE USED (REPLACES EPA PORM T-40 WNICN MAY NOT BE USED.I PAGE OF UNTIL SUPPLY 19 EXH AUSTED M 9'5 4 / 0 3 2 0 0 7- 0 4 + 1

GI M R ti. IN'J R.!CTIONS

l. It form has lu n m tial!v compkm! by pmpdnet. diuq : d k.I t',. !ier s du c .d M c n:ry of that ir fm envion .dttah prepikted.

r 2 FHer TF RMIT TIT N A? tl /M Al;.1NG ADDRI M < _ wt f ant:. r'ame/ks :on if dift;rt e.' U "PE R M t l' NIR fitfik." ar,d "DisCIU RGE NUM HF R* w here indw.ced. t A ssp ah "m n rego, 1 krcash_ A qcj

3.  !~nter dares i.ep%c e aad cndmr. " MON!!() RING PW U 'D ' cose t ' form abere mdb.tet

4. Enter each "PARMM Tl R" ..s s;wiied ui rnoraimri". 2 cv n erw r n of go.._

$ Fnin "sA M f 4 F M F aSi "P.t FN r de fo cAn pa ,mv uo&c 01 ANTI fi" an i "QU A! !TY" in unes gded in permit.

AVI H AGl" n o v mc.th a r it hmede av g t poma .c avery fe %rbi pmmem t of all umric imawemm for ex5 param(ter obtained duiing "MONll OklNG l'FRit 10 M ^ XI%11lW anj M-ilNind t !M" c.re norrr..Jh cureme h4h or:d low measurements okuned durmg "M MiiORING PI klOD " ( NOT L to rn , x sh w a semdm utmer~ w rement. enter MJay aserage of samf lc vue.nu r e me nt s under "AVI-R AGF" and ;nNr w ..ncim No.ne:m < f %mpte meamrun.ena obtf r.ed dormg monitoimg p:riod under "M AXIMUM".

6. Entri "PI RMIT RFQUIRFMENT" for cav2 Farameter imdet "OU U.TlW and

• OL Al lir as suitied in rermit.

7. Under "NO FX" enter number of sa npl: weamemens Jurmg avrirosing period that esceed maumum t and/or nunimum or 7-day aserage as appropriate) per rmt re4mement for each pr tmeter. If nane. enk r "0".

P. Enter "FRFQUFNCY OF AN Al.YSIS" boiS as "SAMPI F MEASU RFMFNT" iwnal frcumncy of sunpling and analysis used during monitoring periodi and as "PERMir REQUIRI MENT" specified in peints. leg, EntM ' CONT." for contirn.ous tr.oailoring.

" l / T* for one day per week. "l/30" for one da) per moruh. "l/9s F for one da) pcr quarter, etc.)

9. Fmer "S AMPI F 1 YPF" both as "SAMPLF MF ASUREMEN1" t anual san pic t>pe used during mon toring period e and as "PF R MIT RI QUIRFMFNT." te g . Enier GR Att ' for mdividual umple. "2411C" for 24-hour composite, "N/A" for continuous momtoring, etc.:

.............................................L.154fi.d.3.H.1H..Q.10J.s............................................ . . .

10. Wl1FRE Viol ATIONS OF PI:RMIT RFQUIRI MFN TS ARF RFPORl FD. ATT AGI T liRIFF FXPI ANATION TO DESCRIHF CAUSE AND CORRI'C' LIVE ACTIONS TAKEN. RI I EMI NCI: 1 TCil VIOL ATION IlY DA1E.

II, if "no discharge" onuts during monitormg period. entcr "NO Distil ARGlJ atrow for n in place of data entry.

12. Fnter "N \MI /TITI F OF PRINCIPAL FXECI'TIVF OFFICl- R" w iih -SIGN \ IURl! OF l'R?NrlPAl I XFCUTIVF OFFICFR OR AUTilORl/l D AGFN1'." "IEl i PilONF NUMHFR" and "DA1 E" at bonom of form

13. Mail signed Repori to Omech) b) datent specified in permit. Retain cogs fm wur records.

14. More det.nled instructions for use of this DINCil ARGF MONIIORING RI PORI (DMR) form may be obtained from Orlisels) specified in pernur.

I FG AI. NOTICE This report is required by law (33 U,S C 1310 40 C.F.R.1327). Failure to ri port or failure to eeport truthfully can result m chil penalties noi lo escced $l4000 per day of uolation; or in criminal penaloes not to escced M3.uon per das of dolation. or by imprisoninent for not more thar onc year. or by both.

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