Document pmJO4wEO13O8NB9w2nN0ZD41w

PPG Industries, Inc. Chemicals P.O. Box 1000 Lake Charles. Louisiana 70602 December 6, 1990 Ms. Diana Buck U.s. Environmental Protection Agency Water Management Division Enforcement Branch (6WE) 1445 Ross Avenue Dallas, TX 75202-2733 RE: November DMR - LA0000761 Dear Ms. Buck: Enclosed is the DMR for November, 1990. Attached is an explanation of a daily maximum excursion of the TSS limitation at Outfall 101. If you have any questions concerning this report, please contact Mark W. Wood at (318)491-4450. 1 if V Manager, Laboratory Services/ Environmental Control WJP/mm 025l*6 ATTACHMENT EXPLANATION OF EXCURSION DATE OUTFALL 11/19/90 101 gAR&METER TSS, 24 hr composite EXCURSION +1535 lb/day EXPLANATION On this date, a large underground river water water line supplying cooling water to the Plant A Caustic Unit developed a serious leak. A large amount of soil and clay was suspended and washed out into the process wastewater outfall. A possible contributing factor is this event coincided with a routine boil-out of caustic evaporators which usually produces some extra solids loading to Outfall 101. The full impact of the river water wash-out cannot be ascertained, but is believed to be the cause of the discharge excursion. The line was repaired and subsequent TSS discharge returned to normal levels. ERMITTEE NAME/AODRUB (Include uaiitj A ame /Locuttioonn^^m^^li^ffeeireni) A ME______ DDRESS NATIONAL POLLUTANT Df(lCHAARRGSE ELIMINATION SYSTEM (,V/'EIO) mb.DISCHARGE M ____________(V /rt j "[ORING REPORT (DMA) PERMIT NUMBER DISCHARGE HUMBER FomAfcroved" OMBMib040-0004 Appcwncxplres 12-31-81 OCATION PARAMETER YEAR MONITORING MO DAY TO PERIOD YEAR MO DAY (J Card Only) (20-21) C 22-21) 124-21) <26 17) QUANTITY OR LOADING <14-61) <4 Card Only) OS-41) average MAXIMUM UNITS MINIMUM <28-29) <30-31) NOTE: Read Inalnictlons below completing this form. QUALITY OR CONCENTRATION <46-13) OS-61) AVERAGE MAXIMUM UNITS NO. EX FREQUENCY OF ANALYSIS 162-63} (64-68) SAMPLE TYPE (69-70) SAMPLE MEASUREMENT SAMPLE MEASUREMENT * -- f r.<Sph ^ F* 1 ! * S ......>......... 11 t fW# t * t1 K 't i i t i. 1 t 1 if , ii'i ............... ;--1 1: . ' M1 t. --nrH i j 1 n jt SAMPLE MEASUREMENT 5 PERMIT j REQUIREMENT is ! I|`f i' i > M'; ; : i: >> i *t- *1 --7TT ' H O [S3 <JI M 4>"" 00 SAMPLE MEASUREMENT MBlMtT RXQUBRKHKNT SAMPLE MEASUREMENT :ii M P*NIT : MflUmiHIKT i ; SAMPLE MEASUREMENT PfflUeiT RaQUIjRKMBNT SAMPLE MEASUREMENT PERMIT REQUIREMENT AME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CERTIFY UNO PENALTY OF LAW THAT t HAVE PERSONALLY EXAMINED AND AM TAMIUAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARC SlG NiFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE >B USC I lOOl AND liuSt t 1319 iptnaitf* uruirr ifivsr tlalult* mat tmiutir fim > up fFKi rj rut irr ('laumum sntp n <*rmitn ut lu mt fi nmn/A' amt itaf> . MMENT AND EXPLANATION OF ANY VIOLATIONS I Kelertm e all htrr) TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AftEA -CODE. NUMBER DATE MO Form 3320-1 {Rev. 10-79) previous edition to be used IINTII CIIPPI V FXHJkllPTFP < RCPLACBB EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF ERMITTEE NAME/ADDRESS (Include uctlti) Same/Laianon^g/^fferenl) 'AMI____________ DDRESS NATIONAL POLLUTANT Oil DISCHARGE MIJ ______________ (2-16) S KLIM I NATION SYSTEM (,\M3k6) >RING REPORT (ItMR) (17-W PERMIT NUMBER DISCHARGE NUMBER Ftorm^Mrowd om^Vkmmxxm Approval expires 12-31-87 -- ACILITY OCATION PARAMETER MONITORING PERIOD YEAR FROM (20-21) MO day | 1 _______ 1 (22-23) (24-23) TO year MO DAY (26 2t) (2S-29) (30-31) NOTE: Read instructions before completing this form. (3 Card Onlr) (46-33) QUANTITY OR LOADING (34-61) AVERAGE MAXIMUM UNITS 14 Card Only) (3d-43) MINIMUM QUALITY OR CONCENTRATION (46-33) (34-61) AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF ANALYSIS 162-6 J) (6*-60> SAMPLE TYPE [6V-70) SAMPLE MEASUREMENT PKRMIT requirement *- AMPLE MEASUREMENT HI < M i5 f - 11 ? i ' i' PERMIT : REQUIREMENT AMPLE MEASUREMENT \ \ PKRMIT REQUIREMENT 02^ ! [ SAMPLE MEASUREMENT PKRMIT REQUIREMENT AMPLE MEASUREMENT PKRMIT RKQUIRKMKRT ! AMPLE MEASUREMENT PERMIT s REQUIREMENT < AMPLE MEASUREMENT PERMIT REQUIREMENT AME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTEO 1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BEUEYE THE SUBMITTED INFORMATION iS TRUE ACCURATE AND COMPLETE > AM AWARE THAT THERE ARE SlG NiFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 10 USC t lOOl AND 3 3 US( i 13>9 > / iiuitu * undrr (AtM 4JG(u{*" fi\ I'ittutfc ftnrs up Ui f |l> mill wut ur maumuru it'tprt xinim ti I >/ ft* iu cm H nunith anti 1 - MMENT AND EXPLANATION OF ANY VIOLATIONS iRvferent'e uU uftu< hnteni* htre) TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT aRa cspe- NUMBER DATE YEAR DAY Form 3320-J (R*v. 10-79} previous edition to be used ' 9 UNTIL SIJPPl Y IR FKHlIlQTFn (REPLACES ERA FORM T-* WHICH MAY NOT BE USED ) PAGE OF ERMITTEE NAME/ADDRESS {Include dctlii) Name /Location j^/^ffereni) A ME___________ DDRESS NATIONAL POLLUTANT DlISCMARRCOE ELIMINATION SYSTEM {NPDF.S) DISCHARGE M RING REPORT OMR) 07-19} PERMIT NUMBER DISCHARGE NUMBER Fona^Brwed " ombHkmcmxxm Approval expires 12-31-87 4qiLtiY_ DCATION PARAMETER 02-37) U1 r* 0 ro m t-1 f-t YEAR FROM MONITORING MO DAY PERIOD YEAR MO DAY SAMPLE MEASUREMENT permit ! REQUHUMDfT (J Card Only) (46 53) go-21) (22-25) QUANTITY OR LOADING (54-61) (24 25) (26 ih (4 Card Only) US-45) AVERAGE MAXIMUM UNITS MINIMUM i1 * * 11 < t f "* * M \ f f ' 1 Fi (2S-29) (50-31) NOTE: Read Inatrucllona before completing this form. QUALITY OR CONCENTRATION (46-5J) (54-61) AVERAGE MAXIMUM UNITS NO. EX FREQUENCY OF ANALYSIS [62-6J) {6448) -n-------1-------- SAMPLE TYPE (69-70} < r* 1 : ' ' i - -1 TTTTT" j v v 7"p-- itK tiK SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT i i \ i ; PEUHT REQUIREMENT )t ~--r SAMPLE MEASUREMENT PERMIT REQUIREMENT - SAMPLE MEASUREMENT PBBMIY REQUIREMENT u - - ;M6 SAMPLE MEASUREMENT nutit REQUIREKfllfT SAMPLE MEASUREMENT PERMIT REQUIREMENT AME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CERTIFY UNDER PENALTY OF LAW THAT t HAVE PERSONALLY EXAMINED AND AM FAMILIAR WtTH THE INFORMATION SUBMITTED HEREIN A NO BASED ON MY INQUIRY Or THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION S TRUE ACCURATE AND COMPLETE I AM AWARE ThAT THERE ARE SlG . NlFiC ANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUWNG T Ml POSSIBILITY of FINE AND IMPRISONMENT SEE IQ USC * lOOf AND IJUSl llJ19 Pitta/lu* under italuti * mat im tud* ftnti ur U> tiiiiUXt imi ur ma 11 in urn irnpn-tm on tit rtf ft* tu r n S month 11 mi > u-urt IENT AND EXPLANATION OF ANY VIOLATIONS iMr/rrrmr nil "lln, hment\ hrrr) TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT aHa -CflQt NUMBER YEAR MO DAY Form 3320-1 (Rev. 10-79) PRBViousjtpmoN to be used IREPLACEB EPA POM T-40 WHICH MAY NOT BE USED. I PAGE OF ERMITTEE NAM E / ADDRESS (Include :rnicifiti Same/Location^^^ercnt) A ME______ ODftESS NATIONAL POLLUTANT OiIlBCMAft<OS ELIMINATION SYSTEM tSPUhS) DISCHARGE Mi' cj^BpiRING REPORT <(>> ____________ (2-J6) (17-19) PERMIT NUMBER DISCHARGE NUMBER FtaAowd" OMB^P0404004 Approval expires 12-31-87 *tQit!XY_ OCATION PARAMETER 02-3?) MONITORING PERIOD SAMPLE MEASUREMENT (J Card Only} {46-33} YEAR FROM MO DAY 1 YEAR TO (20-2/> (22-22) {24-23} (26 27) QUANTITY OR LOAOING 134-61) {4 Card Only} <2S-) AVERAGE MAXIMUM UNITS MINIMUM t'li V MO DAY (23-29) {10-31} NOTE: Read Inslruclions before completing this form. QUALITY OR CONCENTRATION {46-33} {34-61} AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF ANALYSIS 162-6J) {64-6$) SAMPLE TYPE {69-70) T77T71 PERMIT requirement SAMPLE MEASUREMENT PERMIT 1KP!FT requirement 30TM /.v; *$* : t* i * f ; I i:.\ if if' >!: - 1 P,1 fi 1 *< ) ' *; l s <1!- . : t- } " ! ;m n~ ^-------TTT l!i- .IS:' -------------rrr~ ---------f7TTs1' <!> ' SAMPLE MEASUREMENT ! SL 025151 PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT fl $ ... SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT \ME /TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED i certify under penalty of law that i have personally examined AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAJNiNG THE INFORMATION I BELIEVE ThC SUBMITTED INFORMATION JS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARC SK> NlFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION iNCLUOtNQ THE POSSIBILITY Of FINE AND IMPRISONMENT SEE IflUSC * IOOI AND )1 USt i 131*# 'frrJiilfK't under fAi w italult * "itiv ifuiiMl* {tries uji {,, fflMHMi ,j ,ut "f nidirmum irnfirt\ttfimt Ht <>/ At furm 6 rrmnt6s uni/ > \rar- 4 MCNT AND EXPLANATION OF ANY VIOLATIONS i Hcfcn m c nil here) TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AftCA CODE NUMBER DATE YEAR MO DAY orm 3320-t (Rby. 10-791 previous edition to be useo ' ' Hutu eiipoi v ic pvm i ncrm (REPLACES EPA FORM T-40 WHICH MAY NOT BE USEO.) PAGE OF ERMITTEE NAME/ADDRESS {include jctiH) A ante / Lot attort t^tfferent) A ME______ DDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (JVPDJH) DISCHARGE MG^fcORING REPORT {OMR} A'l^L (J7-IP) PERMIT NUMBER DISCHARGE NUMBER Fonnli;anived * OMB)^|__404004 ApprxwMlTr^axmplres 12--331-87 \qitOY_ 3CATION PARAMETER (i2-J7) o to Ui H O' to , YEAR MONITORING MO DAY TO PERIOD YEAR MO DAY (J Card Only) 146-53) AVERAGE (20-21) (22-23) QUANTITY OR LOADING (54-61) (24-25) 126 j2) (4 Card Only) (38-45) MAXIMUM UNITS MINIMUM (28-29) QO-JI) NOTE: Read Initructlonc before compleUng this form. QUALITY OR CONCENTRATION (46-53) <54-61) AVERAGE MAXIMUM UNITS NO. EX FREQUENCY OF ANALYSIS [6J-6JJ (W-68) i SAMPLE TYPE l60-7O> MEASUREMENT - ' i TOT rsqu^mmt i SAMPLE i MEASUREMENT (:.h , !. i 44 `y TTTFFT" r-T]-------------- ;t Yk "i wm \ Tl RBeufftonfP' (&!!.* i'l.n, i:-v i It4 <t . t f TpTTTMt'f i *; SAMPLE MEASUREMENT permit REQUIREMENT ii ip.n * ..v ! i V *1> ;:t*l ~T~TW~ i\ SAMPLE MEASUREMENT PEHN IT REQUIREMENT SAMPLE MEASUREMENT permit REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT it 1 - t hi .,,0 i i>. 11 . . ) : i':- t ,v f t> : i jl. -1 !- r !. v 1 , 1? . ji/ 3 * t 1f * : j ' 5 ' . *t> 1 * t i f -- i i * * in r '(*' H. . m .. -,m "u "ITT ~T1B| 1 tK '1 - M i i> .i*l *' SAMPLE MEASUREMENT PERMIT REQUIREMENT VME/TITLC PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CEPTITY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INCNVlOUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SlG NifiCANT PENALTIES FOR SUBMITTING FAlSE INFORMATION INCLUDING ThE POSSIBILITY Of UNI ANO IMPRISONMENT SEE 18 USC 1 IOOI AND 3JUSI ^ >119 > Prnalii* untit r rfirst' ttatutt* ntu\ tnclutit tint* up ft, rjrui nr 'NUtl*nuni mtpritnrim* ij f <</ Eli r"! 'i S "irjiii/t* n<i > wur MMENT AND EXPLANATION OF ANY VIOLATIONS (Hr/errmr ull alltnhmtnli htrr) TELEPHONE SJGNATURE OF PRJNCJPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT arEa jeoqe_ NUMBER DATE YEAR MO DAY Form 3320-1 {Rev. 10-79) previous edition to be USED 1 'until supply is exhauUsSTED (REPLACE* SPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF ERMITTEE NAME /ADDRESS (Include ```Illy Same /L.ui aliluunn^^gjj^^^eerient) A ME___________ DRESS NATIONAL POLLUTANT OiIlSCMARRCOE ELIMINATION SYSTEM yS'PDhS) DISCHARGE Mq^RpRING REPORT </>mrj _______(2-Ml {`7-19) PERMIT NUMBER DISCHARGE NUMBER FonnA^pved " OMB^P04(HX)04 Approvilexplres 12-31-87 JCATION PARAMETER m r o to cn W O' U5 1 YEAR MONITORING MO DAY TO PERIOD YEAR HO DAY MEASUREMENT (J Card Only) <-) AVERAGE V <70-2/) 122-23} (21-2S) <76 27) QUANTITY OR LOADING (34-61) <4 Card Only) <Ji-4J) MAXIMUM vyr UNITS MINIMUM <20-29) 130-31) NOTE: Read Instructions before completing this I rm. QUALITY OR CONCENTRATION 146-Si) (34-61) AVERAGE MAXIMUM UNITS NO. EX FREQUENCY OF ANALYSIS [62-6JJ {64-6$) TT P '1 - " SAMPLE TYPE {69-70) T71 j4 *<i.!; *( t T7FFTT1 n-- SAMPLE MEASUREMENT PA XL 7 "7' . > -- ' K M i n< Trrr ; "1OT RSQUftStt^f? ffcil.Y AV AMPLE MEASUREMENT M k`- ' w. r,i.Y m it ; i * . ; ;Ti t : ''- ii -------r*-------------- TTTTFF~ ! WKKK --!--r'*-- *" rr --| pr--? PERMIT REQUIREMENT i ........ r n' AMPLE MEASUREMENT PERMIT REQUIREMENT , i * :? { ! f . i'i V AMPLE MEASUREMENT A v %. -rp-- f .- Ti 1j I1>. } i}* t i : it*- . t_ , .--r~i------------ t 'i* T~mn ,< , * t ;J j;.; 0 it "* cr'*"" - in- *< f!,i i ; i1 PERMIT | requirement AMPLE MEASUREMENT PERMIT ! REQUIREMENT {'! : Li " FTP-4 T (*/.!!.. .',7 I.-ljl.i ma f f-S i-'T f *i "7TTFTT r-. III.. ii/ -111*: (<ti1i Trrrn -i HMt : f< < t t 5 ' !ii Is l:M f fii 1-577 "trpUF AMPLE MEASUREMENT PERMIT REQUIREMENT j [ !' ! T ! If. ~r F'P"T":--------- t . i ' , f i 7 i i\ s . < t ;ir> AME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CERTIFY (JNOCR PENALTY OF LAW THAT I HAVE PERSONALLV EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE AND COMPLETE * AM AWARE THAT THERE ARE $rG NifiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THl POSSIBILITY OF FINE A NO IMPRISONMENT SEC 16 USC * UXH AND 13 USC 4 '319 'f'l-nofriM utuirr lAfM' lotui*% niat irtWtsjV /irjY u(i fu %UHHMt `ttui 'nsimiunr tmpftstm nt* til 6* tu frn ft mtnlh > and i iriir< - MMC NT AND EXPLANATION OF ANY VIOLATIONS I Referent r ail utunhmenn here) TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA .coce. NUMBER i( 1 ` ' ,; , i DATE YEAR MO -orm 3320-1 (Rev. 10-79) previous edition TO BE USED 9 lINTM RIIPPI Y IR F- VW A URTCn (REPLACES EPA FORM T-4 WHICH MAY NOT BE USED.) PAGE OF iHMITTEE NAME/ADDRESS {Include tctltl) Same /Location t/ different) UMI_____ 3DRESS NATIONAL. POLLUTANT DISCHARGE ELIMINATION SYSTEM iNPDES} DISCHARGE MGMORING REPORT {IHIRy {17-19} PERMIT NUMBER OISCHARGE NUMBER Form OMBI Al 12-31-87 VSitUY- 3CATION PARAMETER i*2-37) in t 0 O' V* CT 5" YEAR MONITORING MO day 1 TO PERIOD YEAR MO DAY MEASUREMENT (i Cord Only) {46-53} AVERAGE 1 {20-21) 02-23) QUANTITY OR LOADING <54-61) 04-25) 06 27) (4 Card Only) 08-45) MAXIMUM UNITS MINIMUM 00-29) 00-31) NOTE: Read Inslrucllont baton completing thla form. QUALITY OR CONCENTRATION {46-53) {34-61) AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF ANALYSIS (64-6S) SAMPLE TYPE 169*70) ngnttr NKaunUMKNT _________ .____________ SAMPLE MEASUREMENT HEPt'Fr I)AI li: . ! . ~Mmrr mihi "V ) !' i ! i i S'. n t ~rm~T\ I'.MI.i SJ >tiip :-k r t fi 1M 1 1* >i> : i ::ir: 1 WF?{-------- Hi* Hi SAMPLE MEASUREMENT * PtUIMIT RKOUIMHUIT SAMPLE MEASUREMENT PDIMIT riouihhiiit -f I- 1), n. i > v fli-.i < !;T D JI . .V i Ti 1 \J? . 1;* U! F ' ! ! ii.i iH j*r i ; *r i -7 t tr' |1 i iK TTPl^ \\ r . >1 v - itPf/ - SAMPLE MEASUREMENT PMM1T ncauiUKMufr HU ' - r D/.ll.f /v, [I'h'i ! hi. 11.1 n.\ t*\ * , I **fi< - `fi 'I .; f i F * TiFlP SAMPLE MEASUREMENT MtaMtr . amuipniMT WEI' H'T Oauy m SAMPLE MEASUREMENT i Kl-J FT t f J ,Y 1IX + t rr I i 1 f t f i -1 . f f. 1 PERMIT mumwiKT F 1 ! -i:f , i 1 1 tT i i i1 `lift! ' < t >' f t \, ,\ VME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTEO I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E A AMINEO AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HERON AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SK NlFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THt POSSIBILITY or FINE AND IMPRISONMENT Sit 10 USC 4 lOOl AND 3 3 USC 1 1310 *Pt lutttir* under thr**' tlatufex m<i> tntlude firuufi fn tUt**** nmt <0 t'laiiRjum tniprunnni* Mn/ fmm 6 m^mth * anti i ^of". > SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT MM ENT AND EXPLANATION OF ANY VIOLATIONS t Referente alt aifu< hmettts here} TELEPHONE CODE rm KiMU K * * *J f h ! ii Ml* fM DATE YEAR MO Form 3320-1 (Rev. 10-79)***TM tis edition to be used (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED. I PAGE OF ERMITTEE NAME /ADDRESS {Include ucttii} Same/Locationj^fifierent} AWE____________ OORESS NATIONAL POLLUTANT OUCHAWOE ELIMINATION SYSTEM {XPDLS) DISCHARGE M4HORING REPORT <OMR) {2-1 61 __ Q7-I9) PERMIT NUMBER DISCHARGE NUMBER [expires 12-31^7 ACILITY OCATION PARAMETER {32-37) C/1 r* a to cn H LA m YEAR FROM MONITORING MO DAY PERIOD YEAR MO DAY SAMPLE MEASUREMENT (i Card Only) (46-SJ) AVERAGE Pt 00-21) {22-23) QUANTITY OR LOADING 04-61) {24-21) T5TJ7T {4 Card Only) UW) MAXIMUM UNITS MINIMUM i2N-29) qo-ji) NOTE; Read Instructions before completing this (orm. QUALITY OR CONCENTRATION {46-SJ) (S4-6I) AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF ANALYSIS I62-6J) (64-68) [; i r - SAMPLE TYPE (69-70) \ requirement SAMPLE MEASUREMENT RBlY'i' i l>Atl :1 i . i m 1 ; ' I-.. iJ i i'1' i -------rTTT--;------- TTTTTTF- r-rrrrr----- Hl-'Kr, TT*- " t "flPuTT "TTHT1" *!t M 1 ,*i .t Trmrr- --r REQUtnEWENT w.tr- ' 1- - Hi KF. SAMPLE MEASUREMENT 1 PERMIT ~rn : t TEim REQUIREMENT ; 11 ;A<! I'l'!.. il/ 'M ' , ------- . : ; t s !------ > jITT ' -111 11; inf SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT In. : PUtMIT REQUIREMENT i- II ..V SAMPLE MEASUREMENT PERMIT . REQUIREMENT 1 H ! I' i .is \ ' 3 it i i'i.. ;! { ('!' I * !- I1!. !!:. -.it < * * ft - i>i tt _ i 3 t fr f J ii*t) , l* k * f M = ' i* p ji * ) t j tf if TTrr~n > 1 ! < 1, ` A [' \ V hl'F SAMPLE MEASUREMENT permit REQUIREMENT AME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATE L Y RESPONSIBLE FOR obtaining the information i believe the submitted information as TRUE ACCURATE AND COMPLETE * AM AWARE THAT THERE ARE SlG . NlFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 10 USC I 'OOl AND 33 USE % 1 3 I y 'f'* notin'* untit'f tfit'** tlatut*> f*ru\ tmtuti* fines u/< l<> ttmimi rj rui minimum i/nftn *unm* n i "t b* tu * n nfnth c anti > \eaf* MMENT AND EXPLANATION OF ANY VIOLATIONS (Reft feme oil attm limenti here) SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT telephone A&EA CODE NUMBER DATE YEAR Form 3320-1 (Rev. 10-79) previous edition to iBE USED UNTIL SUPPLY IS FKH* IISTFD (REPLACES EPA F RM T-4 WHICH MAY NOT BE USED ) PAGE OP ERMITTEE NAME/AODREII (Include utility Smut /Location i^8*rtnl) AWE____________ DORES* NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (\PDhS) DISCHARGE MG^fcpRING REPORT (OMR) PERMIT NUMBER DISCHARGE MlMBCR [expires 12-31-87 4QiLLLY__ OCATION PARAMETER (S2-J7) F ( 1 $ O O' V* O' O' Z | i"<z2 ' m< HI X YEAR FROM MONITORING MO 1 DAY ] TO PERIOD YEAR MO DAY (J Card Only} (46-53) {20-11} 02-2i) QUANTITY OR LOADING 04-61) {24-23) (2617) (4 Card Only) 08-43) AVERAGE H4 1 MEASUREMENT wbwmt! TfTTTT MUu^NUKfrr ^*4 ** i l (. i t MAXIMUM "Tk7v"i T DA t:f. !f' UNITS MINIMUM (28-29) O0-J1) NOTE: Read instructions before completing this form. QUALITY OR CONCENTRATION {46-Si) (54-61) AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF ANALYSIS 16J-6J) (64-48) SAMPLE TYPE (69-70) -. ; - ; ! '> rr. i r;~' ~ 7T--n-T AMPLE MEABURCMENT ndwiT ` REQUIREMENT \ i AMPLE MEASUREMENT PERMIT REQUIREMENT rrm Ti--rr---------i . . n mrr n SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT ntHMIT REQU | MM IflT SAMPLE MEASUREMENT PERMIT REQUIREMENT VME/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CERTtFY UNOCR PC HAL TV OF LAW THAT I HA VC PERSONALLY EXAMINED AND AM FAMIUAR WITH THE INFORMATION SU8M1TTCO HEREIN AND 8ASED ON MV iNQUFRV OF THOSE INDIVIDUALS iMMECHATELV RESPONSIBLE FOR OBTAINING ThC INFORMATION BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE SlG NlFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THt POSSIBILITY Of FfNE AND IMPRISONMENT SEE I0USC S lOOl AND J3US( I 1319 1 PriialtH v \ttuivr ttu-*e irufufo melt nit iuJv (tut uft U> t(OtH> <irut <*r "10 urttum i/tiftrf*4inrtn tit <rf fi< ti n F munth t find 1 'fars r IMENT AND EXPLANATION OF ANV VIOLATIONS iHi/eremr nil nlm, hmenn here1 TELEPHONE SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA COPE NUMBER OAT E YEAR MO DAY orm 3320-1 (Rev. 10-79) previous edition to be used UNTIL SUPPLY IS EXHAUSTED (REPLACES EPA r RM T-4 WHICH MAY NOT BE USED. I PAGE OF 'ERMITTEE NAME/A DORES8 {inctud* at th i) f% am* /Lotaturn tj_ different) iAME___________ DDRESS NATION At. POLLUTANT DISCHARGE ELIMINATION SYSTEM {XPDGS) DISCHARGE MG^|ORlNG REPORT UM|R> \2 tbi (/7-f9) PERMIT NUMBER DISCHARGE NUMBER expires 12-31-C7 AQItLty__ OCATION PARAMETER YEAR FROM MONITORING MO DAY PERIOD YEAR MO DAY X (j Card Only) (46-5J) AVERAGE SAMPLE MEASUREMENT reouhumMt i/vTTT .. SAMPLE MEASUREMENT tt |im i ( i t t i .J- ............... (. 1 , l (20-21) (22-2)i (24-25) (Jt 27) QUANTITY OR LOADING (54-61) (4 Card Only) (iS-45) MAXIMUM UNITS MINIMUM ii ! i " : ! -. m . t * t' (26-29) (JO-jf) NOTE: Read inslnaclhma before completing this form. QUALITY OR CONCENTRATION (46-5J) (54-61) AVERAGE MAXIMUM UNITS NO. FREQUENCY EX OF ANALYSIS {64-68} SAMPLE TYPE {69-70} +-i r- ) f f TWW TTTTJP ifi' M. , rnrnPSEfalmmrmr s+ fr i t >`1 i i (Itit >ri, 1- j *= r. TfiPFF Ul- v'V U' ' SAMPLE MEASUREMENT PKRM1T HCQumotnrr v; 1! SAMPLE MEASUREMENT i SL 31 25157 i PERMIT REQUIREMENT SAMPLE MEASUREMENT PBBMIT ABQUIMMKNT SAMPLE MEASUREMENT PMMIT REQUIREMENT i -t4 ......;M SAMPLE MEASUREMENT PERMIT REQUIREMENT AM6/TITLE PRINCIPAL EXECUTIVE OFFICER TYPED OR PRINTED I CERTIFY UNDER PENALTY op LAW THAT I HAVE PERSONALLY EXAMINED ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED roRON MY fNOUlRY or THOSE individuals immediately RESPONSIBLE OBTAINING the INFORMATION t BELIEVE THE SUBMITTED information is TRUE ACCURATE AND COMPLETE * AM AWARE THAT THERE ARE SG NlFiCANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING THE POSSiBU ITV OF FINE AND IMPRISONMENT SEE 16 USL * lOOl ANO JJ US( ^ I 1'9 F|4iffii`* uruirr Ifitv lldtult s nidv tmiutir (in i-* u/t ft* tUttMIU tjnJ nr rrjd tu'iuni iftipriiunnn tit { ft* fu* n ft manth*. ttmf j u-or* j MMCNT AND EXPLANATION OF ANY VIOLATIONS (Hr/rren<e nil ui:,,< htnenn here) TELEPHONE signature op principal executive OFFICER OR AUTHORIZED AGENT AR(A -CODE. NUMBER DATE YEAR MO DAY Form 3320-1 fRv. 10-791 previous edition to be used ' ' ifmtm <iitt>r>i v ic evumexm row*(replaces (pa t-ao which may not be used.) PAGE OF