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PERMITIEE NAMElADOItESS (GeY4 f«mryNwW Ixelwr IfD15.n.p <br />NAME TkA?'r:! "[~.: ~"lr L'•.:a <br />ADDRESS T H n d l' ;. Lt ~~ ~ ~. ~: <br />P. J. 1•'J.". 1.' 1 <br />FACILITY <br />LocAnoN <br />NATIONDISCLFIARGE DMONRORINO REPORT IOMRIPOESI <br />1-761 /f7-191 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ': ~ TO ~~ , t7 <br />114211 112-23I !24151 l1b171 118-29I 13431/ <br />Form Approved. <br />ACUTE. tF? T?5°Iy0°~~~Q~~Da <br />( `` !1 4 F L', y) Approvelle>{plr4e~5-31-98 <br />- FINAL <br />?'INC,ry <br />soy NC UI5CHARGE ~~~ ^"',;r <br />NOTE: Rsad kutruetlon bdore completing this corm. <br />PARAMETER f3 6rd Ontyl QUANTITY OR LOADING !1 Gird on/Yl QUANTITY OR CONCENTRATION Np, FREOUENCr SAMPLE <br /> !46531 !5461 /39J51 /4653) ~ 15461/ <br />EX OF <br />T~'PE <br />132-37I MALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e:-e.T1 !ICI-681 159-701 <br />L C:JJ :iTA1'+t F: 1; 9l:'' AC SAMPLE <<~-~: :;: ;c t,: {;'~;r .^,; 04Ov OiG': rl+~ ( Z3) <br />i:?:liIJUA: iLNIA MEASUREMENT <br />LAnsis I D 9 PERMIT ~::~:::.a~:c :x~::x~xa3 firip ]-aQ.: 14A+~C4#AI '.ID±?m~rifi FY- i TRL'l RAR <br />r' ~ I <br />~. r'LUES'P EROS., lALU REQUIREMENT ~ ~ <br />O#°4 ~ <br /> <br />M:.::R. ~ ~ ~~ °~ <br />` . <br /> <br />, . <br /> <br />.. <br />Ll7U STACit E' QSt :, At_1 SAMPLE :"'=C%"~ -,:-::y:, ;f: O;tOt+O Oi4A#~` ~ 23) <br />PI:iEPktALi-S MEASUREMENT <br />~ <br />~ <br />.. <br />I9N•~:: I U U PERMIT ~:YC:;;;::~ S~Lt4t~:7t L:r,•• <br />,~ .. <br />:. <br />1Q-G:....:' :. .. <br />.. <br />. A*$t~5m+01;; .. ~. .. <br />".A'A~+?S;.:.. . ER- T'~iLlf> -~1t9 <br /> <br />:.FFL'JEt+T GROSS VALE. <br />REQUIREMENT <br />p:;;pp <br />Rrp. 7l~IU ,., . <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ~ 1~' ,~° <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ .,. ..: .. .: ... <br />~ <br /> REQUIREMENT ~ '~ ~ ~a. ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. <br /> REQUIREMENT ~ ~ ~' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~. ~ ~ ~. <br /> REOUIREMEFIT~ ~ ~~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERnFY UNDER PENALTr of <br />AM fAMIUM WITH THE WFO uw THAr I HAVE PERSONALLY El(AMINED MD <br />RMATION SUBMIRED HEREIN; MD EASED ON TELEPHONE DATE <br /> MY INOUIgY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE fOR <br />` <br /> <br />Cordon Peters <br />W OBTNNING THE INFORMATON, I ^ELIEVE THE SUBMITTED INFORMATON 19 <br />1 AM AwME THAT THERE ME <br />TgUE <br />ACCURATE MD COMPLETE ' <br />~ _ <br />Ifw/r <br />. . <br />. <br />INClUD1MC <br />IFI <br />T P <br />S FOR SUBMITTING fAISE INFORMATION <br />NN <br />T 970-824-4401 98 IU 13 <br />President b General Manager , <br />. <br />SIGN <br />CAN <br />IE <br />E <br />THE PoSSIBILITV OF NNE MD IMRUSONMENT. SEE to U.S.C. E 1001 AND 37 iIONATURE OF PRINCIPAL EXECUTNE <br /> U.B.C. I t31e. lhMMa u.dar IMra ae1NMa nlaY A.cANa Awe W ro S 10.000 AR A <br /> <br />TYPED OR PRINTED <br />and a+muMrlvn i+evlorrr+r MMrraer smmw, «W 6 wva! <br />OFFICER OR AUFHORI2ED AOENI' <br />CODE NUMBER YEAR MO DAV <br />COMMENTS AND tXPLANA I ION Dh ANY VIULA I TUNS IRSrPrenCe N/ effeCnmsnn nP/e/ <br />.}.X i.A.2a PP 7-9. .FCh U`TALLS Of'.TSS'C P30::3UU3F. HEPJNT LCSG - SIAT75TICPC S:CIN7 cSTI!"ATF. ~NICH I` <br />LcCdAL TU S(iT. OF TEST Uk:.AtiI5n5~ r18U ATTACIS ACUTE TOAICITY 7FS? RFFCF7 FCRC 7C C^"R. COPIcS OF ,ALL <br />T <br />EPA Fam 3320-1 10e-951 Previous editions mey be used. / E LA RM 40 I A NO BE •I ~ O O 04 O / 9 8 C S 13- 1 O 5 6 1 <br />