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PERM(TfEE NAME/ADDRESS Rk+~F.~lanA'~+/tm.Hw.dDdinuq <br />NAME T$AP~FR MIhI:~?, I': C. <br />ADDRESS T B A F' r' '. i{ '11 ti F <br />P.J. F;)X LF7 <br />CK ~L LC. <br />- - - - --. <br />%~ N lF~ t i <br />FACUm <br />LOG7ION <br />.: PT.+: Yi. +., C'2LJt% Pt:=. rC•, r':: k'~/GE4 '",G{ <br />NATIONN. POLIUTMT DISCMMOE ELIMINATION SVSTEAI INPOESI <br />DISCH? R61E MONRORING REPORT 1OM91 <br />L'00032115 CO" A <br />PERMIT NUMBER DISCMMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM 70 - = <br />11011/ 122-231 12h251 126271 I1B-291 !363/1 <br />Form Approved. <br />FOhC M~ ?Cl yfl R-"I~'~~7L25A0-0004 <br />(S II ' F Il y) Approvellaxpjrp@" OS-31-98 <br />~ - FThAL <br />Miti ;"F <br />NOTE: Reed Instruetlorr before compMtinp this form. <br />PARAMETER (3 Grd On/y1 QUANTITY OR LOADING !I Grd Onhl QUANTITY OR CONCENTRATION NO, mEDUO+cY SAMPLE <br /> /1653 l5F81 138-151 lt6531 /51-611 E% DF TYPE <br />1-371 ANALYSIS <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS !s2-say 1s4-581 l5s 7ol <br />-~. :i 4'1 -.A~~. SAMPLE L:;:P6G71 ( 94) tYCQOCt7 Y;tO#,, Y:tt.._...; <br /> <br />Y I :i U A L <br />MEASUREMENT <br />Q <br />D / <br />Y/~IMPt <br />~'4Jo0 1 U I) PERMIT ~: ~ trisETO'•?:ft~ ~ A'gpOR'f E5=1 'CT#9Y1V ~ tk~>wgA!t ~" OOti.~+~a ~ >Kat~ £i:KLY Y.i5UA1 <br />;.i r..UE:Y'." ,~r10~_; il~. i:J. 'REQUIREMENF .2Li5A''.QIA•.X~.. eC=U O~X~# " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMt7..~c,,. . <br />,. , . <br />::::.: :. ,:........~ <br /> <br /> <br />~ <br />~ <br />.. .. <br /> 'HEOl.11REMEN?~ ~~" .. ~.... - : . <br />. .. .. <br /> SAMPLE <br /> MEASUREMENT <br /> ..'PERMIT <br />~~~ <br /> REQUIREMENT .. ~ ~ <br /> SAMPLE <br /> MEASUREMENT <br /> . ~ PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~"~~~ ~ ~~" <br />~ ~~ ~ ~ ~~ <br /> REQUIREMENT ~.` ~. <br /> SAMPLE <br /> MEASUREMENT . <br /> PERMIT.'.. ~ ~ " <br /> ~REQUIRENIENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ <br /> REQUIREMENT. ~ . <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MIUM WITH THE INFO LAW THAT I HAVE PERSONALLY ExAMINED MD <br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY MIOUIRY OF THDSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION 19 <br /> <br />~ <br />{'/. Gordon Peters ACCURATE MD COMPLETE <br />I AM AWME THAT THERE ME <br />TRUE ( ° - tr'" <br />r <br /> . <br />. <br />SIGNIFICANT PENAlT1E9 FOR SUBMITTING FALSE INFORMATON <br />INCLWING „ <br />970-824-4401 n <br />9$ <br />LO <br />i3 <br />Fxeeident b General Manager , <br />1 <br />P <br />P <br />T <br />SEE <br />U <br />S <br />1 <br />a <br /> THE <br />OSSIBILITY OF FINE MD IM <br />RISONMEN <br />. <br />to <br />. <br />.C. <br />100 <br />MD <br />9 BIONATURE OF PAINCMAL EXECUiNE <br /> u.s.c. E rata. rP.nur ..w dIr« mn,ws mrr Lx,tMF r.M. w to troaso <br /> <br />TYPED OR PRINTED <br />Ant or mFairllAn inudsorsnrm ofbwrrASmmeu rgsYSr../ <br />OFFICER OR AUTHOR12E0 AOENi <br />CODE NUMBER YEAR MO ~ DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS lRef~rancs sl/etteehmsnts hers) <br />SS i, T.;idL I'nSt~ LI?'II~ ,ILL d3 1AIVED, ANC -iF,TTLfACLB S~LIC`- L7"iZ AFFLINI' FCS <=lOYk,.'udt' PR2CIP °VENT- <br />;EF: bUkJtK OF Pi10CF SE,OId°~EtiTS C~JE~I 1. A. 3. P;; titlITTnc {BUST TPXf hii °FF3CN1i-IF 9F'A.iUFES TG 4EC!iC:. PN <br />P M''Y ~' v <br />EPA Form 3320.1 108-551 Previous editions meV bs used. IREPLA S EPA FORM T-40 WNICH MAY NOS BE USED.) C U U 2 ~ / O ~ ~ ~ 11-1 ~ 4 ~ PAGE ~ F <br />