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PERM17lEE NAME/ADDRESS /bdi4 FrWry Nadlorrtron dolEE,.,q
<br />NAME TLAer +'[ it :'I ~I'. ~,, IY(:.
<br />ADDRESS T k A i' Y ~' '; "' I' k
<br />Y.U. SV;S : ,7
<br />C{{AI(~
<br />FACILITY
<br />LOCATION
<br />.U J1/,26
<br />
<br />NATIONAL POLLUTMT DISCHMOE EUMIHATION SYSTEM INPOf3/
<br />DISCHARGE MONITORMVG REPORT IDMR)
<br />11-161 77-I9I
<br />00003 115 C1? A
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM 1 TO - ~
<br />110.111 /?2-131 111151 /16-171 I1B•191 /30.311
<br />Form APProved.
<br />FONC TC F'F.ST PYE~N,?-:I~!~iDDOa
<br />(5 I, E R ~ 4i) Approve1lmfpga405-31-98
<br />r _ FI-AL
<br />"IHCF
<br />Iy3r: kC C1 SC k.4a?GE (~~ :i::::
<br />NOTE: Reed Inetructlpr before eompNtlnp this form.
<br />PARAMETER l3 Grd Onlrl QUANTITY OR LOADING !<4rd Ontyl QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE
<br />131
<br />37 Idb531 /51-61 l3BJ51 Id6-53 15.f-611 OF
<br />-
<br />1 EX MALVSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /61-eal 184681 /69-701
<br />. li SAMPLE ~ 'x;-::4;:# 4~#P## #CC::#'~ ( 12)
<br /> MEASUREMENT '
<br />
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<br />I:fFLUENT GNUS5 VALU RE..QI)[gEAAENT
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<br />~
<br />_,J iiS, 'C1TAL SAMPLE ###a##. #Arir##tr #Ei9A~
<br />( 19)
<br />riG~FEt+DEU MEASUREMENT - .
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<br />- SAMPLE •I•`•t=r:~-:'rx
<br />- #~?
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<br />( 25)
<br /> MEASUREMENT
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<br />°JUy45 1 U 0 PERMIT :rri-; tr_; rk #:}#,.# fi0; C4.'it4q# CFT If.~ T. fiFEC~'t: NCE/ ., `iA 4~
<br />i:f'}'LUEtiT `GROSS VALU: REQUIREMENT r4{:yx AYG .
<br />CAtIT FtA t!L/L '1 (3NT`Ff
<br />L ri•'I• J SAMPLE °~~~ r,: ;: r,< rrr4#:,,t ~y.
<br />( 19)
<br />(A$ FF) MEASUREMENT
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<br />_Ec'LUENT GfiU3"~ YAL9, REQUIREMENT
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<br /> MEASUREMENT
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<br />r ..' . ,.I t: ;? SAMPLE ( 03) O9k0y; CICiO## 9.###C
<br />1dRU 'L'REAT11EhT ?l.Ata. MEASUREMENT
<br />~vilSU 1 0 (~ PERMIT F.L*E+ 7T RT;PORT #Q>7a:1AY A~;tl40 >p~i+C#.## r#n:;: EE},LY [:1 ;TA
<br />cFFLUENT OR(135 vALU. REQUIREMENT 300A AYsa GAILY r.x: ncD
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<br />~ f 1 SAMPLE ##I.::u:= ##Cr rIx YC '1 yj{ ( 19)
<br />~: I.i:+ULYEU MEASUREMENT
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<br />.:}'FLUENT GR`JSS VALU REQUIREMENT: . O:)r,^^- y6TE. A,YG ~rAIIT .}!.X tSv/L
<br />NAMERITLE PRINCIPAL E)(ECUTNE OFFICER r CERTI
<br />AM FA FY UNDER PENILLTY Of UW THAT I NAVE PERSONALLY EXMIINED MD
<br />MILIM WITH THE INFORMATON SUBMITTED NEREIN
<br />MD BASFD ON TELEPHONE DATE
<br />
<br />FI
<br />Gordon Pst~~e ;
<br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING TXE INFORMATION, 1 eEUEVE THE SUBMITTED INFORMATON IS
<br />
<br />~ ~
<br />• TRUE. ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME
<br />SIGNIFICANT PENALTES IOR SVBMITTING FUSE INFORMATION
<br />INCLUDING
<br />970-824-4401
<br />'98
<br />1D
<br />23
<br />President 6 General Maas Or
<br />g ,
<br />THE POSSIBILITY OF RNE AND IMPflISONMENT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/er~nce N/ ettechments hersl
<br />1~~ i. TOTAL Ik01: L1MIT~ •iLL br, uAIYi,J, A;iL' 3ETTLEAF.Lr' S~LIL°' LIrIT AFFLIfC FCF <-lOYR„'U.4p PR?CIr [Y°.:11'.*-
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<br />EPA Form 3320-1 108.95) Pravioua editions may bs used. (REPLACES A FORM T-a0 WHICH MAY NO BE USED.1 D 0 12 3 / 9 7 ] 211-164 6 PAGE IOF ^
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