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Y~ <br />Lfd <br />. "; <br />T l <br />i. <br />PERMITTEE NAME/ADDRESS prJrm Frd~ry Na/Lr+ilm dDidG..n/ <br />NAME TAAPPER !LIMING. I+IC. <br />ADDRESS TAAPPPR ~LNE <br />P.O. BO!< LR1 <br />CRAtG CO R1576 <br />FACILITY <br />LOCATION <br />iTTMS a. GDRD1v PFT@RS, PRLS/CER ~tt;A <br />NATIONAL POLLUTMT DISCHMOE ELMINATOM SYSTEM (NPDESI <br />DISCHARGE MONFTORNYC REPORT (OMR1 <br />/2•/6 /17-I91 <br />PERMIT NUMBER DISCHMDE NUMeEIt <br />MONITORING PERIOD <br />FROM EAR MO D~A~ TO YEAR MO~DAY~~ <br />VJ1 31~ <br />_- !16111 l22-231 !21361 - - .126271 !28.29/ !36311 <br />Forrn Approved., <br />h I wOR OMB No. 2040-0004 <br />Approval expires OS-31-98 <br />(St1BR #is) <br />P - PT#AL K()FRI <br />ACQT? YPT TG3T7#6. FOR 0090 <br />4sxC w0 DTSCNARGB ~( ~~ <br />NOTE: R~~d Inetruellon Mfare pM1My ihie form. <br /> <br />PARAMETER !3 Grd On/rl QUANTRY OR LOADING - !1 Ord OnNI QUANTITY OR CONCENTRATION NO. FRFDUENCY SAMPLE <br /> ~ !!6531 151,67/ 38-15 1653 151-61/ ~ ~DF <br />l37-371 El( <br />MALYSIS TYPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS l13-e3 !61.681 lag-701 <br />LCSF1 STATRE 9dHR AC SAMPLE OcOOCk4 a4 QRRd b1t0404 C4G#1k'-A ( 13' <br />Ct:RIOAAPH#IA MEASUREMENT <br />TAC13B 1 D D "PEAMIY ", :: :.. Opiai'kpE $tOOcR+! 99E9r <br />181# O~#!DeIpfYE..:.. ." '9t#I <br />:16;Ri0:a7i.;: - <br />LR - <br />l;PFLUENT GROS4 iALO REQUIREMENT ':' 4OaR " <br />:. : ~ ...,. <br /> .. <br />:a . - ..; <br />: . <br />. ,. <br />„ ,..: <br />LC5(? STATkE 96~1R AC. SAMPLE' oaeaaa staaaa aaasai aaslaas (?3) <br />PIMEPHALE:S MEASUREMENT <br /> <br />- <br />~,~,.•::.~ ,.... S.z~:: <br />~ <br />?3,~Oak~1'N~,': :': <br />E <br />:..~I~!1~:K'~`.tE~:': <br />4R4 <br />1. ~.Qa .:.: :. ... <br />..::47010$ti'~T ~~ <br />: ''~!O.E.lI~:#~lf~:;; <br />Rp- ...... <br />.. <br />~~T <br />..,, . <br />v~1l1 ' <br />EPFLUEwT GRDS^> 1AL0 REQ IRk <br />MF~FAT: j <br />: IOt3a0 ".. <br /> T v <br /> SAMPLE <br /> MEASUREMENT <br /> :. PERMIT - <br />' ~ :..~ : .. .... <br /> <br />~~ <br />~ <br />~ .. ;..:...... <br />' <br /> : <br />:REQUIREMENT ~ -~ .. <br />:.: ~ .. <br />~.: <br />. .._ ... ~.; <br /> <br /> SAMPLE <br /> MEASUREMENT ~j ~~~ ~ <br /> <br />.: .PERMIT.. : . <br />. ~ . <br /> <br />~ .. <br />.. ~ .. <br />~ <br />~ <br />.... <br /> -{lEQO1RENIENT: .. . .:. <br />:. ,. ", '°:., <br /> <br />t ...~- . <br /> 5 « <br /> $AMPLfi ~ <br /> MEASUREMENT r <br /> ,.::::.. <br />P. H.M <br />.... :.." ..:. .. <br />. <br />..:...:~ <br />:.,.,..:~:.:.t: :~ <br /> <br /> <br />,.... <br /> <br /> <br />; <br /> <br /> <br /> <br /> <br />::• <br />;: <br /> : ,. <br /> <br />' _ ~ fvt,EASUREMENi ~ ~ - ' <br /> f'PRMIT - - ~ ~ - "" ~ . <br /> REOIJIREMENT ~ - <br /> SAMPLE <br /> MEASUREMENT - ~~ <br /> - " <br /> PERMIT ~ . . <br /> REQUIREMENT: <br />NAME/i1TLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONKLY E%AMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMI <br />TED HER TELEPHONE DATE <br /> <br />' EIN; MD 9A3ED ON <br />T <br /> <br />Gordon Patare <br />~ MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONABLE FOR <br />OBTAFIING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS A <br />~/ - L- <br /> <br />. <br />TRVE, AQCURATE MD COMPLETE. I AM AWME THAT THERE ME <br />6 970-824-4401 9 4 0 <br /> SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING <br />Praaidant /6anaral Manager THE POSSIBILITY OF qNE MD IMPRISONMENT <br />SEE 1B U <br />S <br />C <br />f 1001 MD 33 <br /> . <br />. <br />. <br />. 810NAi <br /> <br />u.s.c. t 131e. IP+rWb+wK+r O'rar NNM1+mrY'~Ad+ ~ +W ro F10,000 URE OF PRINCIPAL EJEECUTNE <br />T PED OR PRINTED <br />^^••••^•'T %PLANATION OF ANY x'10 +nemmrinx+n irwrir+vnrlt OrMwwn6monm+W 61vA-+I <br />ATIO R OFFICER OR AUTHORRED AGENT A EA <br />CODE NUMBER <br />YEAR <br />MO <br />DAV <br />S AND E L NS l eference e// attachments hlrel <br />SBE i.A.2, PP 7-4, FOP Dt?TRiLS DF T°St PROCe00R?,. REPJRT LCSD - STA**,STI°F I, P')*NT c;~al"STF aHICN I <br />LRTNAL TU SDI ;1F TP.ST JHGAMISK5, A#0 ATTACK ACATK TOIICITT 7)~S^" RP,POPT FC?p'" T7 n~^, f-'tDln~ nP ALL <br />Y .• • w n ~. _ _ _ _ <br />EPA F01m 3:120-1 108.951 Pievious efriona mnv bs 1iRed. - - "' _ 'IAEPL/CCE$EPA'~aRNTT~JO ~' A BE .) ~ " <br />D!)3n ;//97~1LL~j-1l11rt T <br />s <br />