Laserfiche WebLink
Pe,id,i,~i CC NAME/ADDRESS Qnclude Faci(iry NamelLaoSnn iJDiffecenlJ <br />NAME TRAPPER C!INIY;;, 1N" <br />ADDRESSTR1jPP.GR I!IliE <br />P.O. BOY 1HI <br />~ FACILITY ..RAIG CJ 81625 <br />LOCATION , <br />NATIONAt[I'PO11411q~NT DISCHARGE ELIMINATION SYSTEM (NPDE5/ - ~ FOftll lpppfpVBd. ' <br />'DISCHARGE MONITORING REPORT (DMA) M I R O R ~ OMB NO. 20A0-0004 <br />PERMIT NUMBER DISCHARGE NUMBER (BURR NY) - <br />P - FINAL. MOF'A'C <br />MONITORING PERIOD ACUTE YET TESTING FO8 OOI,A <br />YEAR MO DAY YEAR MO DAY - ~ ~ :- <br />.FRIbM 1 TO 00 3 ###_ RO. DISCRA,RG_E:. ~^.j #n9_ <br />el inc w• b~nuurY t'a'1'LJtS, PN.GS/ GLN RGR - Hurt. ncau uu~wu..nn wnnowq~p,cw,y rr ~,~~..,,,~. <br />~~ ~ QUANTITY Op LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX .OF ~ TYPE <br /> AVERAGE MAXIMUM , UNITS .MINIMUM AVEKP.GE MAXIMUM UNITS ANALYS/S <br />L~SU 5TATRB YdHR AC SAMPLE R##tr#C ####A'# #AI##4c~ r,####S (23) ~ , <br />~BRIODIjPBNIA MEASUREMENT ~"JI~ Q~. 'Q' <br />TAA3e 3 0 0 a# ERA <br />t efLDEW4 "~lIOSS .9bLU ##~ ~; YT <br />LCtiU STAT' E 96HR AC $ ' p' ,: ~ <br />" ,i:,.~ ?ItWi~; ' # #OO' <br />:~ ~3) <br />~ <br />P 1 !1 F, P R 11 LE 5 MEAS ~ ~ .:fire <br />~ 1; : ~, ,,~ ,: ., y, • 7y , <br />[ AIIbC L ' 0 0 ' { <br />#a w ~.~ <br />:,FFLOEN? CRASS ~ALU ,,-.:~ ####•`.°" s.r'~ ~, <br />.,.~ ~t <br />~. ~ ., . 'AMPLE <br />, <br />r r ENT <br />MEASUREM 1 <br />, r ~ 1 ~ <br />' iaa~ i V~ rIYIY!~. 'pt <br />I{ aY' `tilt i.. s~~'.5~•.d . kv.*':YC~ <br />.e1Y <br />l . =: ";h ~t~~.~ <br /> <br />~ SAMPLE + <br />- <br />.=,4 EASUREMENT ~ :~ <br />`~ <br />i ~ ~` ~~•, ~ I ~ `lr.. <br /> ..- ~ <br /> - SAMP, <br />~ r <br />' ..5 .,.. ~ <br />,... r <br />. ~ ENY <br />MEAS. fl9 `'=1• <br />~ ., <br /> <br />t ;., ,,; ~ ' MAPLE '. ~4_s: - <br />.• MEASUREMENT <br /> ~~ <br /> h7iREM FAT =r._=• ~, <br />.. <br />'{. ~ SAMPLE ~ ~~ <br /> MENT <br />A <br />SUR <br />E <br />M <br />E ~ - <br /> ~i <br />. <br />y1 <br />~~} <br />}~/ <br /> <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER ICertiy under penairy otia«that <br />l <br />l Nls document and all anachmenls wrxe ~ <br />i <br />d <br />i <br />i <br />i <br />c <br />d <br />i <br />h <br />tl <br />~ TEI,EP1-10N~- <br />- -- -DATE-' <br />' <br /> gne <br />prepare0 antler my tl <br />red <br />on or superv <br />s <br />on <br />n ac <br />or <br />ance w <br />t <br />a system <br />e5 <br />t <br />th <br />lif <br />N <br />l <br />t <br />h <br />l <br />natfJ~ - -- <br />l <br />d <br />i _ <br /> <br />W. GoYdOp'Petere -- _ ..- o assure <br />at qua <br />ef~an <br />ave <br />ud <br />el <br />a <br />ie~rsonn~LprDPar <br />y9a <br />n <br />ort <br />pub.rated.saeedonmYrgriryotmeporeon«perwnawnomanayetnesystam, 1 <br />/~i.fL~. ~.~-""` <br />970-824-6401 <br />Ol '. <br />Ol <br />16 <br /> ordiosapersonsdirer <br />thelnfo,mati0n <br />VyresponsiblBfOrgatheringth@inlomWlion <br />President/General lfaaager , <br />, <br />l <br />ln <br />t <br />li <br />l <br />t <br />d i <br />h <br />b <br />f <br />l <br />d <br />d b <br />f <br />t <br />t <br />: <br />n <br />M ' <br /> <br />~ >,n <br />su <br />e <br />s, <br />o t <br />e <br />esl o <br />my k <br />ow <br />e <br />ge an <br />e <br />e <br />, <br />rue, ecdura <br />e,a <br />comp <br />e <br />e <br />i <br />l SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />NPED UR PRINTED .. <br />- lam aware Nat there afe s19n~1cam pena <br />ties for subrmaing islsa inbrmet <br />on' <br />.,,,.i,,,r~,,,,me.,,,«turn,,.rr„e~..e~,.,,..~.~,,..,e.,r m.L„~w~,..,,;wn,,.,~ - OFFICER OR AUTNORIZED AGENT <br />,.,.,.~ <br />NUMRER~ <br />YLAR <br />MO <br />nAv <br />S+;E I.Af"L, pP, 7-4, POR DP,TAILi OF TEST PROCEDORE. REPORT LC50 - STATISTICAL POINT ?S'TItlAY.E'.YHICR 75 <br />i.STHAt SU' 5Q~I' OP 7E5T 9RCANISM3, AND ATTACH ACU?E TOXICITY TEST REPORT FOR!'1 TO DlIR. COPIES .Or ALL <br />~ Form V, Prevl use l to s a be u ed' '" ~ _ _' _ - I. e ^ - <br />