|
PERMITTEE NAMEIADDRESS (IrliirWnNrNTxulm dDaE.rO
<br />NAME TRAPPER NINI4G, TV^.
<br />noDRESSTRAPPF.R SINE
<br />P.O. P9f[ 1`)7
<br />C•esrr_ rn AT A-J r.
<br />NATIONAL POLLUTMT dSCHMOE ELIMINATION SYSTEM /NPDESI
<br />DISCHARGE MONITORING REP011T IOMR) ! I R(T o
<br />1-161 Ir7-191
<br />1 (irJAA xf V)
<br />` PERMIT NUMBER DISCHMGE NUMBER ~ - aT a.,J
<br />Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires OS-31=98
<br />r~~F~
<br />FACILm MONI ORING PERIOD
<br />LOCATION FROM YEA D TO Y y D-. #r•; R7 D'SCHII?G F. I ~ ~O'^
<br />A T T N: V, G 0 R D D N ' ~ T E F 5, P R E P/ G L_' N h G R lSO S n n1.13~ /1+15~ ns~1n rzB•19r r3asn NOTE: R•^a IrntrucaoD• b•eorKcOmpbtlDQ thb form.
<br /> PARAMETER l3 GYd Only! GUANTITY OR LOADING l4'Grd Ontyl GUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE
<br /> !46.53/ 150-61I (38J51 !4653 15I-B1) DF
<br /> (31371 EX
<br />MALVSTs TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lea-e~! 16+681 /69-701
<br /> SAMPLE - - -• r ~ C 1.-)
<br /> MEASUREMENT
<br />
<br /> Ot)400 1 0 0 PERMIT :::.::.: : .. ... .J...::.:: ..: :.. .:.:.:.•:. CLt; t ;E:Ft.T 'ii S'?J
<br /> EFFLUEST
<br />~R055 YRLU
<br />REQUIREMENT..
<br />.:::'.:? ::..:.::.:::::?::'
<br />:".:::.-:.''>s.::. .::.
<br />ODOR
<br />~'~~~.,l!:
<br />
<br />;:; ,..:.
<br />-;lll}Ji.T.?'!ifJ~l:'
<br />S7
<br /> 5 • SAMPLE "' ^r ( - )
<br /> SUSP't:NDF.O MEASUREMENT '>'A
<br />
<br />: U5i0 1 0 A 5; .;.::bE. l~7kT::°;. :: .....: ;•: r:;i'], ;^v<: -.:_: i °.:.:::.. ~a~ :. :;.. ,... .. ,.:i:: :.;:`;": `:: ::: ':..::::::: .. [:,'/.. :iE'~:1~
<br /> FFLUJ:N? GRD55 YRLU aEOUIQEMENT " ;. a#a ,~" ,r~ ':Qb
<br />~ ~~`~:: II.Y !!)~
<br />1!'R J7G/L xOtlS~f .: .:
<br /> • ~ ~ SAMPLE "' ~
<br /> MEASUREMENT
<br />
<br /> U5.1S 1 0 0 PERMIT' '... ,::.. SCIx ,.:'
<br />.. : , ..
<br />
<br />~'
<br />~
<br />~ ? .)?.A
<br /> F F L U E V T C; R ~ 5 5 Y A L FJ REQUIREMENT. ~ ~ - ~:~.,:~.`..... ~SC-OS
<br />:.
<br />"~^i;~':i~:': :.i . .(I!'J A...iE;>EG:•:~ .~-.J1~11
<br />~
<br />~
<br />`. M -
<br />
<br />li ,:.
<br /> • ~ SAMPLE "' ~ ` ` - .~
<br /> (~.5 '~%) MEASUREMENT ~ -
<br />
<br /> OQ S 1 0 0 PERMIT ,•
<br />':
<br />>''di~
<br />
<br />FLUENT i:RJS$ PALO ..
<br />;REQUIREMENT.
<br />...
<br />:
<br />::
<br />:
<br />i..
<br />.
<br />'::
<br />~'
<br />::
<br />:~-
<br />:
<br />-=
<br />~
<br />`:
<br />'h .a
<br />~.
<br />:.7iJ I' ...r
<br />,.'^.II:)CL:~:''ltr
<br />':'~X:
<br />r,;/L
<br />,.:,::~xl
<br />,` ,
<br /> .
<br />.
<br />.
<br />. ....
<br />r
<br />.. ..
<br />.
<br />.
<br />.
<br />.
<br />, . ..
<br /> ~ SAMPLE ~ ~ "'
<br /> „
<br />~'`
<br />~ MEASUREMENT ~ '•
<br /> '
<br /> 1 D D
<br />35
<br />
<br />~o-PE MIT....,::
<br />.
<br /><.:;
<br />:~.::~.~: ... .. ~:.; ~:~.
<br />
<br />
<br />: ; a
<br />
<br />
<br />
<br />:.:::
<br />:. :..
<br />i<.
<br />
<br />
<br />:
<br />
<br />r
<br />
<br />FF tlT 6@055 YALU.
<br />~~ : ..
<br />
<br />NE"Q
<br />< I)t
<br />~kALENT
<br />,
<br />~ ....:.....:.:.:....:....: .:r.:.
<br />".:`.....,~,
<br />:,`;t::.,,,<
<br />::;;::::..':::
<br />: :,... ..... .:.::
<br />.. i:;.,:n:.::.:..
<br />;k ..
<br />~#OR ,,
<br />,.:::r.r:'':,.~~:::;,,:-:;
<br />=.
<br />~
<br />:<ta
<br />:c<
<br />,:,5;
<br />s:
<br />~
<br />:., ..: .::....:....
<br />:;
<br />:
<br />::
<br />4'
<br />'
<br />:
<br />:
<br />:....:.:.::.::.:...:::::.:.:...
<br />:::I;~Sa!1,:
<br />1[i4:
<br />;
<br />:
<br />~
<br />
<br />wC/L
<br />
<br />
<br />:
<br /> ...
<br />.
<br />,. t,,.
<br />:..:..:.:.:... .
<br />:
<br />. ...:.. ...„.. ,..... :..:..:.....:..
<br />,. - .; :. ,
<br />.
<br />,
<br />.
<br />:-:;
<br />:.
<br />. .;.:::.
<br />::.
<br />.
<br />;:
<br />:
<br />. :
<br />.
<br />:
<br />..
<br />.:....
<br />
<br />..
<br /> • ~ . ~ SAMPLE ~ ~ Y
<br /> NRU iIJL'ATRBtlT PCAtl MEASUREMENT ..
<br />
<br /> UQ50 1 0 0 PERMIT. ::. i7':.. .... ...': .' i".::
<br />w
<br />':':rl"":.. :.
<br />:
<br />:
<br />
<br />.
<br />
<br />>`c .::... ...: .:::.: .: 34# ., ,
<br /> F ROSS I
<br />FLUENT G Y~LJ REQUIREMENT
<br />: ~~.::.:
<br />:.3 ~.tJA.lk ,.:.,
<br />. _.
<br />.
<br />:-D!1>r.L~
<br />l~I;: JIGD `::.::,..
<br />C3~'` ,:... .: .
<br />:,:,:'.:' :.:..
<br />r:
<br />:
<br />: ::...::.:::::::'::r::':: ##t`g .`... '.
<br /> . . , .
<br />: . .
<br />_
<br />. : ;:::...
<br /> u~0 ~ SAMPLE
<br /> IS::OLVP,D MEASUREMENT ~ -
<br /> rr
<br /> 0295 1 0 0 tr
<br /> FFLUENT GR75$ ALU REQ.ULR.EMENT:.' ::. :. ..:..::`>:..:. ;.i .:.:......:.:.:... S)RTR: RCs: '~,k31£LT :!!'1C: rG/1.
<br /> NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF
<br />MIUM WITH THE INFO LAW TNAT I NAVE PERSONALLY E%M11NED AND
<br />RMATION SUBMITTED HEREIN; MD eASEO ON TELEPHONE DATE
<br />
<br />W. Gordo:T P2ter8 MY INQUIRY OF THOSE INDINDUµS IMMEDIATELY RESPONSIBLE f0R
<br />OBTNNING THE INFORMATION, I eEUEVE THE SUBMITTED INFORMATION IS ~~•l'~
<br />7U-824-4401
<br />UU
<br />1
<br />'7
<br />
<br />President /General Jtanager TRUE, ACCIxUTE MO CONIRETE. 1 AM AWME THAT THERE ME
<br />SIGNIFILMT PENIV.TIES fOR SUBMITTING FALSE INFORMATION, INCLUDING -'
<br /> THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 1• U.S.C. 1 1007 MD S] eIONATUIIE OF PRINCNAL EXECUENE
<br />U
<br />S
<br />C
<br />E 1110
<br />ltl
<br />W N
<br />~
<br />I/Y
<br />i
<br />Ad
<br />l
<br />O
<br />D
<br /> .
<br />.
<br />.
<br />.
<br />rr
<br />~. u
<br />,r mNn, nrY
<br />..
<br />m. 1Y ro
<br />.c
<br />I
<br />,OP
<br /> TYPED OR PRMITED .n0a+mrinrn lrpr/rmwirt orbwwrsm,np, •Mey,raT OFFlCER OR AUiHOR12ED AGENT CODE NUMBER YEAR MO DAY
<br />a,vmm[nro nnv .. ...
<br />TS5 F f('LAL IRAN LI"ITS WILL H8 WAI9P.D. SND SETTL°APL3 S'1LID5 LI!'TT 4~PLTF,D e'1v ~_Tt)Tn~~U•In nz'CIP F'Y?tiT-
<br />SEE UORD'N OF PRDOF RE17[RERF.vTS UNDHR L. A. 3. TDS MONITpRTtlG - L 8. 3. CIT. °, ;R°ASE - °EE t.". 1.(n),
<br />m•Y
<br />00'f60/9904?1-1~~3
<br />1
<br />
|