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PERMfTTEE NAME/ADDRESS (/icYliwWryNw~'lallw l/DIDE.wQ <br />NAME TRAPPER ~I9I~G, TV C. <br />' AIMRE9ST11APYP.R +I N° <br />P.O. 90X 1J7 <br />cHArc c, R157.5 <br />fACILITV <br />LOCATION <br />ATTN: {[. GORp7N PF.TEaS, PRES/C:x M.R <br /> PARAMETER 13 Grd Onlyl OI <br /> !16531 <br /> l32-371 <br /> AVERAGE <br /> A 1 ,. ~ ~ SAMPLE 'Z'7'I'rT <br /> VISUAL MEASUREMENT <br /> 4066 1 U (1 ;.::.PERM17.. §.. <br />!< : ?I <br />. . <br /> F - t• ^ 1 <br />..FFLUEN Yq 1 <br />f C, 0 ~ S I : <br />.: ~~OUI . ~~ ENT' <br />.RE AEM <br />.:....,. .:., <br />~ : ~~. <br /> <br />. .. <br />.. .. <br />NATIONAL POLLUTANT DI9LNMOE ELMINATON 9Y9TEM (NPOESI Form Approved. <br />OISC1UiRGE MONRORNVO REPORT (OMRI • T V j o OMB No. 2040-0004 <br />1.16/ 17.191 <br />"0 0 0 3 2115 015 A (; o *~ R ~/4) APProvel expires 05-31-98 <br />PERMIT NUMBER DISCHMGE NUMBE0. F - T• T u q ~ +f ~ > . <br />DTSC9A RF:~:. TO !-DO^^:F GDLCH <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY ~~, ///--- <br />FROM TO - R1`~ M~ OT SCRAOSF ~~~ r~+.,r <br />l362II -l12-23F hxd-76I f2E771 !3B 29I 131311 NOTE: Rud irnwetlorn before ompbtinp this form. <br />TY 011 LOADING !~ Card On/rl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br />151-6 /1 /3B-I5 !1653 !546/ OF <br />EX µKco's TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rssa - redvn~ <br />~ ~FS_1 ~':::.;::O±b~?Ripe.Al`iR.,I.....~#+RlS?itf I.:.C~''r>ra:~~ .:p; I ~3r~(K1 <br />!#X PO=O <br />':..'-PERMIT: -~:: ~.:: ~: ~.:-~:-:-.~ :: -.. ,... .. .. <br />. EO .E ENT::;:.~..::~ .............:..:.......... .. .~ ~. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF LAW THAT I NAVE PER90NALLY EXAMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH iNE INFORMATION SUeMITED HEREIN; ANO BASED OM <br />MY INQPRY OF THOSE INDINAUALS IMMEDIATELY RE9PON 519LE~ FDR (~///~//'~ <br />,; G. Gordon Pater9 OBTAINING THE INFORMATION, t eEUEVE THE SUBMITTED INFORMATION IS /T~ (.- • ~ 970-824-4401 Dn DI 2] <br />TRUE. ACCUMTE MID COMPLETE. I AM AWARE THAT THERE ME / <br />' President /Ganaral Manager 9GNIFCANT PENALTIES FOR SIIeMITi1NG FALSE INFORMATION, INCLUDING <br />! - THE P055191UTY OF RNE AND IMP11150NMENT, SEE 18 U.S.C. 1 1001 AND ]] gIONATIME Of PRINCIPAL EXECUTNE <br />U.9.C. F 1G1^. 1PYUW01r. wW IMw mem. nvy icAd. rINAW ro J IO,OOD <br />TYPED OR PRINTED .red a• muilx.n irp+lalnwne W Mlwwn s,.N„En..As s weal OFFICER OR AUTNORQED AOENi CODE NUMFlER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R^ler^nc^ sl1 ^ttschmsnts h^rel <br />?55 E 1'0."AL IR1M LS~IT`~ PILL RF. VALVED, ANO SET*LEARLP. SOLIDS LIhTT gPPLi~9 F~~ ~-1~y7,'4"^ niF^Ta ~YFpr- <br />SB6 UUFD':R OF PROOP PPILRP..RP.RTS ONDER L4, ],. TDS !IDMITORIIIG - LR.3. (TI[. S r;D=q°F - ;"R T.~.l.(rl). <br />~U DAS AVERAGE IS RIGREST RONTRLY APERAG3iDDRIBG PF-BTnD RPpEfRTED~ <br />EPA Form 3320-1 IOS•951 Prevlou^ edlDan^ may be used. IRE. LACES EPA FORM T-40 WNICN MAY NOT lE USED.) 0 OT_ T 7 / q Q n q ~ 1_ 1 ~ ~ c, PACE ?OFL_ <br />