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FERMITTEE NAMElAODF1E55 R•rlw4 F•rUIryN/tunlon+TDlp..nq <br />NAME Tdni'Fh6 t.ltlT!rG, +C. <br />ADDRESS T N r~ P i' f. '( ". ? y t. <br />F.J. i;~~:( lE7 <br />CkA1G CU dlci9 <br />FACILITY <br />LocnnoN <br />....1.: a. L.OhUOh P'i'rrF:;, +'ci..`i/';: ~ ,.~ ~ <br />NADONAL POLLUTµr dSCNAAOf ELIMINATION SY3TEM ///PDf$l <br />DISCHARGE MONITORING REPORT /OMR! <br />II-I6 117-I9) <br />000032115 COl A <br />PERM{T NUMBER dSCHAROE NUMBER <br />MONITOflING PERIO <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />116111 111-131 11416/ 116171 l1B-191 13631/ <br />Form Approved. <br />D G !I L x 7 -, T C J O H N ~?!/'!~ k4+R°CG.oooa <br />(S I) F 5 ? :) Approvelle>Spyg405-31-98 <br />E - FIFAL <br />"?NGR <br />,~::~ Nr, FIB^°AFGt' (--~ -'s;. <br />NOTE: Reed Imtruedan before eompletinp thiE form. <br />PARAMETER 13 Grd Onryl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION NO FREpUENCY SAMPLE <br /> 146-53/ 15461 138-~5I 146-b3 1546// OF <br />131-37/ EX <br />ANALVSs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 1s1-s31 16466/ 169.70/ <br />H SAMPLE .. ~.'~'.c .-:`Et ~::-: .tE;c t,.C ( I2) / <br /> MEASUREMENT 8 y- f", B p n.J/TN <br />Ui1U0 1 1 0 ~ PERMIT 'y :x~"S~~ '.; X<#~rc-~ 40:` ti•~rj. 30 r, ~61P : 'g-.~ ~ ~ ~£SK'L. TNSZT• <br />..FFLUE!/i GP.7SS VAL'J REQUIREMENT ;~LIt~~I Iy UF' "~.I!I{~~(I1~U I'I:.~ SU <br /> SAMPLE <br />' MEASUREMENT !, <br /> ~.;:~: ~ P RYAIT .. ~ ~ .. . . <br /> > ...... <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ` ~ PERMI.T <br />~ <br /> REQUIREMENT ~ ~ ~ ~~ <br />~`~~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPL£ <br /> MEASUREMENT <br /> ' PERMIT ~. <br /> .REQUIREMENT: <br />~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTI <br />AM FA FV UNDER PENALTY of uw rNAT I NAVE PERSONALLY ExAMwEO AND <br />MIDµ VnTN THE INFORMATION SUBMITTED HEREIN; AND EASED ON TELEPHONE DATE ' <br /> MY INGUIIIY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />EVE t <br />SL <br />M <br />T <br />ED <br />I <br />O <br />F <br />A <br />1 <br />A <br />N <br />E _ <br />` <br />~_ <br />{~ <br />GOIdDD Pete CB A <br />~ <br />W <br />E <br />R <br />0 PLE <br />TS <br />HAT THE E <br />ARE <br />A000M <br />TE <br />O <br />0 <br />~gUE /'° 970-824-4401 9a ] 27 <br />. , <br />SIGNIFICANT PENALTES FOR SLreM1T71N0 FALSE INFORMATION <br />INCLUDING <br />President General Mana er <br />/ g . <br />1 <br /> µp 33 <br />THE POSSIBILITY OF RNE µOIMPNSONMENT. SEE /0 U.S.C. 1 100 SIGNATURE OF MIINCIFAI E%ECUTNE <br /> U.S.C. f 1318. !/MWFY• udN' 01•,• FYNlI•• nrr AxAN• nl•F W ro 110,000 <br />TYPED OR PRINTED wdm...+w.•nr/AewnnroFe.nr«n snrondM rw sY.r.l ofFICER OR AUiNGRRED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS lrrererenee Ni Srticnmenn nere/ <br />L S.; z 'T UTAL ?~!%'+ LI"IT'S :l i. L. 8E AAIVEU, ANU SETT LY. A3+LS :;~I, ICS IIY77 AFFLIf'; FrF <=10V F,?4Fik PF. 4C:'~ "'~r•yT- <br />'ncc bUY.U$N JF FitJC)F i;F~;UI9%iGA':'S UN:1FF. I.A..i. PLR~1T'!'S'd NUS? T1RF ATI FFASCRAF[F M~'.4Si!8E~TO 9~i^t: <br />t'{ i N ACriJ4f1A N~"~ Li^P ~F ;T MGMT' Dfr Ai'TTC'F~ - GF'F' __ E.5_ TL < rf 6TTfI TEL T C _ ~ _ <br />EPA Form 3320.1 (08.95) Prsvioue editions meY be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 C U U 0 6 / 9 ~ ] 211- 16410 PAGE ~OF ? <br /> <br />