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PERMR'TEE NAME/ADDRESS U.eYd FrIGryNr'faww UD~.r.,s <br />NAME T fi A r : '. ~( ~. r •; i .:. . <br />ADDRESS T ~t A P . ~ ; <br />e. o. '.. ,.. : _~~ <br />CR~1'~- 1, ii ~ILJ7,1 <br />FACILITY <br />LOCATION <br />AT:t+: 4. ., C': '. )'. P ~*.::, F'ries',/;:~.7. ~~t <br />NATIONAL POLLUTMTDISCHMGE ELIMINATION SYSTEM (IVPDE$) <br />DISCHARGE MONITORING REPORT (OMRI <br />!7.161 117-191 <br />ooos s n ~ <br />PERMIT NUMBER DIBCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM TO <br />/167 /I 117-131 111-751 176-171 I79-791 136311 <br />Form Approved. <br />A C 11 T F V %? T ~; T I N :~^'~4Y' zo~q~ooa <br />(e II p F D :) ApproveLexp~r~,-05-31-98 <br />1 > <br />F - FIA4L <br />Ntt;r,r <br />'~•, A!' DISC?ArtC:F ~--~ 's';: <br />NOTE: Rssd Imtrucdorls belore compMtinp this form. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING /1 Grd On/yl QUANTITY OR CONCENTRATION ND FREDUENCY SAMPLE <br /> /16-53 151-611 /3B-I5/ !1653) 151-61 <br />137-37/ EX MALYgS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rtt-sa 161-6g1 169-701 <br />.. A :l F. u`tliH AC SAMPLE ~i'~#1## #~t#R~k# r„ ,fir,:;: t,.K{al ;r t,: ( 23) <br />CSR IODAPHKIA MEASUREMENT f/pv ~, v fp i~AF <br />i Ai7j8 1 C (i .PERMIT :k:i#>:t;t# - <br />~ sk Ls~~R~. ## jpp. 9.: t7 >:Yt>t b~S'SIL-'"t,. ~. ER- 'TREY 4AS <br />..: FFLU gfiT L:H~SS YAL'J REQUIREMENT. ~ >7,t:# ".~_N:. "y~1Uf ~ : OPN <br />LC STd'CaF 96HA- AC SAMPLE C#C##-^ V9#R#^, ~ Odd9t? #t,v:a#?~ ( 23) ~ <br />i'I:IEPNALcS <br />' MEASUREMENT !/o/~ ~. ~O G~p~ <br />~ A!1 (,C 1 0 U ;,.:: " p'MIY: `:" <br />.:........ ... ~ b.4>art.. ". ;"=.~>i#tGtyl4#." . t:': <br />Laa..- .:.: <br />o»~a##~ <br />;:n»sax~~,:. <br />~R- <br />~izLr <br />;F,ar~ <br />.rf'LUENT l;Rl)-`iS YALU R.EQF3IREMEN7 <br />N <br /> SAMPLE <br /> MEASUREMENT <br /> <br />' : ~,,, PERMIT .: <br /> REQUIREMENT " <br /> SAMPLE <br />~ MEASUREMENT <br /> <br /> REQUIRE. , ~~ . <br /> SAMPL <br />: MEASUREMENT <br /> :.. ~. P.EBM.IT ~ ... .. <br /> ;REQCJIRENIENT~ <br /> SAMPLE <br /> MEASUREMENT <br /> :. "SE.RMIT~. <br /> ~fiEQVIREMENF: .~" <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> "REQUIREMENT <br />~ " <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTI <br />AM FA Fr unDER PENALTr GF Lww THAT I HAVE PERSONALLY E%AMINED AHD <br />MILIM N11TH THE INFORMATION BUBMITTED HEREIN: MD BARED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIOUAl9 IMMEDIATELY RESPONSIBLE FOR ~/ ~/ ~/ <br />~/ <br />,. <br />~ <br /> <br />W. Gordon Peters OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCUMTE MD COMPLETE. 1 AM AWME THAT THERE ME <br />gGNINCMT PENALTIES FOR BUBMIiTINO fN <br />SE INFORMATION <br />INCLWING ~ <br />__ <br />~'J~ <br />6 //5/Pr~~- <br />970-824-4401 <br />98 <br />] <br />2~ <br />President/General Msna er , <br />, <br />THE POSgBIUTY OF RNE MDIMPNBONMENT. BEE I6 U.S.O.11001 MD3a <br /> <br />u <br />E tats <br />lPUIW'~.. rnlx eww mum. m. <br />s <br />c <br />YsAg <br />., <br />r <br />s10 <br />0aO <br />t IINiNATURE OF PRINCMAL EXECUTNE <br />PRINTED . <br />. <br />. <br />. <br />F <br />l <br />Y <br />o <br />, <br />w <br />TYPED OR uMnm.rirwnArpnsan+weWMnrwnsmonus srN6yArA/ OFFICER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAV <br />{.VMMLrv I O APIU CARFIrvII I IVrv VT nnr vw~n ~ ~vna rnr.rrmcr m nr¢nnnnrs nsrsl <br />_r. :: I.A.I., P6 /-`1, FOB ul_"'A LLS LiY ib'S: PROC dUU;i C. ii F. Pi)gp LC4C - °TATICTIGIL FC Ix: %~TI"~'1'F tiNIC`. T' <br />..SThAL SI)`~i OF Tr°'i '.N~Atil~7S, A170 ATTACH ACUTF. TOXICITY 1E _T FEFCFT F~;M TC C!^E. C~PIE'S OF .4LL <br />f~i ...I n'( i y~ rr v C' .7. <br />EPA Form 3320-1 IOe-96) Previous editions mey be used. ( LA P F M O I A NO BE S .) Q Q G n 2/ y 5 C 113 -10 S 6 T of F <br />