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PERMITTEE NAME/ADDRESS pndude Facility Name/Location jD~erenp . <br />NAME <br />T:iAPPEH lIPiII~C, IMC. <br />ADDRESSI it A Y I' E ~13 !! I N E <br />P.G. NCX ltl") <br />FACILITVCRAIG CG d1626 <br />LOCATION <br />T 'P ~; C C1 0 Tt f N L F 7 4 C~ D: F S/ C f• ~ M p •.` <br />,. <br />NATION/~t.Pp~UtANT DISCHARGE ELiMINATpN$Y53EM fNPDES) <br />DISCHARGE MONITORING REPORT (DMR,~ <br />(248) /1F 9) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 0 0 G 1 0 TO C G 3 31 <br />(20-21J (22-231 (10-251 (262]) 12829) (909/) <br /> . FOrmApproved. <br /> OMR No. 2040-0004 <br />!IliCB Approval expires OS-31-9U ' <br />(SUEII t'il) <br />F - FI API lCFA7 <br />PCUTE MF7 7E57IIG FCF C1`_P <br />~~~ NC CI.CHAFCE ~~~ '~~~ <br />NOTE: Read Instructions befor c mpleting this form. <br /> (3 Cerd Onry) OUANTITY.OR LOADING (4 Card Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) 154-61) (3B-45) (48-53) (5a-Bp EX OF TYPE <br />(32"37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(easy ANALYSIS <br />(64-68) <br />69-70) <br />1.CSC STATHE 4bHH ACU SAMPLE ~»~'~'?Y ~ionr••Y :: LYLfid4 9C>0{iL ( ~:) <br />C ER ICDAPHtlIA MEASUREMENT <br />1' A!S 3 D 1 0 U ~ 4~!k~dLa I' +i~1t'' ,>C C - .k ~'-4 ` ~+ .. <br />~` E F - •~ ,~ba'_ `~ ~ ~-. <br />LFFLU6HT GRO ° VALLE • ~ 19 ENT ~'i~ - , '_,3t. ~ ~?"`~ . 49a~ :+ `. a'.x r <br />L,„ a`c ". Y C y. r'±. <br />LCSO STATHE 96HR ACC SAMPLE 'b~~'`•~'_' >a>co~~>z ~¢~¢~~ Oi0d0• 1 !j) <br />F i M E F !1 A L E S MEASUREMENT <br />A r 6 C 1 0 C ~~;': ~~ t <br />" <br />' i01940~'a.0 <br />- 1 +~~ ~ .>~ <br />''- <br />a 5 t X r , °ax :~ <br />. .+ - <br />"' <br />~` <br />~^'r`5 ,~ <br />- <br />dr <br />k <br />~ ~ E F <br />% <br />` <br />~ <br />~` <br />~„ <br />i.F-FLG F:NT GHO55 ILE -. <br />x IB NT ~._ <br />'~ s <br />_.~Y: ><Criv ;~ ~ , <br />, <br />r - <br />- <br />, Eil ' <br />' <br />~ . <br />. <br />v. f,„ <br /> SAMPLE <br /> MEASUREMENT <br /> ' ^ <br /> ~ <br />~P,Ep~Pf . ~ <br />~iHt~pllF~dd~NT <br />~ <br />`~ ~ > . <br />~ <br /> SAMPLE <br />MEASUREMENT <br />NQ <br />~fG <br /> »_~~,y3 - <br />., _ - _ <br /> C~Fr ENT .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br />' <br />` t~~ <br />~"' ~ -..~:' ~ <br />+~"tx r <br /> ME~3T <br />R~OFnHE ~ <br />- <br />) <br />r <br />- r~ .. - <br /> SAMPLE <br /> MEASUREMENT <br /> MCC <br />P~( ;? <br /> 1 <br />+FjE(It(~gEAdEPi~ .~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br />' <br />-F :` <br />,R~1r3f~.EMEH~ ,' <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE <br />AM FAMILIAR WfrH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY DATE <br />INQUIRY OE THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />I BELIEVE THE sI1BMITTEb INFORMATION IS TRUE <br />ON <br />, <br />THE INFORMATI <br />, ~ 970-824-4401 <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />CURATE AND COMPLETE UU 04 Z7 <br />. <br />AC <br />W. Gordon Peters PENALTIES FOR SUBMNTING FALSE INFORMATION, INCLUDING THE <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED § 1319. (Penalties under these srelules may include lines up ro Sf0,000 entl or <br />maximum rmpnsonment orbstween6months end 5ysers.) OFFICER OR AUTHORIZED AGENT AO NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS (Re/erence all attachments here) <br />:c L.A.1, PP 7-9, FCF C3TAIL5 CY TEST PHCCEDUkE. REPOF7 LCSC - 57A7157ICAL PL:It'1 E`_77117E fIP.ICH ]`_ <br />~tIHP.L TU SUx CF 7F'_3 GRGANISMS, AND ATTACH ACU7E 1CYICITY TE.T REFCE7 FCBM ZC ClF. CCFIF° CF P[I <br />E`P ~iSrtn-332 - 9 Previous editions ay r1o be used -E M -4 Y BE •) C G G B G / G G C ] ] ] -1 E t 4 GE ] O I <br />