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PERMITTEE. NAME/ADDRESS Rnclude Fauhm Nam¢/Localion iJDigerenq <br />NAME <br />TRAPPEh NINIhC, It;t. <br />ADDRESST Y A P P E R T I 4 E <br />F.C. EG% Id7 <br />FACILITY C R A I G <br />LOCATION <br />CC 61626 <br />~i"i• ~. Ch -E F _° Pfi ~~S G CGF <br />NATIONAL POLLUiANf QISCHH/A~ppGE ELIMIYJ.4T1pN' SV$$iiEEM (NPDES) <br />01$GHAAGE AIDNITORING REPORT {D(Mp~9) <br />PERMI NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM C 0 TO <br />(20.21) (2223) (20.25) (262)) (2829) (303/) <br />Fvlm Approved. <br />'OMB No. 2040-0004 ~ ~ .I <br />C I N C A Approval expires 05-31-98 ~ : ), <br />~SUEA hi) <br />F - FIhlI CCFAT~~ <br />ACUTE ~E1 1E~TINC FCE C17 A <br />;~~ nc IlsceA6cE ~~~ <br />NOTE: Read Instructions befo ipleting this form. <br /> (3 Certl Only) QUANTITY OR LOADING (4 Card On/y) QUANTITY OR CONCENTRATION. NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61) (3B-95) (46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(fiz-~) ANALYSIS <br />(64-6B) <br />(69-1 <br />1. (: .1U STATRt 48HR ACL SAMPLE aeariaa ae4o~~ 'Iiz~-i+ ~'~~~~~ ( :3) <br />i.EAICDAPt1NIA MEASUREMENT <br />[AC39 1 U C `x i~~ x>, ° ~qM; '=; Ofit~ p EF- ~~~'. `''' <br />~F U tiT G U.~ YA ?~`' OOO 14 s ~ qr i~a=;~'7~. ¢ - <br />1.~70 STATAE 9t;HH AC0 - 4fCpAlili J~A~~AO 0<t~~+6 >a4i4C16 ~ ij) <br />[ ItiEPHALE5 A <br />t~vl <br />ME SU. ENF <br />:r.,~6C 1 U 0 H ~ _ <br />"r - >€ _ ~qp fi@ <br />°~ <br />' ~~. <br />; <br />~ <br />` ~ <br />~` Yi- ~ ~` t ~ftP- <br />tFFLUE T GROSS VALCI REf]U r ~ ,n . ~i i~G>t , <br />~ , <br />, <br />;,:;-_ .#s.:~3 : <br />^~ar.y4~ T ,. '~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ( PERMIT ° ~ , . !; ~ ..' <br /> RG(1~,i1REMEEl7 - - , <br /> SAMPLE <br /> MEASUREMENT v /rL r- <br /> ~ <br /> R~L~HI~iE171GNT , <br />t ;_~. <br />x _ - " ,` - - <br /> SAMPLE <br /> MEASUREMENT <br /> y~ <br />P CI <br />"~ <br />1 <br />X~' { <br />~~ f <br />Y <br />t <br />,. <br />' <br />4n <br />p~ ~ 5 <br />I^ ~~ ,~.~-.i4 ~.~~ <br />) <br />'Y dry <br />~ <br />i <br /> <br />- <br /> _ <br />AEQF~INIEN'I'- ~ 5 ~ <br />-CC _4_}r- :l <br />~. <br />' `- ,' kn <br />-'6f . <br />.yh <br />}z _ a` <br />~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ti~~' <br />'" ~ - ~ <br />J't ' <br />$ <br /> AEQUIREIvIENT . <br /> SAMPLE <br /> MEASUREMENT <br /> pEAMIT . <br /> REQY7IR~(uIENT <br /> - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY E%AMINED AND <br />ATION SUBMITTED HEREIN <br />AND BASED ON MY TELEPHONE DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY gESPONSIBLE FOR OBTAINING <br />I BELIEVE THE SUBMITTED INFORMATION IS TRUE; <br />THE INFORMATION ~/ <br />/~ ~ ~ <br /> <br />W. Gordon Peters , <br />ACCUMTE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />INCLUDIN <br />F <br />M <br />TION <br />E ~t <br />_ JO-824-4401 UD U4 T7 <br />°resident/General Ffana er PENALTIES FOR SUBMITTING FALSE IN <br />A <br />, <br />G TH <br />OR <br />POSSIBILRYOFFINEANDIMPRISONMEM.SEEIBU.S.C.§1001 AND 33 U.S.C. $IGNATUREOFPRINCIPALEXECUTIVE <br /> <br />TYPED OR PRINTED 4 1318 (PenelUes under tease statutes may include lines up ro 510,000 end or <br />maximum impnsonmenl of bahveenfimonths ends years) OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />:. 1.A.2, FF 7-5, FCF CETAILS CF 'IEST PACCECUHE. FEFOhT LC`.C - STATI_°TICAI FC1Fi ESIINATE LHICh 15 <br />„-'~i~AL TC 5U~ CP TE_7 OAGARISCS, AND ATTICH ACUTE 1CXIC1Tl TPST EEFCFT FC6H TO CCF. CCF1E`_ CF PII <br />EPA Form -9 Previous editions may no be used ~ ( M - WH Y BE ') C C C 9 8 / G G C 713 ' l E i 4 GE I O <br />i. <br />4 <br />,~tyqH <br />ITA <br />!I <br />