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PERMITTEE NAME/ADDRESS pnclude Faciliry NamelLocmrHp/Jf(7i~'alf}' ~>
<br />NAME `
<br />TRAPFER !!INIKC, ]SC.
<br />ADDRESS,IRAPPER 1"INE
<br />e.c..eox 167
<br />FACILITY CRAIB,I CU 61626
<br />'..
<br />LOCATION
<br />rnorir. ~c.• -
<br />' NATIDNAi ppQIJ,UTANTDISCHAAGE ELIMINATIONSYSTEM (NPDES)
<br />DISOHARGE MONITORING REPORT (OF1R~
<br />(2-16) fIR 91
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
<br />FROM 0 0 C O TO C C
<br />l2P2]) l22-2J1 !24@5) (26-2)) (29291 (3P31)
<br />' ~Orfh fipprbved.
<br />OM9 No. 2040-0004
<br />C I MC ti Approval expires OS-3T-90
<br />~sue~ >,r)
<br />F - FI11I tCEP.7
<br />FCNC TC BEST FYEA77 GCICE
<br />NOTE: Read Instructions befor plating this form.
<br />V (3 Card Ony) QUANTITY OR LQAQING (4 Card Only) QUANTITY OR CONCENTRATION NO. FflEOUENC SAMPLE
<br />PARAMETER (46-53) (54.6f (38.45) - 46-53) (54-67) EX OF TYPE
<br />(32-37)
<br />" AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(5aG71 ANALYSIS
<br />(s4-58)
<br />69-70
<br /> SAMPLE a}Ot+;14 Yf ACAY +7 YtII CrD >D :•><V ( li)
<br /> MEASUREMENT
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<br />.'_L1~'S, TCTAL SAMPLE 7DIp>RAI>DO OL40+00 IpllAA10• ( 15)
<br />i:.~; ENOEO MEA$UR6`MENT ,.
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<br />- 14Mr+~ ~ ~ :a:,; ~~ ,~~ ~~ iAF
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<br />J(:LI S, SETTLEABLE SAMPLE rYt9#Cr`. >C>CIQ*~# O400rf~ ( i`_)
<br /> MEASI(RGMENT ~ ~' ~Y
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<br />eIL ANO GREASE SAMPLE OOO~IA# o0C#O9 +Y090~60 n9fia90 ( 15)
<br /> MEASUREMENT
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<br />;,'eU Th: eTl1$NT PLA NT MEASUREMENT
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<br />_:.IDS, TCTAL SAMPLE ~:t'uAb ~?4;'~'~~ ~OOL>CL ( 1%)
<br />'~;;CLYEC MEASUREMENT
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMI
<br />AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN
<br />AND BASE NED AND
<br />D ON MY TELEPHONE DATE
<br /> ;
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDV:TELY RESPONSIDLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />~~ C ~---,
<br />W. Gordon Peters p
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<br />NFORMATION
<br />NCLUD
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<br />ENAL
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<br />ES
<br />OR
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE IB U.S.C.41001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECUTIVE
<br />TYPED OR PRINTED maximum imnn's~onnrem olbe slwee 6mon his ~dsutle lines up to SIB,000 entl or
<br />p years,) OFFICER OR AUTHORIZED AGENT
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />GOMMtnIO NIVU CAYWrvHIIVn Vr HnT vit/i.n uviw lnmo~rn~cc mr auaurmm~m ~m~cr
<br />IS`i IOTAL IRCN LIF175 IrILl EE wAIYEU, A9C `-ETTLF'ALrLE SCLICS LIMI7 AFPLIEC FC6 <=ICTF,i4E6 FFECIF fYE6T-
<br />:,tE L:URUEN OF FNCCF Ft(~CIAEt1FNT5 UNUF.'A I.A.Q. TG_' CCNI1CbI6G - i.E.I. CIL G GFEA`F - °EE I.E.1.(I).
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