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PERMITTEE NAME/ADDRESS (Include Facility NamdGocarion fD~ecentl <br />NAME <br />TRAPPER C1NI1C, INC. <br />ADDRESSIRAPPER PINE <br />P.G. dcx jd7 <br />FACIUTYCHA IG CU 51626 <br />LOCATION <br />'••P~.• ~. rnu^f l' I.rtLtC nL LC//'L\ YrD <br /> <br />NA7NNJAtPpLLUTAUy DI$GHAPGEEUMINATION SY$TE7N7NPFJESy <br />DISCHARGE MONITORING REPORT (OMR~ <br />(2-ffil (17- 9) <br />PE MIT NUMBER DISCHAgGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 0 0 C j TO U U 0' ~ j <br />(1b111 (12-131 11a.251 (26-z]) (1829) (30J1) <br />;'FS4rmApproved. <br />OMg No. 2040-0004 <br />C I M C E Approval expires 05-31-98 <br />(SUEF 1L) <br />F - FTNAI MCtA7 <br />ACUTE YE7 TESTj6C ECh C1=~ <br />oxra yC CISCHAFCE ~ ;=; <br />NOTE: Read Instructions bef a completing this form. <br /> UANTITY OR 60ADING <br />(3 ~~ <br />0 <br />) OUANTITV <br />OR CONCENTRATION <br />(4 Cab 08 4) N <br />O. FREO <br />UENC STMPEE <br />PARAMETER ( <br />465 <br />3) ~ <br />5) E O <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(s2Gl) ANALY515 <br />(64-68) - <br />(69-70' <br />;.CSU ST AT'RE 4eilk ACU SAMPLE Off.##4 JCL##0 :tx~0#: ?OICC4# ) <_) <br />CLRICDAPHNIA MEASUREMENT <br />~k:l3t, 1 0 U 1-'v";;"~j 7'F <br />~ '±-. Igrr ;qfi Q ~ S~C~yn~il0~l. ~ <br />f EF- ~ 6L? <br />:' E~~.. <br />cFF'LUENT 8055 ~IAEMENT ' ux'' "';'~': y <br />ii Ci## "~`' z-= '".:~ at <br />! '+ C , <br />CSU STATRE 96RR ACU SAMPLE OO4#t4 L4*##Ip #rP#fi0b 0#Rii# ( ~'j) , <br />E 1!41;PHALES M ASUREMENT <br />Antic j u t t ,,; ' a , o* tole - t` h Pi- p <br />t,FFLUENT GR 39 ~ LO E ~}~` ~z: :~ ~ "~ Doss M <br />*" •n• •kn= ,a ,~~ ~ A ~` ~,~` a?, <br /> 9 <br /> MEAS ENT <br /> r~ ,: <br />f - <br />,~ E <br />~5. <br />F. <br /> DIT <br />~# r. <br /> SAMPLE <br /> MEASUREMENT Q ifG~ f'ld' <br /> ~ '~ <br /> ENS, ~. . <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> t; ,r <br />'xi"X ~~ <br />+ ,. 4' ~~ <br />.° <br />„~~-" a a <br />~ <br />a~' <br /> ,RE ENT ~ , ~, r <br /> SAMPLE <br /> MEASUREMENT <br /> x } <br /> Ell~MT <br />~~1 a ~~~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> I .: <br />~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE <br />PERSONALLV EXAMINED AND TELEPHONE <br />BMITTED HEREIN <br />AND BASED ON MY DATE <br /> AM FAMILIAR WITH THE INFORM <br />INDUIRY OF THOSE INDIVIDUAL ; <br />ATION SU <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />~ <br /> <br />W. Gordon Peters THE INFORMATION, I BELIEV <br />ACCURATE AND COMPLETE. E THE SUBMRTED INFORMATION IS TRUE, <br />I AM AWAflE THAT THERE ARE SIGNIFICAM <br />N <br />THE ~. J C ~,yrL•-- <br />~'7 70-824-4401 UO 04 Z7 <br />President /General Manager , INCLUgNG <br />PENALTIES FOR SUBMITTING FALSE INFORMATIO <br />POSSIBILRY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED § 1319. (Ponetties untle/ (hesa statures may include hoes up to Ef0,000 end or <br />maximum ~mpnsanment or be(wean6montlw entlsyeers.) 1 OFFICER OR AUTHORIZED AGENT <br />A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIUrvJ (reference a/r artacnmenrs oars) <br />~:.t l.i..2, PP 7-9, fCE GETAIIS GE TEST PRCCECUHE. AEFUAT LCSC - STATISTICAL FGIr'1 ESTICPTF kl-7C[' IE <br />i.;,'InAL TC SUS CF TE.T ORGANISMS, AND ATTACH ACUTE TOXICIYY TE57 BEFCF7 FCn;; TC LP,F. CCIIES CF r'II <br />Ff F rm 3 2tFA1 ~ -95 Pr vious ediCo m`ay o be us d~ -E ~iM -4 C Y E 't G C G 7 8/ G G G l I j- j E i 4 GE I <br />