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PERMITTEE NAME/ADDRESS (/nclude Faallty Name/Gocanon ijq~ermq <br />NAME LHAPPE3•-RINING, IVC. <br />ADDRESSpHAPPd1T RIMS <br />r.J. die iy7 <br />~rtAIG ~J ri161b <br />FACILITY <br />LOCATION <br />NATIONALPOLLUiANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCNARGE MONITORING REPORT (DMR) OMB NO. 2040-0004 <br />hINOa <br />(SJr31' NN) <br />r PERMIT NUMBER DISCHARGE NUMBER n _ :-I P. A I. <br />MONITORING PERIOD DISCkAY.GE TU HOR58 ~ULCit <br />YEAR MO DAY YEAR MO DAY _ <br />FROM TO 1 ~ 3 31 ^#x NJ DI~C~!APC:: ~~) #~`A <br />r.oeAT <br />-. • vJr.yv~. rcl.nt-,, "~L-t/..GIG "~M, .....~.nca.. ~~~~.~wu.ni~..c,v~oi.... uHionry a„~,~,~~~. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br />' AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANAI-ys/s <br />:,IL A;:D vP.E ASE SAMPLE -''t#GS"^ ( 94) ?##h~ ~. <br />V 1 S J~ L MEASUREMENT <br />n4~1bh 1 U U .PERMIfr. ~ r <br />~ ES=l I,'. I elgl• kn4 #~4 <br />~ <br />~Yr L'u;.Y'f GHDSS VA4:J. flE4UIREMENT '~,~., ~ NO-D Y + °~~; ~ ~A ~'' "' ~ .. iAbr3 v- <br /> SAMPLE <br /> { <br />REQUIREMENT ~~_ ~ j9W£i>,~ ~z' <br />SAMPLE <br />MEASUREMENT <br />`~PERMIF` ~- _ 'tr <br />` <br />REQU¢3EMENT " <br />~„ <br />SAMPLE <br />MEASUREMENT <br />" PEPM11° ?' <br />flEQU3REMENT .~, ., ,~~~~.. ~,; <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br /> <br />- t ~~ - ~~. ~ . ;x`~. .. <br /> PERMIT ; '-, <br />., <br />~ :-M1;# a ~;: ~' ~ ~ t~ <br />?~, <br />_ i ~' ~~ %~w <br /> <br />AEQUIREMENT t <br />: <br />,: <br />r,';° <br />A ^ <br />s <br />t'. ", <br />, ~. <br />,.d; <br />~ <br />~ <br />aS~ ,r, <br />!-,•` ', <br />AMERITLE PRINCIPAL EXECUTIVE OFFICER ICediry untler panalry o/law that Nis document antl ell anachmenls were <br />re <br />ared uMer m <br />tlirectign or su <br />ervision in accordance weh fl <br />sl <br />d <br />g <br />d TELEPHONE DATE <br />_ <br />' p <br />p <br />y <br />p <br />ry <br />em <br />es <br />ne <br />to assure that qualified personnel properly gather and evaluate the intonnation /~ v <br /> <br />W <br />Gordon Peters submittetl. Based onrryinquiryolthepersonorperwnswhomanagethesystem, ~ / 970-824-4401 O1 04 26 <br />. or those persons directly responsible br gathering the inbrmation <br />the inlonnetim <br />President/General Manager , <br />submirted is,to the best of my knowledge and beliel, true, accurate, and complHa. <br />i <br />l SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />- TYPED OR PRINTED I am aware that there are s <br />gnr <br />iwnt penalVes br submitting lake Inlormahon, <br />includingthe oossibihN Ot fine and ingrisonment for knowing violations. OFFICER OR AUTHORIZED AGENT <br />nnnF <br />NUMBER <br />YEAR <br />MO <br />DAY <br />OOMMENTS AND EXPLANATION OF ANY VIOLATIONS lRelerence all attachments herel <br />i:,5 I. TOTAL Irt.')N LIMITS aiLL Ut•, dnIV3D, AND SETTLBAdLE .iOLIDS LZRIT APPLIdD f'7R C=l0YR,2UHk PRP.CIP cYFt~'i- <br />.::E ~uaDe.r DF ?kOOF RE10I4cMENTti UND6k I.\.!. TDS rONITORIRC - I•`3.3. UIL C Uk£ASE - SEE I.9.1.(D). 3r, <br />pA orm 3 20.1 (REV / 9) ~ ~ revious a Itions may be used. ~ n ~ ,~ ~ r ~ ^ ~ ^ ~ ~ jk{IS,I$~fI4;PART FORM PAGE ~ OF <br />