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PERMITTEE NAME/ADDRESS Qnclude Facility NamdLxarion ifDi$erenq <br />NAME TRAPPER "~I'iIVG, 1"". <br />~~ ADDRESSC4BPP::R `liuE <br />P.0. 5J{ ~y7 <br />FACILITY ~ d A I V C O 916 2 7 <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FDffD APPfOVBd. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />1'IN'JR <br />(59UR ':Wl <br />PERMIT NUMBER DISCHARGE NUMBER F - FI N A L <br />MONITORING PERIOD POtiU 'f0 DEAR GULCR <br />YEAR MO DAY YEAR MO DAY __ <br />FROM TO 1 03 31 1efi ~t \J OISCRARG, ?K4 <br />MO F:i'?' <br /> <br />..... - . ....................~....,........~......~..r....~..y ...._ ._..... <br />r J, J J <br /> QUANTITY OR LOADING - QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER ~ EX of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS- aNaLrsrs <br />~iL ANU GREASE. SAMPLE C!`R2 R.^• ( 4~y) Y~~4n'k!r :;::.:<^t~.'t :.'?~#:~ey <br />/ <br />! i ,> J A L MEASUREMENT ~ D - v/f4H <br />~, ~y Jbb 1 U U ~ „'p~ r~% r+t ~ ES=1 ~ _~ lNlA9R; y~ <br />~ ~ ### <br />=FLUr;:NT GROSS YaLq ~4U1~ ~ <br />~. "y~rf-~ ,~ lt0=0~- Y~+, r ;,~c-Ik ~~~?, t ;-,,~"*..'', b~rt-x <br /> SAMPLE <br /> MEASUREMENT <br />.. : ri .. -t.::: st::. ... ...,. ... <br />MEASUREMENT <br /> <br />1' <br />SAMPLE I <br /> <br />r - <br /> <br />s <br />~ SR' '+C <br /> <br /> <br />s: ^ £ <br />I L <br /> Y <br /> SAMPLE - <br />_ - MEASURE <br />M <br />ENT <br /> c <br />. <br />PE#UAIT"' -.'T t4 P~ ¢ }fi~~l a <br />y <br />.:" ] ag~~ <br />x ~ ~ ..r ~.: ~ ~ r :: ~ a~ e,' <br /> ~EOUIREM~NT "~ ^4 ~ ~ <br />s <br />~ 4 ~ <br />~;-~ _ ~ "~- <br /> , <br /> SAMPLE <br />' ~ MEASUREMENT <br /> sPEFiMI'~ '~ 6 g.e~ d* ._4 t nL e M . ro <br />~ '~ `t3 • .~ ~ Z <br />~ <br />~ "'s <br />~ <br /> REOk11pE1VIENT. ,. e s.~a ~ .. . t { "-t '~~. ~" .,~~ "'i-' <br />`~ 2~ <br />I<-. . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cerory untler penalty of law that Ibis tlocumant antl ap attachments were TELEPHONE DATE <br /> preparetl under my dnMion or supervision in accortlance w¢h a system tleslgnetl <br /> to assure that qualilletl personnel properly gather and 9valuate Ne Inlormalitln <br />W~ Gordon Peters submittetl. Based onnryinquiryofthepersonorpereonswhomanagelharystem, ~~ fib-- 970=824-4401 O1 04 26 <br /> <br />resident/General Manager or those persona tllrec0y responsible for gaihenng the inlormaiion, the inlonnation <br />submittedis <br />tothebestolmykrlowiedgeandbeNel <br />VUe <br />xcurate <br />aMCOmplete <br /> , <br />, <br />, <br />, <br />. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYRED OR PRINTED l am aware that there ere signilicanl penallles br submitting take information, <br />incWdino the possibility olfne and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT <br />rnnr: <br />NUMBER <br />YEAR <br />MO <br />DAY <br />OMMENTS AND~EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />.'S3 ~TOtIIL IR08 LI;SI'l'~ ~~ILL H6 tiAIYEJ, AuD SFPTLEAHLZ .]LIDS LI9IT APPLI°.D FUR <=l0YR,24HR PkECIP EY;:~1'p- <br />;P.E BUHDP.N OP PROOF' F.~~%!I"F.1L9T~ U}1Dc:R I. A. 3. TDS MOKITUPIVG - I. c,. 3. JIL 3 GREASE - 5CE I.6.2. (f~) . <br />EP Form 32 -1 / 9) reviou`s editions may be used. ~ ~ O n .~ ~ ~ / O D n 7 j T~iIS~ $4f~ nPART FORM PAGE ~ OF <br />