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PERMITTEE NAME/ADDRESS pnclyde Facility Name/Locarion ifDi$crent) <br />NAME <br />TRAPPER "„h:':G, .. -, <br />ADDRESSTftA PPEN C.\i: <br />P.O. d0Y L~i! <br />FACILITY ` R A I L C 7 µ l :~ l <br />- LOCATION ~ ' <br />l b: Y: GORDO" ~, P4::5/3E~ "' :° <br />. <br /> <br />. c <br /> + <br />PAR(1METER <br /> :~ <br /> AVERAGE <br /> ..~U STtT#B 4b`IS :, r.; SAMPLE ~~ ~"^~R <br /> ~LHIODAP.NNIA MEASUREMENT <br /> •v~d 1 D D ;;,~ <br /> LUE')T 6BOS5 YAL 1= p6 . ~ ~ ~~: ;k= <br />NATgNAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) ~ 'FOrm ApprOVed. <br />DISCNARGE MONITORING REPORT (DMR) OMB NO. 2040-0004 <br />11INON <br />(S03R Ni) <br />.- PERMIT NUMBER DISCHARGE NUMBER ~. _ FI':AL !'0r'A1 <br />MONITORING PERIOD 4CUTE LFT PESTIHG F:1H 013:1 <br />YEAR MO DAY YEAR MO DAY __ <br />FROM 1 O1 71 70 U1 03 31 Y~x Ni OIS.;IiA°.GE' "~'' <br />NO.T.E: Read Instructions belore'C8lnlpleting this form. <br />Y OR LOADING QUANTITY OR CON ENTRATION NO. FREOUENC SAMPLE <br />% \ Fx_ nE TYPE_ <br />MAXIMUM UNITS MINIMUM AyE GE (MAXIMUM i UNITS J ANALYSIS <br /> <br />.~7 STATSE `.+bHR AC' SAMPLE aPa?aC ors4atra <br />? `! F: p!t A L£ 5 MEASUREMENT <br />.' '~.:: ~ C 1 U U r. _ . <br />~ a 4 <br />r,_ - h <br />t h LUeN! 68755 YALU ~ ~, r„t~tt - ~ ,;-asY~ .~.,°a~;_ <br />SAMPLE <br />i <br />Y ;i y~ <br />;may <br />A <br />~. - - SAMPLE <br />MEASUREMENT <br />t~~ 53~3M1~`CS~'A; <br />Ti~QUIR <br />SAMPLE <br />MEASj~Uyy~R~~jEMENT <br />pFOUIR~ T~~~"~. <br /> <br /> <br />~::=u, .~ :-( ~°: Tom;=1 ,r::;r~~l>^a , <br /> <br />ai l <br />- ~-~..'PERM "d `~'')`~` S Y t r x#,. ? ,~1re 1 .~l ~: i'„~ .~u^ rM` ;4y. ;br <br />`,w <br />Ravi "'~_;: _ ,.;:::.~_ „•--;= --~ .~ _ ::~.,... ~ _ ~ ' z ;; <br />NAMERITLE PRINCIPAL E%ECUTIVE OFFICER ICeniry under penalty ollew thatlhis document antl all attachments were TELEPHONE DATE <br />prepared under my direction or supervision in accortlance with asystem designed <br />to azsure Net quelitied personnel propetty gather and a~aluate the inlonnation - <br />W. Gordon Peters submitted. Besedonnryinquiryolihepersonorpersonswtwmanagathesystem, ~~L . ~f «1 970-824-4401 OL 04 7.6 <br />or those persons diradlly responsible for gathering the Inlormation, Ne irdormatlon <br />PlesiderlC/General 1'18n8ger submittetlis,tothebestofmyknowledgeantlbeliel,true,~ccurat~,endcomplete. SIGNATURE OF PRINCIPALE%ECUTIVE <br />l am aware Nat Nere ere sign~wnt penalties for submitting false mtortnation, OFFICER OR AUTHORISED AGENT <br />'TYPED OR PRINTED Includin the ossibili offne and im risonmem for knowin violations. A NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />,~'.t I.A'i2, PP /-9, F(1 :- U°PASLS 0t' Tr".ST Pit7'EDUkF.. ai:PORT LC50 - STATISTf_AL POIN'P ESTIMATE UHICa I5 <br />Lr'TflAL Tv 7U OF' iE55 7Ri,AHISwS, ANU ATTACii ACUTE TOYICITY TEST REPOitT FORM TO DHP., CUPIES OF ALL <br />EPA Form 3 -f ( EV 3 9) Previous er3ilions may be"used. • u - - <br />0033U/000717 ~ 13 0 0 GE ~ dF~ <br />