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PERMITTEE NAME/ADDRESS (/nclude Facility NamelGocafion i/Difjercnq
<br />NAME
<br />TKAP2ER li[tiI'd Ge i.`+~.
<br />ADDRESSTRSPQER ..".I!i^
<br />P, D.~BDi 1:7
<br />FACILITY ,. F.AiG CO Biblb
<br />LOCATION
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004
<br />!'\INOR
<br />(5088 tlW)
<br />^ PERMIT NUMBER DISCHARGE NUMBER ~ _ ~ L ti A L .
<br />MONITORING PERIOD I!I ~CIIA pGF, T7 GROUSE GULCR
<br />YEAR MO DAV YEAR MO DAY
<br />FROM O1 G1 GL TO OL U3 1 .XG.7 SJ DISCri(~RG£ ''"`
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<br />~- QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER ~ EX OF TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS araLVSIS
<br />, SAMPLE as#?tra #~~rrt#+~ ##r::#^~ ( 12).
<br />- MEASUREMENT
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<br />::, v F, !, U E D' MEASUREMENT
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<br />.7:.LU5, SETTLc;d: L•: SAMPLE ;+4##fi Yr,#!:#yt (~¢ ( 25)
<br /> MEASUREMENT
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<br />iA5 f'~:) ~SUREMENt
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<br />)IL aNn 6R:iASE ~ SAMPLE #OC+==u~ e4t3# tK: {5 rx#~r #+kR##"~ ( 19)
<br />' - MEASUREMENT
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<br />! ;hEAT"r.NT PLA;iT MEASUREMENT
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<br />' L 0 E N T G R J S S Y A L'J E
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<br />ILIUS~ TOTAL SAMPLE xrr'k;x CrG t~'::t;r#6 fi".cb##~.`• ( 19)
<br />1 ~~ S J L V B D MEASUREMENT -
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<br />NAME?ITL~'PF[INCIPAL EXECUTIVE OFFICER I Ceroy under penalty of law that mis document end all atlarhmenvs were
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<br />w, GordRyl Teeters
<br />~' ~~~y,
<br />Presidadt/general Manager
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<br />[o asaeretnal qualified personnalproperYy gather end evaltteta the iMOlmetion
<br />submitted. Basetl on myinquiry of Ne person or persons who manage the rystam,
<br />or th0a0 persons tllrenly responsible br gathering the Information, the inlormatlon
<br />subminedia.tolhebeslotmyknowladpeentlbWlef,true,accurate,endcomplele. ~ / // ~~
<br />-I L 9JO~S ZG-4/1OI
<br />
<br />SIGNATURE OF PRINCIPALE%ECUTIVE
<br />OI
<br />D/4
<br />26
<br />
<br />' TV,gED OR PRINTED tern aware that there are significant penalties for submitting false lnlormation,
<br />includin the ssiblll olfne and im risonmenHOr knowi violations. OFFICER OR AUTHORRED AGENT NUMBER YEAR MO DAY
<br />rnanMFNTA ANI'f FYPI ANATInN (1F ANV VIl11.AT ICINS /Re/arenra all aBarhmen/.c herel ~
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<br />, ,5 TDT.I•L IRJN LI;!ITi HILL yE WAIYEI)r AND . Ei TLF'AF:LE ;JLIDS L7C1I1' APPLIED FOii <=lOTRr24riF, PhECIP EVE4:-
<br />,~:r. BURDEN OF PROOF' RE~IRr:7ENT5 UNDER I.A.J. TD5 !'!~!7I°ORING - I.H.3. :iI[. S GREASF. - SEE Z.8.1, (D) .
<br />~A orm 33 •7 99) reviouse lions may e A u 00 34 9 /000 71 ;HI;135~PART FORM PAGE 1 OF)
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