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PERMITTEE NAME/ADDRESS pnclude Faciliry Name/Locanan i/Di,(jerenq <br />NAME TRAPPER MINLtv(:, INC. <br />ADDRESSTYAPPER Mlkfi <br />P.O. SOX l87 <br />:.Hall :,; -; I'1 z~ <br />FACILITY <br />LOCATION <br />ffl: 'e. GJR DJts PdT~.P[i_ 'dt-'./•n r'`: ':a <br />NATIONAL POLCUTANi DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMA) <br />i~ t t r , <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O 1 0 1 ^ 1 TO ~ t) L U 1 31 <br />Form Approved. <br />`! I N O R OMB No. 2040-0004 <br />(SUH:i Nfi) <br />F - FINAL <br />°:y~: •v) DIS'"HARGr: fix{ rf:,r:t <br />NOTE: Read Instructions befo plating this form. <br />MOr'd; <br />' QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />R EX of TYPE <br />AMETER <br />:PA AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ,war.YSrs <br />JLL ANU :."R£AS£ SAMPLE `:~F;'::: ( 94) #?4#rsC: #L;;:r,:~~ t;;~:r.r::F <br />'r L 3 U A L MEASUREMENT <br />.~UOh 1 U 0 ">'PERMI'Fs° ~ :6iuAtR~ `~ gQ~~~=~ EST1 ' ~ ### : '~ ° <br />%F'LU.°,tiT Gi{OSS YALU REQUIREMENT IR 3 M~I >:O=D ~ I ~ <br />~ ~ t: <br />I 3-".,~`~~ ?; ``. #''#:r ~ <br />tr-~ , <br />s ~` u, <br /> SAMPLE <br /> <br />d MEASUREMENT <br /> ~ r+n ~! <br />~ <br />" <br />~ <br />~ <br />U <br />f <br /> AEQUIf#EMEN7 ~ ~ , y , <br /> a~ <br /> SAMPLE I~ L <br /> MEASUREMENT lY~ ~ -~ <br /> <br /> AEOUIREMENT ~ <br />,, ~: <br /> SAMPLE % / ~\ 1 ` ~~ ~ <br /> IVIEASUHEIYi EIVI ~ <br /> ~ <br /> REQUIREMENT ~ ~ ~ ~~ ~° ~ ~' ~~. .. '""~ <br /> SAMPLE r"~ ' <br /> MEASUREMENT v <br /> <br /> AEQUTAEMENT ~ ~ ~ ~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> REg111RE1V1~NT ~ <br />~ •, <br />' <br /> ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> ';. pkr~Ak ~ <br />~ ~ <br />~ + rtti ` <br />°` <br />~ <br />~ <br /> R~AUIF~M~NT~. ' 9 <br />F . <br />~ <br />NAME(TITLE.PRINCIPAI EXECUTIVE OFFICER ICeniry untler penalty of law lhatfiis documen[arW eY anachments were TELEPHONE DATE <br /> <br />' preparatl untler my direction or supervision in axordance vnth asystem designed <br />rl <br />r and <br />v <br />l <br />te the inform <br />tion <br />d <br />l <br />th <br />r <br />h <br />lifi <br />/~ <br /> personne <br />prope <br />y ga <br />e <br />e <br />a <br />ua <br />a <br />e t <br />at qua <br />e <br />1o assu <br />ersonor <br />ersonswhomena <br />ethas <br />stam <br />in <br />i <br />fthe <br />iH <br />d <br />m <br />B <br />d ~ L ~~G•'~ <br />W. Gordon Peters p <br />y <br />, <br />qu <br />ryo <br />p <br />g <br />e <br />. <br />ase <br />on <br />y <br />subm <br />the information <br />onsible for gathering the Information <br />ersons directly res <br />r tho <br />e l. 97agy4-4G01 Ol U4 26 <br />Preaiden't/General Manager , <br />p <br />p <br />o <br />s <br />subminetlis,tothebestofmyknowletlgeandbalief,trua,eccurate,andcomplete. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> lam aware Nat there era slgniliraM penalties for submiaing false inbrmaaon, OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />TYPED OR PRINTED includin the ossibili olfne and im risonment for Mnowi violetlons. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rererence an attacnmenrs nere) <br />1'.;S 5 TOTAL ikON LI;NiTS IiiLL dE wAI9ED, AND 5ETTLEA9LE' SOLIDS LIBIT APPLIED FO{ <=1UYR,24NR P$F.CTP 6VENT- <br />~rii: dURDFM OF PROOF i{EUUIREMEN TS UND°R I•A. 3. TDS MONITORING - I.8, 3. JIL 6 GREASE - SEE I.fi.l. (D). <br />PA Form 33 •7 7 9) revlous edi Ions may a used. '" ' -~ ~ ~„ ~ ,, , , ,, ,, ,, ,,, T}IIS I~~ APART FORM PAGE _ OF <br />