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PERMITTEE NANE:IADDREBS ptl~L FeeNgNr'ru.um VD15w.,U <br />NAME TRAPPER ~:NT'11 iXC. <br />ADDRESS T.°.A !PEN ~' `: " <br />CBAI•: C~ 81625 <br />FACILITY <br />LOCATION <br />-."fi: J. G~41^7`: '~[Tp~`ir pRES/SS,'1 !!C4 <br />NATIONAL POLLVf"MT pISDNMOE ELRNINATION SY6TEM /NPpE$J <br />DISCHARGE MONRORING REPORT lOMR1 <br />l7-16I ~ 17-191 <br />~~, . 3 . 13 ~ <br />PERMIT NUMBER OISCNMGE NUMBER <br />MONITORING PERIOD <br />YE R O D Y YEAR MO DAY <br />FROM ~ TO <br />!74711 /71-231 (74151 116-771 l76-791 (3431/ <br />Fonn Approved. _~ j <br />~ T A 7 a OMB No. 2040-0004 ~~ <br />(5 ~ a P ., J) Approval expires 05.31-98 <br />~~y~ Tr ~-IFST PYET'"T t'L1LC1 <br />. ,-. Tt'T ~T ~rH ~'~!:°, ILL .. '~~ <br />y NOTE: Rud Inetructlarr before completMO this form. ~ '~.: <br />PARAMETER !3 Ard on(rl QUANTITY OR LOADING <br />/46531 !$L61/ 11 aro Onlyl QUANTITY OR CONCENTRATION <br />/36-151 1~6-b31 161-511 ND. <br />EX FREQUENCY <br />GF SAMPLE <br />(37 371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />163-6]! MALYSIS <br />r51-551 TYPE <br />r6&701 <br /> SAMPLE ,- rte. - '•='"~ -" ( '_~) <br /> MEASUREMENT <br /> <br />!LJVOO 1 o c .::........ .. :.:. .:.:.... ~x.tsr. ~ :. s;.:....:.: ,.:::... <br />.: Z'.°•1[L.Y. <br />. ::N52x <br /> <br />v^ n <br />S <br />r CLIENT GRO.,. 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PERMIT ~. <br />... ~ ..: ~ <br />:::: <br /> <br />-.-pc <br /> <br />-. <br /> <br /> <br />.,..:. <br /> <br /> <br /> <br />: ...: , <br />FFLUNT Gk OS; YALU^ REQUIREMENT : ..: :. ..: .. ::: :.a :,:....::.::..... ,gic'sG ;.::•.::: QBT.A.:IE:17S 11.bIS:T K 'G/L <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMIUM WITH THE INFO AW THAT I HAVE PERSONALLY ExAMI <br />RMATION Sl1BMITTED HEREIN: MD BA NEO ANO <br />SED ON TELEPHONE DATE <br /> <br /> <br />W. Gardorr PeCerB MY 1NOUIRY OF THOSE INDIVIDUALS IMMEDIATELY pESPQN9lLE FOR <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE. ACCURATE MD COM0.ETE. 1 AM AWME THAT THERE ME <br />SIGNIFICMT PFNALiIES FOR BUBMITTINO FALSE INFORMATION <br />INCLUDING ~ <br />~-l~L~ <br />~~ <br /> <br />970-824-4401 <br /> <br />99 <br /> <br />111 <br /> <br />ZI <br />Preuldent/General Mamma E!T <br />B , <br />THE POSSIBILITY OF RNE MD IMPN90NMENT. SEE 10 U.S.C. ! 1007 MD J3 610NATUIIE OF -RINCN'AL EXECUTNE <br /> <br />TYPED OR PRINTED U.9.C, 1 1 J 1 e. 1/V WEY. ~Idr IMF .Y6m. mry icMdi TVr. rq ro i IO,OgO <br />WwnwMUn irM'r~x+M'N.76.weN, rmw,m. rM 6 yrrA/ <br />OFFICER OR AUTNOR12ED AOEM <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />d <br />`j <br />J <br />COMMEN I S AN V CAf'LAI'rA 1 wn yr nn T vlv~n I Ivlro mnasnce m errscnmenrs nere7 <br />:5:, f, TOTAL I°OY LTM7T: aLLL ?F: 7AIY};DI AND SSTPLY.6PL!' SJLTDS LInTT l~IPC,I~'1 ''7^ <-lOYV~~7yo na~CTp ~q;y._ <br />~E:~ 9URUh'H 7F !>ROl! k"'OCRF'"4yT5 UN'1F.R f.A.3. !'05 MONIT?PINS - i. 9. 7. ~fL ~ ~?F11t•^ - aPq 7.71. 1. (rel. <br />ti) GAY AYgRA>" iS IILGPES!' H1N*@LY AYSP.0.0£ DURLN; PERIOD RP.P7R''~7. <br />EPA Form 3320.1 108-951 Previous editions may bs used. (REPLACES EPA FORM T-AO WHICH MAY N07 BE USED.) n n ~ a ~ / q ~ r, s ? 7 - L ~ , -1 PAGE T OF <br />