Laserfiche WebLink
VERMITTEE NAME/ADDRESS p,.uw Iucn,p a.... l..,r„n,n. q rgr...,u, <br />NAME TRAPP.°.R 1IRIyG, TpC. <br />ADDRESS TRAPPER t"IkE <br />P.D. Rix I~T~ <br />CRAIG CO 51526 <br />FACILITY <br />LOCATION <br />AT7N: Y, GORDJR PETP,RS. 'PRES/GYM rGR <br />XATiONK POLLUTMT DISCHMOE El1MINATION SYSTEM INPOE$l <br />DISCHARGE MONITORING REPORT IDMRI <br />1z-161 /7-19I <br />C00 <br />PERMIT NUMBER DISCHMGE NVMBEA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY. <br />FROM TO q ( jp <br />nazf~ nzasl n1-zsl v~.zn rzB.zol ti?311 <br />Form Approved. <br />K T N f1 P OMB No. 2040-0004 <br />(S ff R R q li) Approvd expires OS-31-98 <br />r - FTfil1T. •pFe- <br />DOtfi~t +j TO >~ZDDLE.PTLIT'! GIAL~.fl <br />dR~ R? DTSCaARGL )~~ 000 <br />NOTE: Rod imtrvcrloD^ bdore o pltliRO Ehi^ Eorm. <br />PARAMETER I3 Grd Onlyl QUANTITY OR LOADING /~ Grd Onlyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> !46531 15I-611 l3B-151 !4653 !546/1 ~ OF <br />l3Z-371 EX Mµvas TYPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s;-sal I61-681 - 169-701 <br />OIL AND .iFER4P SAMPLE' R044Dd ( q0) hOdlhO:~ +apyl,glkh Rt!{tt l4$ <br />Y I $U A L MEASUREMENT _ <br />F,4f)66 1 0 0 PERMIY 0004010 <br />RG4DRT <br />ES=1 <br />OFoti <br />eE <br />_:'cFll<'it«ipr;t:><t: <br />o+kk ': •: T: '.' ,, ; <br />Ip <br />1.I <br />` <br />[ <br />~'ItSBl <br />P.PPLUERT GROSS YALII REQUIREMENT IRS? !! x" A . : <br />" 44180 .; ;.. . <br />. 1 <br /> SAMPLE <br /> MEASUREMENT ~~ <br /> "PERMIT . -.. { /~ , <br /> <br /> <br />__ <br />REQIJIREMENT <br />~ ~ _ <br />t'+ ,. <br /> SA'MPL{ ~ ~ A~ <br /> <br />MEASUREMENT <br />' <br />U <br />- . <br />~ <br />~ - <br /> PERMIT <br /> REQUIREMENT. <br /> SAMPLE <br />' MEASUREMENT ' <br />~ <br /> PERMIT ~ ,~s,: ~~ ~.',r";~1~;' <br />~ <br />~: ~ <br />.. <br />~~~ <br /> REQUIREMENT- ~ •~'~'-~~.,~-` <br />~" .~ <br />' <br /> ~ <br /> SAMPLE <br />~, <br /> MEASUREMENT I ~• <br />~k r' <br /> PERMIT '' ~ ~ .':~ ~' ~~". <br />~ <br />~'.;~ <br />' <br /> REOIJIAEMEN~' ~ _.. T• x':' ; ...:, <br />5.;. <br />.:... <br />,..7. <br />?i'..:~. - . <br /> <br /> <br />.'. ~~. b <br /> <br />. <br />... . ~ ... ... ;~ <br />.:..:.... ....... f: <br />::~.. ,: ;; <br /> <br />' <br />1 MEASURENIEF(T <br />~' " -PERMIT .. <br />" ,: ` ~ .. - F .,: <br />- " - .. <br />- <br />: <br /> . <br />`R~QUIRENIENT . <br />~ . .. '. :.:: <br />.c %. , .. <br /> SAMPLE .' <br /> MEASUREMENT <br /> ~ <br /> REQUIREMENT;". . -. <br />NAME/TITLE PRINCIPAL EXECUTIVE QFFICER I cE11rIFV QNDER PENALTr DF <br />AM FAMILIM WITH THE INFOR uW TNAY I NAVE PERSO <br />MATION SUBMITTED H IEµLr ExAMIN D MD <br />EREIN <br />AND BASED ON TELEPHONE DATE <br /> <br />' ; <br />.MY .IHOWM OF THOSE INDINDUAlS IMMEDIATELY RESPONSIBLE FOR A <br />~ <br />i// <br />~~ <br />W, GOIEOA Paters OBTAINING THE INFORMATION, I REDEYE THE SUBMITTED INFORMATION IS <br />T <br />E ~_. <br />_ <br />~~G <br />/A~~ 970-824-4401 99 U7 14 <br /> <br />dRIIL~G~MT81 1'I$EEjg~t <br />YTfI{~ RU <br />, ACCURATE 'MD COMPLETE. I AA1 AWME THAT THERE ME <br />SIGNIFICMT PENALTES FOR SUBMITTING FALSE WFORMATION <br />INCLUDING <br />. , <br />THEPOSSIBILITY OF qNE AND IMPNSONMENT. SEE 1^ U.S.C. 1 1001 MD ]] fIONATIENE OF MIINCMAL EXECUTN <br /> <br />V.B.C. f 7310. IMWMa u.OY N,w abNroa m^Y ~vrA,OI Arau Ip~ro FI0,000 E <br />TYPED OR PRINTED ,rlermulman Nwrisovlwnwe.rw«nsmmaa rrsy.ra.l OFFICER OR AUiHORQED AGENT CODE NUMBER YEAR MO DAY <br />....,.,,.,~,.,., ..,... ~,-. _...-...._.- _. ...-. -._..~..._.._ ,..~. o.......~ o.. ~..o....r..o..... .... o. <br />T55 E TD2AL IROR LI„ITS +ITLL ~tF ~11IOEDF !l'ED yETTLP.APL°. SD1,7D3 i.IhT? AFPL[aD ^•~n C-10Y~,7+tKP oL,pCTD PT^ItP- <br />~EF. AUP.DElI JF PP.OOF RE20IRC•"iE.vT_P UKDP,R I. A. 3. TDS RQBITfI*<*NF• - T.R.J. nr~, - ..p,.1~F. _ .-PP Ta•l,l,(~). <br />JD n.. •ue~0^CV Tc vif_oOae M~IYTNio ^s oe^ns nne ~...~ ,. a.nrXw .. ne.....a~.. .. <br />___ ~. _-_____._ __ --_____..._._.__. ______., n YAUE <br />_ ,, rlnr 7~Q9 ryf1'~ ~,~Zn 7 <br />