Laserfiche WebLink
PERMITTEE NAME/ADDRESS pw L6 frWry Nr/Leranon I/DrBG.wq <br />NAME TR~Hi•F.Ir "itii~,:, L:.C. <br />ADDRESS ThAF'i'E•.°, MIN}- <br />P.J. E'OX lti7 <br />CkAi:. <br />CO dls,['-, <br />FACILITY <br />LOCATION <br />.iP'In: A. GGNpOt: PFTEF`, Pr~:i/::~N '9~- <br />NATIONAL POLLUTMT dSCHMOE ELIMINATON SYSTEM /NPOE$/ <br />DISCHARGE MONITORING REPORT lOMR) <br />1-161 17.191 <br />00003 1 5 <br />PERMIT NUMBER ~ DISCHMOE NUweER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ; <br />/?6171 /77-731 /71-751 /7677/ /78-19/ /30-311 <br />Form Approved, <br />ACOTF. t1ET T°52ING°~R-~'~)pp7LpppO_a <br />(~ U E R 6Y) APProvelpxpUaelJ5-31-98 <br />- FIEAL LLL JJ <br />"INCF <br />G'f NC OI5C:IAP.rE I~~ r,:r,:;: <br />NOTE: Reed Inetructiale beta eompNtlnp this form. <br />PARAMETER l3 Grd Onlyl QUANTITY OR LOADING !1 Grd Onlyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> M6531 I51-611 13B~F5 146-531 15I-61I <br />EX OF <br />TYPE <br />l37-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lu.sa MALYSS <br />!54691 169-701 <br />:.C.J STATnE 4dHit AC SAMPLE -k+~:t':.'sG .-:'-y.•::G: Or,{q~lr; '-ICd:~OK+ ( <3) <br />CLkIOaAFi1t;IA MEASUREMENT <br />..,A"1311 1 0, U .:. PERMIT > ,::k Lk fit t: ;f D.°?>r~Lt# bate 10.~.;.~..~~ ~~~ #304'>,~.6 ~: . ~~: ~d1}QF?fi.?7f~.~ ER- ~.:~ <br />~ ~~L~.. GRA$~ <br />c FPLU E;ht :,ROSS VALU :REQU.iREMENT. - t<~~~ ~j~g::.. ,yA .U P. ~ "~..~ .:, .::. :.:~ C `~: <br />:' <br />LC.~ STAZ'k° 96HR AC SAMPLE '`';,a.:~'= :rR::r~# 4>p;06ff OfP00~J! ( 23) <br />P L h~ [: P h A L li 5 MEASUREMENT - ~ _ ~ - ~ r <br />.Aa~C 1 0 0 ..:':::PERMIT >ror~44~ K: a: <br />c.E'PLUEN'f GROSS TILO '.!~EnUTAEMENT '<a:xo !SN YALffl. t: :' i:'.'.' <br />' SAMPLE ~ - <br /> MEASUREMENT <br /> ~~~ PERMIT -- <br /> -REQUIREMENT ~ ~ - <br /> MEASUREMENT ( / ~ ~j~ yy,~'r` <br /> <br />:.,. <br />:.. ~ PERMIT - ..- ~ ~ - , <br />' _.a.~_ .HEQUIREM,.ENT ~ . <br /> SAMPLE ~ ' ' <br /> MEASUREMENT - <br /> <br />' PERMLT . <br />.. <br />.~... <br /> <br />.: <br /> :REQUIREMENT - ~ :. ~... ~'>'. ~ r <br /> SAMPLE <br />s <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~ ~ - <br /> ~REQUIREMENT~ ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br />~. ~ PERMIT : , <br />: <br />:. <br />~ ~ <br />~ <br />. <br /><REQUIRENIENT~ :.. :.. ~' <br />.. <br />~..,~. .: .' .. <br />NAMElTITLE PRINa.iPAL EXEC:. ~ {':E OFFICER ! !•ERT !fY !N!DER aENUTY of uw THAT I HAVE PERSONAUr E%AMINE9 MD TELEPHONE <br />SUBMITTED HEREIN <br />MD BASED ON <br />NFORM <br />TI <br />T <br />E DATE <br /> ; <br />ON <br />H <br />I <br />A <br />AM FAMILIM WITH <br />MY INQUIRY OF THOSE INDINDUALS IMMWIATELY RESPONYRLE FOR <br />I eEUEVE THE SUBMITTED INFORMATION IS <br />OBTNNINO THE INFORMATION / <br />/ ~ <br />~j-~'~ <br />Fi, Gordon Pet~re , <br />1 AM AWME THAT THEPE ME <br />P <br />E ~. <br />~, <br /> TRUE. ACCUIUTE MD COM <br />L <br />TE. <br />UeMIT71NG FALSE INFORMATION <br />INCLUDING <br />TIE4 FOR 70 824-4401 99 1 25 <br />President b G~nerHl MaTligat , <br />YGNIFICAN7 PENAt <br />S . <br /> THE POSSIBILITY OF NNE MD IMPRISONMENT. SEE to U.S.C. S 1001 MD 3! TURE OF <br />RINCIPAL EXECUTNE <br />N <br /> u.s.c. r t»e. rawv., rlWr dqY mfvN, rrYr hcA.dF fnr, w a rlodoo P <br />fIO <br />A <br />- TYPED YHt~PRMITED enlerml.in,n irw'IYmYMwsFw,.n rnYnaFeM6rYra/ OFFICER OR Al1YNORIZED AGENT CODE NUMBER YEAR MO DAY <br />;.;~ <br />it <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (ReF~rsnce e!1 ettechmen(s heel <br />sat Z.A.1• PP 7-9, FCR DETAILS OF TEST FROCBDURE. H~PO:•2T ICSC - STATISTICAL POIhT F.STIMAT°_ li!iICR i5 <br />Li'Pt:AL TU SOX OF TEST GRGANISEIS, ANU ATTACR ACUTE TOYICITT Tf.ST AEFCR7 FOR{! TO C71R. COPIES OF ALI, <br />P Y 1 <br />EPA Fam 3320-T 108.961 Previous editions mey be used. I E LAC^ ^ O A NO BE •I 0 01 ~ 1 j 9 R C Z 13-1 G 5 f. 1D <br />