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PENMnTEE NAME/ADDRESS (Iedi4 AedlryNe+/Lxrtles UD{6i.v1 <br />NAME TF!APPPR !LINING, INC. <br />ADDRESS TRAPpEH I`fINF. <br />P.O. Rllx 1e~ <br />cii~,Ic <br />co d16Z.i <br />FACILITY <br />LOCATION <br />n~l'TN: w. GGPI'i7K FET,',FS, YriES/GcN ftSd <br />NA7IDNDISCNARGE MONITORLING REPORT lOMRlry~~r <br />1I-161 17-191 <br />CO ~d~ /, <br />PERMIT NUMBER DISCHARGE NUMBFA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM TO <br />116111 111-131 /1151 116171 l18-191 136311 <br />I~orm ApproveD. <br />CI SCFIAFf,E SO C0 Cd~"~N9iF~4i0O°4 <br />~ S U R !: ~ N) APDrovelle>fprg405-31-98 <br />P - PIAAI <br />fINCr <br />NOTE: Reed imWedorw before eompletinp thb form. <br />PARAMETER !3 Grd Onlvl QUANTITY OR LOADING !t rind Onhl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> /16531 l51-nf l38-151 !16531 l5L611 OF <br />l31-371 EX ANALrss TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UN175 At1-e]/ /6t-6@1 !5&701 <br />rL SAMPLE ..: ,. ~:e:X p;Y~pn:;I <br />a+:o~ay <br />( 12) <br /> MEASUREMENT <br /> <br />.lu+'.,0 1 1 0 PERMIT. t-a pu.a .;x~~fT+>< r.r.,': 6,5 >»a>:oao. 9,5.. P.EKLY LNSIT` <br />:.PFLUEiiT. GROSS YALU REQUIREMENT ~~ ~ ~ ~ C+`.44 ~M.~:x:IIyUM. ..~I!.A .fi(;(!{~ $U <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~i. ~. ~~~.~ ~ _ .. :.: .. .. <br />~ <br /> ~,REQUIREMENx~ :. ~:. ~ ~ . <br /> <br />., . ~ r . ..,~.. ,. <br />:. <br />., . ~ <br />:..~... ~ <br />.. <br /> <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> MIT <br />` ~ - ~ .. <br />_ . <br />,.Ea .~EMENT ~ .. _ . <br /> SAMPLE <br />MEASUREMENT <br />~ <br />~j <br />C/jiiy.QG <br /> ~~ PERMIT .. - , .. <br /> ;REQUIREMENT <br /> SAMPLE <br /> MEASUREF;lIENT <br />. ~ PERIiAIT~ .a ~~ ~ <br />~ . ~. ~ <br />~ <br />~ <br />~ ~~ <br />~~ <br />~ ~ - <br /> REQUIpEMENT . ~.:,'.. .., :: <: . <br />. <br />. <br />.. ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~' ~ ~ ~ ~ ~ . ~ ~ ... <br />~ .. ... ... ...:. .. :... <br />~~ <br /> REQUIREtiAENT~ ~ ~ ~ <br />~ ~ ~ ~. ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ - ~~ <br /> REnUIREMEN7 ~ ~~~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDEfl PENALTY Of lAW THAT I HAVE PERSONALLY E%AMINED AND <br />MILIAR VATH THE INFORMATIDN SUBMITTED HEREIN; AND BASED ON TELEPHONE GATE <br /> MY INQUIRY OF THOSE INOINOUAL9 IMMEDIATELY RESPON4BlE FOfl <br /> <br />W <br />Gordon Peters OBTNNINC THE INFORMATION, I BELIEVE THE SUBMITTFD INFORMATION IS <br />TRUE <br />ACCURATE ANO COMPLETE <br />I AM AWME THAT iH <br />RE <br />R <br />~ <br />. , <br />. <br />A <br />F <br />E <br />SIGNIFICANT PENALTIES fOR SUBMITTING FALSE INFORMATION <br />INCLIR)IND 970-824-4401 98 7 27 <br />President /General Manager , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 19 U.S.C. / 1001 AND ]J <br />f 1]10 <br />U <br />S <br />C <br />Yd <br />lM SIGNATURE Of PRINCIPAL EXECUTNB <br /> , <br />. <br />. <br />. <br />l <br />r rNr wr r)reh. ArY NcAAr E.I.. W ro r/0,0D0 <br />' <br />TYPED OR PRINTED .~wwm..:l..nNa+ <br />awn.+rwe.n+...sme.,a. Boss wr..l OFFICER OR AUTHORRED AGENT CODE NUMBER YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e//etteehmenf9 here/ <br />:S~ L 'I .,TEL I~:_,: Li"I" •iLi. ~~ uAIYF:D, AV[' St.T~ILE~PrL :7;.T"" IT"T° E[FT?Bn Fl'T. <=17YP„uhH 7PsCif :Y=ST- <br />.:Cs HUktl t.:. OF :-'i~,`F' :r~ I:?i:"L;1T5 J9CE3 I.d. 3. PSY, "ITTF;B RUST TARF ALL. P. ~:1`: L:DFPIF HE651I~~S T~ Rr.LfiC> op <br />I ,,.~ -, a ,I. -, o. ,.~ - _ ,-r: ~ T" _ _ 1 <br />EPA Form 3320-7.108-951 Previous edition! mey bs used. (REPLACES EPA FORM T40 WHICH MAY NOT 8 USED.1 C C C L I ~ 9 U ] ; ~ I -1 fi 4 (~ PAGE aOF <br />