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PERMTTTEE NAME/ADDRESS (lMra•farmryNa/(aaum lJDldfrnw0 <br />NAME TEkii'Jk ~,+, ;.r,R ~J'?t'I,WY <br />AooRESSTENROR ~AEER LJAD]JT <br />1840 NI~HNAY 133 • <br />PAJNZA ~0 81929 <br />FACIIITV <br />LOCATION <br />ATTN: KELLf FAITZLPH, ]PEAATIONS !f;R <br />NATIONAL POLLUTMT DISCNMGE EDMINAnON SYSTEM /NPDESI Form Approved. <br />DISCHARGE MONITORING REPORT IDMRI <br />!s-rer n ~-79/ S E I' I P •: N`I • 1 !' ^. i1 G~B1~°! 2~c0~i i44~5 N <br />00„U5O(129 ~ (SIIBH aC) APProva(e1cRIro;O 31-98 <br />PERMIT NUMBER DISCNMOF NUMBER F- FIN 4 L 1 L .s 4 <br />MONITORING RIOD " I :~ 0 P, <br />YEAR O DAY 'YEAR MO DAY <br />FROM ~'Tb ~ +°'%~ NU DISCHARGE ~,yy~ #4•~ <br />rzo-av !, r'!~n-15) 12601 !IH-19) !36311 NOTE: Reed inewetiam bslon compbtinp Ehie form. <br />PARAMETER l3 Ord On/yl QUANTITY OR LOADING',. ~ NCsre OnlYl UANTITY OR CONCENTRATION NO, FREOUFNCY SAMPLE <br /> l~6531 1545/1 l38-IS) !4653 !54511 <br />EX OF <br />l31-371 MALrsIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !sa-Sal !54581 !59701 <br />M :,REASE SAMPLE ~'kx~# ( 91) tFi#Oi4 #;LI #; ~... , <br />I S U A L MEASUREMENT <br />4066 1 0 0 PERMIT a~~aa~ REP'Jt2T X H:,=L <br />;.; <br />k!~:6:".: : aaa~ # am~•r•~,-• .,.., ESiCLY TSt1A'. <br />'FFLUENT 'GROSS fAL'JE REnuiREMENT INS1• YAX Nt>=0 <br />,:.; : <br />. ;t.;;:.. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~~::;~. ,. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REOUIREMEN7 <br /> SAMPLE <br /> MEASUREMENT <br /> . PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> .~ PERMLT <br /> ~REQU.IREMENT~ ~ ~ - <br />....:: <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. <br /> :REQUIREMENT' <br /> SAMPLE <br /> MEASUREMENT <br /> ~~PERMIT ~ ~ - <br /> ~~REQUIRENIENT.~ .. ~ ~ ~ ~ ~. <br />` ~ . <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERnFV ueoER PENUn of <br />AM FAMILIM WITH THE INFO uw TNAr I NAVE PERSONaLr ExAMINEO Mo <br />RMATION SUBMITTED NERDN <br />MO BASED ON TELEPHONE <br />. ` DATE <br /> ; <br />MY INOVIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~ <br /> OBTAINING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE <br />ACCUMTE MD COMP <br />ETE <br />1 AM AWME THAT THERE ME <br />X / ~ <br /> . <br />I <br />. <br />SIGNIRCANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING _ <br />'" r <br />970 9Z9~SH5S <br />V C (• <br />KE L L <br />R 17Z L <br />R , - rT O= <br />. <br />_ THE P05481LITV OF RNE AND IMPNSONMENT. SEE 1p U.S.C. 1 1001 AND as BIO <br />ryP~N <br />N <br />RE <br />EC <br /> <br />TYPED OR PRINTED U.S.C. 1 1 J1e. //WYIINI I.NV OlF« qem. my Mck.N fn..W ro SIO,000 <br />uMnnIF..NIUn YnA.ic.wwrr orArnr«nsmmNargSy«ral ~ <br />NA <br />DIPAL EX <br />UT <br />E <br />OFFICER'ER Al1THO1i12ED AGENT AREA <br />CODE <br />NUM~R ~ <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/errxe eN s7sehmsnb here! <br />SETTLEABLE SOLIDS LI9C~' APPLIES ONLY LP C= 17-YHF 2'i-%iR PKc.:iY vYL•L:: IS CLAIr~U. IF CLAM) APPROY~'D 9Y <br />YQCOs TSS IItJN LIgLT:; GILL YOT 9° AP7LIS] T] RESORT?.D YE4~iinCGtN'iS--Q E I.iI.1:.F 2G 5 !IMD T.B.1GF 7: s. <br />STflA l1Y11 T\~J RBY\7+^YFYT Df BN aI)rJ 1_1 .q.1 <br />mey bs ueetl. (REPLACES FPA FORM T~0 WHICH MAY NOT BE USED.1 PAGE ~ OF <br />0122/97J81!~ .. <br />