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PERMITTEE NAME/ADDRESS llmr+, ta~~/.o ~"'M^ I.~roa.H .~ n~pn..p <br />NAME TRAPPER RINI!tG,,TeC. - <br />ADDRESS TkAPPF.R 'flpE <br />p.0. 80X 18/ <br />CRdiG CO 81525 <br />FACILITY ~ - <br />LOCATION <br />dTTN: N. GOHD)N PLTP..B5. pRESJGLl1 NGR <br />NATioNDISCHARGEDMON TORINO REPORT IDMR POfS1 <br />11-161 l17-191 <br />PERMIT NUMBER DISCXMOE NUMBER <br />MONITO ING PERIOD <br />YEAR~~ MO DAY YEAR MO DAY <br />FROM TO <br />114111 I?1431 16151 116-171 l18-191 /3631/ <br />' Form Approved. <br />A T !{ D R OMB No. 2040-0004 <br />Approval axpiree OS-31 ~98 <br />(sn±aR ~wti <br />• - •LMAI. rncAr <br />A:'OTi+ wP.' T"STTNf PO? 019A <br />aaa 0~ OTSCNARGB (~( Ae~ <br />NOTE: Reed instruaiaro before o pletin0 thw lorm. <br />PARAMETER l3 G.d only! bUANTRY OR L ADI G !~ Grd only! QUANTITY bR ONCENTRATION ~ Np, FREQUENCY SAMPLE <br /> (/6531 154-6/! !38.51 /I6-53/ /51-671 <br />EX OF <br />131371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />/sae.+l MALYSIS <br />16,6681 TYPE <br />169-]Ol <br />LL'S0 STATAL A19HA AC ~ SAMPLE aaOasa aaaPaSr a+aas'fd a4PbOYk ( 23) <br />CEHIODAPMI-fA MEA`.:UREMEN7 <br />TAn3y 1 a 0 PERMIT aaaiaa aso~sa . <br />~ sae l~ . -bias*#a st*;axEt~::". RA- TRLl:: ft~6 <br />EPPLUEN7 GRO55 PALO REQUIREMENT s018C ..I• <br />LCSU STA'PRL 95NN AC SAMPLE aasaaa saaaa3 eo#oae A'k*k##s ( ;?)) <br />PIAEPHALE i MEA5UREMEN7 <br />TANtiC 1 0 0 PERMIT a4#»R4 ao~saatol OOrR. sa laa asa•ta$~ F.F- xRG`t - $dn <br />LPPLU2NT 6R755 YlL.O :REOIiIREMEpT ~, <br /> SAMPLE J.-- .~ <br />- MEASUREMENT C~f{ ~ <br />~ ~ <br /> ' PERMIT - ~~ <br />(l- .~ - ~ "- <br /> REOLIIREMENT <br /> <br />I SAMPLE 1 <br /> MEA:>UREMENT <br /> PERMIT - ~ - ~ <br /> <br />~ ...: ,' ~` : <br />~t:~. <br />~ :.: .~ <br /> REQUIREMENT ~ ~ ~ : ~: ; <br />`_~'w <br /> <br /> <br />I SAMPLE <br />MEA .UREMENT <br /> <br />is <br /> ~~ FERMIT~=- - 'i <br />^~y ~ ~'~' <br />; <br />'~ ~ <br /> I-yEQUIREMENT 7, " ~, <br />.. SAMPLE ~ - ~ <br />- - <br />~ <br />' <br />~ ~ ~- <br />~ ~ <br />° <br /> N)EA:;UREMENT ~ .~ . <br /> r <br />. <br /> PERMIT.;. ~. av rr ~ I. tI. / <br />< rel. a t x r Su <br /> REQUIREMENT ~ . ~_ r~.. za.`. r . ~+ t - ~ >f ' <br /><~ ... <br /> SAMPLE ~ ~ <br />- ~' ~ ~ ~ ' <br />r <br />.' ~ MEASUREMENT ~ - <br />' <br />~ <br />- ~ PERMIT . ... . <br />.. <br />., - ~- ..::.. ,. . .. <br />. flEQVIREMENT .. <br />' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW TNA <br />I HAVE PERSO NALLY E%AMINEp AND TELEPHONE DATE <br /> AM FAMIIIM WITN.THE INF01 1MATION UBMITTED N ERBN; AND BASED ON <br /> <br />rd0t1 Patare <br />G <br />W MY INOUIgY OF THOSE IN <br />OBTAINING THE IMFOItMAT1oN DIVIDUALB~ IMMEDIATELY RESPONSIBLE FOR <br />I BELIEVE THE SUBMITTED INFORMATON IS //~ <br />4 • ~~ - <br />G <br />• }, <br />t/Csneral MandYar <br />~ <br />id TRUE, AOCUMTE MD COM <br />SIGNIFICANT PENALTIES fOR , <br />R.ETE. i AM AWME THAT THERE ME <br />SUBMITTBIG FALBE INFORMATION <br />INCLUDING <br />an <br />Prl <br />a , <br />~- THE POSSIBNTY OF RNE AND IMPRISO ENT. SEE 18 0.5.C. 1 1001 MD 13 BIGNATlM1E l1F PRINCNAL EXECUTIVE <br /> U.s.G. t t 010. IMWU.. urM~r dn~ .Vlvr.• nrr I.~4.w rx.• Iy ro ! 10,000 AREA <br />TYPED OiE PRINTED .rwnrlri:rN.n erw~iavnR.+raanr.rts mmma.ns6r.ral OFFlCER OR AURiORRED AGSM coDE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS 1Re/erenc. ell sttschmenFs here! <br />ti 1;E I.A.1, PP 1-9, POR Ur.T~ILS OF TLST, PR''f.,OUAP.. P.EPORT LC50 - STA*I~°T^B1. P)TWT ='Tf"A'"c V~+Iry T~' <br />LETHAL TO S0~ OP TEST 7AGANIS~S, ANO 1TTIl.^.~!t IICOTE TOIICI*S TES?' R1PD11PT rn~,., rn r.l~, Can+r:~ ~~F ILL <br />T r M <br />EPA Form 3320.1 108.951 Previous eduiona may a uee -.' 1 F O 1 H A N BE US D.1 ~ r " ~ ~ ~ p <br />