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PERMITTEE NAME,/ADDRESS (1 46 fsWyNa./L«ana UDQ..«n/
<br />NAB tRAPPFR RTNi116, INC.
<br />ADDRESS tRAPPER~ MTNC
<br />P.O. ROK 1R7
<br />CkAIG
<br />~') 81 b 26
<br />FACILITY
<br />LOCATION ~ "
<br />ATT.'It Y. GOR4ON PETP.RS, " P3LS/GF.N Mr1N
<br />NATIONµ POLLUTMT aISCMMOE ELMINAiION 6VSfElA /NPDESI
<br />dISCMARGE MONITORING REPORT IOMRI
<br />?-/51. 17-191
<br />r
<br />PERMIT NUMBER O15CHMGF NUMBER
<br />" MONITORING PERIOD
<br />YEAR- MO DAY EAR MO DAY
<br />FROM - ~ TO
<br />!?6?l1 l11-?31 I?L26! I36?7/ I?8-?91 13b311
<br />Form Approved.
<br />MIN 0 R OMB No. 2040-0004
<br />(S ^(1 R N R) APProvel expires OS-31-88
<br />P - P7NAL r~/'>-
<br />POyA TO YYS!` i'TEATT C.ULC4
<br />aaa N7 D79C_NARf,L olr.s
<br />NOTE: Read Metructlorr boloo f eompletlnp this farm.
<br />PARAMETER 13 Grd On/YI QUANTITY OR LOA6ING It Grd On/YI QUANTITY OR CONCENTRATION NO. RtEOUEnCY SAMPLE
<br /> IIG531 ISbeIJ /38-15' /1653 /51-611 GF
<br />l3Z-371 EX
<br />MALVSIs TYPE
<br /> AVERAGE MAXIMUM ~ UNITS "MINIMUM AVERAGE ~ MAXIMUM UNITS rc7-BJI 181.681 169-]Ol
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<br />EPYLUENT GRASS fALU REnuIREMENr " aaa0 QIfT$ #f6 9RI1.'! !1X AC/L
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENµtt Of LAW THAT I HAVE PERSONµLY ExAMINED MD
<br />MILIM WITH THE ANFOBMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE
<br /> MV INOUIRV OF TH03E INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS
<br />,~
<br />ii. Gordon P~tar~ TRUE, ACCURATE-AND COMPLEtE. I AM AWME THAT THERE ME
<br />SIGNIFICMT PENALTIES FOR SUBMITTING FµBE INFORMATION
<br />INCLUDING I
<br />~` 970-824-4401 99 07 14
<br />
<br />P a II ,
<br />THE POSSIBIIItt OF FINE MD IMPW SONMENT. SEE IB U.B.C. 1 1001 MD 33
<br />BIONATUi1E OF PpINCIPAL EXECUTNE
<br /> U,S.C. E I31e. dMWwa uMw rhrNr ipvn~ nrY Mlclulr rvwr y ro S/O,Oaa AREA
<br />TYPED OR PRINTED .ed a.tirimum inrAdsomNnr or Mnrwn Bmonuls NW 6 Wral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS lRe(erence all eflschmenrs here) -
<br />t55s TOTAL IR]rw' LI~T.Ti TILL B~ vAIVP.D, Al1D SETTLSARLF. SpLIDS LI!!IT APP[.7FD •~R <=InTR,24yP PFBC7P F.9H11T-
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<br />r.PA Fmm 37?D~T IOB-951 Previous eMtion: mnv De used. ~ IR .A O NI N USED.) n~'~ ~/q9 ~ II ~~ - T ~ I PAGE OF
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