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FtiRMI tTEE NAME/ADDRESS N~~+• F.na~r H.+••• I•., ~~~••~ n I+0•..,.... <br />NAME TRAPPFP 'I!(IN ~, Tfvl:. <br />ADDRESS ?fiAPPRR I1iY5' <br />P.Q. 80C 1~7 <br />C4AI5 <br />cn et~aa <br />FACILITY <br />LOCATION <br />AtTM: k, GORDOM PgTEPS. PRf,Sl6li lICR <br />NATIONDISCLfU1RGE MONITORING REPORT IDMRIP~ESI <br />_ !2• l5/ l17-191 <br />~' D D' <br />PERMIT NUMBER DISCNAncENIIMeER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM TO l <br />/26171. lY$,Z31 12e-251 - lI6Z~/ 118-?91 1363// <br />Form Approved. . <br />y I Y 7 p - OMB No. 2040-0004 <br />($UA1? '11 y) Approvelexpire~05-31-98 <br />P(i tPD iC~ KPST PTP,AT7 GDL(:R <br />o Alo ~O .DI SCH A?GL' w .4f:b <br />NOTE: Reed instructions befoT' £oiFiplet7nQ this fwm. <br />PARAMETER ~ I3 G.d Onlyl QUANTITY OR LOADING ', I/ Grd OnIYI QUANTITY OR CONCENTRATION NO- FRtnuENer SAMPLE <br /> /es-5s1 !5+-sll 138.151 Is6531 r5r-611 <br />EX of <br />TYPE <br />!JZ-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /sa-sal ANALYSIS <br />Iss-sBl ~ /64701 <br />OIL AlD 6'ItEASY. SAMPLE tP+BtaO09 ( 9f+> IRaO'dr94 a#eaaa a44+~Tsn ~ <br />~ ISIJ AL MEASUREMENT O D ~ Y~I•E•/s( <br />$0066 L' ~~ 0 PEAMIT aaglsaa REPORT 83=1 ~ 04ll~ppl:~l~~~ ~~l+k~ltr4tdl~~~ ~.-.";::~~4#$~a». t-<r, ::.~. .R~SB~C~' .~E'$Q~~ <br />BFPLU6dlf GRYJ55 fALO REQUIREMENT. M A N =0~ $4+•~ <br />~- ---- - -SAMPLE - <br />' MEASUREMfiNT - <br />- PERMIT• <br /> AEOUTAEMENT - <br />'- - SAMPLE - <br /> MEASUREMENT - <br /> fERM1T <br />., REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ~ ~ ~~ ~ - <br />- REQUIREMENT <br /> rr <br /> SAMPLE <br /> MEASUREMENT <br /> FEAM17 <br /> AEQUIREMENI' ~ ~ ~ ~ ~ ~ . " <br />~ r. <br /> SAMPLE - ~ ~ ~ : <br />~ <br /> IMEA:iUREMENT ,a <br /> ~' <br /> PERMIT .~. ..:;. :, .. <br />.. .. <br /> ~AEQUIREMENT ~ -. <br /> SAMPLE - ~ - <br /> MEASUREMENT - . <br /> F~ERMIT - ~ ~ ~ ~ ~' <br /> <br />REQUIREMENT <br />~ <br />- _ <br />E PRINCIPAL EXECUTIVE OFFICER <br />T ft11FY UNOEft PENALTY OF lAW TNAi i NAVE PEgSONAd.V FxAMINED µD <br />I CF TELEPHONE DATE <br />NAMElTI <br />L ~ <br />' AM FAMILIAR WITH THE NiFQ11MATPN SUBMITTED NEIIEW: µ0 BASEp ON- <br /> MY INQUIRY OF TNOSE INDINDUALS IMMEDIATELY AESPON518LE FOR <br />I <br />O <br />I <br />T <br />S <br />O <br />NI <br />T <br />A ~ ,, /~- <br />~~ <br />W. , rdon Paters AM <br />AWARE iH <br />AT <br />TN EAE ME <br />COAIPLETE <br />~ <br />T <br />RUE, <br />Att <br />UMTE AND <br />SIGNIFICANT iENALTlES FOR SUBMITTING FALSE INFORMATION <br />INCLUaNG ~ <br />/`~'~ <br />970-824-4401 <br />9 <br />07 <br />4 <br />dent/General !liDa <br />ar <br />P . <br />! 1001 ANp aJ <br />THE POSSIBILITY OF RNE AND IMPNSONMFNT <br />SEE /e U <br />S <br />C <br />g <br />r• . <br />. <br />. <br />. BIONATTIRE OF FRIINQPAL EXECIlfNE <br /> U.S,O. f 13te. f/W Wa4r ullrr ewe .bNUa mFY L'IC4M ~w. IO ro f 10,000 <br />TYPED OR PRINTED ,Mwmvi•vnirrrpirFernnrwarwwnsmaeols.IdsywA/ OFflCER OR AVMORQED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS !Rs/er~nee el/ •TFechmsnts herd <br />T35 6 TOTAL IRDM LiMI'_*R WILL B6 i1AI~L0, ACID SFT*LF.!'+LE SOLLDi LT/iTT IIP~fT'll F7? <-1`IY~,]4NA PRoC2P F•PPyT- <br />S°F: SORDEk OP PROOF P,E;~QIREBEIIT.S URDER Is0..3s 40$ ',04ITORLa~ - T.11.~. f1ri, r ^r•cgcc _ ;y~ Ls n. l.(Yll. <br />EPA Form 3320.1 1 8.95 , Previous editions may 4 us ~ 1 O NI M USED.) PAGE OF 7 <br />