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PERMITTEE NAME/ADDRESS p,,. re. r•,.~,ep H. ~... l .•. ~,.o.• .r rvp.,.,u, <br />NAME TRAPPER ~I:lIN!:, TNC. <br />ADDRESS TRAPPP.R 9 [ 7F, <br />P.O. BUII 137 <br />CRAM: <br />~a BIf.25 <br />FACILITY ' <br />LOCATION <br />ATYli: N. GDRDDN PBTP.RS. PRE3JGER 1!6q <br />HATrOHAI POLLUTMTDIfiLHMOE EDMINATION SY6TEM INPDESI <br />DISCHARGE MONITORING REPORT /OMRI <br />11.761 117-791 <br />PERMIT NUMBER D16CHMGE NUMBER <br />MONITORING PERIOD <br />YE R MO DAY YEAR O DAY <br />FROM TO <br />.!171211 111-131 I11-151 /I6271 !IH-191 !36311 <br />Fonn Approved. <br />„ L 11 (? P OMB No. 2040-0004 <br />/4FJRR RR) Approve! efcDirea 05-31-98 <br />A^DTF R°* T~'STTNG FOR O1?A <br />aaa ~~ DTS('9ARre ~_ ~ eaQ <br />NOTE: Reed instrucUerle belon coTnplefiny this form. <br />PARAMETER ~ !3 Grd OnlW QUANTITY OR LOADING, l4 Grd OnIW QUANTITY OR CONCENTRATION ND F1IEOUENCr SAMPLE <br />, <br />~ !46531 15d-611 139-I51 !4653/ 15I-61/ <br />EX DF <br />T <br />E <br />l31~371 <br />- AVERAGE ~ MAXIMVM UNITS - MINIMUM AVERAGE MAXIMUM UNITS lel.eal MALrss <br />lti4-ti81 YP <br />199-701 <br />LCSU STATRft QeH6 ~.C' SAMPLE aabaaa aaR[taa aaaRRa aanyFO" (23) <br />CeRIUDAPHNIA MEASUREMENT <br />TAC.3b 1 0 D PERMIT ac3aaa a0#Na~ .. ~eoa j,OQ'.. OjaR4!#a '. a#.>FS#Et~/::; KR- T'f{I,T. T1A9 <br />EFFLUeNT GROSS TALLr REQUIREMENT *,IQaa K <br />LCSfi STATB£ 951i.P. AC _ SAMPLE oaa4oa, aasxQa. st+,aaa oaaRsa (. ~'3) <br />PI"tEPHALES MEASUREMENT <br />TAItibC i 0 0 PERMIT aaa,p~a ass ~; i4a ir}0 aa~raaa aaaf~#a. [. T?- TRL~ .,Rl1B <br />EFFLUF.tdT FDDSS'hALU REQUIREMENT >liaaa `~, !A >; <br />', ~. SAMPLE ~ - ~ ~ - <br /> <br />- MEASUREMENT ~ -~~--'~"' - <br />C <br /> PERMIT - ~.,.-`... - .. <br />` ~~ <br /> REQUIREMENT ~ - <br />~ ° ° <br /> SAMPLE <br />MEASUREMEN7 ~ <br />~v'l ~ ' <br />Qkl <br />~ ~ ~ - _ <br />~ <br />~-~/~ rO <br />1 ~ <br /> PERMIT <br /> <br />~ ~ ~ ~ ~ <br /> <br />~ <br />v;: <br />~" ~'~' <br />..3% Vii` <br /> <br />~ <br />~ <br />~ REQUIREMENT ~ {jf: ', ' <br />..~; <br />' SAMPLE ~ ~~ <br />~n4L'et~I ~ MEASUREMENT ~ ~~ T '''' "' <br />' <br />' <br />~'~: PERMIT ~ t,... <br />~ , <br /> ~REQLtIREMENT _ ~ ...:f.._ „: ~.::..~ ~. <br />' > SAMPLE : -~ <br />{ <br />, <br />- ~ ~ <br />lHEA$UREMENT <br />~ ~ - <br />~ <br />- ... is <br />- <br />' PERMIT <br />~ a, ~ ~_ s~F si?'::~y::;:: <br /> ,REQUIREMENT - ".x - ' <br />- SAMPLE ~ ~ <br />e ~ ~ ~ - ~ "' <br /> MEASUREMENT ~ ~ ' <br /> PERMIT ~ .., .. .~ ~ .. . <br /> 'REQUIREMENT <br />~ <br />E PRINCIPA! EXECUTIVE OFFICER <br />NAME/T I CERTIFY UNDER PGIALry OF lJ1W THAYI HAVE PEA60NKCY F,%AMINED MD ~ TELEPHONE DATE <br />ITL AM FAMILIM WITH THE e1FMMAT10N SUlMITTED HFAEIN; AND (IA6ED ON <br />' <br />- MY INOUIM OF J7TH~OGE INDIMDUAL$ IMMEDIATELY AESPON4elE FOR <br />MITTED INFORMATION IS <br />OBTAINING THE INFORMATION, ! eEUEVE THE 6llf1 ~ / /J ~/ <br />. <br />J (~ / <br />ry~la.~"" <br />9 <br />W • GpTdOA Patlra , <br />TRVE. ACCIIMTE ;MD~COMPI.IiTE. I AM'AWME THAT TNEAE ME <br />71E5 fOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />I <br />NIFI <br />MT PEN ` <br />,~., <br />/ 7agz4-4401 99 07 14 <br /> <br />ident/Gaaaral MaDajjar <br />Pre , <br />µ <br />S <br />G <br />C <br />SEE tt U <br />S <br />C <br />i 1001 MD as <br />TH <br />POSSIBILITY OP FlNE MD IMPWSONMENT . <br />s . <br />. <br />. <br />. <br />E BIONATIME OF P111NCIPAL EXECUENE <br /> U.S.C. f fate. I • rIOM NFr corona mFY lncM1rdr Wws up ro 510.000 <br />+ AREA <br />TYPED OR PRINTED .ne ormunHnf ire <br />+iMrMMhwns manes and a Yaanl OFFlCER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAY <br />I <br />d <br />I , <br />:.I <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRdsrencfi sl/attechmsnts h.ra1 <br />SFE I.A.2. PP 7-9a FCIP DP.LAILS_ ^Y i'°iY PRDCPDURE. RGPORr LCSn - S!ATTSTT°9L PDT'~* ~STinl-T4 yilLr•p Z~ <br />L::TBAL *~ SOx OF 4F.SY URC.ANIS!1R, A.lID AlTICR lLCQTC TOf(ICITT T"ST RFPnrT FORE rD I+I.R, ('Y1^Trt- fnF AI.L <br />^ <br />EPA Form 3320-1 108.95) Previous editicna may a use ~ ( LA . 0 A O BE .1 <br /> <br />