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PERMITTEE NAME/ADDRESS (Include Fari[ily h'ame/Lncalion ijDijjerenq <br />NAME <br />T9AFFF:& `INIht, INC. <br />ADDRESSINAFF EA CI6F <br />F.c. t;ox Ic7 <br />FACILITYCEIAI~ CJ ~lulb <br />LOCATION <br />.+T'1'N: d. GUhLCe FE7cF°_- F;IFSjc,.n r[;FI <br />NATIONAL POLLUTANT DISCHARGE EDMINATION SYSTEM (NPOES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR~ OMB No. 2040-0004 <br />[z-+s) I17- e) C I NC F Approval expires 0531-98 <br />(SUET, D~) <br />PERMIT NUMBER DISCHARGE NUMBER F- F I N A L M C F A T <br />MONITORING PERIOD GAM i t 1 C P I F C C I C E <br />YEAR MO DAY YEAR MO DAY <br />FROM CC C1 D1 TO CC C. .i1 q N:. CIiC::EFCE ( [ teC <br />(zosll (zz-za) [za-zsl (z6~zr) (ze-zs) poa0 w NOTE: Read Instructions before mpleting this form. <br /> ty~ QUANTITY OR LOADING <br />(3 Card O (< Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER s <br />( 1 (54-61) (38-45) (46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />69 <br />7 <br /> (6Y~631 (64-68) - <br />0 <br />LL ANU GHFASE SAMPLE fi>;+?'3 K' ( 9R) 9##fi## nCfifi#~ ~fiC#fi4 <br />4 I S U A L MEASUREMENT <br />LtU66 1 U C t;o- Tulh' <br />~ <br />~ #~kO1D4~- _ ~ -P 8`-PART . ES=1 ?F~i+f1~1~^,t i~~E NFL-; ~~ At ,~f ~, <br />FfLUENT GHUS° YALLF ~1G1ENT <br />A <br />' - 31 111 NC=U ` ~' Y ~ ~ ~ " <br />: ~Ofifi ~"'r <br /> . 3 , r _ <br /> SAMPLE <br /> MEASUR <br />MENT <br />E <br />_ <br />- ~ <br />( <br />~ <br />M <br />~ <br />~~ y . , <br />~ r ff~ t _ <br />~ <br />~ <br />~ <br />y <br />' <br />X q^y.`~ b i <br />C <br />~ , <br />~^~ <br />~ <br />. IR( <br />h ~ <br />i~q <br />~ <br />FPIYI4NT i ~ <br />~l t { ~ <br />} <br />y <br />'{, <br />'1 <br />Y t <br />~i~ ., Fi ~ <br />r Y .. R. <br />'~ <br />. . ti i L <br />: <br /> 'SAMPLE <br /> MEASUREMENT ~f ~ <br /> <br />1T <br />. - <br />- <br />- - s <br />+5 ;- 7 „;~ ^. <br />• <br />- - <br /> ENT i nom; i <br /> <br />~ SAMPLE <br />)~~ MEASUREMENT - <br /> ~ <br />{ <br /> ~ . EK1T <br />~ .,T <br /> SAMPLE <br /> MEASUREMENT <br /> ~I`R - T <br />~'~ <br /> ~ ENT <br />4~-_ c:. <br /> SAMPLE <br /> UREMENT <br />MEAS <br /> V~ <br />~: ~~ <br />T - <br />' ~ ~a• - <br /> ~ <br />~,~ <br />y <br />~4] Ems' <br />- ~Y <br />i- - <br /> SAMPLE <br /> MEASUREMENT <br /> ~} ~~ - 4 ~ ., .-. <br /> ~}~. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I kAVE PERSO <br />ATION SUBMITTED HERE NALLY EXAMIN <br />IN: AND BASE ED AND <br />D ON MV TELEPHONE DATE <br /> INOUIRV.OF THOSE WDLVIDLAL <br />INFORMATION <br />I BELIEV S IMMEDIAT€LY RESPONSIBLE FOR OSTAININO <br />E THE SUBMITTED itdFOAMATION G TRUE ~ <br /> <br />Gordon Peters <br />W , <br />THE <br />ACCURATE AND COMPLETE. <br />T <br />ES <br />R Stl <br />T <br />N . <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />INCLUDING THE <br />G FALSE INFORM <br />TION ~ <br />970-824-4401 <br />DD <br />04 <br />27 <br />. <br />P I <br />I <br />PENAL <br />FO <br />BMIT <br />POSSIBILITY OF FINE AND lMPR , <br />A <br />eSONMEM. SEE 1e U.S.C. S 1001 AND ~ U.S.C, <br />f <br />d <br />d SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED or <br />e <br />ines up to Sf0.000 an <br />maximummnn'sonmam of mbelwxen~6 maonths ~d6u <br />p years.) OFFlCER OR 4UTHORIZED AGENT A A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANV VIOLAI IONS (Nererence an artacnmenrs nee) , <br />i 3:i E TCTAL I6CA IICI75 YI1L 5E YAIYED, ADC SETTLEAELE SCLICS LINK lFFII EC ECfi <=1CTF, i4hF FFECIF FtiEAT- <br />ScE UURUEN OF FFCGE EE~UIhEtlEYTS UNUEH I.A.?• TCf MGNI7CEIING - I.E.3. CIL C GFEASE - 5EF I.E.1.(C). <br />~A orm 332 1 -) Previous edi Ion ma no e u e O I USED.) C C C 61 / C U C I l l -1 E i 4 PAGE L OF <br />