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:, wti <br />z <br />f <br />} <br />.Y <br />rERMITTEE NAME/ADDRESS p.,rwn.Inrn.p~n.~..o L.~~~„o~,1 u,n••un, <br />NAME TRAPPER mI1fIMG, I'+~. <br />4DDRE557RA DPt:R RIgF. <br />P.O. BDIC 1?7 <br />CRALG C4 81626 <br />FACILITY <br />LOCATION <br />dTTRS Y. I: rIND7N PPTFAS_ FRF4/CWN N6R <br />Nwno OISCIIARGE MONITORING REPORT (OMRIPDESI <br />12-161 ~ 37-191 <br />n PERMIT NUMBER DIBCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO DAV <br />FROM 1 1 TO ~3 31 <br />_1142r1 121331 fz42s1 !26211 128-291130-31/ <br />~~ Form Approved. <br />• I N R P OMB No. 2040-0004. <br />Approval expires OS-31-98 <br />(5U8R !17) <br />- FTlIAL •pf•pT <br />'JISC9+tAGE TO GPOtlSE GDLCi1 <br />!!! np DTSCkARGE ~ O4R <br />NOTE: Reed irgtrucdoDe betori~pbtitly this loan. <br />PARAMETER 13 Card On/rl QUANTRY OR EOAOING !d Grd On/YI QUANTITY OR CONCENTRATION FIG, FREQUENCY SAMPLE <br /> /d5-531 /54511 138-d51 !16531 15461) <br />EX OF <br />Y95 <br />µA <br />TYPE <br />132-J7) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS- !areal L <br />lyf-5g1 !5&701 <br />OIL AND GkEASF. SAMPLE aolaaa ~ 9q) !!oala lo~elR !L'S,#!a <br />YISDAL MEASUREMENT . <br /> <br />Hg066 1 D D <br />PERMIT <br />!44>!RR <br />RE1-QR4 <br />ESai <br />tll'flrfk#ier4 <br />dt#IC#OIM' <br />'..'i!~?R#IRIf1i:' <br />!I#yk <br />< '':" ..... <br />~,''~~`~~ . <br />TSITN <br />EPFLBENT GRDSS YL1L11~ REQUIREMENT s 3YdC <br />------- ~ SAMPLE <br /> MEA:;UREMENT <br /> PERMIT <br />' ~ . ftEOUIRENtENT ~ ~ ~ - ' <br /> <br />~~ SAMPLE <br />MEASUREMENT ~ <br />~ <br />,,/r _ <br />~.(ryil~[ <br />. <br /> <br /> FERMVT <br /> REQUIREMENT <br /> <br />I SAMPLE <br /> MEA:;UR£M£NT ' <br /> PERMIT ~ ~ ~ r; a' ~'~- ~r' ` <br /> REQUIREMENT %" ~~~ ~s' ~ ~ ~. <br /> SAMPLE '~ <br />' IMEA:iUREMENT <br /> >> ; <br /> FERMIT~ ~ ~4~ e~ . <br /> `~REOUIREMENT : s,_ ~t erw,:' - - <br /> SAMPLE,. ~ ~ ~ <br />~ - <br />~ <br />~ ~. <br />.,G~ ~ -~ <br />- <br /> MEASUREMENT ~. - ~ <br />- PERMIT ~ .. ( ':._"' ^'. .:.i:.. ~..:~. .. <br />- .. .. ~ ~--:'?-:." -::';~:;: ;;:;.. .. <br />.. :REQUIREMEfJ'f ~ ~ ~ ~ i r: f . <br /> SAMPLE ~ ~ ~ ~. <br /> MEASUREMENT ' <br />~ <br />: <br />' PERMIT '- ~.; _..... .. ,.-.: ,:... <br />........ ... <br />... .. .. :. .. <br /> <br />~ REQUIREMENT ~ _ <br />~ <br />~ <br />ME/TITIE PRINCIPAL EXECUTIVE OFFICER (CERTIFY UNDERPENALTY OF <br />AM FAMIDM WITH THE MF0 LAW THATIHA~E PE1150 <br />11MAT10N BIlBMITiED H NALLY EXAMINED <br />AND <br />E/1EIN: AND BARED OM TELEPHONE DATE <br />' MV INQUIRY OF THOBE INDINDUALB IMMEDIATELY RESPONSIBLE -F011 <br />OBTAINING THE INFOIWATON. 1 BELIEVE THE SUBMITTED INFORMATION IS I' aaa/// <br />1~,~ ~~,~^~~ <br />/ <br /> <br />4 - <br />~1 Gordon Pataro TRUE. ACCURATE AMD COMRETE. 1 AM AWME THAT THERE ME <br />INLLUOING <br />BIGNIFICµi PENALTIES FOq SUBMITTING FALBE INFORMATION ~ 970-82 <br />-440 99 Oi 70 <br />~lruident/GeIIeral Manager . <br />THE POSSIBILITY OF FINE AND IMPWSONMENT. BEE 10 U.B.C. f 1001 µD as BIONATUaE OF PIIIMCRAL EXECUTIVE <br /> <br />TYPED Oft PRINTED u.s.c. E tale. //w.rN., mar IA,r mnm, m,r hrAld, IF., w ro 3ro,ooo <br />,nennr,:nl,n ilgri,wmwnf e/bMrn emme}„N6Y„ral <br />OFFICER OR AUTHORIZED AGENT <br />~pE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS lRe/erence Bl/anaehmsnts here/ <br />$§5 b TOTAL IRDq LIF!ITS GILL 8E ffAIYEDR ARp SETTLEABLE SOLIDS i7*TT APPLr~'D PAR <_,nrp~~ggq pc.gCIP E4P.RT- <br />SEE t3U6D£8 OP P.RDGP AE~lR£~E11S5 Dt1pRR I. A. 3. .TDS AOItITORIi1C - i. R. I. nIL R GRP,-,SF - SAP 7. R, 1.(D). <br />form 3 , review s mo f eV sus ~ 1 USEF)~.} - : O01 I I' D a D p ^' -' ~ T P PAGE ~OF ~ <br />4 =e! <br />..L. .L ' {.. -r~_. s sE <br />