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PERMITTEE NAME/ADDRESS !lndr<IFKWry N~dLo[Illm++/Dlsinnq <br />NAME TRAPPEk MIMI!'+G, INC. <br />ADDRESS TBA PPBR kiNR <br />P. D. fl0[ 187 <br />CPAIC; ~~ '~It.Zb <br />FArnm <br />LOCATION <br />ATTN: M. GDKDDR PF'TERS. PRE5/ F t: M .A <br />NATIONAL POLLUTANT DISCNMpE ELMINATION SYSTEM /NPDESI Form Approved. <br />DISCHARGE MONRORINO REPORTPORT D~ OMB No. 2040-0004 <br />/7.161 17-19 'EIM!1R <br />(S!fpR NY) _ APProval expires OS-31-9R <br />PERMIT NUMBER pISLHARGE NUMBFII P - Ci RAL )r~rr.r <br />MONITORING PERIOD IIrnTR YPT TY_4TIRr. FOR 9264 <br />YEAR MO DAY YEAR MO DAV <br />FROM TO RRO 4') f)I°rCNARCE ~} '#R# <br />lTOZII r17-z31 /II-751 /74171 Ize-791 !36311 NOTE: R••d MrtrNetlatr Mfar eompl•tinp thi• form. <br />PARAMETER ~ !3 Ard On/YI QUANTITY OR LOADING <br />' !• C•fd On/yl QUANTITY OR CONCENTRATION <br />- NO, FREpuENCY <br />' SAMPLE <br /> M6-53! (5<-611 (<653 (54.81) <br />/3R-<51 EX DF TYPE <br />!3?-37/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUM UNIT5 s1-E] ANALYSIS <br />l6i681 169-701 <br />LC50 STAT4E •RHR 4r SAMPLE ~oiaQa oa>faan fsaac~aa a+k*~~~>, ~ ?;~ <br />CE~IODAPIIMIA MEASUREMENT <br />T A11jB 1 U 9 ".' ~PEgM1T <br />xalp~aala : <br />Ofd+pa~la <br />oGla ... .. <br />10B':.. - <br />.. +I!a.~4±DE/b. <br />s~tltdltE>?::` <br />~R.. <br />;< <br />~!~!/.t:;: . <br />r~+t:'~.' <br />: <br /> <br />£i'FLIfENT (:ROSS YfLJ <br />}iEQU1RENIENT. <br />~ <br />04RC <br />~~.. Ef : <br />c , . <br />. <br />LCSD STAf3iE 36F!R AC SAMPLE P#¢ct00 RCtg6R91 ~#G4irT GESLkRtrKz ( ?j) ' <br />PIMkPhALi•:5 MEASUREMENT <br />TAkbC 1 0 D ~.':..:PERMIT~~:`~. ~r': 1R~R~!'-:.~: ~.:..~RIIpntY:ftR:'.: <br />~. h36 .~0:0:'.:.~..:~ . <br />:... ::::llh>a4k1t!!r :.. dR:#~GnOi~i~:~. P.R- 2, ~:~I<~Y~. ~it:$ <br />~.;> <br /> <br />L•Fi'1.U'.ST GRD55 Y14Lt1. <br />;REnUiREiNENT . <br />OOtrR . <br />gp. ~~.~gIE <br />P T <br />~: <br />~,-:. , <br />. . <br />.. <br />.: <br /> SAMPLE <br /> MEASUREMENT ~~ <br /> PERMIT.'' ; <br />;.. .'.; . <br /> <br />~ tri s:.:, ;;7::~3:; ..>;: ;<;x..; <br />~.. ::REQI~IREMENT: . <br />,.: ~~. .~: : :~. :. ~.. <br />_.-_._ ~ ~; . ±.::~ :.:.".:.: ;~:.;: ,,q <br /> SAMPLE <br />s <br /> MEASUREMENT ~'J <br /> ~ <br /> ;:REQUIREMENT ~::.' .. .. <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> .:f:.: ~.:PE$IiAIJ: , ~: ~.;:. ~ .... ..:. <br />,. .: <br /> <br /> <br />~ .. <br /> <br /> <br /> <br /> <br />. <br /> <br /> <br /> <br /> <br />. <br /> <br />r : ~ <br />. <br />. <br />:,~ <br /> <br />~ ;.L,, <br /> <br /> <br /> <br />...:: <br /> i`fiEQUIRENIE.ryT: :, . <br />. .... <br />. <br /> SAMPLE' <br /> MEASUREMENT <br /> PERMIT. ~ ~ -! <br /> .BEQUIgEMENT- _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ .. <br /> REQUIREMENT <br />fIWMEJTITLE PRINCIPAL E%ECUTIVE OFFICER I LERTIFV UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br /> AM fAMIL1Afl WITH THE INFORMATION SUBMITTED HEREIN; AND EASED ON <br />- Ml' INQUIRY OF THOSE INpINDUALS IMMEDIATELY RESPOMSIBIE FOR <br />OBTAINING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS /7 // <br />~.G" 4 `~-~ <br />' <br />g70-824-4401 <br />' 99 <br />D4 <br />3D <br />' W. GOrdOn PaCerB - TRUE. ACCUflATE AND LOMRfrE. I AM AWARE THAT THERE ARE / <br />J <br />'@ SIGNIFICANT PENALTIES FOR SUBMITTING FKBE INFORMATON <br />INCLUDING <br />President/General Reneger , <br />THE POSSIBILITY OF FINE AND IMPNSONMENT. SEE Iq U.B.L. f 1001 AND ]3 SIGNATURE OF PIIINCIRAL EXECUTNE <br /> U.S.L. S 1 ]1 B. Ihir/Ai. MMAr eM« mruna m=Y iicA..Y~ Ewa W ro f 10,000 <br />TYPED OR PRINTED u+f.dm==umAn inpnro+r«nr Bran.«n En.waA.ne 6v.vAl OFFICER DR AUTHORRED AGENT CODE NUMBER YEAR MO DAY <br />CUMMtNIS ANV [ArLgrvN ll~rv yr nrv. rIVIAlnirva lnererence an enecnm•nFS oafs! <br />58E: LA.1, Pr --r!, FOP DETII[LS OP TEST PRD~EDDR.°.. BFP~R't' L!'SB - "T~??~TT"Si. ~'+TY'* ?"'"TMATF• vIrICH IS <br />LET4tAL TO 50" lF TE:S.T :)RCAKIS"15, AND ATlACR ACDTd TDII^IT[ TP.ST RFpnRT F'0?* t'7 ~~p, r'rDTP.; DF ALL <br />TN-DNNirrrl^ +tnar Rtr arts •~ <br />^ <br />rPA Fonn :+370-t LOB-D5) PreVioue edidont mnv be uFed. 1 LA PA F RM O 1 A NOT BE U .1 <br />__ _ r. - _____.-.~ _. `.__~..-- ~ - -- - --- --- --- - -- - - ~ -a - <br />,I <br />i <br />L' <br />