Laserfiche WebLink
PERMITTEE NAME/ADDRESS pw.bd. FsWryNw/Iamlu I/Dlamu) <br />NAME TRAPi'PR PIBIMCr IBC. <br />ADDRESS TkAPPEH .`.I?!f. <br />P. o. e~x ln7 <br />CRAI: CQ 8162b <br />FACILITY <br />LOCATION <br />ATTtls M. GD487R P?TEES. PRF,S/GYM l7GR <br />NATIONK POLLUTANT OIBLHAROE ELMINATION SYBTEM (NPOESI <br />DISCIiARGE MONITORING REPORT (OMRI <br />T-l51 17-I9 <br />w PERMIT NUMBER gBCHMOE NUMeEII <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM gq 1 TO 99 ..) ij <br />IT61/1 !TZ-231 l1LT5I 126-S7I !TB-T9I 13O3F1 <br />Form Approved. <br />~ I N 7 P OM8 No. 2040.0004 <br />($IJfiP 11 Y} APProvelexpire~05-31-98 <br />P - F7MA1. r.~~/° <br />ICIJ'"C YP.T T*_STI~lG fOR 017 ,". <br />a#a ND DTSCHA~?c.f !_,,,,i ~## <br />NOTE: Reed MEettuellafr befwe:eompbU00 this form. <br />PARAMETER 13 Ord On1Yl QUANTITY OR LOADING /1 Oro Ontyl QUANTITY OR CONCENTRATION NO. ~EOUENCV SAMPLE <br /> 16531 (5481 l31B-I5l (1653 5L5/ DF <br />l3T-371 ~ EX . NIALYST9 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS r:-sal 154Ei81 !5.4701 <br />1.CSU STAYS? 9°.iIR Arl SAMPLE a#aaaa aaaaa# ac##Aa ##-A4`tRa ( 23) <br />CF;RIOUA YHNI A~ MEASUREMENT yq y ~, ~,~, <br />TAr.3B 1 7 J 'P..RMIT #a>rtae~a #sp4t~a #sa <br />i64 <br />eclrl<d!O#..; <br />.; .'a~.~+1~.: <br />ER- <br />` <br />~;~~tCT <br />: <. <br />>81[~ <br /> <br />f.PPLUENT f`.FOSR YA L11 <br />:REQUIREMENT <br />... <br />.. <br />Otaaa <br />,:.p :. ": <br /> <br />., <br />:.' <br /> <br />.. .. ~ ::. <br />v . <br />t: <br />.. ; <br />: <br />-~~,::.'r::::; <br />. ~~. r.. ... <br />,. <br />LCSU $TA:k~ '{a,"R AE'1 SAMPLE #a#aaa aaaaalx n~##aa a##r-#'r ( 23) <br /> <br />PI!SEPHALF.S <br />MEASUREMENT ~ ~ <br />AM6C 1 U 7' PERMIT.:` :.. ~plQ:it<*S: .. ..>y##Lc.OtAI ##4 i, <br />d~ :.. $+R#~Olf^" " ,.:. #4rtlil~lE;; PR- `;."' .....,." '~ <br />!': <br />" ~~$ <br />. <br />PPLUENT GR~S3': itdtl` pEnulRln7iEr+T; ; <br />: <br />##aR , <br />. <br />I . <br />. <br /> . .. ., .. r.. :. ,,:. <br />,. SAMPLE <br /> MEASUREMENT <br /> :.: i~ <br />i3 <br />. <br />' <br />:~ ip ~ <br /> <br />.REQUIREMENT <br />., ~. ..::. <br />~~ ~ ~~ <br />:~".~ ~ ~. <br />... ~ <br />.. .: <br />.. <br />". <br />.. :.. ,,, <br />. <br />. <br />: <br />: <br />y:c~.;;.~;"~.!~.. <br />..:,~ : ~ ~:.. : <br />. <br />!: »!;:..~ <br />.... " <br /> SAMPLE <br /> MEASUREMENT .~ sr ~l v _ <br /> PERMIT ~ ::~.~>1.:.... :: - ... - .. <br /> REQUIREMENT ~ ~ ~ - .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~ PF,RMIT .::::j.: <br />... ~ . .. .........:. ::... .. <br /> ... <br />~;AEdUIREIVIE~.T- ~ ~::"~ ~: -:":iC::~ :.'~:~"., ::~:.:~.: - ~~ ~ : ~ ~ " ~ - <br /> SAMPLE ~" ... <br />- MEASUREMENT - <br /> PERMIT <br /> =REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT - <br /> <br />F'ERMIT - , <br />~7 REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF LAW TNAT I HAVE PEasoNALLV ExAMIHEO AND TELEPHONE DATE <br />AM fA MILIAR WITH THE INFORMATION BUBMITTEO HEREIN; AND BASED ON <br />_ MY INOURY OF THOSE INDIVIDUALS IMMEDIATELY RESPONABLE FOR <br /> <br />W, GOrdOII P~C~IS OBTAINING THE INF011MATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCURATE AND COMPLETE. 1 AM AWME THAT THERE ME / <br />4/C <br />L~r-+ <br />970-824-4401 <br />99 <br />a <br />30 <br /> <br />'` SIGNIFICANT PENALTEB FOP SUBMITTING FALSE INFORMATION <br />INCLUDING . ~y <br />?raaident /Ganaral Manager , <br />THE POBBIBILITY OF RNE AND IMPRISONMENT, SEE 1B U.B.C. 1 1001 AND ]] <br /> <br />U.B.C. f t ]te <br />lPvWei, uY•r eM« mron, m• <br />maM1A• F•Ir• t <br />ro t IO <br />ODD SIGNATURE OF P111NCIPAI EXECUTNE <br /> <br />TYPED OR PRINTED . <br />p <br />, <br />r <br />•newmu:I.unimF+;«I•n.nr Oran.«n rmmp, •rd5t+•zl <br />OFFICEq Oq AUTHORIZED AOENi AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> CODE <br />l.~'u <br />y, u <br />~l'I <br />E. <br />{ ' <br />....I,ILI~I. ~., ..~.., ~... ~ .... ......... .. .....,..._..., ~..o, o. o,... o., o..o.,..,.o.,., ....>t <br />SEE C.A.2r PP 7-'!, POE. DETAIL` CP TEST PpOCoDI1RR. RCPORT LCSQ - STATIGTt^AI. P1T~T >'STTYA*F. YNICR IS <br />L$pT~R]ALL~.~10 SDS OP TYST )4CAl1I5+15e Aso ATT6Cq ACOTf TOIICITY TD'S': R°P08T Fn;R Yn P!'k. f'%TpjE: Of AtL <br />r.PA f~--Im~.'13TD-T IO~~dlt'~i~oR~NV sawed. I C R O A N 8EU •) FI (1~y2IA`/C421-1!~?n <br />1 E <br /> <br />