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
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<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
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<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 ]]
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