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PEHMITTEE NAME/ADDRESS Ibrn.a r•,ree. rv.•.,~ t•,r~,••..• •I n•u•• r••I. <br />NAME TNA?PE'R !I f.IETIt::, Ifl~. <br />ADDRESS TRAPPCR *f7RF.' <br />P.O. B~JX 197 <br />CnA1G <br />FACILITY <br />LOCATION <br />C7 HiG2b <br />ATT!(2 Y. GORDDV PE'TFES, DvES/GE8 flGR <br />NATIONAL POLLUTANT DIBCHMOE ELIMINATION SYSTEM INPDESI <br />DISCNARGE MONITORING REPORT /DMRI <br />11-761 17.791 <br />n PERMIT NUMBER o1scHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ~5 j () <br />124711 122-131 121-251 (26-171 (Pe-191 (30-3J1 <br />Form Approved. <br />. j y .T n OMB No. 2040-0004 <br />(30Ap Ry) APProvel expires 0531.98 <br />P - FT9A[. h~rF' <br />o•tup ~5 T7 Yn lug+- CCLCfl <br />NOTE: Reed inetructione bdore L'alhpletinp )hie form. <br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING Is Grd Onlrl OUANTITY OR CONCENTRATION Np. FNEGUENCY SAMPLE <br /> 14653/ I5C-sl1 F38.15 1~6-53I I51-6/1 - of <br />lJ1-371 EX <br />NIKYSS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (s7-s] /ss-681 16370/ <br />[1H SAMPLE .'E#rF#IIR 04aQRO Rft##bR <br />~ 1 2) <br />~ <br /> MEA;:IJREMENT 7 B B• ~ 0 ~ <br />VU~LUU 1 I '.1 PERMIT 9O1k4RC mL¢+IraRR 4#? ~e5. +kRaa~La : .a,;s fE <br />~:~.X .~dKx1'.. <br />C'Pfj,U@NT GRDiS VAGP <br />_ <br />- REQUIREMENT ptpaR fl rt T rr <r• . <br />~-~ ~- <br />--~-- "SAMPLE <br /> MEASUREMENT <br /> PERM/ . <br /> REQIJIREM~NT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOIJIREMENT " <br /> <br /> <br />( SAMPLE . <br /> MEASUREMENT <br />~: PERMIT - ,~ <br />1 ~ ~ REQUIREMENT : <br />~ SAMPLE <br /> MEA ;UREMENT y ,~ <br /> <br />. f ERMIT . - <br />~ - <br /> <br />flEQVIREMENT. <br />- : <br />.:: :~..:; ~ .. ..~ <br />. -!~~~ <br /> <br /> <br /> ` <br />4 :' FERMIT ~' x S + ~ * <br />~ <br />- : _ <br /> ~AEQUIREMEN~= - ~ c <br />1 v!' - k:- <br /> SAMPLE <br /> MEASUREMENT <br /> FERMIT <br /> "REQUIREMENT <br />~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDFR PENALTY OF LAW THAT I HAVE PERBONKLY E1(AMINED AND ' <br />MILIAA WITH THE INFORMATION Bl16MITTEO HEREIN; AND BASED ON TELEPHONE DATE <br />[~• Gordon Petara 0 TNN MG THE NFORMATON.IIABELEVE ItHE SUBMITTED IN OFORMATION 1°Rs <br />~ ~ ~"~- <br />970-824-4401 <br />99 <br />07 <br />14 <br />Pr~ <br />t/General Mana <br />er <br />id SIGNEFICANT PENTALT~B FOIi 6118MITTING FN BE MFORMATION <br />TINOLlA1N0 <br />g <br />a <br />an , <br />THE POSSIBIDTY OF RNE AND IMPRIBONMENT. SEE le' U.B.C. f 1001 AND ]] <br />000 <br />B <br />C <br />f 1 ]t e <br />IM1IW4. I.W eww mNh. n+Y ileAAY~ /nr. NP ro S 10 <br />V SIONATUNE OF /RINCWAL EXECUTIVE <br />- TYPED OR PRINTED , <br />. <br />. <br />. <br />. <br />endnnrrill+lrh++be+vnrne Ol Oe1NAMlsw+nN.rp6rerAl OFFIL4R OR ADTHOR¢ED AGENT C.RODE NUMBER YEAR MO DAY <br />} <br />~~~.0 MMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerencs e// ettechments here/ <br />!SS "6 PUPAL IRAN LI~TT.i :LLi. '' vRIVEDE A~9 :iFTPLF.I1BLf 501.7^^ t i"TT M1/J•`! T~'^ °•~` /rjUTc~;`rILt1.• Dpc/-IP plclST- <br />4E'r. BORDwi: OQ DPI?Oi' P~?;}j>t';'+_.c7 t19:7P.° 1.x..3. ^FRflIiTf° °V+*_ °A [' ~L!. =~4~^,x'll~[s "'PACngTS -t1 RF.Dr1C° Pq <br />r .x • v r . r- <br />Epp Form 33 D-1 108-951 Previous edition Mey be used. /REPLACES EPA FORM T~0 WENCH MAY NOT BE USED.1 ~ n ^ , ~ ~ ,~ ,: n ,I ~ T _ T I. T , PAGE ~OF ~ <br />r <br />