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PEHMITTEE NAME/ADDRESS d•.~+. fonep rv.w~. i.~~,•a.., q n~u•~•~., <br />NAME TkAPPF.k YTN[C/:, 7u C. <br />ADDRESS?AAPPP..A !!T!EE <br />P.O. R~[ 1,~7 <br />CRAIG C.0 h1525 <br />FACILITY <br />LOCATION <br />Ai?K: IE'. GOPDJN PETER°,, PAE3/GEl1 >RGR <br />NATIONAL POLLUTMT DISGHMGE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />/2-761 /17-191 <br />C. <br />PERMIT NUMBER DISGHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />f262E1 122-231 /?1-251 176771 178-791 !3631/ <br />Form ADProved. <br />,1 ± R E?Ti OMB No. 2000-0004 <br />(iI1PA NV) ApDrovel expires 05-31-98 <br />P _ rTNll, ~ .I'yP~ <br />E.^-7T° AST Tf.^°TmG F4P= ~^A <br />sac y1 DTSC++lvrg t__1 r•Ro <br />NOTE: Reed inetructiam belae completing thM form. <br />PARAMETER !3 Gfd On/YI QUANTITY OR LOADING !~ Grd Onlvl QUANTTY OR CONCENTRATION ~ NO• FREQUENCY SAMPLE <br /> 116-531 /54611 ~ 138-151 /16531 /5461 DF <br />l32-37/ ~X <br />MALY515 TYPE <br /> AVERAGE MAXIMUM •~UNITS MINIMUM AVERAGE MAXIMUM - UNITS ~ /ez-s]1 I6b6B1 l69-701 <br />LCjU STAT~IE 9h4!R AC SAMPLE s~aa Re. snaaaa ,Et~~fi <br />y' <br />~ ct34Gra 4G-~{: rl-~ ( ~T~ <br />d ~ <br />P[l1I±PRALES MEA::UREMENT /fy f~S (IQ'~ <br />TA9fiC 1 0 D PERMIT biT#P6R s/ftQOt4 C?0 jpQ esTarlDL,~rls: 3D(ttDaFO. o-r,_ <br />#~~~~ <br />~~~ <br />F.YPLUcNT GROS; 9AI, 1J <br />.------- REQUIREMENT <br />_ agyy <br />Ail. ALUE <br />~~, P ' <br />_ SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ <br />~ <br /> <br />- REQUIREMENT - <br />----- -~-SAMPLE <br /> MEASUREMENT <br /> PERMIT " ~ ~ - <br /> REQUIREMENT - <br /> SAMPLE <br /> <br />MEASUREMENT k <br />i. ~ <br />~ ~ PERMIT ~ ~ .. .. ~ ~ ... .. . <br />~ <br />~,~i.,. ~ 'REQUIREMENT <br />:"~.`'~ ' <br />1' <br />` ~ SAMPLE <br />~ <br />, MEASUREMENT <br />~ - ., <br /> ~~ PERMIT ~ <br />~ ~~ _ ~ <br />"::.` <br /> ,REQi-IIREMENT '.i. <br /> SAMPLE <br /> MEASUREMENT ~ _ <br /> PERMIT' ` <br />. <br /> <br />~ <br />, <br />~ <br />~ <br /> <br />~ <br /> ~AEQUNtEMENT ~ .. .. ~ .. ~ ~ <br />~ ~. ~ ~ ~ . . <br /> SAMPLE <br /> EAQUREMENT <br /> PERMIT ~ _ <br /> REQUIREMENT ~ ~ ~ ~ <br />~ - <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I cERTIFV UNDER vENALTr DF <br />AM FAMILIM WITH THE INFO uw TNAT I H vE PeasoNALLr E%AMINED AND <br />RMATION SUBMITTED HEREIN <br />AND BASED ON - <br />~ TELEPHONE DATE <br /> <br /> <br />GOLaOD PetetB <br />Ir <br />' ; <br />MY INDUIRY Of THOSE INDIVIDUALS IMMEDIATELY RES?ONSIBLE FOF <br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATON IS <br />TR <br />T <br />T <br />C .. <br />970-824-440 <br />99 <br />0~ <br />14 <br />. UE. A <br />CUM <br />E MD COMPLE <br />E. I AM AWME TNAT, THERE ME <br />SIGNIFCMT PENALTIES FOR SUBMITTING FILLSE INFORMATION <br />INCLIlOINO - <br />Pzesideat/General M8II eT <br />SE , <br />THE POSSIBILITY OF qNE MD IM%050NMFNT. SEE 18 U.S.C. E 1001 MD ]] <br />u <br />f 1]ts <br />s <br />C <br />!PU/tlr, Mw,r IMr memo mI, <br />ilcAld, rn., <br />ro t 10 <br />000 BIONATIME OF FlIIMCNAL EXECUTIVE <br />TYPED OR PRINTED . <br />. <br />. <br />. <br />Y <br />, <br />w <br />,M wmNrtirNen wlA.id.,r.,rae.n...,smwln,.lser...l oPFlCEq oR AUiNOgELED AOENi coOE NUMBER YEAR MO DAV <br />GUMMI:N I7 nnu rar~nnn I Lvn yr nn r vwLn I IL+na Inererence al srrscnmenrs neTq <br />SGE 1.4.2, PP )-9, °OR DF.TFILS rTP ??5! PROCEDO~R°. ABP7RT L='S^ - STATI4TICAL POT!f"' p;TTr,ATF APICP TS <br />LF,'TNAL TO S0~ DF TEST .)RGAFtS!S, ARD ~rrecR AC6TB TOxIC7T[ TES' RP.PORT FO?ttl TO 0!"A. C~PTF~ STF ALL <br />EPA Form 3320-1 108.95) Previous ediryon] mey be used. 1 PLACES EPA FORM O .NOT BE, •) ODp 2 3/99 ~C 21-1 P -t A PAC' V T ~ ~ <br />