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PERMITTEE NAME/ADDRESSp L4 F.emryNaW!<cauw dD/p....q <br />NAME 1~iAPki°17 "~I\I%i (., Z'~l'.• <br />ADDRESS THAbP£n AI'r?~ <br />P.J. b0Y 1.=7 <br />C F,A1'v :. ll P1n2~J <br />FACILITY <br />LOCATION <br />,':T'I:I; N. i,OJDOG 4`ETEF:•, Pats/3EH `.'Jd <br />NwTIONDISCIIARGE MO~NI~TOHINO REPORT (OMR DES) <br />/I-161 Ill-191 <br />000032115 C 1 A <br />PERMIT NUMBER DIBCNMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM TO .. _ , <br />/JQ)rl UJJ.iI ULJRI /JCJ)I /JAJAI /MLA/I <br />Form Approved. <br />PONC ~i TO f:A.'i'.^ F~Bl~pT2o40.p(?6q <br />(5 [I ~ F K ~) Approvellexpyg~05- 1-98 <br />F - FINAL <br />°IHC" <br />NOTE: Read Imwctlorr bsfars comDNtlnp this form. <br />PARAMETER l3 Grd On/yl OUANTRV OR LOADING /1 Gb Onlyl QUANTITY OR CONCENTRATION ND FREDUENCY SAMPLE <br /> I46=53I 15b511 139-A5/ /A653/ l5L5I1 <br /> <br />137-371 <br />EX ANMY515 <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs)~e.Tl lµ551 I59-701 <br />/ ANU lilt A. F. SAMPLE C:'I ;':: :t ( 94) :444:744 St4:}(<L- 4444#:} ~ <br />I Sil A L MEASUREMENT O (J , {(/ft./~ <br />c. 41JG6 l 0 0 <br />' PERMIT M I++. :xt~ RE,POW~T ~ Ef=1 :~+7:.i1 ?~iq+Q S3xA~~;+. ~ #At#k?~C. #:At: .E~E YI. ~ISOA <br />~FF <br />LJEN1 %HO55 YALU REQUIREMENT jMS:T XA$,. NC=O ,: 4:w:ry .. <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> PERMIT ... ~ .._ ~ . .....- <br /> <br /> <br />~ .. .... <br />,. <br /> <br />~ <br /> <br />:'',:? <br /> REQUIREMENT ~ ~ ;: .... : ... <br />< <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />' <br />. ~(iEOUIREMENT <br />) SAMPLE <br /> MEASUREMENT <br />c <br /> PERMIT ~ ~ .: <br /> REQUIREMENT ~ ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ <br /> ~~AEOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> :REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> -REOUIREMEN7 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERTI <br />AM FA FV UNDER vENALrr DF uW THAT I NAVE REnsoNALLr E](/JAINED AHD <br />MILIAR WITH THE INFORMATION BVBMITED HEREIN; AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOBE INDIVIDUALe IMMEDIATELY RESPONABLE FOR <br />W. Gordon PaC~rB NIA000RATE ANDACI MRETEU~ET~aUWMMIEEDNAT THERE ME <br />~RUE ~~~ ~~ 970-824-4401 98 7 2] <br /> , <br />BIGNIRCANT PENKTIES FOR SUBMITTING FALBE INFORMATION <br />INCLUDING <br />President /Ganaral Hans ar <br />S , <br />THE POBSIBIUTY OF FINE MID IMPRIBONMENT <br />SEE 11 U <br />f 1001 ANO 90 <br />B <br />C <br /> . <br />. <br />. <br />. <br />r <br />aoo <br />s <br />o <br />° <br />r <br />l gfiNATURE OF MINCI-AL EXECUTNE <br />TYPED OR PRINTED w.F w ro <br />f <br />, <br />r <br />:~s'n,.nu.nun ~pN., <br />~r` <br />e an.»~sM. ,w:~w s <br />y~ral OFFICER OR AUTHORREO AGENT CODE NUMBER YEAR MO DAY <br />MVT~r~V..IJ P1~~v ~~r ~~.~r..v,~v. ,i.~, •,v~•+••v,~....,~r~, ~..o~~r, ~..vu...,.cr,.a ,,.. ~/ <br />^JS o TOTAL Ifi~;N LIfIT3 BILL Fc :IIIYyD, ANG SF.TYLgAALE SJLICP IIMIT FFFLIFD FCF <=lOTR,24P4 Pfii:CIP LV=±;^_ <br />,LiS l1UhU5N J£ PROOF 6E„ISIRE'1tNT5 UNDEd I.A. 3. TUS N09IIOE 7NC - I.?.3. CIL F. GFPASE - 52F I.L.I. (J) . <br />,11 ~.]'J IIVFPLr} TC YTf_MC CT r:`,NTYIV sVCC.I-c nil •,rur nc.:~nn ..e nn ~,.r~ <br />Previous editiana may be used. <br />CCC97/97]211-16u6 <br /> <br />