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PERMITTEE NAME/ADDRESS pnd,I. FsY~yNwJLocnlar pD/pwwrp <br />NAME "r fiAdr~~ [' ., ~,, <br />FACILITY <br />LocnnoN <br />NATIONAL POLLUTANT dSCHMOE EIIMINATIOM SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT IDMRI <br />I-161 017-191 <br />CGO:i32115 f ] A <br />PERMIT NUMBER DISCHMGE NUMBEfl <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM ~ TO <br />1701/1 l77-731 171151 /1617/ 018-791 /30311 <br />Form Approved. <br />FCVC Ml~ To JONtim~~Q-:J~E~'aooa <br />(~ I/ ~ o F y') ADProvella:pirae,05-31-98 <br />F - FIDSL <br />vIN(t <br />NO1E: Read Inatructlom batora eomplatln0 thin lorm. <br />PARAMETER l3 Grd On1Y1 QUANTITY OR LOADING !4 Grd Onryl QUANTITY OR CONCENTRATION ND FAEOUENCY SAMPLE <br /> 146-531 l5s-6l 038-15/ 10663 I5~-6/ E DF <br />037-37/ <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS <br /> <br />MINIMUM <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS X <br /> <br />s7-sal <br />ANALYSIS <br />lµ661 TYPE <br /> <br />169-700 <br />.. N - Vr:_A~:: SAMPLE ~:t: {: ~x;.;L ( 911) ?tC1rC {~>: Cr ;~:) UY. r. ~. r,: •.: <br />Y I ` UAL MEASUREMENT ~ U /~ //f''°! <br />741JDD 1 II C> PERMIT".~ ";~ {[:rfFJst>.'t.{: <br />~ RF..'.(1[Y;"i' RS=I CT~44$.tr Lyd{d{+s,1 p~>rhw# 7{r:}::: . ':~',g~L, Vlrf)A <br />T.FFLUtST v?USS YAL'J ~REQU.IREMEN.T ~ <br />: .:-IEIS,T~~MA,~K~ N%=0 .. .. +::1:7 . <br /> SAMPLE <br /> MEASUREMENT - <br /> : ' ' <br /> .... <br />'PEQIIIREh1.ENT <br />:..` <br />.:: .. .. <br />.. <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />- - AEQUIREMENT ~ ' <br /> SAMPLE <br /> MEASUREMENT <br />~ PERMIT ' <br />\ .REQUIREMENT <br /> SAMPLE. <br /> MEASUREMENT <br /> PERMIT <br /> :REQUIREMENT ~ ~ <br />...... ~.. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF lAW THAT I HAVE PERSONALLY E%AMINED AND <br />MIl1M WITH THE INF011MATION SUBMITTEO HEREIN; AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONABLE FOR <br /> <br />W. Gordon Peters OBTAINING THE IMfORMAAON, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCURATE AND COMPLETE. I AM AWALiE THAT THERE ME <br />SIGNIFCANT PENALTIES FOR SUBMITTING FKSE RiFORMATION <br />INCLUDING <br />~ f~,..~t-- <br />970-824-4401 <br />98 <br />4 <br />28 <br /> <br />President General Mona eI . <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. BEE IB U.B.C. ! 1001 AND ~S ~ <br />BIONATURE OF %11NCNAL EXECUTNE <br /> <br />TYPED OR PRINTED U.S,C. L 1 JI a. IMTMw uldrr AYrr rerNha rnrY FKA/OI Fires. W ro S 10,OOD <br />wrq nmArin.n hrwlonwNa/bwwn errraeen wM6F.,...1 <br />OFFlCER OR AUiNORRED AOEMT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />GVMNICn Ia nnV Cnr~nnnll~n yr nnT vlv~n llvna lrtarer~nce esremcnmmrr new/ <br />.-.-. Fr LUlAL THO\ LT"fI'1'S wIL:. G[. L'kIYF.J, ANU :ii.TTLF.AFLc SOL7C°_ II"!79 AFFL7Ff, Ff-F <=1VYR,?4Fn FI~F.CIF :'/r'YT- <br />,i.~ dUi{DL'\ OF [19.nUF F'c~UT_iiL".ENTS U!v D.. ii I..L.3• PEJT n1TTf:E MUST TARF ALL FF ASCM1AU L' ni'A.SJ:i E:S TI) .~+t:I~ll•.:` <br />editions may be <br />ce~~ai~T12u-lcuc, <br /> <br />