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PERMITTEE NAME/ADDRESS (/nclude Faufirv Name/Gacanon iJDijjerenq <br />NAME <br />THAEPEN :INIhG, INC. <br />ADDRESSr E' h F F C k M[ N E <br />P. L, rcx let <br />RACILITYCiiAIG CU E102F. <br />LOCATION <br />n 'r'r f.. ._ - ~,-, ~ I r• :: ~ n c c r o u r c i r N v f C <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR~ OMB No. 2040-0004 <br />t Approval expires 05-31-9B <br />PERMIT NUMBER DISCHARGE NUMBER E- F I A A I 1 C F t' ; <br />MONITORING PERIOD F (: b L ~. 7 C t' 7 C C I E E Y L A 5'i is L I is 'r. <br />YEAR MO DAY YEAR MO DAY _ <br />FROM OG C4 G TO GG GC 3C r,r,'; ITC I1°CtIF.FCE ~X( ~~~ <br />1zo-z11 Izazai (z4-z51 !zb-2n (ze-z91 l3oap NOTE: Read Instructions befo'®tL~pleting this form. <br /> (3 Card Ony) QUANTITY OR LOADING (4 Card Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4653) (54-61) (38-45) (4fr53) (5d-B7) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62-60) ANALYSIS <br />(64-68) <br />69-7D <br />'IL At1U GFLnSE SAMPLE >,=t, ;+i"^`% ( 9U) '7~`7a^~ ^^+{'~' `{~%'C3 <br />1 Ci u A L MEASUREMENT <br />4Lth 1 U G i?SEtMtT Q>I,iO## R:Y,if08~ -z ES=1 g003OC 7aea~a~ a>4+Oiq#~. ~>; E~i~ Istiei <br /> <br />cF'tL!IF".1 t, f.055 YAICc <br />REQUIPOMENT <br />i ~ a -~ <br />TC=O <br />~ <br />C,g >,,: . - <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ ; <br />a. <br /> RE(at71gEM6 <br />: ~,a ;~ <br />~ Y ~t ~~ <br /> SAMPLE t S% <br /> MEASUREMENT (f/ <br /> <br /> <br /> SAMPLE <br />MEASUREMENT <br />ll7 <br /> 5 T-- -~5( ~ - :- <br />~5" <br /> HE4L ipEftIHNT ~ ~ ~ , <br />,F' <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> '~~ ' - <br />j <br /> . x,. <br />.h <br /> SAMP{.E <br /> MEASUREMENT <br /> <br /> ~ <br /> SAMPLE <br /> MEASUREMENT <br /> ~1it)~lr- ; ~. -; <br /> R~Qt11R(:k+I~NT ~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY E%AMINEO AND <br />ATION SUBMITTED HEREIN; AND BASED ON MY TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />W. Gordon Peters THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICPM <br />INCLUDING THE <br />PENALT <br />ES FOR SUBMITTING FALSE INFORMATION ~/ ~, /-d~~^~ 970-824-4401 UG 0] 25 <br />President:/General Mana er , <br />I <br />POSSIBILITY OF FINE AND IMPRISONMEM. SEE 1B U.S.C. § 1001 AND 33 U.S.C. <br />l <br />th <br />t <br />i <br />d <br />li <br />Sf0 <br />000 <br />tl <br />Ri <br />tl <br />h SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED er <br />e <br />nes may <br />u <br />e <br />nes up ro <br />, <br />en <br />ar <br />g 13te. (Porn <br />es un <br />ese s <br />nc <br />maximum ~mpdsorlplenr of Oehveenbmonths entl5yeers <br />) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> . E <br />COMMEN T S ANU tAYLANH l I V IV V r qN T V I V LA I T V IVJ (ttBrelence au auecnmenrs nero/ <br />Tti~ L T'GTAL Lf+CN L1F17S elll EE MAIYF.D, AhD SL•T7LEAbLc °_CLiL` LIC1~ r.EllifD c:. :: C-1C'iF,:4ri :=FECIF 11Fh'[- <br />SiiE hL'NC~h OF PFGGF F.EQUIhEI"ZbTS UNDEk L,d.3• 7D5 4CNZ7GFIh6 - I.1..7. L'11 t GFF{F - bE ,.t.l.lL). <br />A o?m 33 T O) P evlou a i l ns ~ n a us LA 0 1 A USED.) PAGE OF <br />CCC~t/l:Gil:i-i'.I~ ~ ~ <br />