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PERMITTEE PIAME/ADDRESS /Include Facility NpmrlLocation i~D(~erentJ <br />NAME <br />TRAFFf5 t1hIt:G, INC. <br />ADDRESSTkAPF ER CINf <br />P.G, ~OX l07 <br />FACILITY C 1i n I C C U 8 I'h 16 <br />LOCATION <br />av~r. .~r~~nr x. ucaccc nu cc /ccc rrc <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPOESJ <br />DISCHARGE MONITORING REPORT (DMR; <br />(1-161 (l P- 9) <br />PE MIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O ( O 1 TO ~ ' E ~ G <br />(20~Z11 (22131 (24451 (26211 /1829) (30111 <br />Form Approved. <br />OMB No. 20400004 <br />C- I N C F Approval expires OS-31-9B <br />(SUEb b4) <br />F - FIhlI !C`EA: <br />FCBC Mc TC EA~I FYeA19 GCLCF. <br />## %' NC CISCNA6C-E '(## <br />NOTE: Read Instructions hefo~'bb'mpleting IhiS form. <br /> (3 Cerd Onry) QUANTITY OR LOADING (4 Card Onry) QUANTITY OR CONCENTRATION NO. FgEOUENC AMPLE <br />PARAMETER (4fr53) (54-67) (38-45) (46-53) (54-61) EX OF TYPE <br />(3237) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62631 ANaLVSIs <br />(6468) <br />69-70 <br />ff SAMPLE '•A :0400!: tCCM:C <br />L <br />8 ~~9~9C <br />S <br />B <br />' { <br />V <br />/ <br />/N1/Tk <br /> MEASUREMENT • r <br />U4CC 1 U C IT ~C+1!#OHl1 II'4Mi(Ok~~: :#L• ,g,. +444>Q#r4. •; 9R4 ~EI(,CI 1527 <br />EFFLUE:h'1 I;HOSS VALUE a~~~!~~ ~$## N ! C 9l: <br />oLlGS, •c~'reL SAMPLE 04040t~ Ot+`~:~~ :t.t~G^ <br />L 13 1 15) J <br />U S P E N D r i. MEASUREMENT ~ L~ .7v <br />3U u C <br />CS <br />L~> r 41+ik# 04'4#44 >`C4 a04t4# 3' G 1Gfl/ 1;6E <br />. <br />FFLUS'lri UhOSS VALUE <br />~ M <br />`ix ~k' }~ <br />##~% <br />GC A <br />II EX <br />CC/I <br />C <br />GLIGS~ iTTLEAELE SAMPLE 000000 r:":0::%~ ~=%+~;^ I i`_) ~ <br /> MEASUREMENT ~ ~. ~ <O. ~ [~ // G <br />tIS45 1 U L p~13Mkr o4rtt+s4. >ha><00.#I z:z: oa~a#44 CkTICB~Al". fiEf.CE3 ~ ~- ~GlI 1~AF <br />LUENT GkO~S VALUE A&Q)}IR@MEN7 St:`4 G ! AYG D I 1 P !1 1 !. k <br />'ICTAL <br />1 bflY. SAMPLE ;r :; {: ~.::::;. r:;=}t+r; :>:~~i:a,: E lt) <br />, <br />(A 5 F E) <br />MEASUREMENT <br />~i '/U <br />Q. yl] <br />0 /v j,Q~rJ <br />1b4S 1 u C P~A(»iT 44o~w9 ~ #40#a# .., L>mrs#>D# 3.C 6.G -,LE/ FAE <br />E P P ti 'I G h O S S iJ r1 L C E AEC1UIRl;fAENT ? D Y G C G I , <br />Jt 8 <br />IL AND Gc.::A~E SAMPLE 0>r0000 ::C4;'>: ~ r. v,^~:•".~ ~~:~'•::'~ ( 7S) <br /> MEASUREMENT /)/ <br />3582 1 C G ~~ - . + <br />~: s?~4d'ra>a zz=: 4>ri0r600 4ASa>ca 1G B~'L1 FAE <br />'FFLUENT GROSS YAL6E ~~ ~ <br />*~'`~`~'~" ~'~~ ^`~~: ~ ;z4'" I 5 ~ .C <br />PLOY, Ill CONDUIT Ob SAMPLE ( C3) Ys>°%~'• '~%°':'~ °%<;';4 <br />/ <br />hzU TREA7AEN1 PI.Ah7 MEASUREMENT 2 <br />Or~ p. //(o ~ vl~ ~ l7+- <br />SUUSU 1 u C ~41xEih(IE'1' iB.@t1@'~ ,_i1;iC8'f ao~4a:# #t#.mzr 4~„40Cr4; o#e E1rk1S 19TH <br />L'FrLUENT GROSS VALCE R64f~lR~l'IEriT' ~ L! EY !CL ~ ##:C <br />SCLIUS, TOTAL SAMPLE -i,'Tfir00.~: fiXx=C~40 +:Q;S;~O <br />~ <br />~ 1 ]c) / <br />/ <br />U 1 S ~ G L V F. C MEASUREMENT / <br />OJ ,30lJ / TV G,{yP <br />7(li'~~ i C C PEF{h'IFT 44E!4O>r<4 i#v>dx~# zz , 4014044 F7IC[i11L ASFCB7- ~ 6LY <br />9 BRe <br />EF'i'Lur'hI Gr1055 YALCf ~~OUIREl,~6NT FT E. AY6 GAIT PB !G 1 . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAI l HAVE PERSONALLY EXAMINED AND <br />ATION SUBMITTED HEREIN; AND BASED ON MV TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY gESPON5IBLE FOR ODTAINING <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE. <br />R <br />T <br />I <br />/ <br />~ <br />~ ~~- <br />W. Gordon Peters ATE AND COMPLE <br />E. IPM AWARE THAT THERE ARE SIGN <br />ACCU <br />FICANT <br />PENALTIES FOR SUBMITTNG FALSE INFORMATION <br />INCLUDING THE ^^ 970-824-4401 GG 07 25 <br />e Lent Gener Mana B t , <br />POSSIBILITY OF FINE AND IMPRISONMEM. SEE IB U.5 C. § 1001 AND 33 U.S.C. <br />lties <br />ntl <br />r IAB <br />m <br />im <br />1W <br />t <br />r <br />§ 1319 <br />P <br />n <br />r <br />( <br />r <br />rb <br />510 <br />000 <br />ntl SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED : <br />. ( <br />e <br />a <br />u <br />e <br />Sa s <br />e <br />u <br />es <br />ey <br />e <br />res up <br />o <br />, <br />e <br />o <br />maximum imprisonment ol6eMSan6mprrths entl5yaers.) OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />;.,j <br />-1~ <br />(„. <br />COMMENTS ANO t1ePLnNnI lurv ur nrvT vIL9Ln 1lurv~ (nererence an anacnmenrs nere/ <br />TS$ E TCI'AL IhCN L1lI15 JILL flE wdIVEG, AFC S E;I1kA1'LE °C1IL~ LL'I1 .::FLI~C FCd <=1C1t,:4EF FFEEIF EVEh'I- <br />S£@ 6UF.CEh OF FRCCF FEtUIEElENTS bNDZF I.A.3. TC; rChI?CFr_hG - (.E.=. ~!C ', GFkFE - :Ef i.k.l.(C). <br />, , Pr, viouS e i to ma <br />NO u d. LA <br />L 1ID +° ~ ~ + FbR -4b IC ~ d ~BEIISED.) <br />' PAGE OF <br />. <br />. 1. ! <br />`.!: /L(.C 111-:t :. 1 7 <br />