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PERMITTEE NAME/ADDRESS (Include Fnrilip~N~me/Lnraricn ifDi~(fereml <br />NAME <br />Tf+A1FEh CINIhC, ]NC. <br />ADDRESSI "r. A F E F: d !! I N E <br />r.c.. ~cx ld7 <br />FACILITY ` h^ I G C C 616 16 <br />LOCATION <br />ATTN~ r.runr~. y, eFTI. Le nc 4~: /f.F. Mf-L <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPOESJ Form ApprOVed. ' <br />DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040-0004 <br />(4461 (1]- 9) t! I N C E <br />Approval expires OS-31.98 <br />" Isues 411) <br />PERMIT NUMBER DISCHARGE NUMBER E- F I N A L !! (. i• r <br />MONITORING PERIOD F G d L 8 i 7~ E n _` 7 F 4 F A i 't G L L C. t <br />YEAR MO DAY YEAR MO DAY __ <br />FROM OG C4 TO ~ ~iKK- NC L75C6AFCF ~ ( t+Ct <br />r20•zrJ !zz-zs) (z<-zsJ rz6-zn (ze~z9) (ao-s)1 NOTE: Reatl Instructions before'CQmpleting this form. <br /> (3 Card Ony) QUANTITY OR LOADING Id Card Onty) QUANTITY OR.CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER /d853) (54-61) (3865 (46~53J (56-6f) EX OF TYPE <br />/~-3]J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />7 <br />6 <br /> (62-W) (66-68) 9- <br />0 <br />IL ABC Gh LASE SAMPLE •:aYV:x ( 94) L'Ot~?-}: ''+Ktti :~ 0~-: r, K. r, <br />/ <br />Y? _, U A L MEASUREMENT fl O V/y,~L <br />uUOC T U U ~.,'~~(ytlT ~ - ,AOfiO ';Ii;~1~Q~~".. E5=] 'PA~i+k~IG Or0~g10A ~#ntt<# p zr; <br />YI <br />EEKEY <br />I_LAI <br />f'FLiJELT GitOS YA UE . . H ANT' ~ hG=O tr't <br /> SAMPLE <br /> MEASUREMENT <br /> ~ _ # <br />i t vP- <br /> F m <br />+:~ 4 ~. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> RI",(;I13!(#LMfNT ''E x .,r <br />,,: <br />, <br /> SAMPLE "t.'. ~i ": <br /> MEASUREMENT ,;; <br /> ~RQAIT ~ '" '~Y <br /> ~ <br /> at <br /> SAMPLE <br /> MEASUREMENT <br /> "^ n° ~ ~ Y <br /> x, ?K F <br /> <br />SAMPLE _ <br /> MEASUREMENT <br /> ,,yr` ;` ,T3) <br /> <br />" <br />2 § <br />° +. r <br />3d <br />t ~'f i-v~ <br />a ~r, t tc <br />~ <br />' <br />, ' Y # {l 3 t':d. <br /> <br />.. <br />~~ <br />';3" <br />; <br /> R~ EiN'f . <br />' 2 <br />., 4 <br />r, <br />. <br />r *~ <br />x rs .~ <br />fir <br />.~ _., <br /> SAMPLE <br /> MEA <br />SUREMENT <br /> Sp <br /> ENT F. 1#` ~ R , <br />• <br />NAME(TITLE PRINCIPAL EJIECUTIVE OFFICER I CERTIFY UNDER PENALT/ OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFORM ATION SUBMITTED NEREIN: AND BASED ON MY <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> <br />W. GOrdOn P@teIB THE INFORMATION. 1 BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />PENALTIES AFORC SUBMITTING AFALSE R NFORMATIONE INOLUDINGIOTHE <br />~ <br />970-824-4401 <br />DU <br />07 <br />25 <br />President/General Manager POSSIBIULV OF FINE AND IMPRISONMENT. SEE IB U.S.C.§1001 AND 33 U.S.C. <br />IPenetties under these starules mey inGUde lines up l0 510 <br />000 end or <br />4 ,319 SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />, <br />meaimum impdsonment al helweenamontrts end5yeers.) OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAV <br />GOMMEN 15 ANU tnrlArvHl wrv yr ArvY vIVLP, I ILlrvs (rrererence au aTlacnmenrs here/ <br />T55 L' TGTAL LRG& LIlITS HILL FIE ifAIYEU. Ah^ SETTLEAFIE ~(,LILS lIl!IT APPLIED EC.F <=1CYF,i4NF FFECIF EYEE'1- <br />SEE bUMUEN OF FRGGF E!@11IMEHEMTS UNDER I.A,3. iC5 AlCNI7GFIhG - L.E.3. CLL E GI EPEE - :EE I•E.I.(C) j <br />" a?...-+, P lou it Rt e. O. ail SED.)• CCC67/Gf,C777-1.riQ ~ PAGE.- OF J <br />~. - -- - .. . ~ --~_- -.. -__ - _~ --- - - - - - ~~ t~ <br />V <br />i <br />7 <br />{ <br />