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FERMITTEE NAME/ADDRESSQndiFwYgMrrFecrrw VDld~wp <br />NAME TRAPPER f".INIt+v, ItIC. <br />AoDRESSTkAPPER MI;~E <br />P.O. 80Y 187 <br />CRALG C dlb2b <br />FACam <br />LOG7gNl'RAIG CO d16 LS <br />ATTN: w. GORDON PE'fciiS, PRES/GEM MGR <br />NATIq/Al -OLLUTANT d^CNMOF RIMINATON tY^TEM NPOESI <br />DISCHARGE MONITORING REPORT (D Rl <br />PERMIT NUMBER peCNAAat xuwetA <br />MONITORING PERIOD <br />r v D <br />FROM TO <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />4EST T..°.STING FOR 021A <br />Farm Approved <br />OMB No. 2040-0004 <br />ttOFAT <br />#aa NO DISCHARGE. ~~~ am <br />NOTE: Re^d 41^Irucllofr b^IorA eompMtlnp Ihle loan. <br />PARAMETER pUANTITY OR LOADING pUALITY OR CONCENTRATION NO. FAFOUdcv <br />of SAMPLEF <br /> EX ANALVye TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />~ ~ SAMPLE <br />CERIODA PHNIA MEASUREMENT <br />TAMjII 1 U U ~ PERMIT ~~~ <br />~ ( <br />az <br />r ~ <br />I( 94a <br />~° <br />~ <br />-~°f ER- <br />~~ <br />" <br />EFFLUEN't GROSS YALU Et]UIREMEN7 <br />R I,. <br />t <br />~ <br />zm <br />n . a#4a °i <br />' +t) <br />~~ CENT ' <br />L <br /> . <br />. ; <br />. „ <br />`- SAMPLE <br />MIME PNA LES MEASUREMENT <br />T.:NbC 1 U 0 PERMIT O4~ ER- <br />::FF'LUENT Gk055 YALU .1tEDUIREMENT ~ 'I`~aa CENT ;~~ <br /> SAMPLE <br /> PERMIT ~:o;~e.,iilii <br />' I/" •..c~: <br />w"•e^ :" ~~#~° <br />' ~>:y ;'ti ::=i$ <br />S 'a~i t <br />~°'^ c;° ~ ~i:ii~ <br />" <br /> REDUIREMENT i~=;i:iii <br />i •'~ •z:. ;$I!i: °t.;~ <br />s ~:y s : 6 t:ai 3 is <br />:; <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ ~~~PERMIT~ ~~: •'p^,s ;;nti 'i3A •a' f 'c; <br />ii° w%(s°°:; <br /> gEOUIREMENT $ .ez • =3# <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ ~ PERMIT <br />REQUIREMENT <br />....:~3:a~~~~ <br />t , ~' <br />~rt~, <br />' ~ <br />#kr <br />.. ¢z. <br />6 ~.$~ ~~ v <br />:~, ~ <br />52~ ,,SggS,, <br />,~'Dc± <br />NAMERRLE PRINCIPAL EXECUTIVE OFFlCER '°^~~~"°"r••~v ~~~•-~•~~~~~n•~w•~•~mm~-m <br />-rev.M neErr eq alrtcaw «wr-rr.l}w In «c«d.ert .Ire . grrrn. edt«4 <br />b ~..,. re.r,n.en.} -rrsn«I Frt..ra werr.w r.rn.rr re. bfwwnrbn <br />W. Gordon Peters werrrrN. ^wiw~n,epaln.fre.rrr.e«~rt..•e,n,.~,.t.wmrrlr~ <br />«Ilrn! pnrr^ 41rK11) rnptieer b tnreerlw( Nr Infnrnr,llae, lee Infnr..~aan <br />President/General Manager +ve.rp.elr, bur wr.r.n,.n..Naa<.na..trf,r.....rt.,.,rr,.~,eA.NrN. <br />1 ew wnrt lenl rerrt rre }^ellklM pn.MS br weirren^ h4lnbnrrtlw, <br />rvPFO OR PRWTED In~rtlrq lM prenN>rn«wr.nvdon.«nr r«eno.at .rd.rps <br />~~~'~"~ <br />/IONATIINE OF MMICRAL EXECUTIVE <br />OFFlCER OR AUTHORIZED AGENT <br />TELEPHONE I DATE <br />9 7 0. 8 2 4- 4 4 0 1 1 0 1 I 10 1 2 4 <br />NUMBER IVEAR~ MO I DAY <br />SEE I.A.2, YY. /-y, t'vlc uL~CAlLJ uE' L'as'r rnuL.cuune. SGrVR1' LLJU - J16[1,111-aL rani n~iinarc Nni~n •~ <br />Lt.THAL TO 50+ OF TEST ORGANISMS, AHD ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. WHEN YF.T TESTING HUT <br />Nt '~ O YUT ^NOT RF'OIfTRRn-SIIRFAC~ RUNOFF ONf.Y° DN DR R. <br />EPA Form 3320-1 (Rev. 3199) Prcvioo. edi0one may he used. O O 19 G / OAMEB~7'L`~t1ML~~711. PAGE PF <br />