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PERMITTEE NAME/ADDRESS (Irr4 FrWry NrH/lacauaw l/OrQwarr) <br />NAME TfikPPE" "It.I'.r, I •(;. <br />ADDRESS T R A F' 6~ E :i " ; :. ~' <br />P.O. t'/1X lc. ~ <br />Cnhiv ~) yI',~'r <br />FACILITY <br />LOCATION <br />.1'f'1:+i k. uDE:D~I. ?~Ic;.>F 'r :ti::;/~i' •'.- <br />NATIONAL POLLUTMT pSQHMDE ELIMINATION SYSTEM /NPOE$l <br />DISCHARGE Mt7N1TORIN6 REPORT /OMR) <br />r1-r5i n-r9~ <br />CGO~ S <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAV <br />FROM n ~ TO ~. _ <br />lDo-~fl n~asl ns.vsr na.>Tf va.~or r3a3n <br />Form Approved. <br />ACCTF iET TFSTIVGOro~~'29~C~oo< <br />Approvel~e lr ¢05-31-98 <br />(~-1Pp 14'~ 1~J4 ~ <br />F - FTD.~1. <br />`+IyC, <br />Y.rA \C I15C. IIA Y~iE ... ,. <br />NOTE: Reed krtrumlale belor completMp thb Corm. <br />PARAMETER l3 Cerd Onlyl QUANTITY OR LOADING r1 Grd On/yl QUANTITY OR CONCENTRATION NQ. FREQUENCY SAMPLE <br /> IIG531 15I-611 /3R-15I l~6.53 151-6'f DF <br />l31-371 EX <br />MALVSIs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM VNITS le]-e]I (548$1 r69-701 <br />:-:, 71. C AI'i: ~lRli i? AC' SAMPLE .. p:p : ~:~ ;: rF ;:p:}~ r,t Y:7a': {, pY,. ~; .;.. ( i3~ <br />is ti n I it A R P :?N I A MEASUREMENT <br />ht'Sn 1 0 ~0 ~PERMIT~~ A, w•F4:x# ~.r#:gt#;c >;s #{:;: 100 ~. ~I-AfiOfi# ~ >x+l~##-+#. ~ER- ~TIiLY :ii ,t i+ <br />:, 'r FLUENT SROSS V3LU .REQUIREMENT ~ #:?:'# .. 1E.~ ~! ~ <br />Li:SU 5'fAiF•F. 96HR .4 C1 SAMPLE `;~a:a#v :.... nr,COt,o #l++az~>5 ~ ~3) <br />21 :: ~ F !?ALES MEASUREMENT <br />:' A h ;, L i tl 0 :f;'<~-PERMIL :.:XArO~~~+Z ~. . ;~ ~tc~ # # . h:, ~ <br />ry..(3tl.: :::. <br />A~C4#4~ . .. <br />": /R#.#19iYc7,- <br />ER- <br />'Ti?L:Y <br />';a:i:i <br />,.(•'r LUE'N C Gr~,OSS YALU ;REQUIREMENT - # ~## ,. fi(R. .y .I ~ " c t <br />+ SAMPLE <br /> MEASUREMENT <br />,. PERMIT ~ ~' <br />~~C REQUIREMENT <br />y SAMPLE <br /> MEASUREMENT O ~ s('~/q,~ ~"' <br /> PERMIT ~ ' <br /> .REQUIREMENT ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ - <br /> ~~REQUIREMENT ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />- - - <br />- <br />- - <br />- <br /> PERMIT. _. _ .. ~ - - . <br /> :REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDq PEMAITY OF UW THAT 1 HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br /> AM FA MIUM WITH THE INFORMATION SUBMITTED HEREIN: MD eASFD ON ' <br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON4BLE fOR <br />iI <br />GOTdOA Peters OBTNNING THE INFOMIATION. I BELIEVE THE SUBMITTED INFORMATION IS ~ /,~- <br />^ - 970-824-4401 98 4 28 <br />• TRUE, ACCUMTE MD COMRETE. 1 AM AWME THAT THERE ME <br />StGNINCANT PENALTES FOR 9ueM1TTIN0 FALSE INFORMATION <br />INCLUDING ' <br />Ptnaidant /Gan~ral ?lane e! <br />S , <br />E PO <br />PNSO <br />F <br />T <br />S <br />C <br /> TH <br />SSIBILITY O <br />RNE AND IM <br />. <br />EE le U.S. <br />. S 1001 AND ]] <br />NMEM {IONATURE Of P111NCNAL EXECUTIVE <br /> a ws°i ~•c° rD jfo,oao <br />d';: <br />~ <br />; 3 <br />m; <br />~ "' w <br />: <br />~b <br />:~ <br />w' <br />TYPED OR PRINTED , <br />. <br />, <br />i, <br />n, <br />, <br />e <br />s <br />r <br />yr-a/ OFFICER OR AUiNOR12ED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRer~rlrnes M/ sftecnmenfs here/ <br />ti ;. 1.A.2A PP 7-9y FGF{ il`'TAILS OF TEST PaOC':iIUR nEP;7RT LC SC - aTATI°_TICAL bClti'. R5TIYATF. a•NCCF. :`? <br />;.r-'"akL TJ BU'S r~F T~57 '7 k:,,51iI5!15~ A.'iJ AT'°ACn ACUtE IOXI:I'Y ^. ES? RFFCFT FCh!'I T^_ C"1 P.. CU;IF.'S fJF 4L.'. <br />.r ~ r r <br />EPA Form 3320-T (08.951 Previous editions mey bs use I LA S F R 0 I A OT BE D.1 - <br />00^9°/9AC113-1O5G 1 i <br />