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FERMITTEE NAME/ADDRESS (fr6LFrYgN~,/Locnlu dDdir.v) NAME TRAPe't;P. :1I::TYG, IrIC. ADDRESS THAPEEP. MlI.E P.O. EOM ln7 CRAIt, ~:~ `?L626 FACam LocanoN .:I'1N: M• GORliJ!. G~'T.°h5~ r +t~/GE.d Mme:{ NATIp1Al POLLVTAN7 pSCNMOE ELIMINATION 6YSTEM /NPDESI DISCHARGE MONITORWGREPORT /OMR! l1-161 17-I91 000032115 C1. A PERMIT NUMBER OISCNMGE NUMEER MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM TO !70711 /II-731 l1t751 !16'-77I 118-I91 !36311 Form Approved. F 0 !; C T C Ir F S T P Y ~ A~ T(p,J7y0a0.oooa (S U L F F " ~ Approval e><pire4-OS-31-98 1~ 1~,, - c'tAi N. .f' NOTE: Reed Irntruetlorn belae completlnq this form. PARAMETER 13 Grd OnlYl QUANTITY OR LOADING !~ Grd Onlyl QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE 1~6-531 5L5/ (38-~51 M6531 15L61/ EX OF I31-37I MALrsls TYPE AVERAGE MAXIMUM UNITS .MINIMUM AVERAGE MAXIMUM UNITS 163-e]I l5F5B1 !63701 .. SAMPLE .. ;t=COf-# ~; CC{: '~ ( 12) MEASUREMENT 8 y ~. S Q ~ ,.1/IV c:OuUU 1 C 0 PERMIT .. '•`•':< ;, aa~ns+a a-.' b.5. 6M:rG>t>}E] 9.0 E1:KLY INSST' :.ttiUEVT GRUSS VALU `REQUIREMENT. ... n0~ a MIr14:I#leffi fiAXIr<u:n SU . ~i; ~ L;TA SAMPLE ~*.: L:#::: C+Jt=~#r: tl ifdAOri ( ly~ . ~ U ~ P E [: D''. U MEASUREMENT ~ a S'P9 ~~'y ~ 2 JG53U 1 0 U ?:":' MV7`.::: P ., ':. up:p rt ::. .' EkStxT # 4dM' >r~0 4C .; .:.~5 ' .. :..:::. :TC : g({K 'rFLUiNt GROSS VALU . ,. , .REQUjRENlENT. .. ,. >tetl,:y 34cA Af6 .;€A3i.i NY r~/L ` H . ~1 -•E .ic a r F. SAMPLE C4=k :a 4-#S++t> :: Off, OvC~ ( 1G~ .. MEASUREMENT ~ js ~ 1 ~ Gtj~ !J`_,05 i 0 0 PERMIT #ST+k!i•t+L %+910i$?f P. :. 4::= t:#90gC CFtI[IIAI ltEFGHT CE .: .+P.AIi :f'rLtiF.n; L905S VALU. REQUIREMENT .. Iha#:k ~ 'CC1 AVG CAIN HX. .."L/L !tOtN~13 .. i.i~ r lea SAMPLE C:#r~::l-X fi.1 i=^. r. : y. %, ;, f, ..r ( 19~ (A y g ~•~ MEASUREMENT /S! 3~ Z • S ~ ~ L~ ., 1 li ~. ~ 1 U 0 PERMIT {:CT,k.R./k><s. ~. ~ ::. ~ irkge:.. :~ f, arm . ~! 0!~~4 Q v ? . e F . U / fiC'r. A t , 9 .:'t LUENi ::hOSS 7ALU; REQUIREMENT .::~ : ... ~~:;;: ~.~:: ?~ ,..~:r• tr OitC .~. ~~:.. ,. 30LA. AVG w. LAIN ~ x rr./L rn- y011_~! ~~ ~ n: ~t A_E: SAMPLE ~.-:<?TkGO - V-^•~~+`-'~ fi40ti '~ r,:!Oil .''1 ( /9~ MEASUREMENT N/Y' A Ni9 N~ „3091 1 0 U PERMIT ..~~ +;au~~: +au:x ~aoO.+Sle so4:q.A.ro.. iG .... Jtt'IZH ,;#tR1= .:FFLULi:T l lt'J ;;; VA. L`1' REQUIREMENT OCL'Fk ~ IKSR ' A1~ RG/L s~'E+T NF tl, ~~.:M1:.' ~i ~~ SAMPLE ~ O3I ^.COOOtO A+CCC.4 (: ^4': ;: ~4 }I kU '1' ~ ..x': " ~ ii'f P L .: t.' MEASUREMENT ~5 )~ !~• 1 O lJ ~ /tJ/ 'IUJSU i ii ,I PERMIT. HuP3iT H£[/OiiT rt•~etc A0<+lFw d4+C•~;:>ti .atr 'El:YLY RS TA` cFYLUt. • i ~.~: i:::. Vi:I,Ui REQUIREMENT 3UDA AVG DAILY t!R RGD ,•;+-k ' .: U + :... SAMPLE =~~.L::J.. .p' ~=+ +.- Qtyrwr; ( 19) D I S S O L Y c .; MEASUREMENT ~~f /~~ U ~ /• rN 70295 L U C PERMIT ~ "'~ ~ ~~ +~ ~ 'p~'~ ~ .c ~~ ~C ~ If. AL FEi:OHT TA1,Y 'itA EFPLUF-J l' C;°c)~S VALU. REQUIREMENT. Or,;.r ~HZF' A'JG EAIIY MX Mr,/L NAME/TITIE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L AW THAT I NAVE PERSONN-LY E%AMINED MD TELEPHONE DATE AM fAMILIM N1TN THE INFO RMATION SUEMITTED HEREIN; MD EASED ON MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR OETNNING THE INFORMATION, I BELIEVE THE SUEMITTED INFORMATION f5 ~ ~ W. Gordon Yetere TRUE, ACCUMTE MD COM0.ETE. 1 AM AWM[ THAT THERE ME SIGNIFILMT PENALTIES FOR Sl1eMITTINO FALSE INFORMATON INLLIAING • g70-824-4401 98 4 28 P 81 e6C d , THE POSSIEILITY OF RNE MD IM%ESONMENT. SEE to U.S.C. ! 1001 MD 3] {IGNATURE Of P111NCIrAL EXECIlTNE v Ad. r"111p ro +rO,OPD M` : +° Yw w~ wn ~ • ~n ~ M : TYPED 011 PRINTED n. , , Yrr.l „ri: n. „ ,, , OfflCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLA I IONS lRE/erencE N/ etnc/rments //FEEL ' .;S :. 'iJ3AL THDH LIP"i",~ SILL E,f eAIVEOF ANU ;iP..TTLEAi3Lf. iOL7C5 LIMIT AFFLIFfI FC.+ <=l0YF,2U~.5 pHcC;P IYE:NT- ~IC° 9UkUE'i OF PcUOF' H°_~OIi;?.^tE.:ITS CNDER I.x.l. :~S "!O:'lifOh'IFC - I.9.?. CIL E ^fFA;:c - ~::E I.d.l.(U). EPA Form 3320-1L108.951 Previous edlDOne may be1ueed. ! Y , V L A LIREPLACE6 EPA FORM TAO WHICH MAY NO~ BE USED.) PAGE OF 00115/9~7211-16k5 1 7