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PERMITTEE NAME/ADDRESSOd4Freq Nr/LOC,nw(/DlO rwvJ <br />NAME THi-PPE:R PI`.'I~G, INC. <br />AODRESS T N rl 1' F k. R !' I ;' <br />P.u. t,UA 1"7 <br />CithLl, <br />l- () EI 1 t, 2 G <br />FACILITY <br />LOCATION <br />11TTh: %1. i,OhL'J" PFTEH::, PnE~/GF.N 9GH <br />NATIa+DISCLHARGE MONITORING REPEIRT /OMRIpDE$l <br />(?-/61 /7-191 <br />CJ0032115 C1C <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO 1 <br />/?4111 /1?-?31 /?L251 /76771 /18-791 !34311 <br />form Approved. <br />CAN A 1' T C ELK G U LQM~ No. zoao-oooa <br />(S U v A )w i{) Approvelle>I~~rQ405-31-98 <br />F - FI~pL <br />•INCB <br />~~"~ NC DISCHARGE j~) ?"•~ <br />NOTE: Reed Mstru«iorr bel«e eompleUnp !hie 1«m. <br />PARAMETER !3 Grd Ontyl QUANTITY OR LOADING !I Grd On/Yl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> 106-531 !546!1 138-s61 ls6-631 15161 <br />EX OF <br />TYPE <br />!3?-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e?-eel MALVSIS <br />/64681 l69-70I <br />V N .: 11 p~° SAMPLE YI#:r4O ~ 9y) c0O0Ct Cf,.OO~y 0{,I:G{. <br />V 15 U A L MEASUREMENT / <br />~'4Ubb 1 0 0 .PERMR - ~ =x*i*~ E{s~sY .. RB.FD~A? ~ ES=1 ~k?R~4eA:li... , ~. iI.AlO~.Ofi~O ~' 371~lr;!Oq C64 1fLY VI <br />5 AI <br />r. F'FLU EZ;T :,ROSS VpLIJ REQUIREMENT ~. ~~ <br /> SAMPLE <br /> MEASUREMENT - - <br />~ <br />- <br /> ~~ PERMIT : <br />~. <br />.:, <br />.::r:: -.: :..: «,, <br />~ <br />~ ~ <br />- ~ ~~ <br />., .. . <br /> <br />, <br /> REQUIREMENT <br />s .. <br />~ ~ ~~ <br /> <br /> SAMPLE <br /> MEASUREMENT ~~ ~ /~~'{Gl! <br /> PERMIT ~~~ - ~ ~ ~ ~ .. <br /> ~~REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERM17 <br /> ~REOUIREMEN7 <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> .~REQUIRENIENT. ~~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br />~ <br />~ <br /> REOUIREMENT~: <br />.... ... .~ <br />~ ~ : ~~ ~~ ~ ' ~ ~ ~ ~- ~~ <br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDq PENALTY OF <br />MILIM WITH THE INFO LAW THAT I HAVE PERSONALLY EXAMINED MD <br />RMATION SUBMITTED MFAEIN; MD BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />TTED I <br />FORM <br />ON IS <br />T r~~~~//// / 1 ~- <br />` <br />' <br />~ <br />W. GOIdOII Peters N <br />A <br />I <br />OBTNNING THE INFORMATION, I BELEVE THE SUBMI ~. <br />„ <br />76 <br /> <br />' TRUE. ACCUMTE AND COMRRE. 1 AM AWME THAT THgE ME <br />INCLUDING <br />FOR SUBMITTWG FALSF INFORMATION / <br />President 6 General Meneger , <br />mQNIFICANr PENALTIES 70 824-4401 9 1 5 <br /> THE POSSIBIOTY OF RNE MD IMPRISONMENT. SEE 10 U,S.C. ! 1001 AND 9e gONATURE OF MINCIFAL E%ECUTNE <br /> u.s.c. s I s I s. drew. uvr m.. qnm, nrr MICAIs, 6n•. w ro F ra,oaD <br />TYPED OR PRINTED rld nnv,wwn irpdd•rlnr e/wrw„n a manlAa rW 6 r•rs/ OFFICER OR AUTHORRED AOEM CODE NUMEIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRelsFencs e// ettscllments Ae/sl <br />'tS5 v TU?AL InOrt LTMITS WILL ~JE r4IVL7, ANp SETTLEABLE SJLIC4 LI'!IT APPLIED FCp C=lUYR,2U}!H P4F.CIV '!VE:NT- <br />SEE BL'HL'r:~r OP PROOF fiF!rIIIRi?BENTS LINDEN- I.A.3. TDS f"0'IITOF:ING - I.[!.?, OIL S GFEASE - SEF I•P•1.(U). <br />~!I nBV YYL'pe GF 7G HTGHF S'P MOrIT F:1Y LVF5Lf;1L~111rTxc_D CUTnn DP n!`Q4cT_ <br />EPA F«m 3320-T 108-961 Previous editions may be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.1 (~ O Q 91 /? 7 ] 211-164 L PAGE 10F <br />z <br />