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PERMITTEE NAME/ADDRESS R.eWLirWryNw/Iamm rfDdlrrwe <br />NAME TF.APPE? hl'~ISG, :; C, <br />ADDRESS T R A P P E R ~: ~ C: ): <br />P.U. FOX L'7 <br />CNAi~ <br />Co 41628 <br />FACILITY <br />LOCATION <br />nT'I h: J• GQ$n/"~ rSTS F`i, PRES/G F.ti :1~R <br />NATId1A1 POLIUTMT dSONMOE EUMINATON SYSTEIU /NPDESI <br />DISCHARGE MONITORING REPORT lOMR1 <br />!1.16/ 17-I91 <br />000032115 <br />PERMIT NUMBER dSCNMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM ~ TO _ _ <br />/16111 !11-13/ l1L251 /1(117/ l19-19/ /30.31) <br />Form Approved. <br />4CU?E W°T TEST ING~f"~(~!P•1utq;~Da <br />(~ Ij F G f+., ~ Approvel.exPy$ 5-31-98 <br />° - FI!.AL 1 <br />"INC?i <br />r, ;:h FC [`ItiCrIFPCF. ICI r::.r: <br />NOTE: Reed InetruNan beforerf:otrmpletinp thle form. <br />PARAMQTER !3 Ce,d Onh) QUANTITY OR LOADING II ord On/rl QUANTITY OR CONCENTRATION NO FREDUENCr SAMPLE <br /> /46531 /5/-6I1 I3Bd5 16691 /51-671 of <br />131.37/ EX <br />MALVSs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS tees! /$I-6g) I69-70) <br />~C.~ S ATHL 4'!': ~. Ar_ SAMPLE Y.r?AkG4+^- ####t# t~LLtRr^ ,:~:`C:# ~ ~ 3~ <br />~.=r.IODAPNNIA MEASUREMENT <br />!A/;3tl 1 Q. U ~.~.PERMIT ;:.~fi#w - S19a9t#~tP~ #'.': 1~p.Q. ~. ~#.Y)ip.0#~~. ~ ~ tt>b+t>e!:;~~:~ F.~- ~~ TRCX GRAE3 <br />EFFLUn'kT GROS`- VRLU [IEnUIREMENT .. ..: ##~# ~:. .*:yi~E . <br />NT <br />LC i) 5TATnE 9t~.•- aC SAMPLE 'rY.-.r::= ~ #:71#### <br />- <br />~ ECSO#.. 9>ZYr#YF ~ Z3~ <br />P I `'L P H A L t.5 MEASUREMENT ~ . , <br />IALOC 1 0 '; ;~ ..P:ERMIT:":: :rig;:#:~#:' .:.,;.Gllly~0¢i7i.~:.. 47# ~,IfO: .~<~::: f00+DA~ #:4tlYsa!hA;: •~R- <br />,.. <br />: T$IiX' 'RA8 <br />..FE'LUES': GRO$`. +ALU :[iE4uiQEMENg. ...z:. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~~~~~~~ <br />~ <br /> REOUIREM.ENT *~"~-~ ~ ~ _- - ~ . ~ ~. <br /> SAMPLE <br /> MEASUREMENT /~/ <br />/~ ~Fl <br />IS.E~ <br /> PERMIT ~ ~ ~ . <br /> ~REOUIREMENT ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br /> ~AEgI'~REMENT~ '. <br />- :: <br />~.,. - ~. ~~ <br />rt?:: ~.. <br /> <br />..,. <br /> SAMPLE <br /> MEASUREMENT ~ ' <br /> A~RMIT ~ ~ ~ ~ ~ .. <br /> REgUIREMENT~ .~ ~ ~ ~ - ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REQUIREMENT~ ~ ~ <br />~ ., ~ .~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY <br />urIDERPENUTr of uw TNAT I NAVE PERSONALLr ExAMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASFD ON TELEPHONE DATE <br /> MY INOWRY OF THOSE RidVIDUKS IMMEDIATELY RESPONSIDLE FOR <br />OBTNMINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />- /~ ~L <br /> <br />W, Gordon Peteie <br />TRUE, AOCl1MTE MD COM0.EfE. I AM AWME THAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITFINO FALSE INFORMATON <br />INCLWIMO - <br />4H <br />970-614-4401 <br />98 <br />7 <br />2] <br />Preeidont /General Hans 9Y , <br />THE POSSIBILITY OF FME MD IMPRISONMENT <br />SEE to U <br />S.C. ! 1001 MD ]~ <br /> . <br />. <br />~ <br />~ f1pNATURE OF MIINCI-AL EXECUTNE <br /> a y ro i roopD <br />ne <br />~ <br />wr ~ F ~ <br />~ <br />. <br />r <br />~ <br />w <br />6~ <br />r ewo <br />n <br />. <br />~ <br />TYPED OR PRINTED r <br />na <br />ra <br />rral <br />r <br />w <br />r <br />rd <br />s <br />. r <br />a <br />. <br />r OFFlCER OR AVFHORREO AGENT CODE NUMBER YEAR MO DqY <br />COMMENTS AND~EXPLANATION OF ANV VIOLATIONS lRe/erence d/ ettechments here! <br />ice. 1.A. i, P2 7-9, tCl~ C4TAILS (?F Tr.ST PROC;]DUN F.. nEFJicT LCSt - ETA?I~?LClI PCI`tT cS TI•.RTP I:HICt' I`' <br />L:.:''NAL 'CU SD'; of TE`1' ~ii:,,4ttl~"?~, Ai:7 hTTdCB ACUTC TOXICITY TeST [?EfCPT °OF.'! TO CSR, COPIES Or ALL <br />r T /' c c <br />EPA Form 3320-1 108-551 Previous editions~msy be used. I E M 0 A BE •I 0 0 0 9 9/ 9 P C 113 -10 5 6 1 <br />