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PERMITTEE NAME/ADDRESS pw YI. FSWryNU..~lncula. UDl~.rwr) <br />NAME TkAPpF''•i !'I NINA, I!:C. <br />ADORESS'fkAPPER ~INF, <br />P.O. 1107; 1-17 <br />CkAIi; CJ 41526 <br />fACILITV <br />LOCATION <br />.i 'f 'i N: V. b^ii i/'i l• R'TCHer Pfi f.ti/l: i':4 P,9 <br />NATIONAL POLLUTANT gSCHMOE ELIMINAnON SYSTEM /NPOESI <br />DISCHARGE MONITORING REPORT /OMR1 <br />IZ-161 I17-19 <br />CDO'J <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM - ~ TO •. ~ , <br />11011) I11-131 71FI51 11617/ (18-I91 130-311 <br />Form Approved. <br />AruTE fIET T'eSTIN!°F1~d~•~4t°!oO'QOa <br />(5 7 B R F ~ ~ APProvalLel{pOde,.05-31-98 <br />F - FAL LJJ447 <br />TIVOP <br />NOTE: Assd Instruetiorr bsTors eompMtinp this form. <br />PARAMETER l3 Gre On/yl QUANTITY OR LOADING /I Grd Onhl OUANTITY OR CONCENTRATION ND FgEOUENCY SAMPLE <br /> M6-531 I5L61I I3B-I51 //6-5 I5I-61I OF <br />I31-371 EX <br />MALVSs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lr1-SSl Iµ681 16&)OI <br />LC SO STATi.F, 4.1~'"• t. C' SAMPLE _F..C-t:~`~i 4~yOC:Y:# 'L4rOr; ~t-'.:r,.q>r ( ~•3~ <br />CchIUu4~r:<..4 MEASUREMENT HA // n/~l iY/1 <br />': .4 r,3u 1 U J PERMIT ~ C::a{:#r# :'t GYs9l giAl ~ 4At: 1R fl.. ~ A~900a 0#q'8 f!>:r~ Ek- ~ ~~ TRZ4 ~ RA8 <br />:.FF'LUENT ,ur;~ YALI' REOUIREMENT 0,1.hIF M,p. iA ~ <br />~ <br />~ <br />. <br />..CSU ST.i '., ;, 16,1 =: RC; SAMPLE .'#:_:';:~ 'k'::??01# .Op <br />tC .'~G ri QCC7+`S~ ([j~ <br />P I it E P }:: :, i MEASUREMENT ~lq wry /yam} <br />1 r. :iLC is U PERMIT :;r:e;: ,x :cy :::OrrOKtL~~'. IS Otk ZQQ...:..~.` ~ <br />~ ~ ~p>Qx#~O~R. : ~:. ,>~##+F$#:t9t::: <br />- gq- ~ :3':~~~Y. ~ ~ Rl F) <br />r. }'F'LUENT I;kUSS YALO ~~REQUIREMEFIT ~~ ~~.: t10r}O ~ <br />~~~:.~Rf~~ ~~ ~ ~~ ':. ~ ~:. ~: ~: <br />~. o <br /> SAMPLE <br />- MEASUREMENT <br /> PERMIT ~ ~ - <br /> ~~REOf11REMEFR ~ .~ ~ .~ ~ .~ <br /> SAMPLE <br /> MEASUREMENT /,Vf T f1T~"'' iY~ /rE~PL'f t <br /> PERMIT - ~ ~ ~ ~ - <br /> REOUIREM NT ~ ~ ~ - <br /> SAMPLE <br /> <br />MEASUREMENT <br />sL+ _ <br />NLt ~('7 <br />/j//JF <br />Li~l~ly <br />~~ ~ PERMIT ~~ ~~~ - <br /> <br /> REOUIREMENT ---_-.- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREFiIENT <br />~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERn <br />AM FA FY unDER PENALrv of <br />MILIM WITH THE INFO uw TNAT I HAVE PERSONALLY ExAMMED MD <br />RMATION SUBMITTED HERDN; MD BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY gESPONABLE FOR <br />OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />~~ ~~ <br />W, Gordon Peters TRUE, ACCURATE MD COM0.ETE. I AM AWME THAI THERE ME <br />SIGNIFICMC PENALTIE4 fOR SUBMITTING FALSE INFORMATION <br />INCLL9ING 970-824-440[ 98 7 27 <br />President /General FfaM Bt , <br />THE POSSIBILITY OF FNE MID IMP11150NMENT. SFE 1! U.S.C. 1 1001 AND 37 BIOMATl/NE OF MIINCNAL E7rECLRNE <br /> U.S.C. F late. IP,nAtl„ utlr e.,. WAR„ /n,Y dxAK, rn„ y ro r/0,000 <br />TYPED OR PRINTED uw a~mrrnwn Nenia,rwnr or Mnr,ursmmeu r106 wra/ OFRCER OR AUTHORIZED AGENT coDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRrlsnnn s/1 stbchmsnts hsnl -- <br />~CF. I.A.2, -PP 7-9, FOR DETAILS OF' T~ST PROCe:JUilt. PaPJHT LCSC - °7A'[ISTiCFL PCIN'P F:~T~i"ATF ~.'+.ICP <br />L.".TNAL TJ SO%. OF TEST iYnGANI`.iM~f Af:D LT.TACH AC SITE ?Oi(ICIT! TFS? A6Ff.F.i FODq TC C'9. Cr~FIE3 OF ALL <br />T • F` ~ N I e• T' r TI <br />EPA Form 3320.1 108-96) Previous editions mey be used. 1 E l.A R 0 A N T BE .) <br />00114/9P,C113-1056 1 I <br /> <br />