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PERMITTEE NAME/ADDRESS pwrbb frleyNrW(armr/DIOw+.d <br />NAME 'Iilc::.I{ :'.YTlir', l.c., <br />ADDRESS T $ A : r' F. 1/ °. I :~ :' <br />?.U. ~1~.)! I'7 <br />C3aI~ <br />~0 Si62o <br />FACUm <br />LOCATION <br />a l'i fl: li. -,QF(U'~N 9Y.?[F:,F FI'.i :i/~;.} `'wit, <br />NATIp/N. POLLUTANT gSCHAROE 0.1MINATOM SYSTEM IIVPDE31 <br />DISCHARGE MONITORING REPORT IOMRI <br />l1-161 17-19 <br />000032115 C ~ u <br />PERMIT'NUMBER OISCMFJIOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAV <br />FROM i TO :. ~ . <br />170-711 (7~-23) f21-25) 1YE27) 128-391 130-3/) <br />Form Approved. <br />ACUTE SET TESTIN~M~P.•z°'~ a <br />(5 U P P F Y) Approvel,expl~ede, 5-31-98 <br />F - FI tiAL It <br />"INCA <br />NOTE: Reed Imtructlons bdorle_omplainQ this loan. <br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING !I Grd OnlYl QUANTITY GR CONCENTRATION NG FREQUENCY SAMPLE <br /> 146-531 l5L6/ I38~51 !1663/ !51-61 GF <br />137-371 EX <br />rsls <br />ANN TVPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS re7-s91 . <br />151-691 163701 <br />LC~V ti?A'IFE 4GHn AC SAMPLE ~. ..Y,rr;:a !y"•O.`C4 fit:.^?~ ( 23) <br />C~ICIUDAPii61A MEASUREMENT <br />lA1,S~ 1 U U "PERMIT.:" ;4:.`t.t<:Tr ^.4YA#t1 O.. 4t':s 1QD. OLOOOjY #44'fi~:fi ER- ''T3I;Y (;t?.AF <br />cE'~'LUE:R? C,A095 YALU :REQUIREMENT t+4'a N'::.1~11IUF N <br />i.CSJ STATRE 9f.riR AC SAMPLE ...... :'%L~•^.. ;:tA t?i00t1# C{i1Gt;;: ~ 23) <br />i~ I :'~ F Y rI A LY. ~ ~ MEASUREMENT <br />AtruC i 0 D PERMIT. ;=lalxaa'< .~•:r,FG4G YAtlt: <br />313x:::. ,. <br />>10#i04Ai . <br />.-':4!?4L+v1#::: <br />tR- <br />'T~;:X.; <br />GFI>~B <br />tf t'LUEh1' L;RGSS VALU EnuIgFMENT. t•vY.:a tfEt YA Uf. . <br />F.'A S <br /> SAMPLE <br /> <br />- MEASUREMENT <br />. ....:-: ~RMIT <br />' ~ ( .. <br /> gEQl11REMENT~ ' <br /> SAMPLE <br /> MEASUREMENT V /~~s ~~/J/~~~ <br /> "~ PERMIT. ~ <br /> <br />REQUIREMENT _ <br />_ <br />-"' <br /> SAMPLE <br /> MEASUREMENT <br />. ~ P.ERMIT <br /> gEQU,IREMENT' <br /> SAMPLE <br /> MEASUREMENT <br /> PEAM4T ~ ~ ~ ' <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ' <br /> '.gEQUIREMENT <br />NAME7TITLE PRINCIPAL EXECUTIVE OFFICER 1 cEflnFr CINDER vENALTr OF uw TNAT I NAVE PERSO"uLV El(AMINED AND TELEPHONE DATE <br /> AM FAMILIAfl WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON <br /> MY INQUIRY OF TH09E INDINDUN.S IMMEDIATELY RESPONSIBLE FOfl _ <br /> <br />ld. Gordon Peters OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTING FN <br />SE INfORMATION <br />INCLUDING ~ ~~~ <br />970-824-4401 <br />98 <br />~ <br />2] <br />President General Mona 6r . <br />, <br />THE POSSIBILITY OF pNE AND IMPRISONMENT. SEE 10 U.S.C. F 1001 ANp 33 {IONAT(IRE OF M1INCNAI EXECIRNE <br /> <br />TYPED OR PRINTED U.S.C. F 131 a. !R/Wtl„ uMr tlNr 0NM wI,Y 1xAN, !n„ W m S 10,000 <br />rMnnrr,mer f,prl,rrl~,tt oYMrwrneln,nel, rle eY.rA/ <br />OFFICER OR AUTHORIZED AGENT <br />cooE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ra{prance e// ettechments hare! <br />.e,~. I.A. 1, PP 7-9, FUR Gt:TAIL~ OF T3S2 FnO,:~DUa~. F:i:?ART LC°C - STA^.75TTCA1 FC1NT F.STI".AT'r.- ~HICfi IJ <br />L. L::ndl, Tci 50'+ Uf' TFST URGAtrIScMS, AND ATTAC@ ACUTE TGX ICITY 7E°T RFFCFT FO F.I: TC C`°R. CU C'IeS GF 4LL <br />V',' ! 1 'T ^T q - <br />EPA Form 3320.7 108.961 Previous editions mey be used. 1 I.A RM O AY ~ 8E S .1 - - ~ ~ O <br />012"/9r~113-10`t: 1 I <br />I, <br />