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PERMITTEE NAME/ADDRESS (lnNudc Facdip~ Name:Locarinn if Di((erenQ <br />NAME <br />Tl;AFPER !!IN1NG, INC. <br />ADDRESSLAAPPER lfINE <br />P.G. sox ls7 <br />FACILITVC&AIG CO 81626 <br />LOCATION <br />A TT!]• L_ f. llA llfR C:TCL< DG iC /C-i fGL <br />NATIONAL POLLIfrANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed. <br />DISCHARGE MONITORING REPORT (DIMH~9~ OMB No. 2040-0004 <br />H I NG k Approval expires OS-31-9R <br />PERMI^ MBER DISCHARGE NUMBER ~ S U e F N 1) <br />F - FINAL lCFP1 ' <br />MONITORING PERIOD F.UNGFF/LINE ~7F 7C CAK GULCh <br />YEAR MO DAY YEAR MO DAY _ <br />FROM 0 C4 0 TO E ' C~4 tiC C]~CBAF[E tt it9 <br />(zo-vJ (zz~za) (2azs) f2s~zr1 (ze~z9) f3asl) NOTE: Read Instructions befof r~pleting this IGrm. <br /> (3 Card OnyJ QUANTITY OR LOADING (4 Card Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER ps~s3) (s4-sr) (3A-45) (4e-53) (s4-sr) EX of TYPE <br />' (32-37J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />fsz~l ANALYSIS <br />(64-6a) <br />69-70 <br />IL AND GhEASE SAMPLE >~Yot~~ ( 54) :x-v>70 ~+_^>}~ _}*•>:={~ <br />I v U A L MEASUREMENT <br />u066 1 U D ` -~? : '~ ~$.~ I~iS'~ ; E'=1 fa4 <br />'~ ''~OS~a~~ laotc~c +oe i EEISl1 ISLAL <br />Y LUEy GRO55 VALUE ?~~~~~~' ~ ` ~ i - '~ ! =C , ~ <br />~ ,' •+~; <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />~ y s k. i i_ <br />~ , <br />~ <br /> SAMPLE <br /> MEASUREMENT <br /> g..~~~ <br /> <br />s.: <br />a4k~ <br />~ ~ t i <br />}a' ,_ <br />i' ~ L.° <br />'A <br />d <br />R <br />- <br /> <br /> <br />` <br />- <br />a <br /> <br /> <br />•. <br />. ,. <br />Y <br /> <br />.. <br />- , rts <br /> <br />~ 4 .. <br />_ <br />.>.--n - ~ i -. -A <br />1 - <br />- .'. <br />; <br />.. <br /> SAMPLE F. ~~ <br /> MEASUREMENT ~I <br /> <br />- <br />~~~- <br />i~ <br />~ <br />•i- <br />5 ' . <br />~~ ~ <br />1 <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />v- <br />TS <br />- u, s!-~ <br />' <br />~ ~ <br />fat r ~ <br /> <br />.. <br />.~'~ gg <br />'S. <br />r~ <br /> Y <br /> •-SAMRCE <br /> <br />. , <br />M~ASURLMENT <br />~~ <br /> n{ y <br />a ?r <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~Si2x ~ ~ t Yz r ` fi~#"' ~ 3 " c;'~ 'r r L 3r .. .,'., n`t~ r <br /> f ~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERS <br />ATION SUBMITTED HER ONALLY E%AMI <br />EIN; AND RASE NED AND <br />D ON MY TELEPHONE DATE <br />INQUIRY OF THOSE INDNIDUAL S IMMEOIATELV RESPON SIBLE FOR OBTAINING <br />THE INFORMATION, I BELIEV <br />' W. Gordon Peters ACCURATE AND COMPLETE. <br />E <br />R SUBMI <br />N E THE SUBMDTED IN <br />I AM AWARE THAT TH <br />FALSE INFORMAT FORMATION IS TRUE. <br />ERE ARE SIGNIFICANT <br />INCLUDING THE <br />ON <br />970-824-4401 <br />00 <br />07 <br />25i <br />PENALTI <br />TTI <br />S FO <br />President/General Flanager POSSIBILITY OF FINE AND IMPR I <br />, <br />G <br />ISONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C. <br />f0 SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED mulmumPmpdaonme ~ d•twee ,W0 end or <br />res months entl5u~~nes up ro E OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS S TOTAL IAQN LIE175 MIIL kiE MAIVED, ANC SET7LEAE?LE SCLICS LIrI1 AFFLIEL FGA <=1CYb,i46F FFECIL E1EF•'L- <br />SEE BURDEN CF FRCgF REQUIHEttEMTS UMDE:k ;•A.3• tC,_ dgIlI7CkING - ;.~.3• CI1 E GEEA.YE - PIE I.E.1.~L). <br /> <br />ER}iT9jiMT.liD4~}{Oji7RAlTAQ~' ,SER.) ; PAGE - OF <br />• CCL97/CGCIll-lEi4 i 2-- <br />