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PERMITTEE NAME/ADDRESS Qndude Faeilin• Nume/Location if Differenrl <br />NAME <br />TfiAfFtH '.SRSNG, INC• <br />ADDRESSI RAPPER CIHE <br />F.c. eGx Iti7 <br />FACILITY t-:iAiG CC 81b26 <br />LOCATION <br />ATTN: x. 6GNL`Ca FE'fEFS PR GIN !+G <br />NATIONAL POLLUTAM DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed. <br />DISCNARGE MONITORING REPORT (OMRI <br />f <br />7 OMB No. 2040-0004 <br /> rz~rfil 91 <br />11 <br />- !! I N C h ires OS-31-98 <br />o <br />l <br />A <br /> ppr <br />va <br />exp <br /> (SUEh ti Y) <br /> PERMIT NUMBER DISCHARGE NUMBER F - F I A A I h L k f i <br /> <br /> MONITORING PERIOD ACUTE ilE1 1E51IllC FC F. ClSA <br /> YEAR MO DAY YEAR MO DAY <br /> <br />FROM <br />00 <br />L4 <br />O1 <br />TO <br />CG <br />CE <br />C <br />,~~~ NC <br />CIECtiAhGE _ <br />I~ coq <br />(zo-zD (zz-z3) (2465) (ze~z7) (za-z91 (3031) NOTE: Read Instructions bef o plating this form. <br /> (3 Card Oniy) QUANTITY OR LOADING (4 Certl Ony) QUANTITY OR CONCENTRATION NO. FREOUENC, SAMPLE <br />PARAMETER (46-53) (50-67) (38.45) (46-53) 54-61 EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62631 ANALYSIS <br />(64-68) ~ <br />69-70 <br />COU _~: ATFk: 4ER,K ACL SAMPLE >~~4.~t4 OA~4 P>r tY C>kO>r" ~+~'%~~ ( i3} <br /> <br />C i R L C U A F' h 1§ I A <br />MEASUREMENT , <br />.An~~ i v c - :..+1~>~!a~#~Y ~NlWp~t~4; ~3 tlp...-.-. ~ - ~mr>~~#~_,' . f*o##~ ~ Fh- ~' d6 <br />^ <br />•FFLUE^iT GhC"5 YALU ~• ~~ ~ , ' , <br />LCSU S';AT.PE Y6RR ACL SAMPLE Sri it ~:x# YIAATt :X+ d094~r] ~:'+-'•~~ ( i3) <br />F I ~. F P y A !. E S MEASUREMENT <br />lAabC 1 U 0 -:~" .s''* ~ +IF>N~, , ~,~, ;'. <br />} b~1i, ^ ~~ .:; ... <br />r,: ~ - <br />, .: <br />_ <br />E'k'FLUEt:T Gh05~ LF '- ~= ..- I <br />-"~ ,-._: ,py~ ~; ,~~". s .:; ~;~ ~ fir.: ~' . <br /> SAMPLE <br />~ <br /> MEASUREMENT `I' - <br /> , ~ <br />., <br />~ <br />.. .~ <br />;, <br /> <br /> <br />, <br />a , <br /> .. _ - <br /> SAMPL6 ~ ~ ~ <br /> MEASUREMENT <br />/,. fi <br /> i <br />~ <br />~ro l <br />' f', f ~ ,, <br /> O <br />~I <br />N <br />~? <br /> SAMPLE <br /> <br />` <br />h <br />t;. <br /> MEASUREMENT (~~ !+ <br /> IJ s- '' <br /> ~('T~ <br /> <br /> ~ <br /> MEASUREMENT - ~~ ~ ~ - <br /> ~( { fTkf <br /> <br />~„ <br />~ <br /> <br />S - <br />} _- <br />it <br /> <br />' k ~Z <br /> <br />~~_ <br />• <br />' <br /> <br />r <br />~ <br /> <br />} <br /> Ar <br />. Y' '~^' MS '~" ~ ~:ai' .` ' <br />' . <br />•, r~..- <br /> SAMPLE <br /> MEASUREMENT <br /> <br />• A. yyqq _ Y t <br />s <br />t <br /> <br />C <br /> <br />~-: <br /> i <br />.!:. ~ <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERS <br />ATION SUBMITTED HER ONALLY E%AMINED AND <br />EIN; AND BASED ON MY TELEPHONE DATE <br /> <br />INQUIRY OF THOSE INDIVIDUAL <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~~~SSS <br />~ ~ _ / ~_~ <br />THE INFORMATION, I BELIEV E THE SUBMITTED INFOrMATION IS TRUE, /~[/~/~ <br />W. Gordon Peters ACCURATE AND COMPLETE. <br />T <br />N I AM AWARE THAT THERE ARE SIGNIFICANT <br />FORMATION <br />INCLUDING THE <br />FALS 970-824-4401 [10 07 25 <br />I <br />PENALTIES FOR SUBMIT <br />President/General FIBna !I POSSIBILITY OF RNE AND IMPR <br />P <br />ttl <br />d <br />h E IN <br />. <br />G <br />ISONMENT. SEE to U SC. § 1001 AND 33 U.S.C. <br />r <br />I <br />d <br />li <br />ro Sfo <br />ooo <br />d <br />t <br />G SIGNATURE OF PRINCIPAL EXECUTIVE <br />n <br />nes up <br />, <br />en <br />o <br />es un <br />er t <br />ese statu <br />es may <br />U <br />e <br />4 1319. ( <br />ene <br />TYPED OR PRINTED maximum impnsonmeM Of Oetwsen6months ends years.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE l.A.l, PP 7'S, FCF DETAILS CF TEST PROCFLURf. REPGF.T [CSC - S1A11=1ICAL PCSD1 E°_7IhF7k -tICFi IS <br />LETHAL TU SUR OF 2Efl1 ORGANISt15, AMU ATTACH ACUTE 1CxICi1Y 7f`"1 k:FCE1 FCFM iC LCF. CCF)ES CF All <br />9 ) vio dl K b b -4 Y BE •~ GG1J4/CCC 112`lt<C GE 1' FI ' <br />