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PERMITTEE NAME/ADDRESS (Include Fuciliry NamaJLacarion IDi$eenr)
<br />NAME
<br />ADDRES TNAPPEN tliNING, INC.
<br />ST'AAPFBF C1NE
<br />F.G. F'.OX 1H7
<br />FACIL17YCFAIG CO I1162b
<br />LOCATION
<br />lTTN• u_ r.nQrrd CP?iG~ -UifFC/CLM ~r.u
<br />NATIONAL POLLUTANT DI$CHARGE ELIMINATION SYSTEM (NPOESf
<br />DISCHARGE MONITORING REPORT (DMR;
<br />(2-161 (1]- 9)
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAH MO DAY YEAR MO DAY
<br />FROM Q Q (ly TO Q
<br />(20-21) (22~2J) (2125) (2@-27) (2b~28) (7P31)
<br />Form Approved.
<br />OMB No. 2040-0004
<br />C I NC A ~ Approval expires OS-31-98
<br />{SLEA 911)
<br />F - FINAI lCEI:
<br />CISChAFCf TC FIElF EGTCN
<br />fifi7p lIC CISChaSCE I'r~~ >S~fi ,
<br />NOTE: Read Instrucllons 6efo o pleting this form,
<br /> (3 Card Ony) QUANTITY OR LOADING (d Certl Onry) QUANTITY OR CONCENTRATION NO. FAEaUENC SAMPLE
<br />PARAMETER (d6-53) (5d-61) (26-45) (46-53) (54-61) EX ~ OF -~. ~ TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />!6267) ANALY$I~
<br />6 ~ B ~
<br />69-70)
<br />1,y SAMPLE O##rtfiII Efi##Tf; c:;tfiOC ( li) I~%
<br /> MEASUREMENT ~~'~
<br />U4CU 1 U U `= "~.,~1EAi71rlY
<br />' `~+-+MhP.S +~t# y~? ~ ~+OA~
<br />' 'f ~i : 351TD
<br />FF a: G L E ~~r. I';h'.:.
<br />` `(': saoa _ l,- r",~
<br />~ ,L ;`
<br />SULID:,, TUTAL SAMPLE ##~11PrR>'f ##.'•fi~+o X3fi~:y.'! ( ]5)
<br />SG:YENDEL MEASUR~IENT ~ ~ _
<br />UUS3u 1 U 0 ~.a~ ~'~~;.QC fi4A :a~~ '- Q ,C N ~~I. FEE
<br />
<br />Fr'LUF.i~T GRQSS Y GE ~^,~
<br />~'{,r-
<br />F
<br />~>:##
<br />~-'
<br />SCLIUS, =,ETTLEABLE SAMPLE #fit+;:t4 ##~P>r#a #+GS169
<br />~ (,;IE)
<br /> MEASUREMENT ~'
<br />UU51+5 1 u U ~ ~ '~ =- ~ -AOif'~I(1;`K+/ ~:,~~ fi# ,, --RE_L .° .- FCE/ ~~~;..
<br />UeN ~kGSS YA L ~ - ENT ~ - .:~e ~~', r,##;+ ~
<br />~ ~ *
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<br />InCN, TL;1AL SAMPLE t.tCi°a,0 OY9 -fi ~~ #9~ ~ ( ]S)
<br />(A_, FE) MEASUREMENT
<br />~
<br />~::
<br />i D u S 1 U U ''P' •~ ~ e+x~i-~§i~# -' .~9 . #itt : a al
<br />G ; >d+F.?#0 ~ ~ 3 .
<br />~ :t 0 c A c E ~- : JI,B:.
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<br />FL ANC GNEASE SAMPLE as#a»# #afi#u+b r.fi9Y# fit#t~f0 ~ ( 15)
<br /> MEASUREMENT
<br />3582 1 0 C ~"'' ~i _ °'
<br />~ ~ s trF~t~~r q4~--. '~ ~
<br />~ ~~Lllf .ERB
<br />FELL' N OS5 Y U "~`"°~^ ,
<br />-~
<br />fi 73 ~~~~
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<br />LOY, Ill CGNDUIS CF SAMPLE ( C3) '~~'~OSO Lfififi~I# oca:>;c
<br />rihU Tp EA,T i1EFT PLA tit MEASUREMENT.
<br />GUSU 1 0 0 '" 4~r~ ~, ~'~1'>F 1~~`~,;~~ ~.E t ~r ~ ~RA~t ~; g?6~art4it ., ~Fbll~ E57AN
<br />L G O Y A ' E ~Q.l ENS ' G
<br />~
<br />GLIDS, 1'CTAL SAMPLE OcV### #+OfiT7#9 olo-.fififi (
<br />15)
<br />I~SOLY$D MEASUREMENT
<br />0295 i U C ~ p~t UiT ~ ,~ i~#+MR, '. #ae: ? `~#a~~>a ~~~TtltaiFl~': ~ 3?t~3 ~ #FLY AEE
<br />F F N T G G S S Y A i U FIL(SFdIlYk N16t ~~'. ' d r'~ :' ~+: ^.. ~ ~~ fi.## ~ Y G C
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF
<br />R WRH THE INFORM
<br />L LAW THAT I HAVE PERSO
<br />ATION SUBMITTED HER NALLY E%AMINED AND
<br />AND BASED ON MV
<br />EIN TELEPHONE DATE
<br /> AM FAMI
<br />IA
<br />INQUIRY OF THOSE INDIVIDUAL ;
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />ordon Peters
<br />tii THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE. 970-824-4401 QU 07 ~5
<br />. ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT
<br />R
<br />THE
<br />Pra ident/General Manager PENALTIES FOR SUBMITTIN G FALSE INFO
<br />MATIIXJ, INCLUDING
<br /> POSSIBILITY OF FINE AND IMPR ISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL FJ(ECUTIVE
<br />
<br />TYPED OR PRINTED 4 1719. (Penetlies under these sdlures may include lines up ro 510,000 antl w
<br />maximum impnsonmenl of beAVeen6monfrts end5yeers.) OFFICER OR AUTHORIZED AGENT REA
<br />p
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence ell attachments here)
<br />TSS E 'CGTAL IFGN 11tITS PILL 3E NAIYED, ANC SETTLEAELE SCLICS LICI1 AFFLIEC FCF <=ICYF,<4FF FFECIF E4iN(-
<br />SEE BUfiCEM UP FACCF FEQUIFEl1ENT5 UBDEA Z.A.3. FEFCITiEF MUST TAKE ALI FEASONIBIE hEASC'FFE '1C FtLCCE FH
<br />do ~ r vl use i IoTls may~f' `' ' ~`" ~''{REPI.TjEE'IS E~I(FdHM7-a0 A/fIR;HStI'A4100i"IA~tI$1•D.) ~ ' ` ~' ` PAGE OF
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