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pERMITTEE NAME/ADDRESS pnclude Facllin•Npme/Locarion i/DiJ/erenq <br />NAME <br />TRAPPER C;KING, INC. <br />ADDRESS. <br />IAAFPEA 11INY <br />F.C. dOX ltl7 <br />FACIUTYChALG CG ElD~6 <br />LOCATION <br />a TTe• u- rncnnu [v~ccc Du CC irv^ wr_R <br />NAYIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form AppfOVed. <br />DISCHARGE MONITORING REPORT (OMR; OMB NO. 2040-0004 <br />lzasl ('~- el C I ~N C R Approval expires 05-31-96 <br />(SOEfi 6Y) <br />PE MIT BER DISCHARGE NUMBER F- f I l~ 1 C C F A <br />MONITORING PERIOD F C X C T C 1 E _` 1 F Y F A T 1 G C I C E <br />YEAR MO DAY YEAR ~ MO DAY <br />FROM 4 0 TO 0 #*~~ NC ElECAAFGE ,,jj~~ t44 <br />lzazp (22za1 (z<"zsl lzs~zrl Re-2d l3osp NOTE: Read Instructions befo lAtfin)pleting this form. <br /> (3 Card Only/ QUANTITY OR LOADING (d Card Ony) QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE <br />PARAMETER (dE53) (54-61) (38-45 (48-53) (54.61) EX OF TYPE <br />(32-3~) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />reau~l ANAI-1'sIS <br />(6a-6B) <br />69-70 <br />PN SAMPLE y,SYr## :X04000 4::448 ( li) <br /> MEASUREMENT <br />0400 I U 0 T~ , iC~F+1kM~M <br />' '."pd>lt~~:_ naa ~5:: .+-tiawl4oi- .~~:::. - <br />: ~', ~Is~L-l~ 651T <br />EFFLUFH'T GAGS' VALUE . <br />£1 .. F}')~ . <br />'_ ,f; d_- - <br />} x: ~,:~ '.t04 ~ - <br />3 I'J7 _' .,+~_ t"-. , <br />SOLIC`,, TCTAL SAMPLE 400;00 ;;44004 4##444 ( 15) <br />" U S P E h b E U MEASUREMENT <br />o~eo 1 u D x ~~; ~o# e~avr4~e `_ ~ p /a' ~~8. <br />FF'LUERT GitUSS YALUE ' ''' +^"'~ AQr,# ~'. =_' <br />EG I 'f} ; <br />" , <br />SI:LIDS, SiT'[LEAE'.LE SAMPLE 44444 4>dl404 0:0 0 ( ~S) <br /> MEASUREMENT <br />1c5us I v G FIE~IT : fp>~IAtt~ ~ iA~~ m; . x- - <br />' o+t~~4A :F~~CNAI: RESCAa I'; <br />~ `IRE' <br />kFFLUENT GROSS YALUf .fl$Qbllpl~,MENf~." ' .:'". "-.- <br />-~ 44 +~ ~ i ~+t, -' PL I . <br />„ <br />IFON, TCTAL SAMPLE LOOU;:O rit4fi4 444 ( 15) <br />(AS FE) MEASUREMENT <br />lU~+S 1 0 G x•p <br />~ ~*")`4I'~" r <br />~' #.- # t-0fi ,} ~# >r4 i~Q - ',~-Q :._ .. <br />~~ ~/ '. "~6~. " <br />EFF FT GdUSS YALU ~i~iQBNi = <br />t<'- 1 { <br />."... #,L It d .- <br />~ I G • <br />IL q~NB GREASE SAMPLE 40:C04+k 404084 ~) 444040 #i:04% ( ]c,) <br />V~ MEASUREMENT <br />35a Y " ~o c t t° ~~~: ,~ # <br />" ~]1~3id#4 ~~44?64~4+0 : 3Q ~ <br />_ <br />~ ~~ ~ '~ ~ <br />" ~a~ :~%E <br />" <br />FF'L EN GtI055 YA U E ~~ '~ <br />¢~ , <br />- <br />I ~C' . <br />+ . <br />. <br />t'LON"~ IN•COMDU22 C6' $ATd E <br />~ 1 C3) Qetu#a ttr.x.t::: Q;KQi4 <br />t.AU T3EAT'.7BMS PLIVMT MEN7 <br />M~SDC( <br />SOU9D 1 U C ~ .~ <br />~ ~ <br />~ <br />~ <br />~ 4~~t4TP4 ~ ~ 4Y>+~*q4 ~#:~~#1F ., r#c ~:: F6i#S Y~'LAN <br />aEFLUE9T GROSS VALUE ~ ~ ~ ~~~ <br />° '~`~. ~ <br />~ FGD ~ ~ ~: #A44 . - <br />-LLIDS, TCTAL SAMPLE #400 0#4>!04 ##OCX# ( 15) <br />llISSOLYEC MEASUREMENT <br />0195 1 U G , Y} I" <br />~ `; #! ~S <br />~ ~ ;, t#r ` -C+6ap+Y40 7;4ICIl1lL <br />~ B;8"FE6'~ <br />~ <br />~ - ' `6'.1.7: >fiAE <br />cFE'LU' 6T Gk0°S YALUE '~)' U <br />~~ : <br />!`z`~.., ~ a '• '-- xi~4 ,8 :C6 ." ~ <br />` PG L <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br /> AM FAMILIAR WRH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MY <br /> <br />P INQUIRY OF THOSE INDIVIDUAL <br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATON IS TRUE; ~_ / ~• ~~ <br />/.'T 970-824-4401 00 07 25 <br />atera <br />W. .Gordon ACCURATE AND COMPLETE 1 AM AWARE THAT THERE ARE SIGNIFICANT <br /> . <br />PENALTIES FOR SUBMITTIN G FALSE INFORMATION <br />INCLUDING THE <br />President/Ganeral Mana er <br />8 , <br />POSSIBILRY OF FINE AND IMPRISONMENT <br />SEE 18 U S C <br />4 t001 AND 3 <br />U 5 C <br /> . <br />. <br />. <br />3 <br />4 1319 <br />(Penelli45 untler these sraMes ma <br />includa lines up m ft0 <br />000 entl or SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />y <br />, <br />maximum lmpnspnment of belween6monrns entl5yeers.l OFFICER OR AUTHORIZED AGENT <br />D <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND E%YLANATIUN OF ANY VIULA I IUNS (HelerenCe all attaCnmenrs Here) <br />TSS E TCTAL IACti L1b1T5 YLLL BE MAIVEC, ANC SETTLEAPLE ~CLIL°_ LICIT AIFLItC iCF <=1CYF,.4tE EFtCJI EVEt7- <br />Ste 6UHCF.F OF PACCF FEQUTAEGENTS UNDER ;.A.3. TL_ l1GNIT0AIbC - I.t.3. CIL 6 GhEA~I - EcE l.i.l.(C}. <br />A 30.1 (8- Pr ibus e i o a n e 1.A R 4 IC E11SED.) C C v 7 0 / 1; G ; ] ; } - , E ~ U PAGE ] OF ~ <br />