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PERMITTEE NAME/ADDRESS (/nc(ude Facilin•Name/Lom~ion iJ"DiBerenrl <br />NAME <br />T3AFF£H tIN1NC/ ]NC. <br />ADDRESSiflAPPEfl NINF <br />F.O. b0% 16~! <br />FACILITY("^AiG CO b1o16 <br />LOCATION <br />1 TTY• ~1Lh/`Y •4n GC[ AOtiG /t`iC YI-D <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESJ <br />DISCHARGE MONITORING REPORT (OMR; <br />(296) fll- 9J <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM O G C TO C <br />(20-211 (2223) (2d~25) (162]) (2829) (3631) <br />Form Approved. <br />OMB No. 2040-0004 <br />I h C F Approval expires OS-31-98 <br />(SU6F hfi) <br />F - fIAll I'CfAT <br />FCNC TC BEST FSEl71 CCICd <br />~oa~ JrC CI_CNAF6f ~~ =:e>C <br />NOTE: Read Instructions befo pleting this form. <br /> (3 Card Ony) QUANTITY OR LOADING (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-87) (38-45) (46-53) (54-61) E% OF TYPE <br />(32-37) AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62-6J) ~ALYSIs <br />(64~6B) <br />(69-70 <br />iL ANO GH~ASE SAMPLE `K'~ax Llrt ( 94) CLe~e3 ~~~~'~~$ iOiLY: <br />Y 1 S U A L MEASUREMENT <br />Q U 6 b 1 V G .; ~ ' ~+!* -~~~~~ i E =' 1 ;tXll~f ~9 t ~}#0 '. -~ # : 4 r M E 2 K I~ ~'~itd I <br />f FLUENT GkOS° YALLE ANT ~` ., <br />, lC=U 'z ~~~ ~ "~ :~~~"'~: .~e'% <br /> SAMPLE <br /> MEASUREMENT <br /> r ~a. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~ti ~'~ <br />~ I ~ = - <br />' ~ - <br /> }'~ , t- r -. x # .t ~, <br />c <br /> SAMPLE <br />MEASUREMENT <br />~G <br /> <br /> ~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> `~ ~ ' <br /> 1x'):- a P . c . all.. - - - - <br />?,,- ; t -~ <br />5 <br /> SAMPLE <br />. ~ MEASUREMENT ~~ <br /> ti' <br /> -1 Yl v. <br />ua - > 'fir _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br />c ~~}}'i ~# <br />rcP Ph 5 Yr <br />~ <br />]r s°) @ <br />'v <br />~ <br />~ <br />.^.r a3 y~ri ~; <br />.~- ~,~'} 'M- <br />~- ~-,. s <br />'' <br />~_ <br />~ <br />-- <br />~ <br />4 <br /> ~a _~Ix PS <br />T~ - <br />}t.5r ti tY i -•{ - }1 1 <br />~r ~ Y r11 <br /> <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTI <br />AM FAM FY UNDER PENAItt OF <br />ILIAR WITH THE INFORM LAW THAT 1 HAVE PERS <br />ATION SUBMITTED HER ONALLY EXAMINED AND <br />EIN: AND BASED ON MY ~ TELEPHONE DATE <br />INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPON SIBLE FOR OBTAIMNG ~ ~ <br /> <br />THE INFORMATION, I BELIEV <br />~. GOLdOII PetaT:a ACCURATE AND COMPLETE. <br />E THE SUBMITTED IN <br />1 PM AWARE THAT TH <br />FORMATION IS TRUE; <br />ERE ARE SIGNIFICANT ~ <br />. <br /> <br />970-824-4401 <br /> <br />OD <br /> <br />Q~ <br /> <br />Z. <br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br />President/General Manager POSSIBILIIV OF FINE AND IMPRISONMENT. SEE to U. S.C.41001 AND 33 U.S.C. <br />i <br />l <br />li <br />t <br />Eto <br />d <br />I <br />d <br />eW <br />d <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />u <br />o <br />ar <br />es wi <br />er these statures may <br />nc <br />e <br />nes up <br />, <br />en <br />4 1319. (Penett <br />TYPED OR PRINTED menmum lmpdsonment olbeKeen smooths end5yaars.) OFFICER OR AUTHORIZED AGENT A A <br />C E <br />NUMBER <br />YEAR <br />MO <br />DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS t'. TCTAL IRON L7lI75 PILL BE LAIVEL~ ABC SETTLEADLE SCIILS LIEIT AFFLIEU FCF. <=1CYb~~~EF EFECIF EYfN'i- <br />SEE dJHCHN OF FSCCE 6EQU1NEfiENTS UNDER I.A.3. TD: ROA210RING - I.E.3. CIL E GEFlCE - SEE 1.C.1.)L). <br />A oTm 33 1 ) P ylous Ito D e e~ LA O I SED.) C U U 7 7/ C O C 7 7 1- I c y j; PAGE 2 OF L <br />