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PERMITTEE NAME/ADDRESS (/nclude Facihq•Nnme/Lacnrion ijD~erenr) <br />NAME <br />TitAFrLi; I".IhING, INC. <br />ADDRESSTAnFPE:A NINE <br />Y.C. EGY lif7 <br />FACILITYChA C~ CO Elbl6 <br />LOCATION <br />ATTh: r. GUADCh PETE6_ YAE3 GEY C+4A <br />NATgNAI POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMRf <br />(z-ts! (1/- e) OMB No. 2040-0004 <br /> H I NG A Approval expires 05-31-98 <br /> (5 U E A N i <br /> PERMIT NUMBER DISCHARGE NUMBER E - FI AAL EFA. <br />E' <br /> . <br /> MONITORING PERIOD ACUTE YE7 TESTIbG FC.E CS?A <br /> YEAR MO DAV YEAR MO DAV _ <br />FROM OC C4 0 TO 00 C~ 3C =~~ hC [~, ~ChAFGE ~ {{{ <br />(zazl) (zz~z9) (za~zs) (zs~zD (ze-zP) (3091) NOTE: Rea Instructions befo <br />Pt pleting this form. <br />~ <br /> (3 Cerd Ony) pUANT1TY OR LOADING (<Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-63) (59-67) (38-45 (46-53 (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> (62-G9) (6468) 69-70 <br />LC5v STATAi 4bHk ACG SAMPLE Oki%{r '+'>C{L>z +5 'C+r?4;:t COCSCL ( ~7~ <br />C L H I O G A P H h I A MEASUREMENT <br />An.fH I U U ,,~ •~ -,~ ~ <br />#~~ <br />i'~"' •a ~'~,'' a ~iA1~+61b~„", r +Ip <br />' <br />E <br />- <br />(, <br />F:LY` <br />YAE <br />'MYLUEAT GhOSS VALGL ~ J 3 - , <br />~ <br />"' {,~, ~/ . f <br />LCSJ S'I Jt'1 tig 96HA ACV SAMPLE O>r9Y4fi 4CIF 4n! k`C:': >ti0 Ot0{;; ( i_) <br />ii L h E P A L i:5 MEASUREMENT <br />nhbC 1 U 0 '. ~ .1 _. ~~•4 Ot+ ..',,,/#tlf#~`.~. ~M :.~~. P FF- <br />~, <br />~E.Y~ <br />FAE <br />FF'LUerl1 i;H055 VALUE ~.. ~, _ <br />~ -t ~)~, C+ttk4 ~'~~_' r T <br /> SAMPLE <br /> MEASUREMENT <br /> t ~: - o e ar..Ae -n :~ ~ ~ - <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />-It` F <br />~ ~.. <br />:' <br />~ <br />9 <br />it lt. <br /> ~ t - ~ <br /> P r ~~~ <br />' ME14S'UR <br />EMENT i .. , f .; <br /> ,. <br /> <br /> <br />.. <br /> <br />- <br />^°. <br />,',~ <br /> <br />., ,~, ., . <br /> <br />.-r . <br />; <br />.'- : <br />, .. <br />: ~. <br /> SAMPLE .. <br /> MEASUREMENT <br /> • . s'y , r 'w.. t i <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY EXAMINED AND TELEPHONE DATE <br />AM FAMILIAR WRH THE INFORM ATION SUBMITTED HER EIN: AND BASED ON MV <br />INDUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPON <br />Gordon Peters THE INFORMATION, I BELIEVE THE SUBMITTED IN <br />W SIBLE FOR OBTAINING <br />FORMATION IS TRUE, <br />/ ~ <br />,~.~ <br />-970-824-4401 <br />00 <br />D7 <br />2 <br />. <br />ACCURATE AND COMPLFfE. I AM AWARE THAT TH <br />PENALTIES FOR SUBMITTING FALSE INFORMATI <br />l M ERE ARE SIGNIFICAM <br />ON <br />INCLUDING THE _ <br />. ~ <br />I[..( <br />, <br />anager <br />President/Genera <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 10 U.S.C. § 1001 AND 33 U.S.C. <br />(Penalties under these smtutes me <br />include Imes u <br />to 510 <br />000 end or <br />4 13te SIGNATURE OF PRINCIPAL EXECUTIVE <br />. <br />y <br />p <br />, <br />TYPED OR PRINTED maximum rmpnsonment of oelwsen6months end Syeers <br />) ~ OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />. CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />5?E I.A.2, PP 7-9, ECF GET AI LS CF TtST PACCECURF. hEFCt1 LC~C - Sin:i~liCA1 5:.]`i .;'iI`r7i itiEH i°_ <br />LB~HAL TC S0. CF TEST OHGANISNS, AAU ATTACK RCUTE TCYICITY 7EST 6hECFi FC6". 'E t: LPF.L CC11F° Cf Ali <br />)° viou edlTi ay o b sad.' C S'E Ghi AY BE U .) ~ ` ` ` ` GE <br />orm <br />