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PERMITTEE NAME/ADDRESS (/nclude Facility NamelLoca(ion ifDifferrnQ <br />NAME Tr3APPER ~1IYI;IG, I4" <br />ADORESST{iAP~ER HI!IE <br />P.Q...~iDS 1N7 <br />FACILITY ` R b I G ,: O !' L b ,' S <br />LOCATION - <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) FOrm AppfOVed. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040.0004 <br />"I.YOit <br />PERMIT NUMBER DISCHARGE NUMBER p _ 1•' I 4 A L `t:J r ?. "C <br />MONITORING PERIOD 't i1NOFF'/yIV!~ pTA TO J9%; ~U LCB <br />YEAR MO DAY YEAR MO DAY <br />FROM 7.J '!I TO OG i2 3l nr~ I;J b:SCNARG"1• ~~~,'~'%4' <br />n~,u= w.- MJ.T UJU rf.: r.r ~~ r.'r.J/., L'r~ ~:,, ..... ~. ~~,......,...,~ ..................... .........r....,..y ...._._..... <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br />. AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSts <br />JlL AND (^.REA:i~ SAMPLE .:uke4: ( ya) rfr.O;c:<c •t;t~t=k :~3':ar <br />V i~ U A L MEASUREMENT <br />i 4 J h 6 Z U U . ~~& 9MI ' ; '- : ~~It ul Ku I ~~+ . -ry E ; = I II## "-: IR ~#7€'~ <br />` '. "~~~ f4 R <br />sh'YLJENE Gii7S5 V\LL aEQlli EMENt- " .i', ,.{`•1~~K. NO=? .. ~.. ,y <br />r. -r -,;,, <br />..,. +, >t~tr,>: ;"... ~ ,:.,. . <br />SAMPLE <br />MEASUREMENT <br />''~ Mk ~, ' <br />a <br /> , <br />te <br />QE REA~17~ ~ <br />SAMPLE <br />MEASUREMENT <br />' <br />~ 'T <br />R~j <br />1 4~E(Y16NT ° <br />SAMPLE <br />MEASUREMENT <br /> <br />~iH$i 6MfiRlT• „ <br />SAMPLE <br />MBASUREMENT <br />0 <br />~T° <br />, ..: <br />SAMPLE <br />MEASUREMENT <br />_ _~ ~~~, <br />'~ `~f r <br />;:~: .;ti <br />"u <br />: '4e:1.~,:. <br />SAMPLE <br />- ~ MEASUREMENT ' <br />:~n '.y Mx'`; '3 t `,~ y n yt ~ M ~ 7vi ~ i' 1 c t <br />~~ wl ~>. 4~ ~',{'~5'~`i. ~~'~ ~.` ~ ~ .~.~.M "'p'hi Wit" o .~:~ *$, <br />a.. <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I Cediry under penalty of law Nat Uus dowmant end ell anachmems were TELEPHONE DATE <br />' prepared under my tliredion or supervision m accordance with a rynertl OeSlgned . <br />to assure that qualifeG personnel properly galher.antl evaluate the information //"J <br />W. GOrdQn Petere submitted. Based on mylnquiryal Ne pereon or personswho managathe system, ~~ ~ 9T0-824-44D1 01 ~ OI 16 <br />Presidact/General M8II er orlhoseparsonsdlreNyresponslbletorgathering thelnlormation,lgeihbrmatlon <br />~ subminetl ls,to the best of my knowledge and belief, true. accurate, and complete. SIGNATURE OF PRINCIPAL E%ECUTIVE <br />I am aware that Ihare ere signifrant penaWes for submining false Inbrmation, OFFICER OR AUTHORIZED AGENT <br />- TYPED OR PRINTED including the twssibiliN Of line and lmprisonmem for knowing violations. CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />`35 IQTtL TRUaI LIMI':S IiILI. 3E AAIVED, ABf~ 36TTLEA'zLc SOLIDS LIAIT' APFLIED FO>Z <=IOYR,24HR Pi~ECIP 'V?:\'t- <br />_.>Z BUADEA OF P36ilF AEQUI3E!7EN?5 UVD$H I,A,j, ?DS !!~NITDkI`IG - i.b.3. 7iL G~EASE SEE Z.B.1.(i)). <br />EPA Form~3320-1 ^ 49) revious e~ I Ions may -e usetl.° ~ ~ ~ yr ~ ~ 1 ~ ~ ~~ ' J ~~ ~ v ~~ ' ~ ~ , ., _ _ '[HIS.IS A 4-PART FORM PAGE nc <br />