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PERMITTEE NAME/ADDRESS pnc(ude Fucdirv Name/Location i(D~rrenQ <br />NAME <br />THAPFEH lIN1NC, INC. <br />ADDRESSTHAPPE;R l+INf <br />P.c. ~cx I57 <br />FACILITYCHAIi; CG 41626 <br />LOCATION <br />ATTN: a. ~GnLCN FrTFH~, pHES/~E15 11GF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />(2-161 (1]- B) <br />7 " <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O C C O 1 TO G G C 3 <br />(20-2p (2223) (1i•25) (26.2]) (28291 (0PJ1) <br />Form Approved. <br />OMB No. 2040.0004 <br />!!INCH Approval expires 0531-98 <br />(SU'cH Nfr) <br />F - FIhII PCr.+: <br />ACUTE iIET TE~TINC.ECF CC1A <br /><;f ec II°_CHAF6E I_ I ~-~ <br />NOTE: Read Instructions before completing this form. <br /> (x Card OnN) QUANTITY OR LOADING (4 Card OnN) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (48.5x) (54-st) (xs-a5) (46-53) (54-sr) EX of TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> f62fiJ) (64-66) 69-70 <br />CSU S'1'ATf.b 4tHH ACC SAMPLE ~C=~'~"k: ::OO~r rA ;; r, r,.;:~ '}L;LAC ( ~_) <br /> <br />CthICUAPHt~IA <br />MEASUREMENT ~ <br />~ fqp <br />!7 ~ <br />~ <br />~.rR~ <br />i R F.1 B 1 U (, t i0. +tkgal t?Oto~~+, ~ m r o I1lS ;: c ?bNC~F~O~?°: #I#~1'~3 c b- FI L 1 H ~t <br />~E'FLUd'.T' GHC~S YALGt H~~E~tQt'. . -L 4I <br />LCSU SiAIrL ybNF ACL SAMPLE ~'}~~'~'~` ~~xr?~fiP z;'~'!'+ >.`++"t.'.L - <br />( ~~' <br />/ <br />I r.c <br />PIl7EPl A:.~~ MEASUREMENT y/pp ~ (~ <br /> <br />A N 6 C 1 U 0 _ <br />= <br />; <br />4~i+N+y <br />?Rk~C. <br />40' <br />''~; <br />`; ~>a>F <br />,r `~~,¢ 14t} P <br />E F- <br />~','- C <br />F I Y' <br />-P A E <br />~F'E'LUEN1' GHOSS YALCE - a=' qdb _ <br />,~}~',. (4'~; + ~' <br /> SAMPLE <br />_ MEASUREMENT . µ <br /> <br /> <br /> SAMPLE ~ <br />'~~~ ~~~ <br /> MEASUREMENT <br /> .. ;e :x''- ~ t :-~; d e ) :f ; { X~pw%t'xk f~ w.t <br /> p <br /> SAMPLE <br />~ - f, , ~: " , <br /> MEASUREMENT ~ '~ R <br /> .- ~:v ,. .. .,, .~ <br /> <br /> SAM('LE <br /> MEASUREMENT - - ' <br /> <br />~" `,. <br />s~ <br />~' h <br />~'~ p <br />v`~ <br />~:4 x#r <br />"s <br />'rvar <br />rat- ~. +1 <br />~»a: a-w°' ~M1, <br />sl ~_ <br />r <br /> r <br />v ~"~4 M <br />. g <br />~ <br />,g T <br /> SAMPLE <br /> MEASUREMENT <br /> m - ' <br /> <br /> <br />.- ..v ~ <br /> <br />~_~ u <br /> <br />.. - <br />`# <br />* <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY EXAMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORM ATION SUBMITTED HERE IN; AND BASED ON MY <br />INQUIRY OF THOSE INDIVIDUAL <br />' S IMMEDIATELY RESPON SIBLE FOR OBTAINING , / <br />^ <br />' J - <br />THE INFORMATION, I BELIEV E THE SUBMITTED IN FORMATON IS TRUE, ~ <br />` <br />_ <br />' <br />lL.~----~ <br />~' G <br />r <br />Gorden Peters <br />W <br />L <br />C <br />M~ <br />A AF <br />FO <br />E R NE NJ <br />D <br />GIOTHE _) <br />~ <br />^ <br />-/ <br />/ 970-824-440 G Q i <br />. <br />PENA <br />ING <br />RMATIO <br />TIES <br />FOR <br />SUB <br />ALS <br />W <br />CLU <br />N <br />n ~ ~ a POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U S C. 4 1001 AND 33 U S C. <br />ro 570 <br />000 antl a <br />§ 1J19 <br />(P <br />ettias untlar Ihese s(etut <br />s ma <br />include lines u SIGNATURE OF PRINCIPAL EXECUTIVE <br />. <br />e <br />y <br />p <br />, <br />en <br />TYPED OR PRINTED nrerlmum im <br />ds0nment of benveen8momhs entl5 yeers <br />J <br />`~ OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />D <br />Y <br />p <br />. <br />r E A <br />,,h <br />e ~~i <br />7 ,' <br />MENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />B Z.A.2, PP 7-9, FCF CEiAILS CF TEST pHGCFCURE. HEPGHT lC;C ~ 51 ATI`_TICAL FCIF'( E°'11PPTE .~1CE IS <br />L'$TIIAL TG 50» OF TE`1 ORGANISMS, AND ATTACH ACUTE iCYICITY 1[ST fifFCFT FCt," 7C .n.Fr. CCEIE~ C: lII <br />.arm ( •9) r vious edi6o s y, 6Q s d~ .. ~ BE .) C C C ~ i/ C' C C 1 1;` 1 L~ 4 P GE t F f <br />