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PERMITTEE NAME/ADDRESS (/nc(ude Fact(iry Nmne/Cacetioa ijOf(erent) <br />NAME TSAPPER "SINING, INC. <br />ADDRESSTyAFPE2 t7IkE <br />P, O. BOX 1H7 <br />FACILITY `'~AIG CO 81626 <br />LOCATION <br />NATIONAL PoLLIn'AN7 DISCHARGE ELIMINATION SYSTEM (NPDESJ FOfm AppfOVed. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br />r,INDs <br />~ (SUbR Nk) <br />PERMIT NUMBER DISCHARGE NUMBER c _ FINAL CiG F A T <br />MONITORING PERIOD ?DND -3 TO i+HST BtJZZARp GIILCN <br />YEAR MO DAY YEAR MO DAV <br />FROM 0 07 O1 TO 0 09 0 #a# 'IG DZSCHIEvt; )~(,,!?G4 <br />s H <br />_ ..... ~. ..moo.. ~~ ~~., ~..~,..~ ~~ .......... <br />~ ,b <br />.......r.......y ...•.....•.... <br /> GUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> PAR EX OF TYPE <br /> AMETER <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANUrsls <br /> F`4 SAMPLE #:t OR 071 O+k#ROd .,.:~ t'tt ( 1_r) - <br />' <br /> <br />MEASUREMENT r. <br />. <br /> <br /> <br />U4UU 1 J ~ U <br /># ~~i <br />4~ iF, • ..1.. <br /> <br /> <br />cF'FLUEST GkOSS YALU <br />#%Y <br />+~ <br />.~n r~FGtk, <br />x ~ <br />rll ," ~ ,, <br /> ~JLIUS, .S E'TTLt:A E1LE SAMPLE 4u0060 Gt:n 044 ~ OOati#0# ( Z'~) <br /> MEASUREh)EN7 <br /> U74S 1 D U rtn ~~ <br /> dFFLUEtiT 8055 YALU #ctx ?•`. '~ - - „+ / <br /> IL 0.Y GREASE "SAMPLE ~ x%4800 Rtt4dG0 0##:t. t tr4dtr.::} ( 19) <br /> MEASUREMENT ~ - <br /> '3Sd2 1 U 0 arx <br /> t;Ff'LUe'!T GROSS YRLU a:x:z b :,ru' ~ <br />" ~ <br />~ <br />, r <br /> 'LGW, IN CJNDUIT Gh SAMPLE ~ ~ ( U3) G##O# C~v?,:_n '~'t4 is#t, <br /> hHU LNY,AT`!E?7T PLANT MEASUREMENT <br />~ <br /> DubD 1 0 0 r ~s <br />~. F F L U E 4 T; G R 0 $ 5 -Y A L U E (' !/ •.. - ' . ~~::'- ; :~"~: _ M ..; ..,:, # r,: r. .r,.: <br />' OLLDS, 'TOTAL SAMPLE ~'#Oa0 4401aG ~+ea:,#a ( ly) <br /> I S S O L Y e D:, MEASUREMENT _/ ' <br />Art fUlYS L D 0 <br />. G <br />'~ FFLUENT ',;ROSS 9A'LU Ga - o- •' _~ •• '~ <br /> IL ANP GREAS$ !SAMPLE G tfoaa ( 4~) rlaaal~4 r#:z#:fa r_rtr,:r:,# <br />~; 15 U A L ~ MEAS~pEN1EN7 <br /> 4Ubb 1 U U S=1 "t 3:;r# <br /> ._FFLUENT_ GfrD55 YALUL O=0 __ .. ~ ~~`r~~"~~' ;:## _ ,t:~'`%", <br />NAME/TITLE PRINCIPAL G7(ECUTIVE OFFICER' Icenny under penelry or Taw trw owsaocumenl ens en enecnmerwswere TELEPHONE DATE <br />- edundermytlirectbnarsuparNalortlnacooroencawlthaa~M~lenMesignerl-- _ - - _ <br />w assure Nat WaNfietl paaonrlel properly gmher nn0 eValume the Nomletlon <br />li. GOLdon .Peters submMetl. BasetlonmylnqulryofttgpersonorpersonawhomenegeNeeystem, C. 0-824-4401 00 10 24 <br />President/General Mpaager orNOSepereonetlirecTlyresponslbbbrgeNennpNeMOrtnatian,tbelnbnnetlon <br />submMetl la,m Ne bestdmy knowledge entl belle!, irua,eavrete,eM COrpplele. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED teal ewarp tlrm Nere ere sign rant penalties br aubmltting false lnbrmation, OFFICER OR AUTHORIZED AGENT <br />IncWdna Ne oossibkM Ol fine entl lmorisonment for knowing NOlalbns. r•nnc NUMBER YEAR MO DAY <br />OMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a11;3ttachmenfs hen:) <br />SEtTLE.AB.LE SOLIDS. LIMIT nAY BE: NAIYED FJR >10YR,2LLtiR P3ECIP gYF.FT - SEE ALTF.R'IATE LI;IITATIONS UNCEr <br />I. A. 1. D, AND AL50 BURDEN OF PROOF_RE;iUIRenEKTS UNDER I.A.3. DIL G GREAS"c - 54? I.B.1.(D). TDS <br />A orm 0-T REV 3 ) previous i Ion a be s 0027 7 / 0 O 0 717! 13 S ~ PART FORM PAGE 1 OF <br />