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PERMITTEE NAME/ADDRESS pnchdeFmirlry.vemrJlocnrion jDlgercnq <br />NAME ThAPPER 'tINIyG, INC. <br />• ADDRESSI n' A N P d R !1 I N F <br />f P. o, sax 18t <br />FACIUTVCRAIG CO btd25 <br />LOCATION <br />RTL^:: ;. GJRDOH PET?fi5 PHES/.GF.H MGR <br />OUI <br />PARAMETER <br />' AVERAGE <br />~bU STATRF. 4bHR ACU SAMPLE ayfoaaa <br />C E f i I J 11 A P R 8 I A MEASUREMENT <br />nr.sr+ I u D i <br />FE'LUENT Gd055 Yd U <br />NATIONAL POLLIfrAM DISCHARGE ELIMINATION SV$TEM (NPDES) FOrm ApprOVed. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />%ZNOH <br />' (SUdH H;I) <br />PERMIT NUMBER DISCHARGENUMBER F - FINAL ~ E: r~FAT <br />MONITORING PERIOD JET TtSTi NG FOR U20A <br />YEAR MO DAY YEAR MO DAY _ <br />-FROM OU 07 I TO DO U9 JO rr4? Y.) UISCHIRGE ~~~ ~~¢ <br />NOTE: Read Instructions befor c plating this form. <br />n OR LOADING QUANTITY OR CONCENTRATION NO. FREDUENC SAMPLE <br />EX GF TYPE • <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS a+aLt51s <br />uo.-;taa <br />CSU STAI4E y6HP. "ACU SAMPLE aoaa~o `+a`=`Ma`+ <br />I a I y c• p f I A 1, g g ~ -MEASUREMENT <br />- gNbC I U U <br />~; .P'PLUEt:T t;R055 VALU <br />SAMPLE <br />' .d.nr~nn:ll~uY <br />SAMPLE <br />3 <br />• ~ ^Ir' <br />- ~~SAMPL~ <br />MEASUREMI <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFIC <br />W:. Gordoa Peters <br />P aeident/General Manager <br />TYPED OR PRINTED <br />JD EX~'LANATION OF ANY V <br />2; ... P l-9, FUR <br />.. A, OF ?F.ST <br />ii <br /> <br />3+1 l}~a * ~. L P <br />F. if- ~~ <br />I CaNIY untler penalry of law that Nis tlocument antl aN attachments were <br />i <br />l <br />I <br />b TELEPHONE DATE <br />prepared under my tllrecl <br />n or euparv <br />an <br />s <br />n eccortlance wiN a system tlesigned <br />W assure Nst qudifled pereonrrel property gaNer end evaluaze the Nformenon <br />cuhmeletl. Based on my Inquiry of the person a persons who menepe the system, /' <br />C - ~,.~~,L./ <br />9 7U-824-6401 <br />DO <br />I U <br />24 <br />or etOea persona directly responsible br gaNednq the IrdormMbn <br />the haormeUon <br />, <br />subrriNletl lv, to the best of my knovaxlge entl bellel, we, eccuram, end complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />1 errs aware That Nere ere slgnlNCent penalties for submiamq tales Mbrmallan, OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />M <br />DAY <br />Inclutlln Ne ssibil of fine end lm risonment kx krwwl vwleeons. O , <br />DNS (Reference all attachments here) , <br />AILS OF TEST PROC.EDURE.,. RP.PJRT LCSU 3TA^?5'"L:AL POINT c5TI11ATE VH ICP IS <br /> <br />~'~SHS, R;~D.ATTAC,fHA.f~i,"bE','T0IIICITY TEST HL?OF;? FU:•:~ :'J G."k. <br />' <br />' <br />~ <br />4 <br />' <br />~"' <br />~ <br />Y,yN 1:ET <br />TESTING ~ <br />NOT <br />~'@ <br />R.! <br />A: <br />!~. <br />a <br />10 <br />DTIi[ ~ <br />,~MA ~~ <br />r )t U$et.. r~ THIS IS A 4-PART FORM PAGE OF ! ,• <br /> _ I u ft _ - _ <br />