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PERMITTEE NAME/ADDRESS (Include Facility NmndLorntlon yDlge.anq <br />NAME <br />TP.APPEH ;1IMI7:G, INC. <br />ADDRESST P.APPER MINH <br />P. O. HO% ltl'/ <br />FACILITY ` ii A I G :: J tl l b 1 b <br />LOCATION <br />gTTN: W. GORllON PETcAS. PdES/GLN MGP <br />PARAMETER <br />U4uU 1 U U <br />FF'LU[•:FT GrOS~ VAL <br />7LI7(S, TOPAL <br />JSPtNi~EG <br />USiU 1 J U <br />FFLU`'P~T GH)S$ Y4L <br />OLIDS, ~F.fTLEAHLE <br />SAMPLE <br />UJ~117 1 U U <br />"rL'JFNT G4755 VALU <br />i~!:rN, TOTAL SAMPL~ <br />(A S F c ~ MEASUREMI <br />UIDUy 1 ~D D <br />'rt'FLUE!:Y GROSS 9ALU <br />OIL ANU GREASE SAMPLE <br />' ~~ MEASUREMI <br />u35bz 1 D ~ n <br />;.., <br />tr3hPPLUEN! GiROSS YA.LU <br />~' FL7M, .;X i1. OYDDIT OR. ~sA~tPLE <br />'''1'!tR'b ~ItF`,kTRENT PLAM M~AS~iAEMI <br />' SUUSU L D U <br />• Et't'LU6Rt GROSS VALU <br />SOLIDS, TOTAL <br />IS504YEb ME <br />17-~-y S <br />"~' `EFFLUEN! GRDSS YA.LU <br />NAMERITLE PRINCIPAL EXECUTIVE OFFIC <br />N. Gordon Peters <br />President/General Manager <br />TYPED OR PRINTED <br />SAMPLE <br />AVERAGE <br />NATIONAL POLLUTANT DISCHARGE EUMINATON SYSTEM (NPDES) FORTI AppfOVed. <br />DISCNARGE MONITORING REPORT (DMRJ OMB NO. 2040-0004 <br />,`.INON <br />(BURR .. Y) <br />PERMIT NUMBER DISCHARGE NUMBER F_ F I '~ A L <br />MONITORING PERIOD ~ POND TO DEER GULCH <br />YEAR MO DAY ~ YEAR MO DAY <br />FROM 70 0 9 30 e:aa ti0 DISCHARGE <br />_ NOTE: Read Instructions before_ <br />Y OR LOADING QUANTITY OR CONCENTRATION NO. <br />EX <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />aoaaan uare.;~t:~ ( 12) <br />aaaaaa I ~ D/laCaa <br />a~a ~f><aH <br />( 19} <br />L.L- <br />2S) <br />( 19) <br />( 19) <br />caoa.:-a I O <br />( I9) <br />MUFF <br />t#9 <br />sting this farm. <br />'REOUENC SAMPLE <br />of TYPE <br />aaursrs <br />IGMey untler penalry of law Nazthis document end aX etuchmonls were TELEPHONE DATE <br />prepared under my direction or eupeMsion N ecrordanca wnh a ryslem designed <br />messure that qusllMetl personnel property gather snd evaluate Nelnbrmatlon _ / // g70-824-4401 DU IU <br /> <br />submeted. Beeetl on my kqulry d the person or parsons who menage the system, <br />.4./ 24 <br />or those persoru directly responsible br gathering Ne Iniomretlon, Vte hbmueon <br />submitted Is, b Ne best of rfry knowletlge end bellel, we, accurate, end complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />Ism aware Nat Here ere e`gnKCant penalties br submibing lalse inbmlaeon, <br /> OFFICER OR AUTNORIZED AGENT ____ NIIMRFR VFeR ken n.v <br />I'SS t; TUT6L IRON LL'1ITi PILL t5E aAIVSD, AND SETTLEABLE SOLIDS LIMIT APPLIr'D FOR C=l0YR,2LHR PRECIP EVi•.hT- <br />SBG 6UAUF.N OP PROOF REQUIREMENTS UWD@R I. A. 3. TDS MONITORING - I.b.3. OiL C GREASE - SEE I. B. 1.(D). <br />'rm33 1 ) Tevlouse I on~may au e . ~ • 00321/00071T}iISi~540-PART FORM PAGE 1 OFL <br />