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PERMITTEE NAME/ADDRESS (lnclyde Fanliry Narne/farnHOn IfDif(ervrQ <br />NAME TRAPPER RIMING, TNC. <br />ADDRESST'{APPER .'9INF. <br />P.J. ROY 1H7 <br />FACILITY `"AIG CO 61626 <br />LOCATION ~ ~ . <br />fJATONAL POLLIJTAMDISC~ARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br />1".INO:i <br />PERMIT NUMBER DISCHARGE NUMBER (S U B R N ~) v <br />F - £ISAL Or.4T <br />MONITORING PERIOD POND TC~ FAR EAST BUZ3AfiD~ GULCH <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ra' yJ DISCHARGE ~~) '7'#` <br />, ~ ~. <br />QUANTITY OR LOADING QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aJaLYSIs <br />PH SAMPLE a##a#a caatraa 4r, r: t,:xw ( 12) . <br />UUVUU 1 U 0 <br />EFFLUF.4I GRO55 VALU <br />SOLIiiS, ~ETTLEABLt: SAMPLE <br />MEASUREME <br />UOS49 1 0 Q <br />(:FYLUENT GROSS 1ALU' <br />OIL A V O G R E A $.$ SAMPLE <br />ao.u <br />( 251 <br />geaa~~ I I1 1') <br />J3S61 1 U 0 G^4 <br />iF!'LUFNT G~tJSS YALiI lie tlG/I. `~`~" <br />f'LON, IN CONDUIT OR SAMPLE ( 03) MC O##'Jr#p *~fR <br />tHkU Tk EAT'IENT PLAN' MEASUREMENT <br />suo5o 1 u o ##a <br />EFFLUENI Gk0 S VALU ':G r - ~~~ #~##s ';,~'•' <br />SOLIOS~ DOTAL <br />` SAMPLE .xa#a P3 4~ O<P3 #4#f~` ~ ly) " <br />DISSDCtBD' MEASUREMENT <br /> ~.. <br />4!'FLUE11~ GROSS r;LU ~ # <br />OIL L ~G.REASE •.SAFIIPLE,. ~. a#e*.a ra) I#gle#4a a##aRd" aM44s# <br />VISUAL ;~ MEASUREMENT ~ ~ ~ - <br />duU6b , 2 'J U '~5=2 ### ~~ <br />E'FFLU&Rf QhOSS VALU MO=0 tk~t#+~ "' <br /> SAMPLE <br /> MEASUREMENT <br />NAMEliffLE PRINCIPAL FJ(ECUYIVE OFFICER IGenify under penaltyMlawthat this tlouvmem and ail anecnmerns were TELEPHONE DATE <br /> preparatl wder my diractlon or supeMSion M eccOrdarice wlth a system designed <br />fgeaeuremalqualifledPenonnelpropMygatherendevaluatethelnbrmaeon <br />~-' <br />970 <br />24 <br />44 <br />W Gordon Paters ~~„ -8 <br />- <br />01 00 10 24 <br />r submMetl. 6a9etl on my InquNy of the I»reon or persons who menage the system. <br />l H <br />• meinbrmetlon <br />erearo dracll <br />onalbb br gamerhg lM ktlonretlon <br />or tlto'a <br />res <br />anager <br />•ideut/Genera <br />P , <br />y <br />p <br />p <br /> whmihed V , mme best of my latowledge ene belief, tore, eawate, end complrne. SIGNATURE OF PRINCIPAL E7(ECUTIVE <br /> <br />TYPED OR PRINTED t am aware met Nero ere slgniscant pxWties br eubmieing false iMarmegon, <br />bc'uding tfre oossiGliNOl fine and impuanment br knowing NOlations. _ OFFICER OR AUTHORRED AGENT <br />___ ___ <br />cool=_ <br />NUMBER <br />YEAR <br />MO <br />DAY <br />nnM~NTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell alfachmenfs here) <br />tiF~~',LEAyLl SDLID$ LIf;IT t1AY BE aAIVD FOR >l0Tk,2U4R P3ECIP EYENT - OGE SL~'F.RNAT LIMTTxT10> :INUEn <br />I. :D, AND ALSO BURDEN OF PRUOF REQUIREMENTS LINDEN I.A.3. OIL v GREAS:•:'' S~ T. 6. 1$.(D~. "!>5 <br />EPA 3320-T REV 3 9 ~6vious Ikons may be use - U U 3 4 1 / 0 0 u 7 1 ~1 ]~,4:PART FORM PAGE 1 OF <br />