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PERMITTEE NAME/ADDRESS p,.t~.vf~wnN...r/~.na I/or <br />~ -- ---- NATloyu PouvrMT DISCNMOE EuMlyAnoN srsTET.t INODfS1 Form Approved. <br />NAME T E R n J 4 ~ it P C is :. J 9 P .'1 4 Y <br />I I I II I II IIi i (II I II I DISCHARGE MONITORING REPORT (OMRI <br />^-1sl n7-rsl <br />~ `. f~ I k i V u <br />* i. 'i' J NOMB~P~o,.-2040 S N <br />ADDRESS TEARDR CREEX L.UADD'JP sss C03 B', OOL9 (SU7R wC) Approval ~pI~~O -31-98 <br />1 3 <br /> 184 O N C~ R Y A T 13 3 PERMIT NUMBER DISCRMGE NuMeER F- P I S A L <br /> PAONIA CO 81g2R tlINOR <br /> MONI TORING PERIOD <br />FACILffY <br />YEAR <br />MO DA <br />Y YEAR <br />MO <br />DAY , <br />-~ <br />LocnnoN FROM TO UJ ###. ND p~HAP.GB W(jO %'`~0 <br />A T T N: KELLY F R I T b L E 2. ;1 P F. 3 A T I O N :i M J d /ono ,.~ /ou I~ vr.~n r~aaar /3a3u NOTE: Ree$~ cdar be1Dr~;completinp this form. <br />PARAMETER 13 Grd Onlyl QUANTITY Oft LOAD <br />~ IA Grd Onlyl QUANTITY OR CONCf:NTRATH)N iVD, FREQUENCY SAMPLE <br /> 146-531 I5~1-67/ 135451 !46-53 15b511 <br />~ <br />EX of <br />TYPE <br />137-371 AVERAGE .MAXIMUM S MINIMUM AVERAGE MAXIMUM UNITS: )~-s?!1 MN.rsls <br />/646BI l6&701 <br /> SAMPLE S:Sh#:G #fFh?#r :r3 4# ( 12) <br /> MEASUREMENT <br />0100 1 0 7 PERMIT ~`~r'x~ ~~-a'x~# >r"~ ,,,, <br />,. <br />~ <br />' #sc;:# >x 9.0 <br /> <br />,. <br />. 158>5LY •RSITJ <br />EFFLUENT GROSS YAL'Jt REQUIREMENT Cft:}a , <br />' <br />u. <br />_ <br />OLIDS, TOTAL SAMPLE +.xa: staaa; -,sOtx### ( 19) <br />U S P E N D h' U MEASUREMENT <br />0530 1 J O PERMIT: .r.^hzs. raalxsd ;cam, ~s~>~o ~::; ~5 70 bCEY ;RRH <br />'FFLUEN'T .;RJS~ YALD2 .REQLIIREMENT ;w5x ~pDA Y^.. DAILY !!X `"li/L " ~30NTN <br />0 , Jc PLEAHLE SAMPLE htr:2°•`• rt#hr:= #91tt44 #~# #+. ( .`i) <br /> MEASUREMENT <br />0545 I U U PERMIT ~wh'#A7 kOC4## 5/.'./ hpaj.~~ : ##it71 A 0.> ~L~E/ :.QAB <br />FFLJENT GRO55 VALU° REQUIREMENT '=.:a z`-± : DAILY "X "L/L IfON?!! <br />R HP T AL SAMPLE •~xaz. •Ya+`~:~ G,:.#001 ( 14) <br />(AS PS) MEASUREMENT <br />LU45 1 U J PERMIT ##0x33 #:9?h# Y'T:` .~##GI#tt<.:•. ;~.Q b.4 NCE/ •RAR <br />FPLUENT ,:ROSS YALJE :REQUIREPAENT VTFi~f ;:3.4D; YG QXLLi ,`1X tlG/L MOtiTH <br />IL AND GREASE SAMPLE #3th33 ~.3G?3: ::~.#s# 1140 #a ( 19) <br /> MEASUREMENT <br />3582 1 U D PERMIT ##a~~+ :--;•IRaa3 ,-. RC~s~4r$:.; 30r~ItE~ # YD i ONFIN .ftAB <br />FFLUENT GROSS YAL'JE bEQVIREMENY Yves <br />~ DAILT Mg NG/L SHNY <br />F ..' N U OR SAMPLE ( 03) ###a ### <br />#;~ #::r~>r~- <br />NNU TREAPM!ENP PLANT MEASUREMENT ~, <br />0050 1 U U PERMIT" 2IONlL REPF7R! xifrx~~' .. .. ~`##~ ~ #KL~## :fir BEKLY :fP.4TAN <br />FFLUSNT GROSS VALUE REnuIREMENr 3DDA AYG 4AILY tlX !IGD a ###h <br />L U , U SAMPLE YC :rrG ,-#~R#C 9NtPOC# #irC ## ( 19) <br />ISS OLYED MEASUREMENT <br />T0295 1 0 U PERMIT # }.. ao#m# s#:Y# x a#:aL~ ::::;:..~. #a gEPaR T rRLP ~RAD <br />'FFLUENT GRO5S VALJE REQl1IREMENT :. ##~# ;;'- DAILY ' !I !fC•/L <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY Of LAW THAT I NAVE PERSONALLY E%AMINED MD <br />MO B <br />ED ON ~ TELEPHONE DATE <br /> AM FAMILIM WITH TyE INFORMATION SUBMITTED HEAEIM: <br />A9 <br />MY INQUIRY OF TN09E INDIVIDUALS IMMEDIATELY RE9PON91BLE fOR <br /> OBTNNING THE INFORMATION, I eEVEVE THE sUBMITTED INFORMATON 19 <br /> TRUE, ACCURATE MD COMPLETE. 1 AM AWME THAT THERE ME <br />F <br />F <br />RM <br />ON <br />IN <br />UDING <br />1 <br /> , <br />SIGNIFICMT PENN.TIE9 FOR 9UBMITTING <br />N.SE IN <br />O <br />ATI <br />CL / 970 924-5655 DO1 1 <br />0 2] <br />Ll <br />M <br />~ <br />7 <br />~ THE P095181LITY OF RNE MD IMPRI90NMENT. 9EE 18 U.s.L. 1 1001 MD ]] // <br />~ <br />T ~ <br />e r <br />.. r <br />n <br />~ G r <br />. 01 <br />e~ rws yo ro troaoD <br />f t9te <br />rtrrro.. Mv« IMr mnm. ro. <br />NcA <br />u <br />s <br />c E O INCIPAL EXECUTIVE <br />BfON <br /> <br />TYPED PRINTED . <br />. <br />. <br />. <br />. <br />r <br />uldrmuimnrNw'raawwrr of Mrwwn sma+•rhs mds Y.va/ <br />.'OFHCERO AUTHORIZED AOENi <br />CODE NUMBER YEAR MO DAY <br />GOMM[NTS ANU tXf LAMA 11 V N Ur ANT V I V LA I I V Na IReTerenN d/ eneCnmenrs pore/ <br />SErYLEABLE SOLID; LI`IIT AerpLICS :1NLY IF' := LU-Y R. 24-4R ?RLCLP cYilrl IS CLAIMED. IF CLASH APPROVED BY <br />IiQCDP TSS E IROF LI.".ITS HILL MUT 9d APPLIED PJ REPORTP.D MEn3UsLhtU1S--5 P. I.9.lAF PG 5 AtlD I. B.lU~ PG fi. <br />sr~a~uArvN rr,u~aralEr DI au pnE t 1 ~o <br />EPA Form 3320.7 105-95) Previous editions may be used. (REPLACES" EPA FORM T-40 WHICH MAY NOT BE USED.1 012 9 / 9 7 C 819-125 q PAGE LOF <br />