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<br />~'l~oli('l~lr~
<br />;:~;ilC!iOn. Code CDPS/NPDES
<br />,1W,~ 31~1l.iJ"
<br />
<br />AL DATA'SYSTEM CODING ... , '
<br />
<br />,v COPS/NPDES FACILITY
<br />INSPECTION REPORT
<br />
<br />yr!mo/day ~I Type InspecTor F.c Tyne ~
<br />"18IbloI91/1{~,, '8~~ ..L1.I "W I
<br />
<br />Remarkll (See Code)
<br />[ LLLll-L}_llU~~,J.,.LLLU,JJ.;;~ I
<br />0.4 (,0 CI!l:l~ " Cart. " .
<br />72 U "lllJ'" I'}, I S'tiJ2J AO
<br />
<br />\.,..)
<br />,
<br />
<br />EXHIBIT F
<br />
<br />..' Colorlldo Oep8flm"nt'Or H".lth-FS&M S.cllon
<br />.v
<br />
<br />I LLLLLLll.LLi I I I I I
<br />"
<br />Re:!('rved FacIlity E,aluation Rating
<br />~ l.LJ69 'oW
<br />Ea!lIli]~J:~ ..
<br />Name 01 Fae,!.!y fnspeCled
<br />'///^I -.L,l,l/~ (l/i()rC:::>
<br />I Physfclll Loull'on
<br />~ ,-~, '"-'-' y, \ Ill</.. '> l' C ~
<br />Name{sl 01 On.$llo Repr~s(!ntar've(!,)
<br />f,' I c... I'':'" I) I c' (\
<br />Address _
<br />I \ ) ..J2 ' r~, cJ
<br />rName Of Person ~?r:'duclon9 fnspeclion I
<br />H, 1-, <!. ,\ '-11
<br />
<br />
<br />s
<br />
<br />T D q} IV -a..L___
<br />
<br />" L V~_______
<br />Tille(s!
<br />o p f V' (l.T~Q.~____....._
<br />Cily Stale
<br />.s i+ N I~~!..L~ ,C 0___
<br />Tille
<br />E 1-' Cl r-,
<br />
<br />: 1.t2
<br />
<br />Pp",,,t fHecl,ve O;:le
<br />,,\' '. 7 ..~. S
<br />P~rmit E.~plral'on Date .---)
<br />"l
<br />-) ( - lL.L,..
<br />Phone No(sj
<br />b_7 Zc:- ? ("Q.-^,,~ I
<br />Z'D 1
<br />;;- II ;- '~..1
<br />.~
<br />
<br />I
<br />I
<br />I
<br />I
<br />!
<br />
<br />
<br />
<br />,":: ", -;;R' 1 ..,.j'~, f. '."J.!(~, " f",: .~
<br />
<br />)f'\ln"-.J ,1"",'''-J'
<br />,b'l:t ofi 1'1,11. eRr,,;1 =r J:l.:1'l;1~! P.ij:4." '.1!IW~~ IJ,1l-'j;)~, il I'] ~1ir8iI1II
<br />I ," IS .. Sallslaclory. M '" Marginal. U .. UnsaUsl9cfory N ,~ Nol Eva1uall'!d')
<br />Permil S Flow Measurement Prelreat~Elnt ~2 (lpl'ratlon<; 8. Malnlenance
<br />.s Records/Reports Laboratory Compliance Schedure9 Slu,jge DI<;posal
<br />I Facility Site Review Effluent/Receiving Waters Setf'~~~l~~~g Program O~~~__
<br />
<br />~
<br />
<br />ON/MAINTEN^NC-e ' >>1 . -- - I c' -.'~
<br />,~ ~,.;' I',&- ",.;'.. ,f r'w. ' ."t~r r~
<br />
<br />" ' '.,.' ] 1; ~ '.~>' ;". -~}~'.'
<br />
<br />~
<br />,
<br />I
<br />
<br />I Operator in Charge:
<br />BUdget: $ _D..J.CJzJ.:L..
<br />
<br />......____ No. of Operators:
<br />
<br />I Chemicals: $ -...::.-=----- Sludge: $
<br />
<br />Collection System: No. Jf Taps:
<br />
<br />Pop. Eq. Served: \ () () 0
<br />
<br />
<br />1-~&, L r.>.... r, (')('> n -<:.,
<br />
<br />Utilities: $ ..._~;LC:O--O-o Maintenanc,,: S __3+=_~
<br />
<br />Other: $ _.!."',.,fCl'_Q, Unit Trmf. Cost/1,000 ,Ials.: .$ _.....:~) L_
<br />
<br />No. of Lift Stalicns:____.U____
<br />) /.
<br />Treatment Process: ,_~~L_ Ce...-,_._
<br />
<br />No
<br />
<br />Salaries:
<br />
<br />$
<br />
<br />7, ()-p-C::=>
<br />
<br />III Program:
<br />
<br />Design Capacity:
<br />] Present LOadi~g:
<br />
<br />Hydraulic:
<br />Hydraulic:
<br />
<br />o.
<br />
<br />13
<br />
<br />Organic:
<br />Organic: ____l-l D --+
<br />
<br />g C -1./,
<br />c....:L_.__,_________
<br />9/
<br />
<br />I
<br />,(
<br />
<br />0,2-
<br />
<br />
<br />eCTION E: MONITORING ~ND COMPLIANCE " , ,
<br />
<br />G,. " P 11<- W~cLL_-...:C..Lu '1--, E'
<br />, ~:;~ .. ".
<br />--.'--~ Accurat~o:': _._~___-"--L.. ./f(No), Comment: ______,
<br />
<br />I . Date of Last Calil]ra~ion: __..3'...2__
<br />
<br />Lab performing DMR analysis: I)" fl1 u~, II... r - (:t'lli~:LL____:;...2_;;. 'e.....__..r::,CJ..1L?:j:~ -<._____
<br />
<br />1.~nalySiS in compliance with approved procedUreO): ~____. If (No), Comment: ~===.==:.:',------_ -
<br />
<br />
<br />Sampling In compliance with permit reqUiremen~o): __~____, If (No), Comment: _,_._____....,___~__
<br />
<br />I
<br />Physical description of receiving stream: _C.J e.;;l v- ._____.__,___.___,________
<br />I Does facility meet permit req~ements: PIc. Y1 '. --1:L~.,----___C2.\J.f:...LJn dJ c- c:.L........-;-__..:-______
<br />List facilities deficiencies: 1_ n L..Lt "".... T I" n { f'O,YJ:L____.12,Dd...Ll::L.....,----'--Li2.c.:.._S
<br />----Ltl_Lo U) n
<br />I Comments: ~-L~ u/ /1
<br />
<br />r1ype and location of flow measu:ring equipment:
<br />
<br />/,J ee c!
<br />
<br />~
<br />
<br />70 ..
<br />
<br />Re j~~=~_~ IJdtr "E~,~~L
<br />
<br />1-
<br />
<br />-30-
<br />
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