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PERMITTEE NAMEIAD S(7nekideFacility NPRWLocodonIJD(#riven) <br />NAME OAK RI .;Y Fri 3T INC. <br />ADDRESS CARBON, JU,�CTID?4 !ZINE <br />27d Shy 'V.;ft DRIVE <br />DURAt�G:� � CO 81301 <br />FACILITY OAKRIDZ,E FNEP3f INC. <br />LOCATION <br />NATIONAL POLLUTANT ARGE ELIMINATION SYSTEM (NPDES) Form Ap ad. <br />DISCHARGI ITORING REPORT /DMR/ OMB No 0-0004 <br />2-161 f7-f9l c <br />D I iJ t1 1 TC) &'p�rava As"65-31-98 <br />PERMITNUMBER DISCHAROE NUMBER c L" `N I 12345 <br />F - f'I N II AI. <br />MONITORING PERIOD rl L ?! oil <br />YEAR MO I DAY I I YEAR I MO I DAY <br />FROM 1 TO �(n i1 ( A k C, F <br />12D-211 122-231 124-251 (26-27) (26-29) (3431) NOTE: Raad ins ►u lona betof� eom�letinp thb corm. <br />na ae,• n�. .0 a.,n <br />PARAMETER <br />(3 card only) QUANTITY OR LOADING <br />14 card only) QUANTITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPk <br />(46-53) (54-61) <br />(36-45) (46-53 (64-611 <br />'(62-6 <br />EX <br />OF <br />�/ <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />132-371 <br />3) <br />ANALYSIS <br />(64-661 <br />1 YPE <br />(69-701 <br />OIL AND G:tEASC <br />SAMPLE <br />�r:+�19 �.x <br />- <br />{ `44) <br />MEASUREMENT <br />VISUAL ISUAL <br />PERMIT <br />:xl;r$ri <br />ItEQQ#t' <br />N*f*4,04K; <br />:;k r <br />c;t11, ;$~cY <br />;£?rLYk1IaUAT <br />d 4 D 6 6 1 0 .. 0 <br />9!3=L <br />z*: QI <br />REQUIREMENT <br />� <br />^ V A Ll F <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />; <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />}+ <br />; <br />4r <br />SAMPLE <br />F(✓% <br />' <br />MEASUREMENT <br />jt <br />PERMIT <br />VIV <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />" <br />PERMIT <br />REQUIREMENT <br />, <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />:* <br />SAMPLE <br />MEASUREMENT <br />; <br />PERMIT - <br />Y <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />' <br />TELEPHONE <br />DATE <br />��i1✓n �� fS�L�S e ��� <br />STAINING <br />TRUEACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE <br />�= <br />SIGNI,FICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING <br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. f 1001 AND 33 <br />U.S.C. S 1319. (Pons/des under those statutot may Include rues up to $10,000 <br />and.1~knum/mprtsonmantofbetwesn *months and 6 yearn) <br />1 <br />D <br />/r _ <br />SIGNATURE OF PRINCIPAL XECUTIVE <br />OFFICER OR AUTHORI2 D AGENT <br />TYPED OR PRINTED <br />AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I FUNS (r(ererence sit arracnmenrs neral <br />j y <br />SET1iLEABLr: JSOILIDS LIMIT' APPLIES ONLY IF (= IU -YR, 211 -HR pRE-.Ii' :.VENT IS CLA1,MFLI. IF CLAIM APPROVED OY <br />WQCD, Ti:i r, IRON LImirs WILL .47)P IF APPLIED TO REPORr,:D 'IEA-iUF, I.P-I-Av Pr, i kND I.'+.IV, <br />, C <br />E M&A45S705-41 1081951' PP 'due b itioi' ay be Nid. - - (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br />0 31411 /1) 7 ):)1(I-1`, 11: <br />