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2016-03-25_REPORT - M2008078
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2016-03-25_REPORT - M2008078
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Last modified
8/24/2016 6:20:23 PM
Creation date
3/28/2016 10:03:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2008078
IBM Index Class Name
REPORT
Doc Date
3/25/2016
Doc Name
(no Map)
From
Crossfire Aggregate Services LLC
To
DRMS
Annual Report Year
2016
Email Name
AME
Media Type
D
Archive
No
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. NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM(NPDES) Form Approves <br /> DISCHARGE MONITORING REPORT(DMR) OMB No.2040.0004 <br /> PERMITTEE NAME/ADDRESS(Include Faculty Name/Location if Different) <br /> NAME: Crossfire Aggregate Services LLC COG501574 001-A DMR Mailing ZIP CODE: 81302 <br /> ADDRESS: 820 Airport Rd PERMIT NUMBER DISCHARGE NUMBER <br /> MINOR <br /> Durango, CO 81302 <br /> MONITORING PERIOD Discharge to Arkansas River <br /> FACILITY: WEST FARM PIT MM/DDIYYYY MMIDDIYYYY External Outfall <br /> LOCATION: 9485 CR HH.S <br /> 04/01/2015 06/30/2015 No Discharge <br /> UNINC PROWERS CNTY,CO 81052 _ __ Q <br /> -ATTN: Ezra Lee,Mgr <br /> QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> PARAMETER VALUE VALUE I UNITS VALUE VALUE VALUE UNITS EX OF ANALYSIS TYPE <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER Icertify undo,penally ofl.waeethis document end all,nxhmonts mut,prepared antler mydirection o. TELEPHONE DATE <br /> otipervision hr accordance with n system dos ncd in assure that qualified personnel properly gather and <br /> a solo,le the information submtled Cooed on my Inquly of the person or porn.*who tonnage the: <br /> 1 / j . ..syalonr,or It am f1,1,0115 directly responsible for oathetloy the hblrralIon,the hdornsslon or/Waned i <br /> II.. I I . to the best of my knowledge and botul,Ino accurate,and complete.I nm aware that truer or sipnJcire• - -' :.a <br /> 1 i Ir'i,t�, .f;,`, ' _)( )r r, i' pv.nleheoorly.u,tor...On,hil, Idomalar,mcludheale pwnolh boo yofhardh,prmormentlafIi whrg SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR I`(•• i t;, i fl t ) i`' <br /> ` _ r " , AUTHORIZED AGENT <br /> • TYPED,OR PRINTED AREA Code ' NUMBER _.MM/DO YYYY <br /> COMMENTS AND EXPLANATION OF ANY VIOLATIONS(Reference all attachments here) <br /> Oil and grease-see Part 1.0.20, page 15. <br /> EPA Form 3:1 Rev.01I06)Previous editions may be used. ( �� ��- 09/17/2L age 2 <br />
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