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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM(NPDES) Form Approved <br /> DISCHARGE MONITORING REPORT(DMR) OMB No.2040-0004 <br /> PERMITTEE NAME/ADDRESS (Include Facility Name/Location if DMR Marling ZIP CODE: 81001 <br /> NAME: Tony J Beltramo and Sons Inc COGS01836 001A-9 MINOR <br /> ADDRESS: 1541 Stockyard Rd PERMIT NUMBER DISCHARGE NUMBER <br /> Pueblo, CO 81001 MONITORING PERIOD Discharge to St Charles River <br /> FACILITY: CESAR PIT MM/DD/YYYY MM/DD/YYYY External Outf all <br /> LOCATION:1 Nil SE OF CONIANCHE POWER PLANT PUEBLO, CO 81006 1010112021 12/31/2021 No Discharge® <br /> ATTN:Tony J. Beltramo, Pres <br /> QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> PARAMETER VALUE VALUE UNITS VALUE VALUE VALUE UNITS EX OF ANALYSIS TYPE <br /> Manganese,potentially dissolvd SAMPLE O *art O Q NO <br /> MEASUREMENT Discharge Discharg Dischame Discharg <br /> 01319 10 PERMIT ****** ****** ***** ****** Req.Mon. ****** ug/L Quarterly GRAB <br /> Effluent Gross REQUIREMENT QRTR AVG <br /> Jp,N 1 �2022 <br /> N Of <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under my TELEPHONE DATE <br /> direction or supen mmri in accordance with a system designed to assure that qualified <br /> personnel properly gather and es aluate the information submitted Rased on m)inquiry of the <br /> person or persons who manage the s}stem,or those persons chrectlt responsible for gathering , <br /> the information,the ntorma ion submitted is,to the best of cm,knowledge and behef,true, 719-544-4744 <br /> Tim Beltramo Pres accurate,and complete 1 am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br /> information,including the possibility of tine and imprisonment for knowing w mlations. AUTHORIZED AGENT <br /> TYPED OR PRINTED AREA Code NIIMBER /DD/YYYY <br /> COMMENTS AND EXPLANATION OF ANY VIOLATIONS(Reference all attachments here) <br /> EPA Form 3320-1(Rev.01/06)Previous editions may be used. 12/28/2017 Page 1 <br />