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HYDRO20280
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HYDRO20280
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Entry Properties
Last modified
8/24/2016 8:41:38 PM
Creation date
11/20/2007 1:26:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Hydrology
Doc Date
7/1/1993
Doc Name
COLO CDPS WET TEST REPORT FORM ACUTE
Permit Index Doc Type
NPDES
Media Type
D
Archive
No
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<br />PERMITTEE NAME/ADDRESS O.rra. FrWry Na./Luulm dDIC+r+u) <br />NAME TNAPPP,~I `I~I"+~:, th:. <br />AooRESSTRAf!PErt "1r£ <br />P.U. D7[ 157 <br />CRAM <br />CU !'lE?'~ <br />FACILITY <br />LocnnoN <br />AT'!'N: W. GOk!'•l~' PF.T1:A". pRP.S/G!?N It~R <br />NATIONAL POLLUTANT DISCNMDE fNMINA710N SYSTEM /NPOESI <br />OISCNARGE MONRORMIO REPORT IDMRI <br />n-/sl rl-rs <br />" OD <br />- PERMIT NUMBER - DISCHAADE NurAeER <br />MONITORING PERIOD <br />YEAR MO DAV ~ YEAR MO DAY <br />FROM TO <br />na711 l7A731 Ill-Y51 176-771 138-I91 130-3// <br />.~ Form Approved. <br />M I g O R OMB No. 2040-0004 <br />Approval expires OS-31-98 <br />(SURl1 Nti) <br />P -~978AL 140YAT <br />~fSCH~R~° TO COTf)Tt' fT1LCK <br />aaa +3D f?f SCyAB(:E )~) aa~ <br />NOTE: Raad Mrauedorr baton eomplstlny EhM form. <br />PARAMETER !3 Grd Ontyl QUANTITy~OR LOADING !l Grd Onty/ QUANTITY OR CONCENTRATION tJO. FREQUENCY SAMPLE <br /> 118-531 ~5/-61{ I3B-45 !1653 /5F8/I <br />EX OF <br />TYPE <br />l37-371 AVERAGE ~ <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM ~ <br />UNITS r7-ss ANALYSIS <br />/5I-68/ 169-701 <br />GIL AND GREASE SAMPLE #r4aaa ~ gq) oscaa4 aaeeea eaa0ee <br />Y I SU A L MEASUREMENT <br />euoti6 I o' <br />.o AMI~.:;';:. <br />;.:-e~ o~iavaa' N:' <br />Q&!' 6g't ~~~;' c;:ar!~r!~:.;. ::;;r:~-~;E~~ir;::.: eaa ;~~Lx' ~..~d <br />~. <br />. <br />is F P L D F N T G R S S Y A t. U , <br />F,tEaSflEt (wT <br />:. . <br />.. <br />~.# ' <br />ti(Y 4 <br /> <br />.. <br />s <br />~; <br />0+6 4 <br />.'.:;•s"~ .. <br />: <br /> S~MRL€ F' <br />~_ MEASU,REMENT . ,. <br />'. <br /> .... ~ ..r .: <br />...... . .; i... .. .. ... ~...:.... ~.:...> <br /> <br /> <br />.:.: <br />y:. i';iiA%:^P:•..:'::~'. <br />. .'. ~fY(i.~.i.:: ~:~Y.`~t~(1%,' <br /> <br /> <br /> <br /> <br />. <br />:; , <br />. <br />::< <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />; <br />`= <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />,. > <br />`~ <br />~ <br />~' <br /> Q..R.... <br />.:::... r. ,. . <br />..,. .. ,... <br />, ..... .. <br />, <br />: <br /><: •.: <br />: <br /> ', 8 SAMPLE ~ - <br />- AN~ASUREMENT ~~ ~ ~C6~ <br /> ':rS~ERMIE,.. <br />. > <br />..~: <br />~.: <br />-:~ ` !f°~1'J r:.,:i <br /> <br />~: <br />k '~I;.E4UIREMENL ~ . . <br />.. <br />,...... <br />.. <br />' ~ ~ SAMPLE <br />~~'"li`~ MEASUREMENT <br />? ~ PERMIT ~. <br />~ ~ ..': ~. <br />~ <br />: <br />~ ~ <br />.. <br />.. <br />- :8Ef1UIRENIENT~ ~ .: <br />. <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> ... <br />,., . ..:.. <br /> ~REQ.V.NiEMENT. : .. .,;, ...: .. .. ~ .. <br />.:.u::.:~: . <br />.::::.;.:.: ,. ... <br /> <br />.,:s;;: ~... ..... .: _ <br /> <br />:.:.:.:~. ~ <br /> <br />::.. .. - <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT ~ - ~ ~ ' <br /> REQUIREMENT <br /> SAMPLE <br /> MEA:+LIREMENT <br />PERMIT. ~ ~ - <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UHOER PENALTY Of LAW TNAT I NAVE PERSONALLY E%AMINED MID TELEPHONE <br />AM FAMILIAR WITH THE INFORMATION SUeMITTEG HEREIN; AND BASED ON DATE <br />~~ <br />~/ ~ MY INQUIRY OF THOSE INDIVIDUMS IMMEDIATELY RESPONSIBLE FOR ~~ <br />t EELIEVE'N1E SUaMITTED INFOIiMATOk~15 <br />4 OBTAINING THE INFORMATION <br />/ACV T <br />~I <br />, <br />. <br />r <br />TRUE, ACCURATE AND COMRETE. I AM AWIVIE TNAT THERE'ME sL'.~I~/ <br />INCIUgNC ~T <br />SIGNIFICANT PENKTIES FOR SUBMITTING FMSE INFORMATION <br />l ~ _Il <br />I <br />^Y <br />. <br />,~t~ <br />~~. ~~ `//~~~,f~ <br />C iNE POSSIBILITY OF FINE ANOIMPRISONMENT. SEE 7a U.B.C. L 1001 AND 33 <br />TINIE OF NIINCMAL E7EECUTIVE <br />0N / <br /> <br />TYPED OR PRINTED U.S.C.f f01a. lRrWe++wWr Wr +6Nlry+nuY icA./A fi+++Wrot10,000 <br />meamiAimun ~mpiAVrvrrmr orhw..esmmrn+W6F+.'+.1 f1 <br />A <br />OFFICER OR AUTHORIZED AGENT AR A <br />CODE <br />NUMBER. <br />YEAR <br />MO <br />OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RS/srsncs sl! sfteMmsnls nsrll <br />TAG f. TOTAL IRDa,1.IRTTS uILI R!! YAI+rFDA #lTD SP.YTLEAREL SaLIflS LT~IT #PVI,7°D PD4 <=70TR,74NR PRECIP PrfERT- <br />'t'E 9U RD 311 D! PHDDF Rr'?UISEREMiS 119Df?R I.#.3. PEAI7I4TEE I"UST TllftE- #LL RP.q+!lMRat,P. R't?ASU8E5.-TO RRDHC'' ?M <br />:_al ir~^fEnArrsi urrN RQCr~;,)_E T <br />c l'A form :7720.7108-951 Previous ediEi~n, msy bn ueAd. IREP S A T.l .IC E0.1 ~OOlO/0940?I-2 n3P :/O <br />Z <br />
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