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PERMITIEE NAME/ADDRESS pnc(ude Facility Name/Lotarion iJD~e~enr)
<br />NAME dIHAEC, INC.
<br />ADDRESSHO&TH 7HG!!PSL.A CFEPR HIVES
<br />276tl CO!lFA55 CTIIYE, SUITE 101
<br />FACILITY GRAND JUIICT IOY ~ CC 81506
<br />LDCATIO~AH6CYDALE ~ CO fIC23
<br />ATRN7 J. E. StOY P.A. CCNSDLtING kNG.
<br />- NATIONAL POLLUTANT DISCHARGE ELIMINATION
<br />DISCHARGE MONITORING REPORT
<br />T'•` PERMIT NUMBER ~
<br />FROM ~ ~ 1 ~ ~ TO
<br />! l22-2-31 !2a 251
<br />Form Approved. ^ a
<br />OMB No. ?040-0004
<br />dI NC B Approval expves OS-31-9R
<br />(SUI:F SAC)
<br />F - '1Di1 FIS~M.
<br />kC~1-C1lIFG BLYCEF ¢>;,F3 iC1C
<br />•=C Ec LI_CRA66E ~'r tat
<br />NOTE: Read Inslrucli0fls tiefore completing this form.
<br /> (3 Certl Ony) QUANTITY OR LOA r2`Card Onry) OU OR CONCENTRATION M1ri` NO. FREOUENC SAMPLE
<br />PARAMETER (4653) (5461) ~ (3845) (46-53) (54-s1) E% OF TYPE
<br />
<br />l32-37)
<br />AVERAGE
<br />MA%1MUM
<br />~
<br />'=~ MINIMUM
<br />AVERAGE
<br />MAXIMUM "_ UNITS
<br />; ~
<br />(e2-f,3~ ANALYSIS
<br />(64-68)
<br />6970)
<br />FH SAMPLE 8pY+4>/9 ?><L C:~ >Cd>: ~t+: ~' ( 7i) ~.
<br /> MEASUREMENT ~, :s~. ^.
<br />oaoo 1 G o ~~1Ir;
<br />~ x~l:r -
<br />~ ss ,~. +a~s~~" Y! . TI>~t ;
<br />EFFLUENT GRCSS YALUF ?a
<br />~,1fF~BfA~~f1T- ~. ~=;~
<br />~~': ifiCq ;':, ure •~11XIfCt :' SC ~~'R~~~ '~: "~,
<br />SOLIDS, SLTTLIA9LE SAMPLE ': c'~x =lt>t0~ - 1 2~) ._~
<br /> MEASUREMENT - - }~ t:>~
<br />0545 1 0 O a
<br />~~ t?a1o#al
<br />: +4 ~'T :<
<br />.5
<br />~
<br />~ CE :~ :pt .x.~
<br />EFPLUENT GROSS VALUE :.
<br />~.~
<br />N~' ,e
<br />_ ~',~ ~. -' C>e»» 'a~~ ~~ ,t?6~ ,
<br />~~~ ~3- ~
<br />~ /1/I ~~•,'+ 17`!, :
<br />IL E GBEASL SAMPLE OCC%C~ CCCZ'rr YC4~G>/ 0>OCOCO ( 1`)
<br /> MEASUREMENT
<br />OUS56 1 U 0 r `:` ~", w4~#~(- t##~~Olil 4 Ct; >plp *iM ~-,, t :Il'I~,
<br />~
<br />EFFLUENT GROSS YALUE ~ ~~' ~ -*~~ a4aa 3., ;: M"i7 LA11 CG/I "
<br />FLGN, IN CONDUIT C& SAMPLE ( 03) CCCO#C ;C>Q lp lp lp 4CLCCC
<br />HAU TAEATRENT PLAY1 MEASUREMENT ~~-..
<br />sooso I D 0 ':~ ~;~B.~a~"~`:. ~orax~~;~ ~;~r ~E~N.. ova ~ tee .y;z'!~
<br />EFFLUENT GR09'S YILUE ~~jdlC~~ENT 3d0 ~I; !GD s"x v ~ ,':*; r'' AttL lfrt~ ;
<br />SGLIDS, TC7lL SAMPLE ~'~~'~'~~ = ~+IA43i t>y»>p+E+0-
<br />~ : ( 1`•)
<br /> _ r ,
<br />6
<br />w
<br />DISSULYPD MEASUREMENT .
<br />70295 1 0 0 ,:
<br />~t,. ~ !4*
<br />. -`
<br />. nCr b0~9>•~°~ >..: ~ ~~.-.- " 'El I. S~'8?'?-
<br />
<br />EfFLUENT GNOS3 VALUE
<br />E1-. ENT' .,.
<br />. ~
<br />,,:
<br />~.,- '
<br />tCaC
<br />'
<br />Y
<br />~~q~;'~',
<br />rG/I
<br />~>s>
<br />~'
<br />IL AND GHEASfi SAMPLE ~LAIRlIR I 9u) C:#CC+~ ~N!>p00 '~Q>00{'~
<br />VISUAL MEASUREMENT
<br />H4U6b 1 0 ~D i~ :, " ~~F °~
<br />y E`_=1 4>pt4>!i 'r#~OAC+#IM'~ A>OC )fi at. .3S(iA'
<br />rFFLUEN7 GROSS VALUE ,E ~N~' '""`b
<br />~T ,
<br />, YC=O (
<br />.; ~ ~'~ p~iC C1E1k
<br /> SAMPC~
<br /> MEASUREMENT
<br />'-?- R -1 '-
<br />~ .. 'L' „~ ~~~
<br />+'
<br />
<br />H ~N~ s
<br />x' 7
<br />.
<br />t
<br />:
<br />NAMERITLE PRINCIPAL E%ECUYR/E OFFICER I CERTIFY UNDER PENALTY'O ' RHATI HAVE PERS NALLY E%AMINEO AND TELEPHONE DATE
<br />AM FAMILIAR WI'i}i THE INFQJ3
<br />T A N SUBMITTED HEREIN; AND BASED ON MY
<br />OBTAINING
<br />SP
<br />N
<br />E FO
<br />S
<br />B
<br />E
<br />C INQUIRY OF. THOSE INDNIDUA
<br />J. G , ~~`~ THE INFORMATION, I BELIEV SIBL
<br />R
<br />. ME
<br />LY RE
<br />IAi
<br />O
<br />E THE' SUBMITTED INFORMATION IS TRUE,
<br />W
<br />ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTIN
<br />~~~~ ~ POSSIBILITY OF FINE AND IMPR ARE THAT THERE ARE SIGNIFICANT
<br />I AM A
<br />G FALSE INFORMATION, INCWDING THE
<br />ISONMENT. SEE 1B U S C § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE
<br />
<br />TYPED OR PRINTED 4 t319 (Penetties antler rnese stables mey inclutle lines up ro 510.000 end w
<br />maximum imPnsonment of DeMeen6months end5yeers.J OFFICER OR AUTHORIZED AGENT EA
<br />D
<br />NUMBER'
<br />YEAR
<br />MG
<br />DAY
<br />GOMMEN7S ANU EXHLANAITUN OF ANY VIULAIIVNS (Me22DCe 8u 9[[BCnmenlS neBJ
<br />SET7LEAbLE SGLIDS LIE!IY HILL BE NAIYPD FGfi %10-YA, 24-HF F6ECIF PYEYT-°FE I.A.2, FG 1V, F-Ci EE(LIEEtFAT~.
<br />QATALY SAdPLIYG I1157FCETIONS-.I.C.S, PG IX. 30 CAI AYG IS HIGHEST lG67HLY AVG CCFI-G FI61CI i;FCY2EC.
<br />EPA Form 3320-1 (OB-95) Preyiops etlitiops{pa a,~j b,!?.;use¢.. ~ (REPLACES EPA FORM T•40 WHICH.MAY NOT BE USED) ~ .:: ~ PAGE I OF
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