|
w
<br />PERMITTEE NAME/ADDRE$$(Include Facilitt•Name2atalion ifD~erenO NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Furm Approved.
<br />,
<br />NAME
<br />HIYREC, INC. DISCHARGE MONITORING REPORT (DMR;
<br />rz'el (n-s7 OMB N0. 2040-0004
<br />CINCA
<br />1
<br />
<br />aoDRESSYOATH THOHPSOY CFEEH LINES
<br />- n ~ q Aoproval expire505-3
<br />-98 t
<br />(BUPA ~C)
<br />2768 CG8FA55 LLIiE, SOITE IO1 ~-. PERMIT NUMBER DISCF7AfiGENUMBER F - FINlI fI1ivY
<br />FAGUTYGRAND JUYCTIOY CO 81506 MONITORINGPERIO .. FOS1-FIIYIhG HUNCFE SECI fCYC
<br />LOCATION,
<br />t_AfiBCYDALE CO
<br />81123 YEA ~ MO DAY YEAl3 . ~MO DAY
<br />FROM TO 1
<br />'~~~ YO CISCRAf1CE ) LO>r
<br />A T T H: J. E. S T C V F F_ C C Y S U T. T i Y G F Y f, _ rzo zl -.91 iza zsl rzs-zn Ize zel 73oan NOTE: Read Instructions before co pleting this form.
<br /> (3 Certl 0
<br />QUANTITY OR LOADI
<br />/ (4 Card Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER 65
<br />3
<br />( ) (54-61) (38-45) (46-53) (54-61) EX DF TYPE
<br />(32a71
<br />AVERAGE
<br />MAXIMUM _
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />
<br />(sz ~l ANALYSIS
<br />
<br />(64-69)
<br />
<br />69-70
<br />PH SAMPLE OCOX'i}.°~ fiLAYi+y LII16044 ( li)
<br /> MEASUREMENT ""
<br />00400 1 "U C ~
<br />~ IT' '
<br />~~ ' `4#sog>o
<br />` x##
<br />~\ ti0 R ",._
<br />~ ieS)., tb~ "EAE .
<br />EFFLUENT GAOS,S YALDE sE~gl NT '
<br />; ,
<br />~ LO>ao °~:, ~ :1 ,: ~ ~~$ .. SG CN4E
<br />SCLIDS, SET16EA81$ SAMPLE ~'~r'^~~ ~CCA4t ( ~')
<br /> MEASUREMENT
<br />GOS4S 1 0 0 _~'« ~
<br />" ~'-»>r~a>}a ecsea4 ~>Q» )<'SiG~ _~,~ ttEl- SlE_ .
<br />EFFLUENT GHO55 YALDE Mt ~ ~ gq>Gp -
<br />G$~'~ . ~fi ~H-` CI/L P: t{N1$ .
<br />IL E GBEASE SAMPLE >a0C~49 tstoo~ x>o~F>oA~? .:~, >Qi>b9" ( ]5)
<br />- MEASUREMENT '' ~_~:_;
<br />UUSSb 1 0 '0 . ;/~'.E~FAr; >l9it4-e~j ~IE>vots o t:o ~9s34t1D ~~ '{,::; ~ ~_ C!"SIT -BAE'.
<br />EFFLUENT GR035 YAIOk ~
<br />~ ~~~~ E>eYV ~
<br />~ ~`' ;
<br />#(
<br />~'I C
<br />C/I EY1
<br /> , ~ ~ r
<br />-
<br />•: ~
<br />FLOP, IY COMDOIi 0fi SAMPLE I C3) ~~'~~~~ OyCO ;" QY~O'F~
<br />ThAU TR EATFf=!S PLA Y'I MEASUREMENT
<br />SUUSO 1 D ~ b ,n,
<br />~ -&~#QF('I` ; . AEfQAT 9oase>de ~~4 iCE/ Y51J
<br />.
<br />EFFLUENT GA093 YALDE EA~
<br />~ _
<br />: ~ tl~
<br />AtG tYAIIL IfY ECD ~ ~ ter`'
<br />;
<br />~~ ~,
<br />"' ~~;fi i~~ 1EY18 "~
<br /> _, -, . ;
<br />}
<br />~ ~
<br />SCLIDS, TOTAL. SAMPLE °~~~^~~ ~;~~'~~ t9}'~~'~ "~ l a5)
<br />DISSULYED MEASUREMENT
<br />7U19S 1 0 ..:D „~ '•.. q>psas +o~~lels .;~ ;co a>~oaaa ~ '>H3>RQ#, = ~~ ,~l - 111;,x=
<br />EF'FLUEYT GROS'S YALUE ,HEpU NIT; :~' ~ } >C0A4 ~{"~'~''~ ,``~, !!G/I ~~~ ~ . r
<br />G1L AND GAE-51 SAMPLE Lm44#~ ( 94) ~0~9A+ 9tOt99 4 KCiY
<br />Y I S U A L MEASUREMENT
<br />84066 L U U ' 3j, ~ .. , ~ ~l i'" ~ E°=1 'Y iQ061~e " ' ~,iilii ~ ~ ii g C>04
<br />~t~,ri
<br />Isaa
<br />F:FFLUEYT GROSS YALU ~N E )` ;; p,; ''
<br />=~9i1!"
<br />~'~ NC=C +CiO~ ~. ,'
<br /> ,
<br />,:
<br /> SAMPLE
<br /> MEASUREMENT
<br /> - V' ,- as t + r
<br />
<br /> tr _
<br />
<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER '-
<br />"I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THEINFORM
<br />LAW.TH(~T IHAVE PEflSO
<br />TION Suu
<br />RMITT
<br />l
<br />D HERE
<br />NALLY EXAMINED AND
<br />IN
<br />AND BASED ON MY
<br />TELEPHON _
<br />E
<br />DATE
<br /> INQUIRY OF THOSE INDIVIDUAL ~~
<br />1
<br />E
<br />SS IMMEOIALELY RESPON ;
<br />SIBLE FOR OBTAINING
<br />6 ~ J Q~FZ... THE INFORMATION, I BELIEV E THE SU MRTED INF ORMATION IS TRUE;
<br /> ACCURATE .AND COMPLETE.
<br />PENALTIES
<br />FOR SUBM
<br />TU I AM AWARE THAT TH
<br />FALSE INFORM
<br />TIO ERE ARE SIGNIFICANT
<br />G THE
<br />.
<br />§,~ .
<br />I
<br />NG
<br />A
<br />N, INCLUDIN
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1a U S.C. 4 1001 AND 33 U.S.C. SIGNAT E OF PRINCIPAL E%ECUTIVE D
<br />
<br />TYPED OR PRINTED § 1318: (Penetties untler these stelNes mey rnplude hoes up fo E10,000 entl or
<br />mavlmum lmpnsonmenr of Dehu>°enamonths end5yeers.)
<br />OF):,ICEH OR AUTHORIZED AGENT
<br />~ D
<br />NUMBER
<br />YEAR
<br />M
<br />D Y
<br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS (Reference a//attachments here)
<br />SETTLEABLE SOLIDS.IICY? yILL bE YAIYED FOA >10-YH, 24-HA PAECIP EYF117-SFE I.A.I, FG IY, fCF AF~4IEECEYT=.
<br />GRTALY 9AHPLLYG IY51Ft1GTI0NS-I.C.9, PG IY. 30 CAY AYG iS AIGHE51 dCY1YLY AV6 COFIIG FEfi1Ci bEFCA7EC.
<br />OF "
<br />EPA Form 39201 (OS 95) Previous edrtlonsyuay hot b@gsed ,w (~EP{lyCES EPA.EOHM T-40 WHICH.MAY NOT REUSED.) , CQ 1~.4/ QU Q 11 ~-Z 6~ i .
<br />~ ;• a:
<br />
|