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PERMITTEE NAMFJADORESS pnclude Facr(lry Nmndlacarion IJoigermq <br />NAME <br />V:ESTEflN FUELS-CCLOA6DC, LLC <br />ADDRESSNEM :fOBLZCN ~I11E <br />r.c. :+ax ~2e <br />FACILITY N U C L A <br />LOCATION <br />CO e1424 <br />r1TTn: fl. LANCE +AOE. LINE MANAGE^n <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM MPDESJ FORR APPIWBC. <br />OISCNAROE MONRORINO REPORT (DMR~ OMB N0. 20AOOD04 <br />rz-,s/ rn. sl [! I N 0 F Approval al~ires 05.31 •B8. <br />(SUBA wC) <br />PERMIT NUMBER DISCHARGE NUMBER p_ F I F 1 1 ~ ~ ! N 4 ti S <br />MONITORING PERIOD ~f.UNOPF E IC72Y1 !]~IP-: E,iA]a~bE <br />YEAR MO DAY YEAR MO DAY ~~ , _' <br />FROM OG C1 U1 TO GG 03 31 qaa NO I]:CNABGF •dq~ I <br />(zar/ paz~l Razs) tzav~ rze-ze) L3S3+) NOTE: Reed InetruLlione be10re~S pletlng ihls form. <br /> (3 Card Ony) QUANTITY OR LOADING (~ Ceni Ony) QUANTITY OR CONCENTRATION NO: FREOUENC SAMPLE <br />PARAMETER (1653 5481) -45) 1653 6481 ~ EX' ~ OF. TYPE . <br />(32J7) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS ANAL~rs yy,70 <br />IL AND C[LEASk SAMPLE >zfia'aaa ( g4) sggqc, agsaaA+ ggiiqa I <br />/ <br />~ '~ <br />I S U A L MEASUREMENT ~ ~ :~ ~ <br />~ <br />~ ~ G~ <br />+1066 1 U G PERMI'ft aa~0>alal0 0 ~ tS=1 -a4g9gq gQ+0~7?6a :~ ~•O~~,i'fi, ~ CK~ ~ ~ y ~ <br /> <br />E:FFLUI?NT Gk055 YALUE <br />REpuIREMENT <br />- <br />NS tlAY <br />lC=O <br />~'+.~'~ <br />ogai , <br /> SAMPLE ~- .•. ,~• •~; <br /> MEASUREMENT ~ ~' - °~ ''~'~ <br />,. <br /> PERMIT - - .. . -{ ~ a <br /> / <br /> SAMPLE ~ ". <br />~ - ~; <br /> MEASUREMENT ~'- <br />- <br />w <br /> <br /> REQUIREMENT <br />':~ <br /> SAMPLE - := J i ~. <br /> MEASUREMENT ~ - <br />- _. - ! ral <br /> PERMIj ~ - - ~3r4rtc'_ , ~ + <br />~_ <br /> RFAUIREMENT <br />~• ~ • . ,„.,~... , ':;, <br />' <br /> SAMPLE ~ c _- ~ <br />Ir <br /> MEASUREMENT ~ - _ <br />_ I <br />~ <br />. <br /> M ~ ~ ~ ~ ," . ;. <br />; -. ; ~~~ <br />~' <br /> REQU R <br />EMENi ~ , ' » <br />. <br /> .SAMPLE ~ - ~ - ~ ~ <br />t'' <br /> MEASUREMENT ~ ~ j h <br /> : - `' ~ <br />?v =; "~., <br /> REQUIREMENT .: <br />~+?~;~;,. . <br /> SAMPLE ~~ <br />~ i~ ~ <br />~~ ~. ~ I rL-+., <br /> MEASUREMENT ~ ~ _, ~ I y~ <br /> -.PERMIT - .. <br />- ny?;. .~;; <br />. ~ `. <br /> REQUIREfu~EM - ~ - ~ . `~ - ~ . <br />;~ <br />-°`r'~ - <br />NAMElT(TLE PRINCIPAL EXECUTNE OFFICER I CERR <br />AM FA FY UNDER PENALTY OF <br />MILIAR WRH THE INFORM LAW THAT I IUVE PERS <br />ATION SUBMITTED HER ONALLY EJ(AMINED AND <br />AND BASED ON AIY <br />EIN :_' TELEPHOJJ E= i n-DA TE <br /> <br />... <br />~ UK /~ S <br />TON INQUIRY OF THOSE INDMDUAL <br />THE INFORMATION, 1 BELIEV ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTNWNG <br />E THE SUBMrTTED INFORMATION LS TRUE, ~ , ~ % -~ ~ - -~ :• - <br />~ ~ ~ - '~ <br />'~~ ' <br />~ ~+ ' <br /> <br />~ <br />~ <br />, <br />, ACCUMTE AND COMPIEfE. <br />PENALTIES FOR SUBMfrTIN 1 AM AWARE THAT THERE ARE 61GNIFICANT <br />G FALSE INFORMATION, INCWDMO THE ..~ <br />I/r~ ~ <br />~ ~ ~~1- <br />]~ I <br />~- <br />O1 0~ <br />2 <br />/./~" <br />N ( POSSIBILfrY OF RNE AND IMPR ISONMENT <br />SEE IB U <br />S <br />1 1001 AND 33 U <br />C <br />S <br />C L <br />L <br />~ ' <br />~ <br />. . <br />. <br />. <br />. <br />. <br />. <br />. <br />l SIGNATURE OF PRINCPAL EXECUTIVE T/ - <br />+ ~ <br />TYPED OR PRINTED tl5ymra.j AUpm 110,000 entl or <br />~lmgumlo~orbatwesnemorNa~n OFFICER OR AUTHOR~DAGENf NUMBERr YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell et~chmenfs here) - :. =. <br />'I:iS o FE LIMITS VIII EE 17AIYEU C SkTTLfiAULe SCLIC; LI191T >1FfLIECrCll <=10Y6,24NF EiYCIf•EIE11`:CILYI Y'811 <br />huNOFF CON5'fITUTkS -A~OAITY GF LCAC-SEE I. R.1(U), FG V, FCF F'.E1,U1A--E-15.. D@2EC7ICM 170779-SFE j.p.:. <br />8 re Ls e ' ~o s rA e ~ . ' (R CES A 7-4 WHICH MA TBE SE _ r , r - . ' OF <br />