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PERMITTEE NAME/ADDRESS (include Fpcilm Name/Locnfinn ifOrJ/erenr) <br />NAME ShN,~.'Ck CCAL CCPFF:.'i <br />ADDRESSpRAY$8 D <br />HAYDEN CL %;2639 <br />FACILITY _ - <br />LOCATIOI~AYLLl: CO B16.iU <br />A'CTM: G. BUD E2GLN, C! MANA6EH <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITOpING REPORT (DMR OMB ND. 2040-0004 - <br />(At61 (/7"~9) ail h0{t - <br />C C ~ 11 Approval expires 05-31-98 ~ <br />7 (SUi!H hr) <br />IT NUMBER DISCHARGE NUMBER F - E 2 ~' ~ 1 H L:.~„'i T <br />MONITORING PERIOD CL SC HA nCE TC HGEEliSG~/ GCdCN~ <br />YEAR MO DAY i ~ YEAR MO DAV <br />FROM yy - •.;)p 7 11 U1 ~~~ AC IISCfIAFCt ~~) OCi <br />rzo-zn n>nn na.>n f>A.>m con-vi NOTE Read Instructions heforn omDletinD this form. <br />PARAMETER ~ (3 Card Only) QUANTITY OR LOADING ~ ,,~rtl Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> ' (46-53) (54-61J (38-45) (46-53J (54-fiat EX OF TYPE <br />(32-37) <br />.~~, ~~~ YERAGE <br />MAXIMUM <br />UNI <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />(62fi3) ANALYSIS <br />(64-68) <br />69-70 <br /> SAMPLE <br />- .r,.u9 4 t•. :;k ],) <br /> MEASUREMENT ~~ ~ ; <br /> <br />UOuUU 1 0 0 <br /> <br />trFLUFHT GHCIS9 PALL ~E <br />''~,~PJIA'EMENT <br /> <br />4 <br />~ <br />~~~ ~ ,. <br />~~ <br />#Ilttl!' <br />U <br />t~Y7~ 8 <br />~ ''" <br />SCrL • SAMPLE """'" .o , <br />5USPENDL'D MEASUREMENT <br />OU~JU L U G <br /> d s;~ <br /> <br />EFF'LUEN'L U.RGS: YALU <br />eo>}u a.x <br />`~`#rc. <br />~it~~#'~#~:' <br />rG/4 <br />A' <br />ItB#'IA <br />. ~~'~' <br />SCL , ,. c E S E ~` v .. ( ~.. <br /> MEAS~ ~ENT~ . s <br />(:USVS 1 0 0 ` - <br /> PERMIT' <br />~ t tOY <br />EYt"LUENT GR059 YALU A~QUwEMENT ' ;~~~'~ ~ #* . "~<e ~~~: ~#, t,1/1 '~~,Ih/~I! Biz=; <br />IRON, T SAMPLE 'I ~ O ~~ +~~ <br />(A 5 l E) MEASUREMENT <br />ULUUS <br />0 ~~~.w <br />1 <br />0 <br />' ^pf+(iFAIT _ A~>a ~ # ' r <br />•'. <br />kFF <br />LUENY GRO55 YALU' ~LEQUIREMENT , <br />~s m,' tIGCJ I <br />~ ~~e' , <br />,~~"~ ~I~s l.G/1 CYXY <br />OIL LLRD :.R ~ SAMPLE ~: Y~' ""' 7 ;~• + ; ( <br /> MEASUREMENT ' <br />_ <br />U .i5H1 1 0 0 -.: PERMIT ;O': '> ~ ktl~ ':- Y ~~" <br />~~ <br />6F'FLUNAT GR055 YALU ~QQUTAEheENT .~~„: eleo~ ~:~ tE/1 ~~Y'~ , <br />F LUL, IN cocoa 2 06 SAMPLE ( ) ^'OOC• ~'~ 00>0 ~~ <br />THNU THEAT(tEY2~ PLAT MEASUREMENT <br /> <br />SOUSU 1 0 0 ;,..;pER (~, YEP R R A ~ a aai I 5iA <br />EPPLUF.NY GROSS YALUF ;9~CCtiIR~M~N .300,1 A-6 DAIII 1P2 !GD ', 000 <br />SGLIDS, TO AL SAMPLE 94C9G :fo>ya~ ~ c '~ ( I ) <br />LISSCLYEU MEASUREMENT <br /> <br />)Uly~ 1 U 0 ~ . "` PERTy11T . :. 1 4 ;>Ct: 0l=.16 S I I' 1#$".' <br />Hf FLUEhT GROSS YALUE ~AEQU1R~i1~l~' -: r„• ~ ~ cAOa .~,NS# x'-~ #"I3't~ ~tkl` MG/I i,, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND ) TELEPHCINE ~ DATE <br /> AM FAMILIAR WITH THE INFOgMAT10N SUBMITTED HEREIN; AND BASED ON MY <br /> INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. <br />ACCURATE AND COMPLETE. I AM AWARE THAT THEgE ARE SIGNIFICANT f <br />/ <br />~ <br /> PENALTIES FOR SUBMDTING FALSE INFORMATION <br />INCLUDING THE / <br /> . <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE t8 U.S.C. § toot AND of U.S C. <br />SIGNATURE OF PRINC <br />~AL EXECUTIVE ~ ' <br /> <br />TYPED OR PRINTED 4 13te. (Penetties antler Nose stables may rnclutle lines up to Slo,ooo end or <br />maximum impnsonmenl of 09lw9enfimonlhs entl5yeers.J ~ <br />OFFICEq OR AU7 ORIZED AGENT <br />~ <br />AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> CODE <br />.~~~••~••~~.~....,... ~.,.~~ ~. .,~.~ vivu+nvrva lnmmencn an euecnmenrs nete/ <br />T55 E IRON LInLTS M1IL BE 4ALYED E SETTL6ANLE SCLICS Li!!IT APPLIED FCH <=l0YG,2UFF FF~CIP [11A7I 7S5 G <br />LNUh LIt7IT5 i+AIYEO !C6 ~10I8,~4HR PRECIP BYENT SUEJFCT TO PURUEN CF 6FCCF IN I.A.:. CII 8 GilA_E - _EE <br />T rt _ 1 <br />EPA Form 3320.1(08-95) Previous editops Jnay~Nd - ed; =~., (REP-L.pCES EPA FORM T30 WHICH MAY NOT 9E"USED.) UU192/99Cfi:7-1153 PAGE 1 OF <br />