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PERMITTEE NAMFJADDRESS (include Faciliry Namdlocalion ifDi$ereN) <br />~~~COLONSO CDAL CGEPANY, L. P. <br />ADDRESS'_'OLOYYO tlINE <br />5731 STATE NIGRYAY 13 <br />tlESRER CO 81642 <br />FACILfTY <br />LOCATION -~ ~ ~ ; .; <br />AtTN: ~. D. NARtlON, GF:iERAL tlAYAt;ER <br />(3 Card Only) C <br />PARAMETER (4G53J <br />(32-3n AVERAGE <br />NATONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (DMR~ <br />(z-+Bl Or- sl <br />_~ 000045161 OAZ w <br />PERMIT NUMBER " DISCHARGE NUMBER <br />FROM <br />(xizr/ (zz~zs/ <br /> <br /> Fonn Approved. <br />!1 I R O R OMB No. 2040-0004 <br /> '4PProval expires 05-31-96 <br />(SUER NY) <br />P.- PIYAL MOP A7 <br />YASRBAY tC YORR AAEA POND <br />~r:x NO DISCMAR:E J~Gi a~=a= <br />NOTE: Read Instructions before completing this form. <br />CONCENTRATION NO. FREOUENC SAMPLE <br />(Sa-st IX of TYPE <br /> <br />MAXIMUM ~ UNITS ~ MINIMUM ~ AVERAGE MAXIMUM UNITS avALrsls <br />/B~d31 IB4-6B7 /69-701 <br />......., ...~.... SAMPLE T-. ..r...- ~r~w.r r~~.r.r~ ~ 1'rJ <br />SUSPENDED MEASUREMENT <br /> <br />JUSjD 1 0 0 ;PERMIT~`'~ '_ ~~ "''yr q <br />I <br />--` ,"=~ I I + <br />~ <br />EFFLUENT GROSS VALUE REQUIREMENT ~~€' °- ~GC ~ y <br />~ <br />"> <br />" CG/L =' ~7C'~E ; <br />'t`` <br />~` <br /> ~Y ~ <br />HUa SAMPLE 3VIIFRS ~~tGC? ~~ ( 19) <br />COTAL RECOY ERABLE MEASUREMENT ~- <br /> „ <br /> •1*iPERMIT~` <br />EPFLUEN! GROSS 4ALUE FREQUIREMENT' ..T` <br />~,` <br />' <br />~ <br />F i ~ <br />~ ~ Ot03 ~u~ tlG/L tom? <br />? ~ . <br />' <br /> - <br />. <br />, <br />~ <br />r , <br />" ~; - k <br />LOY, IN CONDUIT OR SAMPLE ,( 03}>! a aa~ae(1r ea#aaa alas;:at <br />CRRU TREAttlENt PLANT MEASUREMENT 3 <br />0050 1 0 O ~;~ PERMIT.'gs "'y <br />~ <br />~` ~ ~ ~~ = Qy~ ~ -"" <br />~ <br />6PPLUENT GROSS YALUE REQUIREMENT. ;; ;~;'; $; ~ <br />~ NGD ;~~~~~ ~=: ~ "-'. ~'. <br /> SAMPLE ' ~ 'r~" ,I <br />~ <br /> MEASUREMENT _ '~ <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />NAME/TRLE PRINCIPAL E%ECUTNE OFFICER <br />DATE <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY REBPONSIBLE FOR OBTAINING ~ `~ <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, Q~,y~.-y~~ ~~ ' <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFlCAM <br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br />y ~ u n POSSIBILT' OF FINE AND IMPRISONMEM. SEE 1B U.S.C. 91001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE qua ~•1- {o0t1 c}J n I ~ O <br />TYPED OR PRINTED mum l~mrlASmmem pl ~AeenBmonw entl5ude (mss up ro f10,000 end ar <br />P y~rs/ I OFFICER OR AUTHORIZED AGENT NUMBER-; YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Aelerence ell et~chments here) - ~ ~" <br />tlONITURING kEQUIREMENTS SEE I.d.1.B, PG. 5. BDtDtll O~ PROOP B6QOIRElfENtS - SEE I.A.2, PG. 4. <br />EPA Form 3320.1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T30 WHICH MAY NOT BE USED.) PAGE OF <br />r .. -..<.- 80019 /99 0 50 5-1057 ," 1 <br />MONITORIN_G_.PERIOD <br />YEAR .MO DAY,' YEAR MO DAY <br /> V .1F~ TO YY 11 d <br />