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PERMffTEE NAME/ADDRESS (lnclud, FaNIly NamNLocaHnn iJDi$erenq
<br />NAME WESTERN FUELS-CCIORADG, LLC
<br />ADDRESS}yEG ROnI20N f711.E
<br />P.G. u0Y 6Z0
<br />FACILITY ~} LI C L A
<br />LOCATION
<br />CO 81424
<br />ATTN: d. LANCE I;aGE, LINE YANAGETI
<br />NATIONAL POLLUTANT DISCHARGE EUMINgT10N SYSTEM MPDES)
<br />DISCHARGE MONITORING REPORT (DMR~
<br />r1-161 (17~ W
<br />PERMIT NUMBER' DlscruaGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM TO
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<br />Form Approved. .
<br />I N O H OMB No. 2040.OOOa.
<br />(S U B R Y C) APF~w~ etgllree 0531-98
<br />' :~. - ~ I
<br />P. - PIIlL NNTFS
<br />FUNOfF E IC9IYP. 1!lll~?C~PA-71~GE
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<br />Bea NO iI_CRAR6! ~~_'~. aab
<br />'NOTE: Read IrleWCflone before corppletlng ifile torte. ,
<br /> (3 CeN Ony) QUANTITY OR LOADING (1 CerV Ony) QUANTITY OR CONCENTRATION ~
<br />- ~NO~ FREOUEN SAMPLE
<br />PARAMETER 19-53 5481 39-15 1653 5461
<br />'
<br />-EX?
<br />•oF
<br />TYPE
<br />~~~) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS " '~'~~ ~70
<br />}i SAMPLE ['LID 1iU+D aao35rio ~ ,7Z Vaa3504 ^
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<br /> MEASUREMENT .
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<br />0400 1 U 0 PFERMR aaaaaa ea9et7 ~e, .oi~ 5 aa.a-0431,"- `~':?.:_' . -
<br />FF'LUENT GROSS VALUE REQWREM~Ni vta.~ RI MItlUN ~ ~u~ ."$ ~ ~~'. Q ~!'~ G
<br />'OLIUS, TOTAL SAMPLE
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<br />MEA
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<br />EFFLUENT Gi?O55 YALUE REQUIREMENT tLL4 RTF AYC 0 l
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<br />-FFLUENT Gfi059 VALUE REQUIREMENT - ;ec, STR AVf,~ :
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<br />(AS }'E) MEASUREMENT Q . ~ O, t .~ _ (~
<br />1045 1 0 0 PERMIT aooaan aaeaoa a t.r~ F7IClIAL .E' 6^Q
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<br />'FFLUENT GltOSS VALU! REQUIREMENT taoY ATR AYG 30DA A9Q~ ,
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<br />IL AND GFEASE SAMPLE Laeo>a;Y riALr.:-:;~ eeaaila ei?aaaa ( ]y) __ }
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<br /> MEASUREMENT _ .
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<br />3532 1 U U PERMIT LLaDao aaaa3;L o 'z4 aa3SeLa aoeoaa I E
<br />}'FLUENT G"r.055 VALUE REQUIREMENT ; f, f,e)V I N ;G y,' r
<br />LOw, IN CUNGUI'I CF SAMPLE ~ 03) LaLVVL aaLraL a'aaKae - '• ~-•
<br />I M H U T H E A'I r E Fi T F L A A 7 MEASUREMENT Q,, ~ ,~ Z -~ ~ :~ CAtntT , (,pNT
<br />OUSO 1 0 C PF.AMIT SEFORT AEIfOHT eae3loe. daoaaa I>Ot44Aa'_l, .ta ~
<br />'FFLUENT GROSS VALUE REQU1faEMENT 300A AYG 'DAILY !9Y ~ tCL` ' = aaa "``'~'
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<br />OLIDS, TOTAL SAMPLE LLY}#[:L as Lt: Ii ti eCaLaL .. ( ]~)' ( .. .
<br />ISSULYEC MEASUREMENT 2/o ~J3 2 Q ~ ~ ,,~ I(a o~,~48
<br />0295 1 0 C :PERMIT a><IOa1ATe OeaaaA a to OOaaae ARFQaS :- ',~',~
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<br />NAME/TTR.E PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF
<br />NIUAR WRH THE INFORM LAW THAT I HAVE PERS
<br />ATON SUBMffTED HER ONALLY EXAMINED AND
<br />EIN; AND BPSED ON MV _/~ ~ '~ TELEPHONE; ti
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<br />' -' ~. DATE
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<br />~ 0 7 Aa K r ~s INWIRY OF THOSE INDMDUM
<br />THE INFORMATON I BELIEV S IMMEdATELY RESPONSIBLE FOR OBTAININD
<br />E THE SUBMRTFD INf-0RMATION IB TRUE, ~~~ //
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<br />ACCURATE AND CbMPLETE.
<br />PENALTES FOR SUBMffTIN
<br />I AM AWARE THAT THERE ARE aIONIFlCAHT
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<br />SIGNATURE OF PRINgPAL E7IECUTNE
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<br />! OFFICER OR AIJTNOR~D AGENT
<br />TYPED OR PRINTED madmwn/mprbaun,M pl6eAreAn S monW Aries ymraJ NUMBER • - ~YEgR MO DAY
<br />COMMENTS AND, EXPLANATION OF ANY VIOLATIONS (Aelerence all etfachmenfs here) ~ ~ ~ -, - -j ?_= I
<br />'f SS E FE LT:1I?S YLL1 FE GAIVEll E SETTLEAGLE SOLLL.'. LI"IT AFFILEU FCh <=l0YR,24A! FFEClF'EYELT`,GILT AiliEl
<br />RUNOFF CGNSTITUTES CIJURITY OF LOAC-SEE I. A.1(G), FG V, FCF. FEL;UIhEtEN75. lldTEC7ICN 11!799-56E I.l:i.
<br />.A orm 3340.1 ( ) rewous edi Ions may not a used ' ^(RS CES A OR Y-40~WH H MA T BE US D. . ' OF
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