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PERMITTEE NAMEIADORESS p~cl,i FaWry NwdLxmml/DIQww.)
<br />NAME 73APPP.R ^I9IMr;, IVC.
<br />ADOaess TRAYPER `7[RE
<br />P.O. ROX I.R7
<br />C;{A Li; CO 81625
<br />FACILITY
<br />LocAnoN
<br />ATTN: y. GORDOV P''T'!:RS, PBEG/;:ElJ MGR
<br />PARAMETER !3 Grd Ontyl
<br />l31-37/ !4653/
<br />AVERAGE
<br />NATIONK PoLLUTANT DISCHARGE ELMINATOM SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT IOMRI
<br />Z-Tel 117-191
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<br />/10•SN~ /21-Y3I !24251 I26I71 l1e-291 l30-311
<br />TY OR LOADING /1 Grd Only/ QUANTITY OR CO
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<br />MAXIMUM UNITS MINIMUM AVERAGE
<br />Form Approved.
<br />~ [ N "?? OMB Na. 2040-0004
<br />(51] o R N y~ Approval expires OS-3]-98
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<br /> NAME E PRINCIPAL EXECUTNE OFFICER I CERT
<br />AM FA FY UNDER PENKTY OF L
<br />MILIAR WITH THE INFO AW THAT I HAVE PERSONKLY E%AMIN
<br />RMATION SUBMITTED HEREIN: AND BA ED AND
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<br />970-)i
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<br />Pr"said@"~?t /General ~Sanager
<br />TRUE. ACCUMTE AND COM0.ETE. I AM AWARE THAT TNE
<br />SIGNIFCNIT PENKTIE9 FOP SUBMITTING FKSE INFORMATON, IN
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<br /> THE POSSIBILITY OF RNE IWD IMPNSONMENT. SEE 13 U.S.C. 1 1001
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRe)er~ncs sll sftechmenls here/
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<br />EPA Form 3920.1 108-961 PIeVIOee editiam mey ba used. REPLA A C MAX JY USE0.1 D I] n c ~ / O 9 n n ~ _, r• .J
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