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PERMRTEE NAME/ADDRESS (L.biiwWgNr'lxnl•w /DIOee.,,4
<br />NAME j['. i::n ~O.+L l,U'i~n'•~(
<br />ADDRESS P • J. 'C:) i( h I U
<br />HAYPEN CO 81639
<br />FAaLm
<br />LocATION H A Y Uc ti ~ ~7~0 91 b J C
<br />A STN: GRF'_G:: ~T7C r.FG_ f. ~: ~, :~ ,AL ~ *. :F?~
<br />MATId1Al nOILVTAMT OISCMMOE ELIMINATION SY4fEM ///JPOESI
<br />DISCHARGE MONITORING REPORT (DA1Rl
<br />C O'C qf;; . tl 011: Y
<br />~'" PERMIT NUMBER dxltnwoE wuNem
<br />MONITORING PERIOD
<br />YEAR MO DAY:: "YEAR MO DAV
<br />FROM 91 1[ (~"TO ~ U1 11 31
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<br />(SLIlI'. JC)
<br />F - FINAL fi0U":'I
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<br />PARAMETER QUANTITY OR IOADINO ~ ~
<br />QUa~lty Or Concentration Np, FREauENCr
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<br />nl..ne lmpnnnmenlr pm.lnp .lW.uols OFFICER OR AUTHORIZED AGENT CODE NUMDER YEAR MO DAY
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<br />:i ;. l:. PAPT I. A.4 ril i{ U: TAi L'~ :%F TY. _. 'C ?; J.:Cu Ui(:. d(PChl' ., :. rIE3T iiI1.U 1'i:~N (%: :.Fr"LU:: .•~"C) FhICH IS LEThAl. Tt, SU:.
<br />JF' TE[;T 7H~ANIS!75 (Li:SU) ?C ,,.~..,:il ,.'.:JC6 Cc,C('IIY TZ.i~" 1EPORT FOnY T~% U:;:!. CG~Ir:S OF'~ ALL. INF'OR!1ACI09
<br />Era"Fo:m aazo-t' ~~r 3/99) P~ev"ious editions ntay be used. This is a 4-part•form. vncE of
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