HYDRO21960

• Permit No: C1982056
• IBM Index Class Name: Hydrology
• Doc Date: 10/15/1998
• Doc Name: 3rd Qtr 1998 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS /lnClnde
Farilip~ Name/LoParion if~dilffe~ren~)
NAME_TYF NT Y-^Is-..+<SQAI_S_O_N --_---
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FACILITT ~~
LOCATION
A T'TNa BI ChAHD A. ,Y~Li-S. MANAGER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (OMR)
(?-le) (17-19) HLNOR
C 4 ~ (SUBB NW) f~r~rrSlpProved.
PERMIT NUMBER oroc~Awcc Nuwaew F - PI NAL OMB No. 2040-0004
MONITORING PERIOD DOl1E5?IC WA~P`B~a~.IpISe15~.~1tL9~ SPGS
YEAR MO DAY YEAR MO DAY
FROM U1 To ~#~: NO DISCHARGE ~__i~ ###
r1n-111 r11-n) 1?4-1J/ (1s-1n (1a-'v) (JO-n) NOTE: Read instructions before completing this form.
(7 Catd Only) QUANTITY OR LOADING (4 Card Onl v) DUALITY OR CONCENTRATION
PARAMETER ~(46-
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HOD, 5-DAY SAMPLE
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NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I cERnFV uHDER PENALTY OF 4AW THAT I HAVE aERSONAUY EXPMINEO TELEPHONE D A T E

Richard Mills PNO 4M FAMILIPR WITH THE INFORMATION SUBMITTED HEREIN: AND 845E0
ON MY INQUIRY CF THOSE INpVIDUALS IMMEDIATELY RESPON518LE FOR
ORTAINIIJG THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATIQY IS
970)870-2712
10
15
98
Environmental Manager TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE
TI
I
SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMA
ON
NCLUDING
THE PosseluTV aF PME AND IMPRISONMENT SEE 1e uSC S ,001 4ND
'
SIGNATURE OF PRINCIPAL EXECUTIVE

TYPED OR PRINTED 33 USG S 1319. (P[nallic5 under Ih[se .a1J(Ulfa mJ)
IOCIUJ[ lines up l0
fIO,OW and or marimum Impnsonmenr n! heween F mnmh, snJ S /cart)
OFFICER OR AUTHORIZED AGENT AREA
CO
NUMBER
YEAR
MO
DAY
COMMENT AND E%PLAf1AT10N OF ANY VIOLATIONS (ReRrcncP all effachmen(s here)
3J UAT AYG IS HIGHEST ri0NTl1LY AYEEA6E DURIRv FEdIOD dEPORTED. OIL E GREASE GARB SA`IPLE REQUIRED IF
VISIBLE SHEEN IS OBSERVED - SEE I.e.l.(D).
EPA Form 3320-11Rev. 9-Ba) Previous etl/tions may be used. ~ (REPLACES EPA FORM T-40 WHICH.MAY NOT BE USED.) OOO I f /9SO <1Y~1 ~O1 PP'GE ~ OF
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