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P[RMITT[[ NAME/ADDR[BB (lnFlude NATIONAL POLLUTANT DIaCNARG[ ELIMINATION pYBTEM (NPDES) ~ - Fol'Uiry Name/Lxarion I) dl0enm)~ DISCHARGE MONITORING REPORT (DNR) ' N M SNUWMA$S [lI1R- CIl~7HIl~•INtinrv I: It M (2061 ~ ~ 117-191 ADDRI[~_P U Hf)X 9NU~--_-~`-_----_--- ('I I(711 ?_y544 OOS ~ ~ ' I:AKHI.INUALk PERMIT NUMBER DILCNARGF NUMBER + __~~~~1~ ____ I.fl 'p!b?3--- ________ MONITORING PERIOD ~~~~__~~~~~____~~_____~~ YEAR MO OAY YEAR MO DAY FACAnoN FROM ri 5 U 1 Q 1 ro HS Q 3 ~ :~ 1 ------------------ ----- - ratel ru~ty rte.ter . rt•tb rte.ar al•JU NOTE: Rea ~. ~ .• .Fo/mAPPro~ ' OMB No. 20x10^0015. •NO DISCHARGE~* - ~, • I d ImWe11DnB Dalere eomDleUnD 1h{B form- (J Card Only) OU ANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION PARAMETER (•6-33) (Jlfil) (JLIS) (16,73) (1x47) ~ NO. FR[OU[NCY OF BAM PL[ TYP[ (37-37) ~ ~ E% wNALYSI• AVERAGE MA%IMUM UNITE MINIMUM. ~ AV !RAGE MA%IMUM UNITE 6341) (614L) (69-70) . BAM PI[ ~ ~1 ; FLI1V. (t FFLUf.N i') MEASUREMENT # • # # R ^ • • k~A • f _ ~ ' 'P[RMIT~ ~ ' .r '. ' , ,s,'.i~. ` x I I I,I ,? y:.ea°'ffi" e ~' :'.. ~a:s'i ~ ... ., FxY.'&. %~~k ~ nx„.-~ ' w: a.~`. n.~ ~~ : 1 ,-r4 ~.+ a' . ` :: `l ()n1() :R[OVIRW[NT •. #.~ ~# .#''•' , ~ .:. ° .#:°#R .~ Ak"~..`. >R^r kl . ^ ~~I~a tl .~~.f ~.)>R°''~ ~~, i•`'xN:`1 ~~~.~ :Y'S:: a~ 7~ @ . r b=l;. p - BAM PL[ 511~]~1S•'=iflTAl, SUSP MEASUREMENT • • # • # * # * (FFF 11 N L h T) ° $ ` ~ ii ~:• ~f ~Q`8~ ~ rqr=` ~'.nx~ . ~ H UA I- / a~:..- ~>_. ;>~ ~ ~ ~ ~~ = ~: fix: no-• ' % ~`~ ' a ~ `~~ ... ~-r*x.. ~' F ` ~~ € ~ MC/L ^ ~ a,.:w..g.~cv °';: oR~ 'm ~...~;.,t... ; RUSin r ir q[DU )R ,; ' ~~* ~ '' ~i# :@m - < " ~ ,~,: x~ : : „ " .«x ~c" ~ .. ~ " '~ .:r '~. x ~6~ °~ . ' , u~ - < . . ~ , a s # tr s}. > .n# R, t~.A<.• hx< ~ . ;.a~ aI '. ~, , az e' ~( BAMPL! (ItOr'IeT(1TAL MEANR[MENT k f * • • # # t ~ e:•'P[RMIT '~ . .. .. .. n~ ^ :, <. . n (. / ; a . -' ,..• .. ., ..e .:~":'> „a.`; o„; .c. : a"i~~'"'~ f•1 (;/L .y .:~•. .: rs':.°FiµP ` . vgl,r„,t s~ . •.. I. i) 1 Q /1 T R[OVIRWWT . ..., ..~ *" •~ . *°,.:# , . , r# C'#:~ • f "..*~ ° , , c . ± A': ~. r t " •p . amp `~; 4' . '.~ . ~,".,,, SAMPLE fy l'1 •f 11:11) ~ ~ M[ASUREM [NT f * • • i • • R 1 ~ R • # ~ ~ ~ ~ ` ^P[RMIT. ~ ` ~. ., .« , " - x ., .~.. _Bx` ~ >•,'. e; t: ~ > c-: &£ '•: y, a~'„ & '(' N ~ ~ SU "n~~~ '~ ` ~Fer?^ Y $~ ' « x. Z4 ' !)11(1() ~ :R[OUIRLMWT R 4 ~ F * a a .'B, T. fl b -* .~v. ' °° 1 ?~~! f, sa 4 ~ ,.~ n, . ;. ~ .~ 9 ;~ya , a3 .p, tr . w. .~ F . . .. SAMPLE - ~ .. ~ ~ 'l• 1111 ~ GKh A3f MEASUREMENT • • * • • • # # i ~ ~'~~ • V)~IIAL m. ~P[RYIT~ " ... .. :. ... . ' .. .. .~ac ': .. ,. =•- °.'~,y,~ n ' F 4t.~°°'~ .,,.4' " e ~, d,"ymV'a ~, 5." :.x: 1 'ix # MG/L ~>~ ~ti j ~ ' ~ ,~,_, a. -(S •' ~ atlnu?_ R[OUIR[YLNT #.*..#.,+• ,.. R...R-r:+~ , :*.6°K:.'-A: ;`RY ~ "°.R:°#,A;,~': g . :: `~A~bv~,*:a~ i' ~:~ ~.~: : ?. ~ ~.~ ,~ ` i•,;,x ~~'., - SAMPLE ' • ~ • Cn"Inll[T IYI TY R/Uft MEASURLMENT • • • • R # # • ~ _ . 1U'; fk.FFIUF:NT1 r[RFr)r'.": ~ n " , ` .. .~.: <, . ;.:' ,. ° • .,, o ~ b, =;g..r,a:$<n,,..,•:~ Y.~ ff.` : l fuR <.x° $'K~- F ~ 1. •Y S'i~1 t' rt.®g.,x Y :y YA`4^..nH N..~~-s..; Ia,`'~ ~ $'- 6' RF:S4 $~ $t' ' ~ ~ >,~ ''~,~:~i?t~+ -~~~, qi,~.. u 9r^- .~LF'Y:+: "~~` 4.>,~x, ... K: 7UtlU~ RWVIRW[NT~ *° q , R "# `r' " '#' °R'~"t •R" < . s °.~ •k::A~s+i ; y ;A=•+i;ft°x R' ~~. a ~ _ ,il R ~ h, ~ ~ k .» :3 a :5' 'q ~ ? ~~`: ~~ . . . : , : _ ,* : . .«t .: z;. .;.. :Fa : ~ . . : SAMPLE MEASUREMEN T P[RYIT .. ° . r ' . .a °" x-, m ~ 'tt ~'y:..f:'`,~&' . ~/a #~. ;:aA.'~'V.r..n ". [ -'«.x , ' °RLOYIRW [NT ~ .. ° . ~ ... t" gy ., .R A° °.S~ 'pb °a as Y~ ~f~ a , , a ~ 'F•.~` 8.~.~ ~ ~ a:'rc. ya: ~~. ~.4' ~ a ~~^:~as .. c?'. ti :8 a$ v ' e >. NAME/TITLE PRINCIPAL E%[C UTIV[ OFFICER I CERTIFY uNDG PENALTY OF UW TNAT I NAVE PERSONALLY [%AMINED T[LEPNOHE D A T [ AND AM FAMILIM WITN TNF INFORMATION SUBMITTED NEREIN: AND NL,EO Scott Jones ' ON MY INQUIRY OF TNOSE INDVIDII • IMMEOIATEIY RESPM151BL[ FOR OHTAINIHG TNF INFORMATON. 1 pELI[VE THE SUBMITTED INFORMATION ~ ~ ~..(/~~ .~ IS TRUE., ACCURATE AND COMPLETE. I AM AWARE TNAT TNCR[ ARE $IG~ ' E i l E t 1 C T B C R F N M nv ronmen a ng n®er POSSIBILT• TNE OF FF [ AND IMM60NMENT SEE IB S C~/ I OOI AND U . •33 u5C r I]li /praollVr ~P.dr, tArer rmluur m. i~r/Rde /i,ur b El0 ua0 SIGNATURE OF PRINCIPAL [%ECUTIV[ 303 963-384 85 05 O1 TYPED OR PRINT[O . y , W aadror maximum imPneonaRnl o/hlwrtn6monNr ead3 yeP•e.l OFFICER OR AUTNOR12E0 AGENT A NUMBER YGR YO DAY COMMENT AND EI[PLANATION OF ANY VIOLATIONS (Prlerrn[r eS alluCnmemt nrre) !r' rvD ol$CHARG~, O.000KpEn nnKlrvf; .rllt:; KFNOKTING PFKIUn KFPIIKT, BffO:pIyCilgKGk°.-. - - . iUlt CUr)DUCTIViTY ~Y/UK TDS IuinIC~TE: UN1T5 OF Hf'.A.y11KF.'HFNTF SEE PEKMIT FUR Rt0111REMENT9.. ~. :. ~ " .PA Form PREVIOUS EDITION TO BE USED IREPLACEB EPA FORAABO WHION UNTIL SUPPLY IS E%HAUSTED 1' t .