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PERMRTEE NAME/ADDIIESS pAeLfs•F..+sn Na/fa•n« dDl6irwl <br />NAME SEStlt:CA CJAL C6hPAtiY <br />ADDRESS DMAYER U <br />HATDE:N CO RI639 <br />FACILITY ~- <br />LocAnoNHAYDEM C0 91G30 <br />ATTM: G. k1UD FSRDYM_ GENHRAf_ RarKr,r.R <br />NATIONAL POLLUTANT DISCHMOE ELIMINADON aYSTEM //NPDES) Fortn Approved. <br />DISCHARGE MONRORINO REPORT IDAiRI <br />l1-161 l7-19 <br /> <br />SED. PUBD flSCGH <br />OMB No 2040-000 <br />TFI A aa.• q <br />~ <br />05 <br />1~9 <br />A <br />~ <br />CA nn~~T 11 B <br />(saes EIN) ppro <br />a <br />sxplrsa <br />- <br />§ <br />Iz3s5 <br />-PERMITxNUMBER DISCHARGE NUMBEA <br />r -: rtlreL <br />,,,~ <br />MONITORING PERIOD RIMOB <br />YEARR ii MO DAY YEAR MO 'DAY " <br />FROM '~~~ 0'i To gd 04 38 ¢~~ NO 025CElARGB I~1 ii# <br />- vaYnlvz.zsl v4zsi~ nrrzn !zs-zs1 raa3u NOTE: Rssd Imvuctlom M1ats. ompl~Wy thM form. <br />PARAMETER !3 Gr1 ontyl QUANTITY OR LOADING . !s'oro ontyl. ~QUANTRY OR CONCENTRATION .NO. FREDUENCV SAMPLE <br /> 1653 (5461 (3B-15I - /465J /5467/ EX GF <br />/31-371 <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS. <br /> <br />MINIMUM <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS <br /> <br />(s1-s! <br />ANALYSIS <br />(54681 TYPE <br /> <br />(69-701 <br />Py SAMPLE :SIIiahi RIIRCRa iflli?OR <br />( I I) <br /> MEASUREMENT ~ <br />UU40U 1 U U PERMIT..: tr4.rFNOh :.xAZ~ry~ <br />t<~ Olii '. <br />a.$ 'Afr0lsiiw" 4A:0 <br /><, <br />" `, .i:~kLY ;-0I".I`R!! <br />hFE'LLIEtl7 bHU55 gALIIE REQUIRFw1ENT. ; <br />`~.~«.? qtr . <br />A..Nr+f:'i#.' . . <br />. <br />X. ~. R. en . <br />SOLIDS, TUTAL SAMPLE +7#i4RP iiii'R'~A--r " 4a#tlLpl01 1 <br />( 9 <br />SUSPENDGU MEASUREMENT -, - <br />~ <br />GUS3U 1 U D PERMIT. <br />REQUIREMENT G%kip'kk <br />: ~ -kL..,k~i.t;..:.^" <br />~~ : :CLfi5-~714i: ~s.;;. T#). ..::;•: .:.:.: +yrr)rf ... :"kE+ii <br />EFPLUEMT GROsS gALUf : tk#4B `.: :•. ".::` p-: r. r" rr. r •,-" , <br />SOLIDS, SE:TTLZAi1L' SAMPLE aSr4ttrR alaaoSC CiAli+}¢ `~ ~ ( 2S) <br /> MEASUREMENT <br />U054S I U 0 PERMIT .;v:sGx~ .. -,AftlFRo=.#: aa;x pY,:~N:'x} ~"" <br />' '';,`J4',E?t7t,R' F±r'r'.,.ii"I' : !1C <br />is%" rBAF: <br />tFFLU1ilFT GHJS'S VALUE REQUIREMENT i#aa ' <br />J}: . <br />y;% ti~ Al^.. `: `3 .r* .Y. k ". aE . <br />` rTar <br />ITEOh, TUTAL SAMPLE a#oaaa Ctr¢Citr3 TkbipOyl ( 19) <br />(A:i Fr` MEASUREMENT , <br />UIU45 I U 0 PERMIT :' .. yF gLti 413# i`Oce:,^,>FG r LkOC t3~«t1 Sett. :': ~'.: <br />. ~.~ <br />~~.:. <br />::: <br />~.~' <br />O.."~~:~" <br />u. B <br />~ ~~~ <br />'...f <br />NCB~I~ <br />iR~A €i" <br /> <br />tPPLUf:N! t;ROSS yALYk REQUIREMENT <br />:. <br />scat . <br />, <br />, <br />lDet' il+r: . <br />. <br />{t lj t.T-;r." Y <br />flf. . <br />Kr3'r'T4' . <br />DIL AMU G[iEASF: SAMPLE V#iOtrR aa54aa #tia'#r0 ~#fJl>AiCd ( Ig) <br /> MEASUREMENT <br />U~Stll 1 U 0 ':. P.ERMIT'.' :4~F#Pf~4.'' ": ~e'3ASrek:i <br />~~ al.P C#i=v..:r.'•J':.. "'Rk~"#4`YX".. 'i1' <br />+ fSN3'~AI. ;g.Ay.: <br /> <br />e:PPLUEMT bROSS VALUE REQUIREMENT <br />.. ~: ~~ ~ ~~ " " <br />i#aa <br />::;;, <br />~>:.:.,:: .:: . <br />YNrsl~*..ri"E; <br />a <br />iit1: <br />PLUii, Ib GOADUIT OR SAMPLE ( 03) tpiltdldl$ iiriiia tr4ii0i <br />TH6U TRtATNf lIT PLA NZ MEASUREMENT <br />SaOSU 1 U 0 PERMIT?.' R.L""f'O$T RE:P~RT Ctr"etrf.'c#+. . +~g3trc'~.. ,'.~+~u>! . hip 1 .~C.I1fX,Y. ~h.r'Tdl: <br />eFE•Laerr 6ROS5 YALa REQUIREMENT ,+aDA :A".ry CAI"ir nr RGD iii# <br />SOLIDS, TOTAL SAMPLE i#aR?R COtr0Ql4 ~ ii#t+ii ( jg) <br />DISSULY}:L MEASUREMENT <br />7aty$ 1 0 U PERMIT tsca C+;sfF" ~.`IX:#~::+A Y 'ftt'P #;'t7:t}IKIR : r3(L 3':l.d.~~{.X. p~~'O T" <br />' T'i~~, 7".: :I ri[A.R: " <br />(;PPLUEN'f GROSS fALUE REQUIREMENT gaatr <br /> <br />~XT3 .A4s <br /> <br />..DAILY."}. .. <br /> <br />RG/L <br />;.. <br />.. <br />..... .- <br />~ <br /> <br />.... ... <br />NAMERRLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDEA PENALTY OF uW THAT I NAVE PERSONALLY E%AMINED AND <br />AM FAMIUM WITH THE INF011M <br />T10N SUB <br />TTE <br />MERUN <br />ND <br />E ~ TELEPHONE DATE <br /> <br />h <br />1 Ir!'~~~ : (- ~ia 1/ Q <br />VV °° '~~ ; A <br />A <br />MI <br />D <br />BAS <br />D ON <br />MV INQUIRY OF THOSE INDIVIDUALS IMMfD1ATELY flESPON5IBLE FOfl <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFDflMATION IS <br />TR <br />A <br />UM <br />E <br />E <br />T <br />~. <br /> <br />( U <br />, <br />CC <br />T <br />ANO COMPLE <br />E. 1 NA AWME THAT THERE NtE <br />SIGNIFICANT PENALTIEa FOfl SUBMITTING FALSE INFORMATON <br />INCLUDING ~ A - <br /> <br />JJ <br />i} <br />C <br />C , <br />THE POSSIBILITY OF RNE AND IMPWSONMENT <br />SEE 18 U <br />f <br />C _ _ <br />^ ~r^~ <br />]T <br />~~ <br />~ +~ <br />~ <br />\ ..~ <br />r , G f <br />Jr . <br />.S. <br />. f <br />001 AND SG SIGNATURE OF PR <br />NCriAL EIEECUTNE 1 A <br />, I J`7 .A <br />TYPED OF~RIN'~fD V.s.c. r IGts. IAnrIW. vqr eM« mans nw MAfs. !nu w ro srO.OaD <br />..s a~muim.n i <br />vl <br />n <br />lM <br />N <br />s <br />s <br />s J <br />- E ~lIUMBER • R MO AY <br /> aa/ <br />r <br />S <br />rw«n <br />men <br />larp <br />a <br />rAVa! OFFICER OR Al/THOR¢EO AGENT COD <br />wleml:N I ~ ANU I:nrLA1NA I wN uH ANr vwLA I Inns IRITBl60Ca es ettecnmenfs narel <br />YSS G IROIi LLRITS DILL i3E YAIYCO ANU SETTLEABLE SOLIDS LIl1IT -PpLTlD tOR C=l0YR,2VNe PAECIP !-L/t; TSS f <br />(ROY LIEfITS YAIiED FOB >10YR,24HR PRECIP EYEYT SE)DJECT TO 80EtDEl1 O.f P'ROOF IM L,i.2. OIL 6 CDEY58-5E;E <br />T 0 T.. <br />EPA Form 33 0 T 108-851 vPisvioui sdivons mey fie us (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 PAGE ~ OF <br />r.L.. '...~ r _.rtY..e-~u+: e. AIA ~. n ~. !.. .1: r •. .']...n• i 2 Ie~Trr.1GLl.~ed' ~.~. -.e .r.~~,u'Lk J, ., a n ~1a~.ru~'.aF '. r <br />