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PERMITTEE NAME/ADDRESS (Include FaciGry~ h'amdLxnnon iJDigerem) <br />NAME SEhF:CA CUAL CCdI'AYI <br />ADDRESSD R A N B H 0 ,~r <br />HAIGEY •:-' CO 8163?1~ <br />FACILITY .~r~,'_~;'-.. <br />LOCATION '~ <br />.lAiDEN ~ .~~83E ]U <br />ATTY: G. EiUU B r04N, GPifERA~ ~6EA <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) ~ Form Approved. , <br />DISCHARGE MONITORING REPORT (DMR4 <br />12ae) m- e) <br />! I Y C H OM8 No. 2040-0004 <br /> <br />C~UOt921 a13 ~ <br />(SDbY AY) ADproval expires 05-31-98 <br />:' <br />:HERMIT' NUMBER DISCHARGE NUMBER E- F I 6 3 I ECU 7 T <br />"'" "'~- CISCHABGE SC SALE CFEEN <br />3_ MONITORING PEAIOD <br />YEABI HMO DAY, ; " YEAR MO DAY <br />FROM vv' L• yr~~TO uL ut ~N G#4 YO [I~CB"A66E ) 1 AA:. <br />(2?21) (22"23) (2a"25 . (26"2]) rte-2s) l30a1) NOTE: Read Instructions betor completing this form. <br />PARAMETER H 3 Gard Ony) QUANTITY OR LOADING <br />' "(4 Cerd Only) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> (46-53) (54-61) (38=45) /46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE . MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62-Gi) ANALYSIS <br />(64-68f <br />(69-7D <br />PH SAMPLE 473444 >vg403.y -, s147.77 ( la) <br /> MEASUREMENT <br />~-~ <br />UU40U 1 U U <br />' ,PERMIT <br />' 7+Pi"" 383 t1A4 r~ 9~4 `- C ~~ 1917G <br />i;FE <br />LUENT GkOS$ r/LU~ REOUIREMENiT, , 144 la ~ <br />Lid„e a,~'~~~~~ ,_, f <br />_C i ~ ~f, '~)E := <br />SOL1U5, OTAL <br />` ..,';SAMPLE ~~'~~~~ 9CC4C7 447• 3:' : ( 15) <br />SUSFE:YU$D MEA' UFiEMENT <br /> <br />U0`e3U 1 0 0 <br /> <br />' .. ~': PERMITAi, <br /> <br />4 Lt~Y ~ - ~ _`~ -; <br />f 4A^' - mr:~ ~'~~~'~' b7{ ,~ <br />EFF <br />LU£s+~T GROSS YALLl REOUIREMENTI' „n <br />r ---- <br />~ _ <br />~ <br />-°'~~~. - <br />'"~~~-~ E-~~- <br />r.G/i <br />-, <br />1~fix~1f~ <br />.~` . <br />SOLIDS, SETT3.EA81L SAMPLE l;3R3• a na~ss >ra <br />7 <br />~~: ( t ~ ) <br /> MEASUREMENT ' <br /> " <br />0 US45 1 O 0 ~-. PERMIT 'P4 3FR ,'~ <br />~~ ~ .7 ., <br />LAC r~ ~. -, s .. <br />EFFLUENT LAOS' YALUF "rR,EDUIREMENT <br />~ ~.~ <br />._ LL .O "~_< ~~ ~~~,~~~~. L~>I C[/I ~ ~~~t ~,- <br />LAUN, T9TAL SAMPLE ''`'"~'P4S' ..;94447 74337 ~ ( ]5) <br />(AS P~) MEASUREMENT - <br />OlU4S 1 0~ ~ < .. <br />`; .PERMIT,r' ~ iIL7g 47 7 t»~: ~ _ ~ <br />~ .„ ~.;~, ,~ ~ <br /> <br />~ {~ <br />EFFLUENT GROls YALUF REOUTAEMENT - st+eu ~,1s~~~~ <br />~ ~~~i~I <br />111. CC/L <br />U1L AND GHGASt SAMPLE t•.~a.."-' L''r~L"'' .. a~ czaasa y) <br />~~ MEASUREMENT <br /> <br />03581 1 U 0 ~. `PERMIT: 7 4 •la :~=1 7 .. # f;~ ~. ~`~ ,r <br />EFFLUENT GROSS YALUE ~REOUIREMENT ~ LY4b 'fs ~ j~lg3 11'A1f' tG/1 4 <br /> ~ <br />, <br />E'LU1, IN CUSOUIT U6' SAMPLE ( U ) 4as •aa7va vc L a <br />THHU YF:LATM6i11 PLAI7 MEASUREMENT <br /> ~ <br />S009U 1 U 0 PEfiMi7. <br />~ !16 EE a4 • 3`•. 8444 ~fi;~ i Efi<lr~E, A~ ~` <br />EFFLUENT GROSS YALOE @EOtiIREMENt ~ppX AYF~ F1A3;2 !!I !GD <br />v <br />w~F X~tL ~ ~~ <br />SUL U5, T9 AL SAMPLE vua~~Y v~>nc:xa A:4G.0.7~, :;~ ( y) <br />UISSOLYEO MEASUREMENT <br /> <br />7U1`/S 1 U U '.PERMIT 733tp3 744 44 L*r~ .i7• •4 Of2ICiA' j ~A ( 7lkl FR~$; <br />EFFLUl;N2 GRO55 YALUF . <br />REOUIREMEI,J7 _ ~ iL~a rrS1i ,l~G 1f33'i1 bl- <br />a nGil <br />NAME/TITLE PRINCIPAL EXECIJTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERSO <br />ATION <br />MITTED HE NALLY E%AMINED AND <br />AND B TELEPHONE DATE <br /> <br />' <br />INQUIRY OF THOSE INDIVIDUAL REIN: <br />ASED ON MY <br />SUB <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION. 1 aEUEV E THE SUBMITTED INFORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTING I AM AWARE THAT THERE ARE SIGNIFICAM <br />FALSE INFORMATION <br />INCLUDING THE I <br /> <br />SSIBI <br />FINE <br />R <br />P <br />, <br />SO <br />T ` ~ <br />rl J O <br /> LITY OF <br />AND IMP <br />I <br />O NMENT. SEE 18 U S G 5 1 W1 AND 33 U 5 C. SIGNATURE OF PRI <br />CIPAL EXECUTNE <br /> § 131 e. (PorieRies untler these stennes may Inclutle lines up to E10,000 antl or _ A A <br />TYPED OR PRINTED maximum ~mpnsonmem of behveenemonMS entl 5yaers.) OFFICER OR A HORIZED AGENT C DE NUMBER YEAR MD DA <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) ~ <br />TSS E: IRON LIMITS PILL B8 YAIYEL G SETTLEAULE SCLIC5 Lil1IT AFFLLEu FGF. (=10Y8,14Eh F6ECIF lYEi7i 79S 6 <br />L7106 LIMITS MAIYED FCE ~lUTA,l4hH FNECIV EVENT SUEJEC7 TO BUACEA OF FFCCF IN I./.~. CII E 6flASE - 9!E <br />T.O 1 p 4b¢ YAiT~r•L1Ll; T G 1 G <br />-EPA~F.orm 3320-1,(08-95) Previous editions may not be used (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~~ ~ ~'Y ~ PAGE OF <br />4. Aa '. <br />