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14RMI1TEE NAME/AODRE55 OnrvifaYyN~/(wrtar ytxA...q <br />NAME ULUE tIOUNTAit1 dhERGY, IH::, <br />AoDPess DESERADO TINE <br />3bU"/ COUNTY RUAD bS <br />dANGLY CO 816Ud <br />FACILm <br />1OG710N <br />ATTN: Jt;fF DUddERT <br />.. ..w.,..s.-.. ~ r ..r r.~4. _ - _ - <br />Form Approved. <br />NATIg1K pOLIUtANT dsCNMOF NMINATON fYlTFM NPDESI aNB ~' 20464006 <br />DISCHARGE MONITORING REPORT (D~R/ ~ i N 0 R <br />4 ® (SUdR DY) <br />PERMIT NUMBER [M{CNMOE MOM{EA F- FINAL R d L l <br />MONITORING PERIOD kA-1 LOADOUT TO HED NASH <br />FROM Y O D TO YE MOV D Y 4#O b0 DI SC `.AR(: C. ~[~.~ ')#X' <br />NOTE: R{{d krtruetlar t»lor~ eempMtMp thb loan. <br />PARAMETER QUANTITY OR LOADING ~ ' QUALITY OR CONCENTRAYION NO. I FRFOOUF NGY I SAMPLE <br />AVERAGE MAXIMUM U S MINIMUM AVERAGE MAXIMUM UNITS EX ,WAIY>A{ TYPE If <br />SAMPLE <br />U U 4 U U 1 U 1 PERMIT <br />EFFLUENT GHOSS YALU RE~UIREME <br />ISOLIUS, TOTAL SAMPLE <br />SUSPEhDEU MEASUREMI <br />U U~ 3 U 1 U U PERMIT. <br />EFFLUENT GROSS YALU :REQUIREME <br />, SETTLEABLE ~ SAMPLE <br />UUh4S 1 0 U <br />EFPLUENT GROSS VALU RI <br />P## <br />4L=#9r <br />SU <br />RG/L <br />ML/L <br />UU~56 1 U U PERMIT' <br />" „'; `+ <br />EFFLUENT GROSS VALU REaUIREMENT ~ ~ <br />~ <br />~ a~.=:•;r ~ tlG/L <br />r SAMPLE ,:, <br />; ;:~~" <br />c~r 4 .z:.::, <br />(A S F E) MEASUREMENT <br />UlU4S 1 U U "~ PERMIT "" .x ~ ) ~` ~ ~" <br />~ <br />~ <br />EFFLUENT GROSS VALU REaUIREMENT ,.~ ;:. <br />, y;<.: ~ - -3$D# 7i* A~.L~„'„ MG/L <br /> ,q <br />;, <br />r SAMPLE ~ - '' - <br />TRRU TRL'ATMENT PLAN EASUREMENT <br /> • <br />SUUSU 1 U U ""PERMIT '*`. * <br />. <br />~ ` " m## <br />EFPLUENT GROSS YALU kEnUIRE1viENT M ~~ . <br />'.:~ '~.'e ~ HGD , ~, , ,. .' #### -<`: ~ ~ " <br />VISUAL MEASUREMENT <br />B4U66 1 U 0 PERMIT" , + E5=1 ###c ~., <br />EFFLUENT GNOSS YALU EaU1REN7ENT ~,~ ~= ,3I- t.x~ N0=0 ~ ~ . ,. ~' ~'a~~ ; '' ~:~jx, ~`. <br />NAME!(iTIE PRINCIPAL EXECIrtIVE OFFlCER ' """r "~ ' M""~ ° "'""'"" °pi'"""""d'[ """'""n° ""` TELEPHONE DATE <br />pnpnr.tl,rln nr 61nr,1°n r rprnNw I. rmrdnnn ,I,t . rnrrm 4dpred <br />S! ~y'•Q~L' Inr.n ern tuMMd pensnM pr°prA~V~Mr.nd erW.le rM lnfa.rlbe __ ~ L <br />+/ IN rtnlrrN. {mod °. in/ irqulrr d Nr Frrar w pneu wlw wr+.R qe rPrrn, <br />C.r/ ~ rnrnrprnr.4l..rry.vprdtMrn~rurfw,ItrlnFnnnnw.Mld ~w. ~J~i G7F-1~~iy D/ / <br />rerleaa 4 M tM tM d wq tr.iri nd Mtef. ,rw, rmnre. nod ur u. / L <br />fnr rnrrt 4r 0rn,nf[dllun paw,NbMrtnrnn[rnte rnf,mrrbn, {IONA711RE OF -RINCRAL EXECUi1VE <br />TYPED OR PRWTED In1WUr[rM,artl[ry der nd lrrNrlrnwrr fertn°nln[rltldbrs OFFlCER OR AUTHORU:ED AOENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R~yJrinc~ wY ~H~chm~nla h~r~l <br />TS5 ~ TOTAL IRUb LIRITS YLLL dE YA IYED, AND SETTLEABLE SOLIDS LI?lIT APFLL';D FOR G=IUTR, Z4NN PRECZP EVENT- <br />SEE I. A.~, PG Y, FUH REIUIREMENTS. OIL & GREASE REPORTING-SE° I.d.1.F, PG VII. QRTHLY SAMPLING <br />~~rem ortrTTflN ti-1 ^-N[ Q(' XT <br />?PA Form 3320.1 (Rev. 3199) Previous editions may to used. O O 111 / ~O O Enhlt ~ PAGE 4F <br />