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<br />PERMITTEE NAME/ADDRESS (I~4Frdlry Nwdlam,m dDlCllnnu)
<br />NAME dERR CDAL ~DMPAhY
<br />ADDRESS 1! A R N (< C y '-
<br />Y.J. b~X /73115!
<br />5TEht1F)A~ S,~:Ln';i CO 80U77
<br />ce hI11TV
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<br />.~15,CHARGQJNONITORINO REPORT IDMR1~
<br />(7`l of '. 117-191
<br />" ~A5 T
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />•~ `~^ DP,Y YFA.R MO DAV
<br />FROM I Y~ U J l TO y` It 3
<br />(26111 l11-131 11<-151 (16171 (18-191 (30311
<br />PARAMETER 13 Ord Onlyl QUANTITY OR LOADING !I Ord On/YI QUANTITY OR C
<br /> !<6531 !5<-ell !3B-<51 !4653
<br />131-371
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is1-ssl !e<-6gl 169-)Ol
<br />Ali SAMPLE +?ROF kG axaasl3 C'1: ~Y ;` ~ I2)
<br /> MEASUREMENT
<br />l.'J'-.r/U 1 D ~` ~ PERMIT .~ ;E ~'Q d.Qa ~ QR?4br% ~ :h :Kl 5.3 ~ . e7e l:oC t+ 3
<br />9•.0
<br />f~RLY .
<br />:1l3Iltl
<br />L,Fk'LUr,nf Ji?:,SS 7•.L:IE ;F}EOUIREMENT 4vaa Z.IYILNUCI * Ti! IY:.. ~,
<br />.;JLI i1S, :;LTLLF.A"~:. !, SAMPLE Oil YST3C OZCrGC= kV 04 C•:' rvQ #EI ~ ' ?5-
<br /> MEASUREMENT
<br />~0'~J5 1 0 ,1 PERMIT::: ;` ::'.:'034049 3p.#3-~.# A3Q KF'AIOIC!{iIGP '.AE#(R9~.Q: OsS C kM<CE~ ~~A~
<br />dFYLUhNT uRJj: 7', LiI F; REQUIREMENT .) ; IIOGx
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<br />1IL AND ,: !iE15°_ SAMPLE R3,^•R7P trt14RG0 kx44*A. tIC4 ~;: ( ],q)
<br /> MEASUREMENT
<br />J~JZ 1 U J PERMIT -t~•A«70;'. ~ :rrs; OTf ^. -'.I~i R9Cdki:i': ivtAG>x .~~ Ia ~ ( ~~~rrN ;RAA~
<br />EFFLUENT isILJS; dALJ--: REQUIREMENT ~;;~Q
<br />DAILY E1K
<br />M~/L
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<br />'L:le, IN .;JNDJLI )F SAMPLE ~ Jj) fF F4 r%i Y= ;; ;7 i~ AO r: :.;?i:4
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<br />~DU50 1 0 r PERMIT j?Ti31I,EE.~4 &E'P3RF Q:~I:rQv ~;~;<~ K Ysrlaz~irr: >zr,:,, ( ;yCF'/ "`t;TA!t
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<br />IL AND GREASr SAMPLE A, R~0's ~ 9'~~ 44r,G;~.^^-K. k;:n C-.^• 1~=t .'I; ~;k
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<br />y~Jt,b 1 0 7 PERMIT Rsx?0.?9
<br />~ $&POHT r ES=1 pt~GRR. ~k~%;=:- ;,~ >XG$tFIC+'>< ;r'~t~ ( 11wE~ LSl7AL
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<br />NAME?ITLE PRINCIPAL EXECUTNE OFFICER I cERnFY UNDER PENALTY GF uw THAT I NAVE PERSONALLY EXAMINED AND TELEPHONE BATE
<br /> AM FAMILIAR WITH THE INfORMATION SUBMITTED HEREIN; AND BASED ON
<br />~
<br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FpR /
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<br />Rlchazd A. Mt1n80n
<br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION I] ,
<br />TRUE
<br />ACCUMTE AND C
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<br />1 AM AWME TNA
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<br />SIGNIRCANT PENALTIES FOq SUBMITTING FALSE INFORMATION
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<br />THE PoSSIB14TY OF RNE AMp IMPRISONMENT
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<br />TYPED OR PRINTED ,Mw,nuhlum bM
<br />a+runt a/MN,NIem,nU, rWeywal OFFICER OR AUTHORRED
<br />AOENT CODE NUMBER YEAR MO Oqy
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rs7erence e0 sttschments here/
<br />ScT1'LEA9LE SJLI9' LIMN WAIVED FD;t 1D-Ili, 24-98 PRP.~LP E7gd: .iU~.1;;,:T TD HURDr^!t .)F PROOF R~'JUT??9FNT~ IN
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<br />CENTRAT7~ NO. UF NCY
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<br />EpA Form 3320-1 108-951 Previous editions meV be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.1 0 2 3 R / 9 7 J 819-1 2 S 17 PAGE L OF
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