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HYDRO22842
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Entry Properties
Last modified
8/24/2016 8:43:51 PM
Creation date
11/20/2007 3:18:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Hydrology
Doc Date
4/14/1999
Doc Name
COLO CDPS WET TEST REPORT FORM ACUTE
Permit Index Doc Type
NPDES
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS (Include Faciliry Name/[acarion i/Digem~q <br />NAME <br />THAPP65 t.IhIMCa ]hC. <br />ADDRESST hA FF~n .."ibE <br />F.G. acx ]bi <br />FACILITY C. AIo ~C F,1bL0 <br />LOCATION <br />:,I:h: n• GUhDC1 FETt6`_. Fri c /GfA CG9 <br />NATIONALPOLLUTANTDISCHARGEELIMINATION SYSTEM lNPDESJ FOrm Approved. <br />DISCNARGE MONITORING REPORT (DMR; OMB No. 2040-0004 <br />(z-7sJ (Ir' e) ! I FC b Approval expires OS-37-98 <br />~T ` (SUEb [111) <br />PERMIT NUMBER DISCHARGE NUMBER E- E I 11 ! I ~ L F A T <br />MONITORING PERIOD L I ~ C H A E 6 f T C G F C C °_ f G I I C E <br />YEAR MO DAY YEAR MO DAY _ <br />FROM CG C U TO ~ {i:: 5C CILCHAFGE ~~~ z=x <br />(zo-zr) (zz-z3) (zsss) (zs~zil (za-ze) (3x37) NOTE: Read Instructions befo plating this form. I <br /> l3 Card Ony) QUANTITY OR LOADING (a Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (a6-53) (sa-Br !3B-a5) (as-53) (sa-67) EX of TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />65 <br /> (sz-s3) fsa~sa) -70 <br />( <br />. iL AkD GNt<ASk SAMPLE ~~~~"•'+r~ ) 9R) ~'k~'~~+ ~S>r 4Ca .>Di :i'{ <br />'J I :i li A L MEASUREMENT <br />u U o t 1 u G pHM1T 'Y>d ~ t+1k~ ~ ~} ~',~ _ s 6 S =1 ~71F# ~,, <br />I -~s~14 ka~1P .: <br />~ ~#!~,#11'+F ~„ , 9 a f <br />~ ~ I `~' . ,~ <br />E'E LUENT GRGSS YA LE ~ ,- 1REMENT ~ b =Q CI¢ <br />,x'~ - + ~y,.. ~. <br />iys '' ,:tM+".-. ; OA. 4"~ <br /> SAMPLE <br /> MEASUREMENT ~ <br /> ~.,1~--~ Y f la .~. ~ <br /> <br />~IRENT <br />} _ , <br /> <br /> SAMPLE <br /> MEASUREMENT ~`! <br />/// <br />~~~CCC <br />J io <br /> r . <br />. I - <br /> - <br />a, <br />h ,, a s <br />, ~ ~. j <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> $ ~i <br /> ~~Uln 41_.1 ~ Y. 3+t~~} 3I' <br /> SAMPLE <br /> MEASUREMENT <br /> ] <br />` <br />, _~ <br />~ s, _y~. _ . ,,, . <br /> i <br />~! <br />~ r' ' ill <br />' ~ t~ ~ ~a. <br />aI d. li tt <br /> ' <br />11.Y <br />.. { 9A <br />~ .$ i` <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ <br />~ ~wIF <br />~ 1 <br />r ~~ <br />~s17~u <br />~4 <br />1 <br />~s3~ <br />t"7 <br />.aW":i )"`y~A~"""'f <br />' <br />r <br />~`?F~f <br />i <br />~" <br />r <br /> „ <br />)R MEMf <br />' a~? <br />' <br />~ ~ <br />+ <br />a !c <br />xa 3 <br />} <br />1 <br />s : <br /><c <br />~ <br />Y < <br />n <br />~ ~: <br />' <br />~ " +8c <br />r <br /> . <br />,nF ~ <br />, <br />:r , <br />, , <br />= r , ~ <br />, ~t } ~t. <br />....r -. <br /> SAMPLE <br /> MEASUREMENT ~~ <br /> 1. `.~~ <br />~{ ^„T ~=~~ ~4rY ai T` <br />6 i it'r'I~ ..1' t '=ECU ~~an <br />'S <br />6 d ~~r 4i .~.r <br />!' 1! <br />4 ~,- - n.j~ <br /> L111 MEE~1 : ,. , s y'~+ `~, d ~ I 4~ u1 J. ~. <br />i } <br />l i b +• <br />~ ~ I _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAp WRH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBM17TEp HERE NALLY F](AMINED AND <br />IN <br />AND BASED ON MV ~ TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL ; <br />S IMMEDIATELY RESPONBIBLE FOR OBTAINING '9 <br /> <br />THE INFORMATION, I BELIEV <br />E THE SDBMIREO INFORMATON'IS ?RUE, ~ / <br />- ~/- _ <br />G ~c/I~/- - <br />W. Gordon Patera ACCUR4TE AND COMPLETE. <br />PENALTIES <br />OR SUBM <br />T <br />IN I AM AWARE THAT 7}}VVERE ARE SIGNIFICANT <br />1 <br />FALSE NFOf> <br />IAYIO <br />UgNG THE <br />JU-SY4-4kOI <br />00 <br />Ok <br />Y7 <br />?resident/General Mena !L I <br />F <br />T <br />POSSIBILITY OF FINE AND IMPRI <br />79 <br />P <br />tl , <br />. <br />G <br />N, INCL <br />SONMENT. SEE 7B U.S.C.§1001 AN033 U.S.C. <br />l <br />d <br />l <br />0 <br />0 SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED § 13 <br />. ( <br />errelries an <br />er these srotutes may Inc <br />u <br />e <br />oss up ro 51 <br />, <br />00 end or <br />mexlmum impnsonmenf of dstwsen BrnaMhs entl 5yaers.) OFFICER OR AUTHOR12ED AGENT A <br />C D <br />NUMBER <br />YEAR <br />MO <br />DAY <br />, <br />r .~ , <br />~Ii'ry+ <br />A: M1' <br />11 <br />1 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ae/erence all attachments hale) <br />`iS'~ G TGTAL IFCN LIl:I75 WILL bE 4AIVEDe AAD SETTLER&LE SGLICS LIL12T AFFIIfD FCF <=ICYF.I4EF FFECIF EYE6T- <br />~cr. i7UhCEH OP FfICCE EtQIWEtIENTS UNUEE I.A.3. TLS !!CNITCHI4G - I.E.3. CIL G GbElSE - SPE 1.E.7.~[). <br />A orm 33 1 -9) Previous edi Ion may Ro use O I A O USED.) C C C 8 3/ C C C 1] 1-16 < 4 PAGE ` OF <br />Z <br />
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