My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
HYDRO22842
DRMS
>
Back File Migration
>
Hydrology
>
HYDRO22842
Metadata
Thumbnails
Annotations
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
29
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PERMITTEE NAME/ADDRESS (lnolude Facilirv Name/LocaFwn fDi$erenU <br />NAME <br />TAAFFEr 71tildi:~ ItIC. <br />ADDRESSI ii A F P E n !: I 5 E <br />P•G• 6CX 1P7 <br />FACILITY C:t AIG cc e1e26 <br />LOCATION <br />-:Ta: .I. GOkUC~ FEIk E_. PdE_/G EN NGP <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR; <br />f2-16) n]- 91 <br />7 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM O C C I O I TO C C C <br />. (20-211 (Z2~Y31 (2a~251 (26-1]) (2829) (30-3Q <br />Form Approved. <br />OMB No. 2040-0004 <br />C I NC A Approval expires OS-31-98 <br />(SEER AV) <br />f - FINAL ~CEP.1 <br />LISI'HAFCf TC SAGF CFEEY <br />ao:~ YG CISCFIAFGE t>r4 <br />NOTE: Read Instructions befoi Empleting this form. <br /> (3 Card Onty) QUANTITY OR LOADING (4 Cerd Onyl QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4&53 (54-671 (38-05) (4653) (Se-67) EX OE TYPE <br />(32J7) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(sz-631 rwal.vsls <br />/e4-68) <br />69-70 <br />-IL AND GkEASE SAMPLE ~9>ro°~$ ) 94) ~~~~~~ naeto-roY a~t>eao <br />J ISUA1. MF,(+ 1.; ENT <br />4U66 1 U 0 ~ ~ . 7 ai, E°=1 #l~l~ z h~ 4 ~~~~ b>C -EA~1' ~~~~ <br />c.FFL'JENT GA055 YALUE :.~; ; <br />~'~~~' G=U ° ,~'I'I.'~ta ,E;; .< - <br />~ <br />t,r `~~•'" '4`s -0:Y . <br /> '-SAMPLE <br /> MEASUREMENT ~ - <br /> <br /> <br />. <br />- <br />~_ <br />ERHifF <br />. <br />i71HEMEN7~ <br />1 <br /> <br />. Ls~ , 4 <br />~ <br />G <br /> <br />~' °' <br />~ <br />N <br />,i <br />'~ ~- ,. <br />f ~ a' <br /> <br /> <br />} r - , ." <br />~ <br />~ <br /> <br />~~ .; <br /> <br /> <br />.t <br /> . ; <br />- r . <br />- r. r , . <br /> SAMPLE ~~ <br /> MEASUREMENT /Jf r- <br /> <br /> -- <br /> ACQUIREMENT ~ ~ ~ - ~ c"s - `=. . <br /> , _ <br /> SAMPLE <br />,~ <br /> MEASUREMENT `~" <br /> ~ ~we~ <br />~ t ti„ <br /> U)~NiENT <br />A : ' ° a <br />~ €~ 1=- _ <br /> SAMPLE )~ <br /> MEASUREMENT <br /> `FGft ,Y •a.4 !~ M. ' '~ F ' <br />. ~i A~ r7'~pi rYLi! <br />Y ~F. . iy <br />t <br /> RBQ~IIgENt 1 "+ ^ 4 <br />t <br /> SAMPLE <br /> MEASUREMENT <br /> - - <br /> REC~1.!)RfiryIENT - `., T` ''$r" -, r, r -/ ;. r ~;, <br /> SAMPLE <br /> MEASUREMENT <br /> `~-ryry~~TT . ` I T~ ! ~~ a <br />~ +~ <br /> F~EfFytR,~M+IENT +~° t <br />,~ <br />~ ,; <br />NAMElTITLE PRINCIPAL EXECUTVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR Wmi THE INFORM LAW THA71 HAVE PERSO <br />ATION SUBMI4ITTED HER NALLY EXAMINED AND <br />AND B45ED ON MY <br />EIN TELEPHONE DATE <br />INQUIRY OF THOSE INDIVIDUAL ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION <br />I BELIEV E THE SUBMITTED 7NFORMATION 1S TRUE, ~~ <br />, <br />W. Gordon Paters ACCURATE AND COMPLETE. <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />!ll~~~ 0-824-4401 0 D4 Z] <br />PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE <br />President /Gmneral Ffana eT POSSIBILITY OF FINE AND IMPRISONMEPfr, SEE 78 U:S.C.§fOOt AND 33 U.S.C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />g t3t9. (PenaNias under these statures may Include 5nes up ro St0,000 end or <br />TYPED OR PRINTED maximum impnsonmenl olbeMreensmonths end 5years.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />1 <br />~! <br />;i <br />T_::; & TOTA4 IkC~ LIP175 SILL UF. GAIYFD, AND SETTLEAELF SGIIDS LIN17 AFFLIEC FCA <=1CYF,<4EE FkECIF EiFl1- <br />~Et tiUADEN OF FACOf RECUIREF'FMTS UNDFA I.A.3. ~TB: !!CNIICFI6G - I.E.3. CIC E GEF.A9E - °FF I.E.].tC) <br />A orm 332 -1 - ) P evlous a iYo y no a use ~ lA O I A O USED.). G L C(8 9/ U G C ] ] 1-1 E s 5 PAGE L OF ~` <br />
The URL can be used to link to this page
Your browser does not support the video tag.