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PERMITTEE NAME/ADDRE85 p.~Llr Frwy N../Lerenen yDlp...ep <br />NAME POIiUY:RROkd CURL C0L1PAUY <br />ADDRESSROAD~IDE %'Tl+f,, 9 ; °, Pc%ifTD.LS <br />P.U. 8U% Lu3'~ <br />PALISADE <br />FACILITY <br />LOCATION <br />.I'1'n: Jung A. ~'_r.aU, P!tE~IL1Et.T <br />i~(AHKP64LUTyy~}}/ll ~ ATONS'sTM/N~pEt;;~. .,_.~;,~„~ .:~.,FOrFtrAP.PrQved. e <br />_ DISCNARGEep REPORT IDMRI-~ , ;_ ~, 0004 - <br />-- r2.1w~..~.:. m-1sl -.'FORD Q'Tf~ COLORAD~MPr~°X~~%o5-al-sB <br />00027 U (SU9R V..) "~~ ~ <br />PERMIT NUMBER DISCNMOE NUMBER F - F I !' ~ L <br />s <br />CU d1~ZD <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM J 7 U TO _ <br />!26111 l12-231 11425) !26271 r28-291 l30-3I1 <br />"'1 NOR <br />#.~ No DlsceakcE #r~ <br />NOTE: Reed Imtruetlom belorl eompletlnp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING /1 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> !16531 l568!l l3Ba51 M653 5I-8Il <br />EX OF <br />TYPE <br />l31-371 AVERAGE MAXIMUM UNITS MINIMUM ~ <br />AVERAGE MAXIMUM UNITS re2-eel MAirss <br />!5~-egl 1e.~7o1 <br />H SAMPLE ~r;F ~:'~:~ #,3#fir -/l# 4L'".Oa>} ( 1]) <br /> MEASUREMENT <br />U4U0 1 U U PERMIT <br />: ~~s4#7# '>y#~F¢iIL+R ##G eb ##m~lsln :9.0 '': EE~CLY R:STTU <br /> <br />t'FLUENT GROSS YALU . <br />REQUIREMENT <br />,. .:::..:. <br />O#'.# <br />~3I- 1(Di1 <br />;ULIDS, TUTAL SAMPLE ~-. ~. ~ as•slas assaaa ( 19) <br />,USPENDaU MEASUREMENT ' <br />' <br />U53U 1 0 0 ;.:.:PERMIT r'%.#IY ;F <br />~vus>tl~,til..:.; <br />saft ... <br />a#i,~liaM:,: ;. <br />35.. <: ' <br />7~`-: :::.;:;:: ,:.:., <br />, . <br />P.~B <br />FFLUENI' GHDSS YlLU :REQUIREMENT ss#a ,.:. ,. ? <br />, - <br />.• . <br />iU 5, 36STL~EABLE SAMPLE ~-'rr. . .###A# #asaa# ~ - f 241 -_ <br /> MEASUREMENT - ~ - <br />0545 1 0 ~0 PERMIT M:Y###Y KTCI#4aLL 10 #:G tX###IG# RE FORT AL-~OAT t INCE/:: ~. ~~~~ ~~.. <br />FFLUEN'1' 6~D55 YALU REQUIREMENT ##'r# 34D~ A1G DAIIY 21Y !IL L - !! M'CH : <br />ON, TU SAMPLE ~>,:.'tAt~=k ++'><;r+r +A41pY+>Ci ( 19) <br />(AS R£) MEASUREMENT <br />lU4S 1 (1 U PERMIT C##A'S# ###Y11## ## ~Lr>F#aa ~.5 7,O tiC£1 ~H7t8 <br />F'FLUENT'Gfl055 YALUF. .REQUIREMENT #>i## 30DA AYG IIAT: M MG/ tt0'2A <br />AIL AND G $ASE SAMPLE .y1. PY;f;r i~###~:3 ###### ~ 19) <br /> MEASUREMENT <br />13~SL 1 O O PERMIT #~"#:-#. ~. .~.tsf9FYp#.# a '+k'a ~ a~s~o#~>r4 ~ ~ A£FQ$R: <br />: l.a~~ <br />~ <br />~:~~: <br />: "' OMTIN e~AH <br /> <br />iFFLUBNT CROSS YALU£ <br />REQUIREMENT ... <br />#### . <br />.:~0'DA;;,i~G : <br />. <br />. <br />.. <br />:.; iF ,:.-.!A <br />/'L <br />? %. <br />G N <br />, DUIT Ufi SAMPLE ( 03) h#A9aa ~ se#asa <br />~ - # n#*+ - <br />ilikU TkBATRCRT PLA NT MEASUREMENT ~ <br />~UU50 1 0 D PERMIT '•ii:POAT REPORT aapa+sn - sae*s,p ssxa>~~~ ax:a BRKLY Y52Art <br />F'f'LUENT GROSS VALUE REQUIREMENT 3UD>A A9Fe flAILT f4Y MGD a#as <br />LIDS, O A SAMPLE #a##4'# ##O#:=# #010### ( 19) <br />;L550LYBD MEASUREMENT <br />/[,195 1 0 0 PERMIT .^.#>01}>)^# ##pLCO# a ##3 ##>i+OA# AirP09x AE FORT TALT :RAB <br />r'FLUENT GROSS VALUE REQUIREMENT ### 9RT:6::RY1G QA~'b. 19AI. RG/L .: <br />NAMERITLE PRINCIPAL EXECUTWE OFFICER I CERTIFY UNDER PENN.TY OF <br />MILIM WITH THE INFO <br />F LAW THAT I NAVE PERSONN.LY EAAMINED MD <br />MD BASED ON <br />RMATION SUBMITTED HEREIN TELEPHONE DATE <br />- ~ <br />~ ~ <br />l C ; <br />AM <br />A <br />MY INDUIRY OF THOSE INDIVIDUN.e IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFDMIATION, I BELIEVE THE SUBMITTED INFORMATION 19 <br />1 <br />D ~ <br />J' TRUE, ACCURATE MD COMPLETE. I AM AWME THAT THERE ME <br />SE INFORMATION <br />INCLWINO <br />T PE <br />TIES FOR SUBMITTING FN <br />'' <br />/~ <br />J <br />Aq ~ , <br />. <br />SIONIFICM <br />NAL <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE le U.B.C. 1 1001 MD as <br />610NATURE OF PRINCIPAL EXECUTIVE Q `` <br />~ /~ l ~ ~ V I OJ <br /> U.S.C. F I ale. lMrlgre ulw New mnrte. mrY Ycpde revue w ro r 10,000 AR A <br />J TYPED OR PRINTED end ornrrimerr bro+r+e+.Re.r a/Mrwem emonNe rq eYeel+l OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell ettsehmen7s here/ t <br />~iT'PLEAHLE SOLIUS LIMIT APPLIES ON L'[ ZF Ci0YR,24RH PR°CIPITATIQd EYER1 IS CLAIKFC. PERtIITTEE K9S <br />uUkLiGN OF PROOF NREd RIiyU~STIdG kELIEF FkOM SETTLEABLE SOLICS PEIKARY LIrITATIOtIS. <br />EPA Form 3320-1 108-951 Previous editions mey be used. /REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 0 0 S 2 9 / 9 A C 2 2 3-125 6 PAGE 1 OF <br />