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<br />PERMITTEE NAME/ADDRESS (/Mi4 FrWpNwJla,na dDlpnwp <br />NAME pOMUEi'iGRN r.'OAL CUSPANY <br />ADDRESS ftOAUS]JZ ItLC, ~ , ~ PORTALS <br />P.~. ~.ax 1N 3C` <br />PAL15P.[:;: CO 01525 <br />FACILIT' <br />LOCATION <br />.:T~:N: JOl1N A. Srr.~d. ~.rr ii;,RNT <br />NATIONAL PahUi`ANTDISCHMOEEDMINATIONSySTEM'FNPQf$J~' <br />- DISCHARGE~AIONITORINO AEPORt FOM~fI <br />l1-IS! ll7- 91 <br />O <br />PERMIT NUMBER DISCHMOE NUMBEq <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 10 U1 TO 00 12 31 <br />110.1/1 711-131 114151 !16171 118-191 134311 <br />Form-Approved. <br />POlID 1 t0 COLORAD~~~° -oooa F <br />(SUfiR IIC) PPo e~ i~405-31-98 <br />F - FINAL <br />'!INCR <br />NOTE: Re•d In•wedon• b•tore pl•EinO thi• form. <br />PARAMETER 13 Grd only! OUANTFTY OR LOADING /a Grd Ontyl OUANTITV OR CONCENTRATION Np. FBEGUENCr SAMPLE <br /> 705-531 15s-811 I3B-<51 /46531 !545/1 Ex TYPE <br />731-371 M~yys <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs1-ss~ !µ5B1 769-701 <br />i'a SAMPLE ;`####: ###### :#*%## ( 12) <br /> MEASUREMENT <br />rU4UU 1 U 0 .PERMIT 4#i•~## <br />~ ##Lt#4T; ##;: ,5 ###3## 90 E£Y.LC ySITU <br />:: F'FLU tIi[ GROSS YP. LIJp ~REQUIREMEIJ7; ~~ ~ ##F# <br />iCLIliS, TOTAL SAMPLE $t:#### ~##### ####.# ( 14) <br />~USP~RDh'U MEASUREMENT <br />iJSJU 1 0 U PERMIT. 'ftr##~# : . c##;a#1a. ### T'i#?A#~ . 35 7'0. MCE/ :AA:s <br />JFFLU dNT VROSS VALII' ~~gEQUIRE.MENT ~ #I~"`# ~ S: - NC S N <br />.,JLLUS, SETTLEAHLF. SAMPLE ,:::,`.r,.;.^. #:#### #4#### ( 25) <br /> MEASUREMENT <br />0545 I 0 0 PERMIT v,;:##.;. #-'.F:•##h. „- ###t+## APFOeT R£FOAT t NC[;/ :RIB <br />uFF'LUENI' GRO:iS YALUF REQUIREMENT ###: f 'TH <br />1 kON, TOTAL SAMPLE v## ~;: ~ #:-; ##:: ####'~ ( 19) <br />(AS FE) MEASUREMENT <br />lU4S 1 0 U PERMIT ##fi#~~# ###### v#f a#~~## 3.5 7.0 [ NCL/ 'RA9 <br />cFFLU E:~T GRO55 YALUt REOUIREMENT ~ #### 1 1 ~„ T4 <br />JIL AND GREASE' SAMPLE ... ,. .. ,.. -=~#### #:###=r ( 19) <br /> MEASUREMENT <br />3:itJ2 1 U U PERMIT ::~~-:pS:: ####[F# ##G ###>p## REFpRT . 1.(3 L DNTIii .flao <br />cFFLUENI' GRO55 YALUc REOUIREMENT #u.# .~ <br />fLJw, TN C03DUIT OA SAMPLE ( p3) ###~#r :~:#### #0#### <br />l'RkU THEATffEYT ?LAN MEASUREMENT <br />~UOSO 1 0 0 PERMIT :tbPORT REPORT #####;+ ##LrJr## ;+##### . ### i 6'EitLY NS'[Ati <br />tFYLUENT t;ROSS YALUF REQUIREMENT 30DA AYG DAILY dY NGD #r#+k <br />--,ULIUSF TOTAL SAMPLE :##:=::# #####: #a#a## ( lq~ <br />J:SSOLYED MEASUREMENT <br />IU295 I 1 0 U PERMIT ##Lt,c## ###### 37 ### ###LI## REPORT '.?LFORT TRLY ~ .RAB <br />,F FLU ENT 68055 VALUE REOI.RREMENT ~ #:-# R!6 IVG RT6 ,!IX tlG <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />A <br />AA FA FY UNDER PENN.rv DF uw THAT I NAVE PERSONAUr ExAMINED MD <br />MIDM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br />r <br />~1 <br />v C ~ <br />T . <br />MV INOUIRV OF TNOBE INDIN°UN.S IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATON <br />I BELIEVE THE SUBMITTED INFORMATON IS <br />, <br />O <br />(~ , <br />TRUE, ACCIeUTF MD COMPLETE. I AM AWME THAT THERE ME <br />SIGNIFICMT PENALTIES FOR Sl1BMITTING FILLSE INFORMATION <br />INCLUDING <br />r~ ~ <br />H , <br />THE POSSIBILITY OF RNE MD IMPNSONMENT. SEE 18 U.S.G. f 1001 MD J3 61ONATURE OF PRINCIPAL Er(ECUTIVE D ~_ ,6 O Q , ~3 <br /> u.s.c. f r at a. rrwnrd.. carer d.,. man. nur ~+cAW n.., w ro ! IO,o00 <br />TYPED OR PRINTED xN ermuir„ninp/,anwntbsrMFwr•mmN, rg6yrr,! OFFICER OR AUTNORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND ExPLANATIOn UH grvr vIULA I IOn~ lNererencs en ertecnm•nrs nerel <br />SE'fTLEAEtLE SOLIDS LICIT APPLIES ONLY IF <=lOYk/24HA PRtCIPITATICN EVERT IS CLAIDF.D. PERtlITTEE dA5 <br />eUdDr:N OF PROOF NHEN PEQUESTING RELIEF FAON SETTLi:AdLE SOLIDS PFItlA9Y LI!"ITATIOF°. <br />EPA Form 3320-1 108-SBI Previous editions may be used. /REPLACES EPA FORM T40 WHICH MAV NOT BE USEO.1 PAGE OF <br />COSF,9/99C223-1251 i <br />