Laserfiche WebLink
PERMITiEE NAME/ADDRESS pnclvde Faciliry Namdlaarion i/Dijferenq <br />NAME <br />p34.PP6R :II!iI4Gr (! ", <br />ADDRESSpc;APPSR ::[tit: <br />~'.G. ~iJR 1-S/ <br />FACILITY :: RA Il; - ~ '~ 1 <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FOffl'1 AppfOVed. <br />DISCHARGE MONITORING REPORT (OMR) OMB N0.2040-0004 <br />'tINOR <br />(SJ9H NW) <br />PERMIT NUMBER DISCHARGE NUMBER F _ FIHA.L `:v~A" <br />~S MONrtORINGPERIOD ilISCkARCE TO COYOT° GULrR <br />YEAR MO DAY YEAR MO DAY _ <br />FROM 11 0 ~ 1 TO O1 01 31 °xha NO DI SCkAkGE- ~~~ 'fi'0''F <br />t~ , <br />J <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />'(L a:iU :;kl;AG SAMPLE "T`r't„f°fi' ( 94) ~tF.`-O:c ^.e Dt ~I$~.fi'k R: ~h.^•fi <br />'v ! ;i J A L MEASUREMENT <br /> ~ <br />• <br />-`'r'LU;~'T ~.:N.)S:i Y3L0 Fi~CI__ ~ NC=O '-~ ~ ~{ <br />~`'~~ u~'' ~#3~' ~ "~_ <br /> SAMPLE - - ~ - - <br />mcr~aYncn?ffA! <br />:,.'',S, r ~ ~ . i <br />,~,y~~"~~ MEASUREMENT ~~~~'~ ~ <br />,g.:_ 0.. ,~~ <br />iiL~, [:NT ~1 <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />iy <br /> <br /> f A MF6yL ' ;. L ^ry:.- c '~ # . : i .3: ,;~ r - t. ~ r~ _• ~ •J{Y„t, <br /> 9 <br /> <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER law that this document antl all attacnmants ware <br />ICeniry under penelry of <br />directio <br />r <br />ervi <br />ion I <br />rd <br />th a <br />i <br />d <br />d <br />u <br />c <br />w <br />t <br />d <br />d TELEPHONE DATE <br /> gne <br />prepare <br />un <br />er my <br />n o <br />s <br />p <br />s <br />n a <br />co <br />ance <br />i <br />sys <br />em <br />es <br /> <br />to assure that qualified personnel propedy gather end evaluate the information <br />/~ _ <br />r <br />L <br />rr1. Gordon Peters submitted. Based onmyinquiryolthapersonorpersonswhomanagethesyslem, ~ ~' C .•~ <br />- 970-824-4401 O1 04 °6 <br /> or arose parsons directly responsible br gatherirg the information <br />the infortnazion <br />President /Genexal M8I18gex , <br />submitled ls,to the best of my knowledge end beL'el, true, acctimte, end romplete. <br />i SIGNATURE OF PRINCIPAL EXECUTIVE <br />^ TYPED OR PRINTED gnimcent penalties for submitting false mrormaeon' <br />I em aware that Iharo are s <br />including the Dossibiliry of ine and Imprisonment br knowirq violations. OFFICER OR AUTHORIZED AGENT <br />CooE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SAMPLE <br />";5 '• TOTAL iw i`I LI`•i: :' ~S LL •;d .AI~_D, P. ;iU SEPTLEAEEL SJLIDS LIHL?' APPLIP.D FOR <=l0YR, 24H N. PHrCIP ':Yc!:P- <br />y,•; ;pkpg ~r .~ O;jc F;;:IJI••~! !rrT.} IIYCF.'k 7. A. 3. PERMSTTEE RUST 'FAKE ALL REASJ/cABLE BEASURR5 TO REDUCE PFi <br />, <br />A FOTRI 3320-1 ~/i~ V 3/991 Previnl is ~arlitinnc may tie used ~ •- ~ - J ~~ v • • • • . - , „ _ , - <br />