|
PERMITTEE NAME/ADDRESS (/ndude Farihn Name/Locauon fDgjerenq ~ECEIV~aIL
<br />NAME
<br />COLCIYO COdL CCNFASY, L.F.
<br />ADDRESSCOLOdYO i7INE.. IJUL U6`
<br />5731 STATE BYGRIUAT 13 '
<br />FACILITY '~ `' F: R f. R ~ CO ~~ Hp191S107101 Mit1218jS~
<br />LOCATION ~~ "•'
<br />FROM
<br />A'tTN: J. D. HAk~~N- C3NEAi ~ "`ie~r:.
<br />RANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />ARGE MONITORING REPORT (DMR~ OMB No. 2040-0004
<br />161 (n el "71+UR Approval expires 0531-98
<br />i r T neat::. r
<br />NUMBER DISCHARGE NUMBER (~ U R ?; N Y)
<br />F - FI4AL NCIFA'C
<br />MONLTOPING.I?,ERIOD ~ ST R;;ST r"3 GU 0 GOOD .SPC.S CR
<br />AO DAY.,., YEAR MO DAY
<br />Oq ~ TO' 00 06 3G ,xG~: ••!~ DT 3CHJLR ~ )~) 40~
<br />22x1 na-P l26~4]1 (48-491 !30311 NOTE: Read InstrucUOns before completing this lorm.
<br />PARAMETER "~-'A 3 Gard Onty) QUANTITY OR LOADING ?.
<br />(46-53) (Sd.61) '~
<br />~ ~(`a Card Onty) ; :QUANTITY OR CONCENTRATION
<br />(38-45) ~:~., (46-53) (54~6/J NO.
<br />EX FREOUENC
<br />OF SAMPLE
<br />TYPE
<br />(32-37) AVERAGE.,, MAXIMUM.
<br />~ ,.. _c.
<br />~ UNI~ MINIMUM '~. '' ~ AVERAGE MAXIMUM UNITS
<br />
<br />(czs3~ ANALVStS
<br />
<br />(fia-se)
<br />
<br />69-70
<br />P ~ ~ SAMPLE oa#~r' ~ ~
<br />~. ~
<br /># ow»a»a L1)
<br />(
<br /> MEASUREMENT ~ ;
<br />.' u
<br />~.
<br />~ ~ ~ ~ 7 n 1/ f, ~,~
<br />-
<br /> , 1
<br />r ~n
<br />UU4Ul) 1 0 0
<br />t'f'F.LUFNT GAO$$ YALUP PERIv11T'.
<br />-REQUIREMENT pXr4Y»n*X i~~ 'w''`"'
<br />flOrA~ ~a
<br />
<br />~~1'~dl r
<br />
<br />a. ~.
<br />
<br />~~2 !1 ~
<br />
<br />.. ;1 il $~'1!;'riT (N$#~'r
<br />SuLIDS, TOY AL SAMPLE -.. =:'»b ~,. a,~:»~qli' ' 1 ~
<br />( )
<br />±rJSP EMD £D MEASUREMENT ~ 4~ Zg CJ Z/~~ (_„ i_
<br />U1153U 1 O O
<br />t.FFLUE':T' GROSS YALtII § 'PERMIT -
<br />vREQUIREMENT- #>4x94}F9t--, XrSr~kt#
<br />,
<br />rc
<br />» ~I~Y~
<br />'1. ~^ ~~~~, .
<br />;~;`~-
<br />6 ;- { NC$/r 1 $l~l~
<br /> , _ L
<br />p
<br />SOLIDS, 5_°TTLEAdLF SAMPLE 10'~°r"•''° ~ ....., :-.`,,~»~ _ ~ .~5~
<br /> MEASUREMENT ~
<br />T.'~rd s Cp, ~j <d,
<br />rJ p z
<br />/t o GI~~..1~
<br />UUS4~ U 0 -PERMIT ~P+ACRC# 4ra*~:Y4zFt p r, r. r:
<br />~~ ,.'° ^:-
<br />~ ~ /? ~
<br />~
<br />EFE'L(1 ~:J'I L'H7:~5 VALCi REQUIREMENT -- -'~ Yr.t~
<br />r
<br />
<br />~
<br />= L iSY
<br />,
<br />NI /T. ..
<br />3t` -
<br />,
<br />== .,~
<br />IKOM1, TOTAL SAMPLE h~"y f: f: ~': Y: Y::x Ci yF f: w>(•it~0.{r ..
<br />( 19'
<br />~
<br />(AS FF) MEASUREMENT ..-ti •Z( d.Z3 ~ '/9u G,r.~(~
<br />U 1 L'V ~ 1 U U . f?ERMI7 - ' OR1G63N. -",t}Cr'+Fq q:~ ~ tD r-:.Y ~:4 ~~uu ~y
<br />EFFLUF.'tT 64055 VALU: REQUIREMENT ;.,t;.y ck,
<br />~~? tGY="
<br />M C / I.
<br />UIL AND GNEASE SAMPLE :"^^•-''= T'''`-r'r'~ !''~4" :: +p».^.:Ddgl I4.)
<br />('
<br /> MEASUREMENT /
<br />' ~ l` ;
<br />UJ~ril 1 U U 'PERMIT .` iA43'44$'
<br />~ ~-#~~pQ#rCr-~ ~'Y'~ 1gL ~r `~ '.__- ~ ~~~`~t
<br />FFFLUF'~T GROSS YALUP REQUIREMENT
<br />~. _ "'"~'-
<br />- ::fi•~:: ~:~`"-~ ,.~,~,, ! -~~lST.--Ly'Al< ";/l, ,
<br />,~x ~;.?.,..i;e
<br />.`'LOY, IN CONU UIT VA SAMPLE
<br />IZ ( J 1) s`3>4 itilp>K ~ 4.'»»a» :.`•#h^::'.:
<br />Q
<br />~
<br />f
<br />I"*.:tU i FiF:ATtlENT PLAA1 MEASUREMENT , , ~y (..j S„S
<br />a„
<br />%QU7U I U D "PERMIT'
<br />" -. '$'81-C-~'! .--N~~1?lL-• ` '1F,
<br />." - ~(t$+tt~#~ f r"~:> ~
<br />,')
<br />'
<br />'`-
<br />i:FFLUY
<br />tiT ~~ie055 YALUE `REQUIREMENT
<br />- ;,.'
<br />j~$~-~' 11
<br />kFJfI3
<br />'!
<br />36 r'G~ ,
<br />`.rE 3
<br />; ~
<br />-'
<br />` K»
<br />~ .~ . .
<br />. ,
<br />. _:
<br />>
<br />.
<br />~ , „
<br />-.z>~e,. . °.. ..
<br />~
<br />t .
<br />,
<br />;.i7LIC5, TOTAL SAMPLE +r°»ri'x'•: :`°.••c.°.^'• Y:L+Qrt~p~4
<br />~ ( i7)
<br />
<br />UI SSULY EL'
<br />MEASUREMENT
<br />~~'"-''~~
<br />~(n IS
<br />~(`7C7
<br />~ J
<br />4J~iu
<br />Gr•~h
<br />/U1"+7 1 U U , `PERMIT " .' >a~4#M~v 1%?DtyYl~'5,;~ nar w !G4!~.
<br />~ 5•~
<br />~ e~ Q~C~ ".
<br />~~
<br />~'~ ~+
<br />~"~~ i
<br />r~$~`-~
<br />t:FYLU E!'T .:ROSS YALU° REQUIREMENT~ - z n ~'~` r~
<br />. -: M.- x
<br /> y J
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE I LAW THAT I HAVE PERSO NALLY E%AMINED AND /'
<br />/~ TELEPHONE DATE
<br /> NFORM
<br />INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV ATION SUBMITTED HEREIN: AND BASED ON MY
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE,
<br />~~ ~~.~.+ ~7/~(/--~
<br />~
<br />
<br />-~ ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTING I AM AWARE THAT THERE ARE SIGNIFICANT
<br />FALSE INFORMATION
<br />INCLUDING THE '~ ~.
<br />'~~
<br />
<br />J O) , i , ~, LEA. ,w• r • ~
<br />POSSIBILITY OF FINE AND IMPRI ,
<br />SONMEM. SEE tS U S.C. § 1001 AND 33 U.S.C.
<br />K, SIGNATURE OF PRINCIPAL EXECUTIVE n
<br />q J J ~J
<br />~i74 ~ It..
<br />.
<br />Ai
<br />/n
<br />~ ;)
<br />
<br />TYPED OR PRINTED g tat e. (Penalties untler these srermes may mdutle lines up ro'S10,000 entl wry
<br />maximum lmpnsonmanl of benreen6mrnlhs entl 5yaers.J ~_u u .
<br />OFFICER OR AUTHORIZED AGENT
<br />_ EA .
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />w~nrviolz I ~ MIY V uru+lzrs I tvrv yr nrv r vlvtN I was Irreverence au eaacnmenrs nere) - :~:
<br />%.•:TTLtAIi1.E SOLIDS LI!`iIT APPLItS ONLY IF <=lOTRF. IP EY'F.%T i° CLAI°F.D. LF CCAIt: APP:.t]VF.C yY YtiCD,
<br />TS.i L .L HON LIt7IT5 YILL NUT AL' APPLIED TO REPORT, M.EASUAfiMfilF~'~<- SEE I. A. 2, PG. 5 FOP. BUFFFN OF PFGOF
<br />-a .... _ _ __ __ _ ___ __
<br />' EPA'FOr'm;3320.7 (08=95),.. Previous,editions~rnay nod be used ` ~ -~ ` ~ (REPL4CES EPA FORM'T~90 WHICH MAV'NOT BE~USED')° ` "" ° J ' ~ ` ~ ° ~ ` ~ ~ ° ~ _P..AGE,,.. OF
<br />~JZ'•~`,~-rr:: 3Yle.-.: ~- .... ..~ r.. ...,t~:u._...:._.n;aidri2k -- _~ ... .. .~.ti ~.C~4~.adi`-+ - _. ~ ~j..~.-W~-_u..~ ate... -_..
<br />
|