Laserfiche WebLink
PERMITTEE NAME/ADDRESS (AdrLFarlGryNar/lacenm yDrp....p <br />NAME SENcCA CCAL CUHPA9Y <br />ADDRESS D H A d E k U <br />HAYDtN <br />CO e1o39 <br />FACILITY <br />LoGnoNHAYi%£N CO 41630 <br />ATTX: G. DUD b4Up4, GI±'lisf;AL HANAGdR <br />NATIONAL POLLUTANT DISCHMOE OIMINATION SYSTEM INPOESI <br />DISCHARGE MONITORING REPORT IOMRI <br />/7-15I 117-I91 <br />CGOUOOZZI CU5 A <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 11 U TO Y / 1 L ) <br />l10' 117-731 /1415/ . 1I5-771 IIB-19/ /3631/ <br />(gOEP ~+) <br />F - FIF:,L <br />4 ~ ~, ~ l' <br />Form Approved. <br />I.sg"SBAr,lor2oaG:Dqo~ <br />Approvelleip~r~e ~OS-31'98 <br />,~ <br />1 <br />NOTE: Read Inetruetiau bet comple Inp this form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LO H Grd On/yJ QUANTITY OR CONCENTRATION NQ FREOUENCV SAMPLE <br /> /46531 /50-51 /3B-I51 /4653 15b5/1 <br />EX OF <br />TYPE <br />l37-37/ µµV515 <br /> AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS rsassl /µ5g/ 15970/ <br />L04F N 'ON U 1 f.i° SAMPLE ~ ) fi0A9'~^ ?;r,p•'; /+tr•'.+:4 <br />THitU THETA YNf.NT iL.4F MEASUREMENT <br />SGOSU 1 1 J PERMIT RGPaitT n~1~Uti'Y 'Ot#4A+Gfi ?0^OC'7 fifi>vt%C# .-• )NCF./ I!1STA' <br />k:FlLUENT u$OSS YALJ REQUIREMENT 3C10A AY, GAILY M7( r,GD -'.: :' <br />.. ......:... <br />v . . <br />"""" ;MOkT.H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT .. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTIFr UNDER PENALTr of Lww THAT 1 NAVE PERSONAUr ExAMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN <br />MD BASED ON \ TELEPHONE DATE <br /> <br />N + ~. ~~. bNPS ; <br />MY INQUIRY OF THOSE IMDIVIDUAlS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCUMTE MD COM0.ETE. I AM AWME THAT THERE ME <br />1 <br />T <br />SIGNIFICANT PENKTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING \ <br />~ <br />( <br />I y V.il(J ~ <br />t y , <br />THE P0551BILITY OF RNE MD IMPWSONMENT. SEE 15 U.S.C. 1 1001 MD 37 <br />610NATURE OF NCIPAL EXECUiNE ~ D' <br />J TYPED PRINTED sn0>n..+lllwninaLU+nr+F ~r o~aMw~s~mm~N,~ Ivval~~roi1O~~ OFFICER OR ORIZED AGENT COEDE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRelerencs ell sttschments here/ <br />I'S.; E 18UN LItlITS uILL 6F- YAIVED At:J SETTLEA3LE SOLIDS LI'!12 AFFLIFC FCP. <=1f,YF,24Hn PRECIF £VF.NT; ._.. .. <br />IRU;: LI(7IT5 WAIVED FUF >1~Yit,2»HF P3£CIP EVi4T SUFJECT I'7 P.UFCFM CF FfC^F IN I.A.Z. OIL G GBF:ASE-S`.-. <br />i.ti.l.U. TI1S MONITORTNC-GFA 7. R.I.F. <br />EPA Form 3320.1 108.951 Previous editions mey be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) 0 U 1 Q ~ ~ g ~ ] ~ j)<,~1 SZ 3 PAGE 10F <br />