HYDRO23521

• Permit No: C1981044
• IBM Index Class Name: Hydrology
• Doc Date: 7/28/1999
• Doc Name: 2nd Qtr 1999 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS (!nclude Faciliry NamelLacarion iJDifferenq
NAME ~:.Y P~`1'" ;:rnTp_ rr7 q„7pArl fit:
P.O• .^~Y a~,
FACILITY C°ATI. ~~ `!l A?&
LOCATION
NATIONAL POLLl1TAN7 DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHA6 GE MONITORING REPORT (DMR;
In- 9)
,•^n^71 l'IT n1n
PERMIT NUMBER DISCHARGE NUMBER
MONITORING PERIOD
YEAR MO DAY YEAR MO DAY
FROM 99 ^ ^. TO ~? pc 7r•
(2a7,U (22-231 (za-251 (ZazrJ (28-291 l3PJt)
..r ..~.
t•r r AT
.. r. r,.. ~^ cy_11~
Forth Approved.
OMB No. 2040-0004
Approval expires 051-98

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~ NOTE: Read Instructions belo 1 or~leting this form.
(3 Card Ony) QUANTITY OR LOAD G (4 Card Onry) QUANTITY OR CONCENTRATION NO. FgEOUENC SAMPLE
PARAMETER (46-53) (54-61) (3Bd5) (48-53) (5461 EX OF TYPE
(3237) AVERAGE MAXIMUM , TS MINIMUM AVERAGE MAXIMUM UNITS
lsae3l ANALYS/s
(64-6a)
69-70
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MEASUREMENT
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NAMERRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT 1 HAVE PERSO NALLY EINMINEO AND
D BA
ED
M
^ TELEPHONE GATE
AM FAMILIAR WITH THE INFORM
IV S
ATION SUBMITTED HEREIN; AN
ON
V
FOR OB
ING
E
P
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~
!
Richard Mills IDUAL
INQUIRY OF THOSE IND
1 BELIEV
THE INFORMATION S IMMEDIATELY R
SI
S
O
LE
TAIN
E THE SUBMITTED INFORMATION IS TRUE /
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Environmental Manager ,
O ,
I TMNE
E INCLUDIN
RMATI
AF
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.
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;~ 7 //,f '~(~.~ ~ 970-870-2712 7 28 99
SUBMITTING
ON
G
PENALTIES FOR
ALS
NO
POSSIBILf1Y OF FlNE AND IMPRISONMENT. SEE 1e U.S.C. 4 1001 AND 33 U S.C. ~ 'SIGNATURE OF PRINCIPAL EXECUTIYE

TYPED OR PRINTED 4 1319. (Penaflies under Nese sferules mry inclutle lures up re Sf0,000 erM or
maximum ~mpdsanmenf of beavean6monHre entl Syoen.l OFFICER OR AUTHORIZED AGENT
NUMBER
YEAR
MO
DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
ti °.'T'Lc:A p1 1. i. 5?L*'. !.I"iT •S.l Y~^ C~I~ llr;if ~lu:j0 n'l r•f^r coo.. -^c^ I. `~7e ~r 10~ ^.o ..-:•r r9rK Fr TSB (iT i.
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LR=.A3E G:CA. A !.. A .,Y :IS :: ;IiS.,D I. VLSI'L' S r"~ k5T?IC n4_
33261 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
nn~r,-r~nnOr112-1523
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