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i <br />PER ADDRESS Qnc/ude Facility Name/Cocafion ijDi$erenq <br />NAM <br />r,~r~~ I.~y ."a <br />FACILITY ~HG•T~~ CO 9162, <br />LOCATION <br />F 'i:, Al;r;)I'S° '' Vg.7 DA.,,,-i.: <br />NATIONAL POLLUTANT DISCHARGE EUMINATON SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />tP-lel fly- 9) <br />~ n 9 v r ~ u ~ n n <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY 'YEAR MO DAY <br />FROM 9a 7F 71 TO nn '}T '!' <br />(zo slJ (Y3.Y3) R9~25) (2621) (28-29) (3031) <br />Form Approved. <br />_ OMB No. 2040-0004 <br />' " " Approval expires OS-31-98 <br />_ r..,el ..~..~. <br />.. .-p n~ 1,11-97-J t.n •q~.p1 nTr~r-, <br />NOTE: Reed Instructions before o~iipleting this loan. <br /> (3 Card Onry) QUANTITY OR LOADING (a Caro' Ony) QUANTITY OR CONCENTRATION ' NO. REQUENC SAMPLE <br />PARAMETER (4653) (5a-61) (38-45) (4B~53) (54~B7) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNRS <br />(ezm) ANALYSIS <br />(64-68) <br />69-70 <br />;i)L165, .C*r; SAMPLE 'y"OrFR. (sppnr.r- ~`r:t,.. r +n1 <br />:~ I ~'-•Ul.V -. :; MEASUREMENT <br />1;~'?5 1 D i' PERMIT= #4fidP~R' ~1 <br />, ;. '•: <br />~ eat T <br />11,.1 ~ ~? . <br />O D <br />*~*?NAL ~`'~ '~$l.L <br />"'~ <br />~~ <br />rr F ^ t U r S T G F rv ~ ~ ^ ~ 1 ", REQUIREMENT ~ <br />, <br />~~ k <br />-'~_..~s~ie . <br />'"'"' r .. <br />" ' ~ <br />RTP, V' <br />111' P M !IS <br />"'' / 1 <br />~ " - ~)~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "t'^r?"" -i1 ~ -~.:y;' '.+:: <br /> REQUIREMENT -- F <br />_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ""' t ' - { ~~,?~ <br /> REQUIREMENT ~~ °' ;.,:`,'; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ ` " <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 />-- <br /> REQUIREMENT - - ° - <br />=~: ' ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM F <br />M <br />AR WRH T <br />E INF <br />RM LAW THAT I HAVE PERSONALLY EJUMINED AND <br />ATI <br />N <br />BMITTED HEREIN <br />AND BASED ON MY ~ TELEPHONE DATE <br /> A <br />ILI <br />H <br />O ; <br />O <br />SU j <br />' <br /> <br />Richard N(((S INQUIRY OF THOSE INDIVIDUAL <br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE, ~J <br />.< ~ /11, //_ <br />• <br /> <br />l Mt <br />E <br />i <br />t ACCURATE AND COMPLETE. 1 AM AWAKE THAT THERE ARE SIGNIFICANT <br />UDI <br />G T <br />E eI' / / .,/GiC( <br />r ~~ ~~" ~ <br />970-670-2712 <br />7 <br />28 <br />99 <br />nv <br />ronmen <br />a <br />anager PENALTIES FOR SUBMITTING FALSE INFORMATION, INCL <br />N <br />H <br /> POSSIBILRV OF FINE AND IMPRISONMEM. SEE 18 U.S.C. 5 1001 AND 33 U.S.C. <br />' SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED § 1319. (PenelG <br />es under Ihese sbtules may Include lines up m Ef0,000 erM rr <br />maximum impdsonmenr ol6elwaen6manirts end5yeem.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (HeterenCe all attaCDments Hera) <br />.,:TTL~A~Lc. `"?'T^' ". T? a rn c > o~~ ~ ~4.rrr,+r-r c ~ ..^n (trYpn'PQ ~.r. <br />r. ? d TV, P:i 19T tl '1F C F(': T+ r r,. c ^r1 4 r-.^ n• <br />e <br />Ckt.A$g :^n~ ;0."'vL~; a':ALY ;Le- ?^~i tl[Pc;) .r gj,jy( gutty r~ rno•--,Y T^~ nr,+alv -~Mr.r ,.!' 1' Fr Tnyc-_?. .' <br />EPA Fo"rm 3320-1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) ~ n 11 a / ~ 7 0 a ] Z-15? ~ PAGE 1 OF <br />