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PERMITTEE NAME/ADDRESS prLbActllryNawL«sum UDlswmp
<br />N^ME 1kAP1rER !'I`i1!IG, I'tC.
<br />ADDRESS TAIIPPP.R ![ 9E
<br />P.Oe 6011 IR7
<br />caalc
<br />CO 81525
<br />FACam
<br />LOCATION
<br />IITTNz k. GURI)UN PF.TFRS, PRP.^a/G.@lq 14G:it
<br />NATIONK IOLIUTANT DISCNAROE ELIMINATON SYSTEM /NPDESI
<br />DISCHARGE MONRORING REPORT (OMR)
<br />' ~ 1-16 l17-191
<br />PERMIT NUMBER ~,- DISCHAi1GE NUAIeu
<br />MONRORING PERIOD
<br />YEAR MO '.DAY YEAR MO DAY
<br />FROM . TO O5 O
<br />!76711 lI7.731 (71$61 !16.271 !28.791 /363F1
<br />Forrn Approved.
<br />I !t D P. OMB No. 2040-0004 .
<br />Approval expires 05.31-98
<br />(SUER NY)
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<br />NQTE: Reed Imtructlorw betw~ LrolhpMtlDp_thie loan.
<br />PARAMETER !3 Grd Ontyl QUANTITY OR LOADING 11 Grd Onryl QUANTITY 011 CONCENTRATION ~ NO, FREOVENCr SAMPLE
<br /> 118.531 (51-61 /36.161 16-53 161-61 EX DF
<br />l3Z-37I
<br />ANALY95 TYPE
<br />' AVERAGE MAXIMUM UNITS - MINIMUM AVERAGE MAXIMUM UNITS ma-em 161.681 189.701
<br />FH SAMPLE #Q#R aY aaaoR# ####¢x ( ].~)
<br /> MEASUREMENT
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<br />NAME/TITLE P RE:IPAE EXECUTIVE OFFICER I CERTIFY UNDER PENµTY OF LAW THAT I NAVE PERSONµLY E%AMINED AND
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
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<br />~ MY INQUIRY OF THOSE- INDINDUµS IMMEDIATELY gESPON5IBLE FOR
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<br />P OBTNIIING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />SIGNIFICANT PEMALTIEB FOR SUBMITTING fILLSE INFORMATON
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