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PERMITTEE NAME/ADDRESS pnclude Faril y NamelGorauon if Di$erenq
<br />NAME
<br />COLUrYO CDAL Ca>,Ph'~Y, i,.2.
<br />ADDRESSCOLOiiYO KIliE
<br />51:51 STAT° RIGNYA! 13
<br />FACILITY h >:. F. 1C E R CO 81641
<br />LOCATION ~ .=~4:p;g;
<br />ATTN: J. U. NARP40N, GENP''=A!. Mr,,RGHR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION
<br />OISCHARGE MONITORING REPORT
<br />(246)
<br />~'~r +~:j;=,f,~ PERMIT NUMBER .D,ISA
<br />,':i- MONITORING PE.RIO[
<br />YEAF~;'.)MO DAY.' ~ ~ - YEAR
<br />FROM ®6:01. 61 TO 01
<br />iYSTEM (NPDES) Form Approved.
<br />(OMR; OMB No. 2040-0004
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<br />Approval expires OS-37-98
<br />nln a (SDC1R M8)
<br />HARGE NUMBER F - FINAL [40FAT
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<br />(3137) AVERAGE MAXIMUM "t')N g: ' ~ ~ MINIMUM ~~ ~ AVERAGE MAXIMUM UNITS ANALYSIS
<br /> (62EJ) (64-68) 69-7U)
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<br />NAME/TITLE PRINCIPA! EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO
<br />AM FAMILIAR WITH THE INFO NALLY E%AMINED AND :' TELEPHON E ~~ ~ DATE
<br /> RMATION SUBMITTED HERE
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON IN; AND BASED ON MY
<br />SIBLE FOR OBTAINING ~
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<br /> THE INFORMATION. I BELIEVE THE SUBMITT,ED~, INF ORMATION IS TRUE: ~
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<br />t ACCURATE AND COMPLETE. I AM AWARE THAT TH
<br />PENALTIES FOR SUBMITTING FALSE INFORMATIO ERE ARE SIGNIFICANT
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<br />POSSIBILfIY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C. :~. ...
<br />~': SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRINTED § +315. (PoneRies under llrese s22Tes may .r~chitle nm;3 up ro S10,LY)0 ano' or
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<br />TSS E IRON LIdITS WILL NOT 8E APPLIED TO REPORl.$D'.lPEAStf.RElLL'y5'?~+$F~E.S.A.2, PG. 5 FOA BURCEA OP,PRCOF
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