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PERMITTEE NAME/ADDRESS (Include Fotiliy Name/Locannn if Differenq <br />NAME <br />COLOIiTO COA4 CGMTdSY, L.F. <br />ADURESS~O LO rIYO HINB <br />5731 STATP. HIGHLIAT 13 <br />!1cEXER .~:,~~.,~0 91681 <br />FACILITY ~ .,;,,.: , <br />LOCATION '' ~ ~'=`~`~~ <br />ATTN: J. U. h1ARP!05, GEM F!79L IAN AGFE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATIOtJ~SVSTEM (NPDES) FOrm ApprOVBd. <br />DISCHARIGE MONITORING REPiOBT (DMRI OMB No. 2040-0004 <br />' I" 9) ~ I :~ J <br />.crin nn St at Approval expires OS-31-96 <br />~~ina (SUUt( NN) <br />PERMI7NUMBER ~ '- iols¢rlaaGENUrneER F - FjNtL. t1OF'AT <br />„~.,r. <br />,;,,~~.,~:fnoNITORI GaERIOD NARBAQDSR. SEDI TO 'T'AYLOR CP,EdK <br />YEAR, ~ "-,;MOB' .DAY. YEAR MO DAY ~""~ ~- <br />e ~ ai'.: ~c""~ <br />FROM ~, :.i~'$i'~1 To O1 03 31 # ~ DISCHARG$ ~ ~i <br />7zay'})~gZg~(ga;zsj;.;v ~ rzs~zT) Iza~z91 (30 31) '~ NOTE: Read Instructions before completing this form. <br />PARAMETER (3 Card Onty) QUANTITY. OR LOADING <br />r (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> (46-53) (54-61J (38-45) (46-53) •y- (54-61) EX OF TYPE <br />(32-37) AVEAAGE MAXIMUM N!TS MINIMUM AVERAGE MAXIMUM UNITS <br />(sz GT) ANALYSIS <br />164-sal <br />69-70 <br />I'f! SAMPLE ,-: r: r:.:.. #t01~'~## #rj T}~## ( I1} <br /> MEASUREMENT ~ ~~ <br /> <br />U(14UU 1 U U ~'PERMIIT Rego#""?.• `~`+- ,:v; : ~° g '~`*~~~~ <br />~lF {~ ~ ~~~~ <br />f.FFLUENT GitOSS VALUE REQUIREMENT _. , . <br />~~, ~ <br />#### ..:~ a <br />' <br />~~ <br />'~ <br />~ ~ <br />Ta x ; <br /> , _ - fi[ <br />>1ftY <br />- SU ,1 <br />r <br />:I (,LIDS, '!'UTAL SAMPLE r=,;'-;r r-^a>k#d q .; fn!#iR <br />~ 14 <br />~ ) <br />SUSPENUP,D MEASUREMENT <br />G v` 5 3 U 1 U D <br />F FFLUEN'f GROSS YALIJe - ;PERMIT <br />REOUIREMENT~ 914#Wir <br />~ •, i~~R4ri y>E 401 `" ~; <br />•~' ~ " <br />r *"" _ ~ ~ : ` ~ ~* <br />~~' -ia <br />SOLIDS, 5ETTLEAL'L1. SAMPLE ~• ~ •'~'rr-c '" :;:## <br />~ '~`" ( 25} <br /> MEASUREMENT '' <br /> m: ,• <br />~ <br />VU5U5 1 0 0 ~';P~,ERMIT ,,~._ rIf##1~#id .,' S a <br />" '~' <br />•` S` <br />wr <br />~w5 ~ <br />~ : <br />~~ <br />" <br />EFFLUFS'T GROSS YALUr REQUIREMENT <br />4 ~ s <br />.. ~~_ ~ ' <br />I RUN, TOTAL SAMPLE .'^"~'r ~ .. -•. ~ <br /># ., <br />~~ <br />' . <br />( ~9} <br />(A$ FE) ~ MEASUREMENT ' <br /> . .w1:'i~ <br />(1 l U'! 5 1 U U '~F''FERMIT - -1LA#pr>p~# z j 4$ ~ <br />° rtfi": '"`•:~- ""~:~~. .~_ ~ )~~~ <br />`:FFL~IF,AT GR'JSS VALUE REQUtiREMEN7 :~(' S {t.,Y <br />, t3' r's:` ,„ ry *MY` hG/ IE +` .eP.b ~'. <br />UIL AND GREAS$ <br />' SAMPLE •. ~• .•., r:-llc:,.'-: •; d##ii~:' i ####tt# ( 19} <br /> MEASUREMENT <br /> <br />ii SSH L 1 U U PERMIT `~!¢~ ° ?~~QI '~ ~§ ~ :- .d , ', ~+ ~'~ ., ; <br />~ F' <br />r' ~~~ ' <br />f;FFL'JERT GROS5 VALUf REOUI•~iEMENT~ ~ <br />Kee % ~ <br />I e. - ;.;;; s ,x{~ ~ <br />^ <br />- 7 <br />- - <br />"' <br /> , , <br />I , <br />~ <br />„ s <br />~,.. , <br />B.J(j, <br />. ryG/L _F ? <br />... . <br />YLUti, LN CUrDULT UR <br />' SAMPLE ( !?3) ##a$dl~l.' ####~# :'t~:r>~ <br />; <br />;I !?U TREA TPIBMT PLANY MEASUREMENT 3+-~ . <br /> <br />5l1VSU 1 U U y~PERMI~•+~; ~~~ C` 'z~y~, ~'~ ~~:°: <br />'~ Sr 7~ <br />~ ,`•4# +a*~~~~.:. <br />EFFLUENT GROSS VALUF ~?EQI~IRE <br />MENT: ~~~~~ ~~ : <br />: r;G ; ~ <br />p ~ <br />a~ <br />` <br />: a# ;~ ~, *`Yr' <br /> ~ •, <br />w . <br />< „ <br />. . ,,, <br />~ <br />? <br />,, • ## <br />sOLiUS, TOTAL SAMPLE ~°,',~*~ rx.#~=# -~#a### ( 19) <br />U15S0LYdC MEASUREMENT <br /> • <br />/ tt 1 J ~ 1 U U <br />' '~"'~i;PERMR,~'a„~;., <br />r ~ i~ ~ <br />1 ~.x 70 fr~>Ir~?N~(r;:;iE <br />` r,- •:: rs'. - .:,~ ~ °• <br />~ ?:; . ~~~, ti <br />e Ff <br />LUENT GNOSS YALUF REGUI EMENT. <br />t3~.. ~.. .- - , s4 <br />' ~ ~~'~~., <br />=,~a >~ -~^a„3~P..« , ~~, ~ <br />:~~ <br />_ fiG,~J h„ ~_; ~' u <br />~'~'~' ';ii <br />6b'~-S°~"eCs <br />1 <br />L~r,'' <br />~.~'!1 <br />C, G / L <br />.~' <br />.t~i~ ~ <br />k a- r <br />YLEL~4 xiaa t. -1 u. <br />r <br />~. '~ ~ - <br />NAME(1'ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH T <br />E INFO LAW THAT I HAVE PERSONALLY E%AMINED AND <br />~ TELEPHONE DATE <br /> H <br />RMATION SUBMITTED HEREIN; AND BASED ON MY . <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />.` <br /> , <br />~ <br />. <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, <br />~ <br />/\ ~ ~,E'V`^"'/'--- <br />- <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE'ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATION; ~INCL`UDING THE <br />I 1 I1 / 1111 I V POSSIBILITY OF FINE ANO IMPRISONMEM. SEE 1B U.S.C. g 1001 AND 33 U.S.C SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~(~ . J ~~ /L+•vt O / /S y (l <br /> <br />TYPED OR PRINTED g 1315. (Penatlies untler I~ese stetuTes may Inclutle lines up to 510,000 and or <br />l OFFICER OR AUTHORIZED AGENT <br />me..imum impnsonmem Ol Dehveen6months entl 5yaers <br />S <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> . OD <br />~,•„•,.-,•,,, „~... ~... ..^~.n nv~. ...r n,v, r,vv.,,vrva Inemroncb au aaacnmenrs neTeJ <br />SETTL6AbLE SOLIDS LI?~IT dYPLTF.S ONLY IL' <=lUYR,2U5R °~'CTP ~J:.4T IS CLAIM D. IP <br />TSS E ISOd LIRITS NILL NUT HE A?:%1.1~U TJ :1FFORT.:'U "!faSU&E!!Et?TS - SEE I.>L.2~. PCr~. <br />e•br•R CLOY Afi L r,{(•efi• s ~. ,+ ,•i• r .~---.~.. ~. ~ ._ i.~ <br />be used. ,.. ~,,,-~ ,~., "(REPLACES~EI <br />~~' -,'.t-i- <br />!IH APP~DVED BY 11(~CD, <br />B BURDEN OY pRUQF <br />~n~- <br />~ ~ ~ ~ ~ _P.AGE_. 3 OF <br />vl: ~ CLe :~ 5~. <br />