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PERMITTEE NAME/ADDRESS (rnclude Fariliry NamelLocanon iJDijferenq
<br />NAME TiIENTYMIL.°. COpL CO^IPANY
<br />ADDRESSFJID yL CR6£K III NF.
<br />19S1S RDUTT COUNTY RJAD X27
<br />FACILITY OAK CREEK ~D 80467
<br />LOCATION ^ 0 d U 4 b 7
<br />JAK CREEK
<br />ATTN7 GEORGE VAJD:. VCCP pRF:STBF.NT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMR)
<br />PERMIT NUMBER DISCHApGE NUMBER
<br />FROM
<br />PERIOD
<br />TO
<br />Form Approved.
<br />OMB No. 2040-0004
<br />"i rJd
<br />(salsa H1:)
<br />F - FINAL. RDUTT
<br />POND OISCfIARGE 2Q PISP CR£Ef!
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<br />0;#0 Ito D~~CNA kG ~ ) ) = ~~~~
<br />t{Q'~E: H~a structions beforeZ'Smpleting this form.
<br /> OUANSITY OR LOA
<br />' ~` QUANTITY OR CO RATION NO. PREOUENC SAMPLE
<br /> l`' ` SEX, OF TYPE
<br />PARAMETER AVERAGE MAXIMUM NITS MINIMUM AVERAGE MAXIMUM UNITS auLYSls
<br />PH SAMPLE !='0 %'oa~ c~taa#n ~ #~;~trr.:z ( 12 r,' 1/
<br />
<br />MEASUREMENT
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<br />JD4 DD 1 J D zgie~ lf~ t~ ~ ~~ ~`i~ ~ ~-h. *r --.~ ._ .~ ~
<br />AFFLUENT Gft055 VALU •~ICQ ~E1f.` ' - ~*''~ SU
<br />SOLIDS, TOTAL SAMPLE ^"'` ="~`
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<br />~ ",•:r:ti.rx 19
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<br />S J S P E IJ D E D MEASUREMENT ~r
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<br />AFFLUENT GRJ55 VALU 3 N1" '~ ~ ~ rr t ~~ ra .v
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<br />NITHJ~e:N, At1dONIA SAMPLE .-. •, ,. ,,`;~°. ( 19) J~jO (
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<br />T J I' A L (A S N P MEASUREMENT O ~ 7 7 ,
<br />:I J 61 U 1 J U ~' ! :.; .: ,.~ R't!4 ~-" ;~!%1Jt ~Ar~iti,'
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<br />'dr r'L'J£~Y GHDSS VALU ~Q _ ~Ji~N'C ~ „
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<br />I . J V SAMPLE Y r .. .. . . • ...
<br />~ ( 19) '. (
<br />TOTAL rtECJYERABLE MEASUREMENT = o C ~ ~ G +_, / IA
<br />U U) 9 J 1 U ~ 0 ,5E1 '~~
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<br />::E'FLUEhT GH 55 VALU ,
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<br />9L'J9IHU9, DISSOLVED SAMPLE •^ ••r• =:';tai; ~rG
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<br />EFFLUENT ~GHOSS YALU @I~T~
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<br />JIL ANU CREASE SAMPLE C?#:«~ #.r ^.~74' ;:.%~ ~ {R~1####
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<br /> MEASUREMENT A N Ntt
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<br />t'FFLUENT GROSS YALU ~~ N~- .
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<br />PL'Ja, IN CJNDUIT JR SAMPLE ( 0J~ ~•~ ~ -~$ o###~sr. a~#^:>~~ ~,(
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<br />1'HHU THEATNENT PLAN MEASUREMENT V/ f~3~
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<br />"tFFLU.°.YT GROSS YALU QU(li6 ,AY1~
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<br />NAMERITLE PRINCIPAL EXECUTIVE O FFICER ICenlry under penalty onaw that thlsdocumem and all atla chmeny were TELEPHONE DATE
<br /> pmparetl under my tlirection or supervision in accortlance wyh asystem tlesignetl ~
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<br />R i eh a rd Mill's
<br />tp assure that qualifietl personnel properly gather and evaluate theinbrmalion ~~~
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<br />pr eubminetl. easetl on mylnquiry of thaperson or pereons was manage the system.
<br />the information
<br />the information
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<br /> subminetl is , to the best of my knowletlgepnd belief, hue, accurate, end complete. SIGNATURE OF PRINCIPAL EXECUTIVE
<br />
<br />TYPED OR PRINTED 1 am aware that there are signtllcant penalties for submitting false information,
<br />Includin the ssibili of lne antl ~m risonmeM for knowin violations. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re7erence all attachments Here)
<br />JLL ~ :;aeA:iC GRAB SAMPLE R£UUIRED IF YISIDLt SHEEN IS J2~ERYFD - SSE I. R. 1.(D). Dr:TECTION LI"fITS-SEF.
<br />I. F. 2. SALIt7ITY hONITDRI9G - SEE I.A.3. ^ATRLY SA'iFLItJJ IKSTRIJCTIOIS I.C.LU; REPORT RESULTS ON /}ARCH,
<br />:: u ~ ~ ~ ~ .. + ~ ~ ~ n i . ~ ,. ~ H'• ~ • THIS IS A 4-PART FORM .PAGE OF
<br />A orfn3~J -L.R 3.~I) Prevtouseditionsmay tiu a 1, ;`. ,, 00864/OO.,R717-1356 ., ~ 1 •.
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