Laserfiche WebLink
PERMRTEE NAME/ADDRESS (1rL6 FrYIryNar/laaYm l/Dlpinm) <br />NAME ~~E9L~,:A CCAL COt1PA~Y <br />ADDRESS D R A x a R D <br />NAYULN <br />CO 81639 <br />FACILITY <br />LocnnoNdAYUEa CO 91b30 <br />kTTh: (;.eUD HRUKK, GENERAL MANAGi'd <br />NATIONAL POLLUTANT DISCHARGE EIIMINATON SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />17-161 /17-191 <br />000000221 foe A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM I, TO L <br />1147/1 l1'-7311//-751 ./16-17/ 118-191 !3631/ <br />Fonn Approved. ' <br />!: I S C H A F G: T O T'r: I E~BIN9H2O~!S~~P <br />(S U F R tt K ~ ApprovaLexp~r~ ~OS-31-98a <br />11 R <br />F - fIIiAL <br />rTKCR <br />y'%3 NC DISCHAFGB ~_-~ '. c,. <br />NOTE: Reed Inetruaiaro before eompletlnQ thu lam. <br />PARAMETER 13 6rd Onlyl QUANTITY OR LOADING ~ ~ l1 Grd Onryl OIIANTITY OR CONCENTRATION ND FflEOUENCY SAMPLE <br /> 146-531 I5I-511 138-~51 /4653 15ae11 of <br />137-371 EX iVd'uY~a TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS s31 <br />Is= <br /> - !5}58/ /69-701 <br />U AA .,, cASi: SAMPLE OOOP4P ~ ( ~U~ 000009 '; ;.OOOn ,r, 0'.::::': '/ <br />V I .i it A L MEASUREMENT ~ ( <br />aUJuD 1 0 D PERMIT Rs~#St9rIA... HE:P0.8T Es=1 ~OOA+O. OLC000 9at"~•'ir: ~ •E:FKLY I`;UAt <br />EFF'LUERT vROSS VA LU ;REQUIREMENT. Z:l15T F1AY NC=Q . .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <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 /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ ~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />;.. : <br />:. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED H NALLY ENAMINED MID <br />EREIN <br />AND BASED ON ` TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDINDUMS IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE, ACCUMTE AND COMPLETE. 1 A/A AWARE THAT THERE ME <br /> BIGNIFICNiT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br /> , <br />THE POSSIBILITY OF pNE MID IMPRISONMENT. SEE 18 U.S.C. 1 1001 AND GB BIONATURE OF PRINCIP EXECUTNE <br /> u.S.C. E 1GtY. IhnFIeFF N'Idr YNS moms PNr YnrA.w FxrrF W ro t rO,OOe AREA <br />TYPED OR PRINTED .ndwmus.wni.N.'ra..,IrN PrarwFwrsmarrearVSr.ral oFFlCER OR AUTHO 2ED ADENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS (Referents e/l sttschmsnts here) <br />?~~ L1~IC KILL is F. KAIVF:;; AND St'.T?LEASLE' SJLIUS LMT APPLIFC FCF <=ICIF,2UNR PAFCIF EVF,NT~ TSS £, <br />SE:'TLcA6Lr. SOLIilS LIrIT +'AZVED FOR >lOTR,24HR PRECIF SVEKT SUEJFCT TC EUHCEN CF PP.OOF IN I.A.2. OIL <br />GR i,ASE-SAY' T. R.l. fl. T(IS F1ntlTTnpTtlC-C FD ( ^ 1 C- <br />EPA Fam 3320-1 (08.95) Previous editions mey be uaed. /REPLACES EPA FORM T~0 WHICH MAY HOT BE USED.1 0 C G 9 0 / 9 7 ] 0 31-1513 PAGE lOF <br />