Laserfiche WebLink
PERMfITEE NAME/ADDRESS (Inclrrde Faci(iry NmnNlncanon ijD($erenr) <br />NAME SERr;CR COAL -O'f eA~Y <br />ADDRESSD n A 1J F: d li <br />H4YDF:K CJ 91b39 <br />FACILITY <br />LOCATION{AYhF.N CO d163? <br />Afi%: :.. d!D 9ii04N, GENd54L BANA„ck <br /> (3 Card OnyJ G <br /> PARAMETER (46-53) <br /> (~-3~ AVERAGE <br /> ~r i L n. 7 .~ r 6 n .r ., SAMPLE ~} ~ <br /> Y I r J A L MEASUREMENT <br /> d~JJbD 1 U C ~~ i~.:--; - <br /> °e'F'LU.:;r!' UkJ.iS YALUk Qt31~1 j~.~`NT - <br /> SAMPLE <br />NATIONAL POLLUfANr DISCHARGE ELIMINATION SYSTEM (NPDES7 Form Approved. .a a <br />2040-OfIb4 ~~~ <br />OMB NO <br />DISCHARGE MONITORING REPORT (DMR <br />rx-r61 pr-~s1 ~: I N D :{ . <br />Approval expires 05.31-,95 <br />CU~009'.1i 009 a (SUdd Ai) , <br />PERMIT NUMBER DlscluRGE NUMBER F - FI RAL ry3U1 <br /> DI SCRAQG F' 'IU TF:IC/'~h..: .:a=6r, y <br />MONITORING PERIOD <br />Y M D Y YEAR MO DAY <br />r ~~ ~ ~ "- <br />~ ### <br />04' .. DISChArtGL J <br />FROM r TO ~_ <br />fxa z-x31 tz4xsl fze-zr1 !ze-xe/ rsoarl :Reed Inshuctions before completing this form. <br />TY OR LOADING. ~ (4 Card Ony) QUANTITY OR CO TRATION NO. FREOUENC SAMPLE <br />(54-6rJ _ ~ (38<6 (4663) •._ 54-81 E1C OF TYPE <br />MAXIMUM U S MINIMUM AVERAGE MAXIMUM UNRS <br />(6 <br />2 <br />GT1 .wuysis <br />64-68 <br />09-70 <br /> / <br />~ ' I <br /> E5=1 <br />s _ O## <br /> <br />Tit " <br />No=O <br />>a ~` n <br />~ :. <br />e' ~. wf <br />r t x. <br /> <br />SAMPLE <br /> Fti <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> !~ <br />M`T~ ~ ~ <br />~'~ err±. <br />t.~Y~,: <br />t <br />' ,dy+'+, <br /> ~EM~NP ~ '~ <br /> SAMPLE <br /> MEASUREMENT <br /> '• ;~'s' <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ' i)MI : { .: ~. ,, <br />~ <br />~ a ~~t t,~ p ' <br /> <br />,,, „fix#; <br /> gFJ(REMENT ., $ <br />~- - <br />Lhn ~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ' <br /> EM~ir <br />,gin ~x. - .w4,,T,~ . <br />w <br />~ <br />~ .. <br />NAMElfITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT I HAVE PERSO NALL ~ExAMINED AND TELEPHONE <br />'~ I DATE <br />ACCURATE AND COMPLETE. / AM AWARE TFIAr THERt nnE JitiNirit;rwi 11~ I_ <br />PENALTIES FOR SUBMRTNG FALSE INFORMATON, INCLUDING THE II/v' <br />POSSIBILffV OF FINE AND IMPRISONMENT. SEE 1B U.S.C. 5 1001 AND 33 U.S.C. SIGNATURE OF P NCIPAL EXECUTIVE I <br />r 5 r9t e. (Pane/!/ec under these sdlures may incNde Bnw up b 510,000 vM a OFFICER OR HORRED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED ex~ pn enr rbene a a1Brs dsyevel cooE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence~ell ettechmenGS here) <br />YS:; ~ IRJR LI'I2S TILL JE 4AIYe:Cr AND S~fTL6AHLE 5CLI05 LIBLT ePPLIcu ton C=lUYR,24F;R PRECLP ::YF.BTp T5~ o <br />.IiJN 6LMIT5 YAIYEO F4R >1lYR,24Fri PF.%:CIP EYLNi SUBJECT TU P.URDSN OF PROOF IN L.A.2. OIL 6 GhEA5E:-~£t <br />r t r•1^ ~nutrn ulur ~cr T T a <br />EPA Form 3320.1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ; ~ • L . / (~~ v :: L i - 1 j ~1 . ~ PAGE :, OF <br />