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PERMITTEE NAME/ADDRESS pndude FaciGry Name/GOCmron i/D~eeend <br />NAME :iENtCA CGAL CCCFANY <br />ADDRESSDRAG EA D <br />HALUEG <br />CO 91639 <br />FACILITY <br />Locarl0l~ A Y D k N CO 81(.36 <br />A"1'Tti: v. L,uU rnt;-N, cEXE'kAL NAbAGEN <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDE6J <br />DISCHARGE MONITORING REPORT (DMR; <br />(2.Ifi1 !n~ 9/ <br />QCC' 1 0~,9 <br />RMIT NUMBER DISGHARGE NUM6EP <br />MONITORING PERIOD <br />FROM <br />FGrm Approved. <br />" 1 ;, L N OMB No. 2040-0004 <br />Approval expires OS-31-99 ; <br />(SUER F4) <br />F - FI1iAL FC(iY1 <br />LISCAA6GE YC 916E C6EE! ~ <br />raa,:~ I5CBA56E S__{ ttr <br />" '1 ~~ d Instructions before completing this form. <br /> (3 Cerd Ony) QUANTITY OR LOADI <br />~ (a Cerd On/y) QUANTITY OR CO ATION NO. FREOUENC SAMPLE <br />TYPE <br />PARAMETER (46-63) (sa~sr) (38-45) (46-53) <br />' (6a-sl) EX OF <br />(32-37) AVERAGE MAXIMUM - MINIMUM AVERAGE MAXIMUM UNITS <br />!s&631 ANALYSIS <br />(fid-68) <br />69-70J <br />f}' SAMPLE <br />MEASUREMENT CN:J:; .~:, yp ~`~L O ~a ~ Sot ( • ~ ~ ~ ~-tiS <br />UU4UU 1 U 0 li ra >a r s toa ~,~- * K;s ~•, T <br />tFPLUEI:T GROSS YALU •REOUIREMENT [tCr, 5U {2+,:.. <br />SOLIDS, TAi <br />SUvPENUEU SAMPLE <br />MEASUREMENT aarrrz:~ app' <br />~ . <br />~ 00 <br />t"z / <br />(-~ ~. ( IS <br />~ ~ ~ <br />~ / <br />(~"'~ <br /> ~ ~ <br />UG53U 1 U 0 Its: ~ .. - to s ~;", °~ ~ <br />EFFLUENT GROSS YALU N ; <raa •.~ 7 ~f1( CG/L i!G <br /> e <br />..UL U • ~ L nF,L"c SA~~"€~LE <br />MEASURT`iIG1ENT fi ~'`:"' '. o <br />~ h lI <br />~ V • ` ,l eZ1 <br />O ( ~ 1L~ .~ <br /> -: PERMIi7c ~ - -~ .~ <br />I~ <br />A <br />EFFLU~}:T GR059 YALU - <br />~gEOUIREMENY iX~.'~0 _ /~ -I}~'~'~. T° ~L/1 . ~~~~ <br />IFGN, T TAL <br />(A~ FY.) SAMPLE <br />MEASUREMENT <br />O• I y "~ <br />(„/•~ -!~+ <br />" <br />Q ~~ J <br />Vo <br />U1U~15 1 0 0 'DER 17 rl-z - <br />~ ;t° ~ ~ <br />~ t! ;. <br />EFFLUEAT GRUSS YALU ~#~OU~N~M~NT :~ ~."_ <br />~ :L:Y^ ~3~p¢ ~ <br />~- CGII ~tY-'III <br />QLL R GA SAMPLE ~""'e § t ~~ ~ '•O <br /> MEASUREMENT <br /> ~ <br />U3SH1 1 0 0 • <br />~.BEF <br />iM)T ~ ~ ~ ttT ~- <br />t:FFLUENT GROSS YALU . <br />;F~C1uiAEMkNT ~ ,.'-~x" tr,cr,: I11S#:, IIG/1 6#M7 <br />TMkU,T'HEAT1§B!I'1 PLAi1 MEASUREMENT Q+O6`(a Q.~~~{~ ( ~ ' Lk.S <br />SUUSU L G Q <br />r1„?- Pt<R1~1T ril tt - ;>j <br />~- tr9 t # /57Y' <br /> <br />E.F'FLUEhT GROSS YALU <br />~E¢IUIR~~v1-ENT, <br />30DI,; <br />~f~, <br />FGG tar o <br />; <br />=1 '! • SAMPLE ~ ~ ti ~ L ~~ <br />C ~ <br />~~~ ( /, <br />3~ <br />~ <br />DLSSULYEU MEASUREMENT ~/ 4 <br /> ~ <br />7Ut95 1 0 U .PERM§i',=.: ., <br />• rC <br />A E _ ,,r <br />`~~~~ <br />EFFLUENT GROSS YALU ~3+~OUIR~MENT: ~ <br />:~~ <br />i <br />°r ~^ ~ <br />~ 'IL'~X' (Ei6 AYG DSILI t3 tG/1 ?~~ <br /> , <br />. <br />- ; <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW T}iAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFORM ATIO .SUBMITTED HEREIN. AND BASED ON MV <br /> INQUIRY OF THOSE INDIVIDUAI S"IMflED1ATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION, 1 BELIEV <br />ACCURATE AND COMPLETE. E'7HE SUBMITTED INFORMATION IS TRUE, <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />~\ <br />/1 <br /> PENALTIES FOR SUBMITTIN G FALSE INFORMATION, INCLUDING THE ~ LJ d <br /> POSSIBILITY OF FINE AND IMPR ISONMENT. SEE 1a U S C. § 1001 AND J3 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED 4 rat R. (PenaRies under these sreMes mey mclutle liner up ro SI0,000 entl o~ <br />maximum impnsonme~n of OeMeen6momns end5yxers.l OFFICER OR HORIZED AGENT A ~` <br />COD NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />T5S f, IHOk LIhITS Ylil BE BAIYEO E 5E3TLEABLE SOULS LICIT AkFIItD FCk C=l0YA,2YEF FBEC7F EiEMT; T.5 E <br />SETTLEAULE SOLIDS LICIT .iIAIYED FUA 110YRe24kH PAECIP EYENT SUEJEC :C 60FCEN CP FBCCF L~ 1.A.i. C11 6 <br />ur c - l T. rl <br />EPA Form 332o-1 (OB-95) PreJD.us ed;tlogsntay f; e~r~sed ~ ~ (REPLACES EPA~FORM T-40 WHICH MAY NOT BE USED.) 0017 6/ 99 0 E : 7 -l b S 3 RAGE ~ oF- , <br />