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PERMITTEE NAME/ADDRESS Pecrtde Fnnriry NarndLocorian J/Djf/erenq <br />NAME YESTERh FUELS-CCIUFADO, LLC <br />ADDRES~F;M HOHI'LCN !",IIF <br />P.C. b0Y 628 <br />FACILITYHUCLA ~ CO 81428 <br />LOCATION <br />ATTN: H. LA4CF. YAUE, LINE NANAGEH <br />NATIONAL POLLUTANT OISCNAROE FLMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (DMR~ <br />!z-1b1 (t ~- a) <br />PERMIT NUMBER DISCHARGE NUMBFA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - TO 1 <br />Razf/ R2-zbl R~-zs1 fzazr/ Rosa) (7Wf1 <br />Forth ApptDVed. <br />OMB No. 2040-0004 <br />r, I x o H Approval 61~ires oga,-se <br />(SUBR VCj ", _ <br />F - FI111 ~ NNTbS <br />RUNOPP E 54Cd[S 94bIyd9 G79CdG <br />, <br />o»~ ro cl~cdi86E ~•__ j; ass <br />~. NOTE: Read Inetrlutlone before cor)Ipletlng_Ude lone. <br /> (3 Card OnyJ QUANTITY OR LOADING (Card Ony) QUANTITY OR CONCENTRATION ~ ~NO; FREOUE SAMPLE <br />PARAMETER ~tts3 51-67 3BI5 x&63 w•ef ! <br />- EX: <br />,: OF <br />TYPE <br />(3~-9n AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS ~ '~'~ X70 <br />IL AxD GHEASF SAMPLE :,['oaoa 1 94) taooaata aa~ao~ 0q~tga =: ~ ~ ' <br />DUAL MEASUREMENT ~ ~ _ <br />~ ~ fat~y5 <br />4066 1 U U p~R - t09CA00 <br />~ 7. 1c=1 ga04fg0 - tOt>OtOtiB fll,¢,'C41S'L <br />~ Ob <br />FFLUENT GkOSS VALLf REQUIREMENT IN57 CAH FC=O : .: <br />. ~« <br /> SAMPLE ` <br /> MEASUREMENT <br />... <br />... <br /> PERMIT . ~ ~ ~. ~ <br /> REQUIREMENT ~ - ~ ~ ~ ^' v <br />~~ <br /> SAMPLE <br /> MEASUREMENT ~ ~ _- <br />' PERMIT ~ <br />~ ~ <br />;~ <br />~ ~+^ <br />~ ~ <br />~~ <br /> REQUIREMENT - ~ - <br />.-~ _ .LY. - ?: <br />.: <br /> SAMPLE __ ut <br /> MEASUREMENT .. ~ _ <br />\ _ ~+.n <br /> 'PERMIT ~' r ;t .,~., . ,r< <br /> ,. <br /> SAMPLE - <br />~ ~ Irm,, <br /> MEASUREMENT <br />- <br />_ ~_ <br />I. <br />I <br /> ~~ PI:RMR~ - ~ .- <br />. <br /> REOUIREMENT~ ~ ~ _ ,tom, <br />{ ~ <br />~ ~ j..' - :-~' <br />. <br /> SAMPLE - ~ .. - ~ <br /> MEASUREMENT ~ _ <br />~, ~ <br /> <br />.. <br />.. ~ <br /> PERMIT. ~ ~ ~. ' <br /> REQUIREMENT . <br />~ <br />_ 3 - . <br /> SAMPLE - ~ ~... <br /> MEASUREMENT _ <br />_ , "3j <br /> PERMIT ~ - ~ ~ ~~ - ? <br /> <br />REQUI~iEMENi- <br />~ <br />~ <br />; " c <br />~ ~ <br />3,~t _ <br />. <br />NAME/TRLE PRINCIPAL EXECUTNE OFFlCER ~ ~ I CERT <br />AM FAM FI' UNDEA PENALTY OF <br />ILIAR WRH THE INFORM uW THAT I HAVE PERS <br />ATION SUBMrfTEO HER ONALLY E%M11NFD AND <br />EIN <br />AND erSED ON MY / TELEPHON E, r ~ , .DATE <br />' <br />'II INQUIRY OF THOSE INDNIDUAL $ IMMEDIATELY RESPO ; <br />NSIBLE FOR OeTNNINO ~ ~~ ~ _ <br />~ ~~ ' <br />-' <br />~~ <br />~p N`f A'TJ1~r~~ <br />~U THE INFORMATION, 1 BELIEV <br />ACCURATE AND COMPLETE E THE SUBMnTEO IN <br />I MI AWARE THAT TH FORMATON IS TRUE, <br />ERE ARE SIGNIFl' T <br /> . <br />PENALTIES FOR SUBMffTIH <br />G FAISE INFORMAT <br />ON <br />INCLUDING THE y~' ~y _ <br />Y 26 <br />~ <br />u~ <br />ZH <br />~7, .t t~.K•!:,,t~a.~. P0631BIUIY' OF FINE AND IMPR , <br />ISONMENT <br />SEE 1e U <br />S <br />C <br />5 toot AND aT U <br />S <br />C ~,(~ C(,0 <br />5, _ <br /> <br />t <br />a . <br />. <br />. <br />. <br />. <br />. <br />. <br />bff0 <br />0oo <br />d <br />f <br />I SIGNATURE OF PRINCIPAL E7LECllTIVE n 1 <br />TYPED OR PRINTED en <br />or <br />, <br />tlbu~~nea up <br />-^ <br />OTmnb~V, <br />umImpL~arrrwrrd~t.~eenb Eri <br />~ <br />m OFFICER OR AUTNORD~D AGENT NUMBERS ~ YEgR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell attachments here) - ~ ~ i <br />T55 G Ff. LI'eI75 M1L1 fE YAIYED E 5ET7LEABLE SCLIC_ LIyLI AFFLIEC ELF ,<clOYR,~4db 4FECIL,IIFK,7?,C~,II: I~IFI <br />RUNOFF CONSTITU7E5 d~A.]ONTTY OF LUAU-SEE I. A.1(D), FG Y, FCb Rf~UIHEtlE475. OF7EC7lC1 176779'+.FE I:F.1. <br />omi 3S2''o-~'(8e=95j' Previous edlfions` mey`notbe used` " ' ' ' "(RLdLAcES~hA KdbM Y=4b4oHtCY-I nlA~ Ntl7 BE'US7=d.f' ' " " " "; , "' , , " ` " " ` ` <br />