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PERMFTTEE NAMElADDRESS (/ncl+deFonliryNomdLacarion i/DiBomq <br />NAME WESTERN FUELS-CCIURAUG, LLC <br />ADDRES~EN HOHI20N tlIIF <br />P.G. i10X 61d <br />FACIUTYNUCLe CO 81424 <br />LOCATION <br />AT'fN: h. LANCE WACF. t!INE t!AMAGt:H <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) FODn Approved. <br />DISCHARGE MONITORING REPORT (DMR~ OMB NO. 2040.0004 <br />~-'sl I+a- ~) M I H O H Approval el¢ires~05-31.88 <br />(SUER YC) = <br />PERMIT NUMBER DISCHARGE NUMBFA P ~ P I ! / I ~ ' ,! N T 8 S <br />MONITORING PERIOD FOND AU1CF! CN1'Y'71i7l:I !- ~,6>~Y <br />YEAR MO DAY YEAR MO DAY ~ ~ ~ ~- " ~ <br />FROM TO la 000 dC C75CNA8CF A00 <br />lao-a+) Raaa) tz~as) Rea>•1 Re-au) f~+) NOTE Read InstrucUone befor~cerppletlnp ihb form. <br /> (3 Card Ony) QUANTITY OR LOADING (a Card Ony) QUANTITY OR CONCENTRATION; ~ N0.- FRt:QUEN SAMPLE <br />PARAMETER a&sa 5aaf 38-45 ae53 ~ T ~ ~ -EX= .: oF; TYPE <br />~~~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS ~= '~'~ B~P70 <br />H SAMPLE 00fA;r4;J 000+i',+-'. OOg000 ( li) - .- <:.~ <br /> <br />MEASUREMENT <br />~ ,. <br />t-,p- <br />04UU 1 G U ~ PERMIT- 080q.a4 OOtlO><70 O tit,~ ~5 id4Ad0 .0 - ' A A <br />FFLUENI GFi055 VALUE REQUIREMENT ~+~'~ MIN]t7Utl CAI !GM L• I M <br />OLIUS, SETTLEABLE SAMPLE nYOVL'0 GrOa•'.0 ( i.) - <br /> MEASUREMENT _ <br />G545 1 U G PERMIT a00gaa OgEgq{t a ;c~ FT ICMAL 8BYC8Y -- .3 ~.I~ I )I, <br />' fF'LUZST GROSS VALUE REQUIREMENT tt:+0 8I8 /VC 3DDA AIG`• ~l'I!M 'II7 L'/I A <br />IL AND GhEA5F SAMPIF 000+i0+ 00Dr,~ryO 00OOOYi OOL000 '. ( 15~) _ . <br />` <br /> MEASUREMENT ~ ^~ ~ _ <br />- '~ <br />?R, <br />3SB2 1 U G PERMR. OOgg88 OOgg00 L ;:a Og0000 OogDgqT a' w,.; ; M ' <br />~F'F'LUL'NI GHUSS VALUE REQUIREMENT i~=74 INS~~lyll G I <br />LOY, IN CONDUIT OA' sAMPLE I G]) OaOaso tr0000:} g0000q - _ <br />NHU THEAT:!2N2 PLAA7 MEASUREMENT _ -- we <br />UUSG 1 U~ U PERMIT RBFCHT RQFOAT OoggOq Og8ne0,; MO~p:p q qe ~ <br />tfPLUEIiT GROSS VALUE REQUIREMENT 3QDA IIYG DA71Y [9Y !GC "~ ~ 000: ti <br />-ULIUS, TCI'A1 SAMPLE +140000 000E+i0 OCOOOO - ( ]§) r c ~, -' y...:. <br />ISSOLYEU MEASUREMENT <br />- <br />- <br />U1yS 1 U C PEAMFF ~ . 0X'00018 080800 Yj ROfi OgogOq 8EBC81 F.T l; <br />~FFLUF;NT Gh055 VALUE REQUIREMENT , {0+!ti: -858 AdG' B4 1A 7t G I <br />•- <br />IL AND GREASE SAMPLE 'r'0 L'000 . I 94) 000000 000000 0~0 1000 ~ ~ _ <br />•__ ~~ ~.~+` <br />I SU A L MEASUREMENT ~ ~. :: _ <br />~ I <br />-4066 I U U -PERMIT. OOggBq Y. 1:=I ~1gq 900 08gOg0 ?084~ed~ ~ <br />~ 00 - j <br />°PFLUENT GHU55 VALUE REQUIREMENT IASI NA7I. IC=C - ~ L~0'- <br /> SAMPLE ~ ~ ~ <br /> MEASUREMENT ~ ~ ~ I '~J <br /> .PERMIT. ~ «r <br /> REQUIREMENT ~ - - I <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MNM WRH THE INFORM LAW THAT I HAVE PERS <br />ATON SUBMnTED HER ONALLY E%AMINED AND <br />EIN: AND BlSED ON MY / <br />- ~ TELEPHONE: <br />~ . <br />' DATE <br />f y /~ <br />/f1N <br />/YDKr <br />S INQUIRY OF THOBE INDMDUAL <br />THE INFORMATION I BELIEV S IMMEDIATELY RESPO <br />E THE SUBMRTED IN NSIBLE FOR OBTAINING <br />FORMATION IS TRUE y_ <br />~ <br />/ / / <br />~ <br />~ ~ = c' <br />= - - I <br />/ <br />r• <br />~A^ <br />lA <br />t <br />iG' <br />C <br />ACCUMTE AND CtSMPLETE. ~ <br />I AM AWME THAT TH <br />ERE ARE 61GNIFlCAHT ( <br />f[ fL+ - _. <br />_ <br />p ~ "' _ <br />_07 ~ <br />I <br />ZJ <br />l <br />~+ <br />J. <br />M1 <br />r//r fy~;, PENALTE9 FOR SUBMIRIN O FALSE INFORMATON, INCLUDING THE ! e'er <br />, ~ <br />~6~ ~ ~ <br /> POSSIBILITY OF FlNE AND IMPR ISONMENT. SEE 1e U.S.C. F 1001 AND 33 U.S.C. BIGNATURE OF PRINCIPAL D~CUTIVE W <br />' 0 <br />- TYPED OR PRINTED ~murri rmlatt/m rxltlx 8aae sfrvuaa nay IrlcNde 0rlea up ro 5+0,000 rub a <br />pnaoraaaabeMeenBnanW ruMSyaera.) OFFICER OR AUTFiORn'^ AGENT <br />NUMBER= =. <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell et(echmen4s here) ~ -~ <br />SETTLEABLE SOLICS 17C]i RILL of uAIYEU FOF :ICY F,i4!!H PRECIF EYEIT-SEF I.A.1(D), iG Y• lC,1 F,F(~UAFI:lE~IIS. <br />~NTRLY SAtlPLING IN59FUCTIGNS-I.C.E, PG %I. 3G CA1 nY3 15 HIGHt51 ~CITHLY AY6 LUI]IG FEE],CC FIF,C$7lCI. <br />EPA Form 3320.1 (08.95) Previous editions mey not be used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED.) ~ r PAGE OF <br />