Laserfiche WebLink
PERMITTEE NAMElADDRE55 p.e6drFrurry N~/leranen rJDrBinnr) <br />NAME SE!le:CA COi,L COtFAtiY <br />ADDRESS DRA.Ek D <br />NAYD~Ei <br />CO 81b 39 <br />FACILITY <br />LocAnoNhAYiiGN CO R1b30 <br />ATTb: G. bUD t3ROYNF GENERAL :iAVAi:E$ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOESJ <br />DISCHARGE MONITORING REPORT (OMR) <br />l1-161 117-191 <br />CCU L11 CDr 5 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITOR RIOO <br />YEAR MO DAY EAR MO DAV <br />FROM 1 ~ . r. L < r <br />~# 11177-231 11I-151 176/71 1I8-291 136311 <br />Form Approved. ' <br />C I` C H A F G t' T ci T h I ~oM1aANo„zoaq-DOOM <br />(.> U ~ F f, .d) ApProvel~e~D~S?4~05-31-91r <br />F - FIfAL + <br />°I1CF _ <br />NOTE: Reed IrutructloRS bsfon. mpletlnp this form. <br />PARAMETER !3 Ard Onlyl QUANTITY OR O !~ Gr On1Y1 QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> !0653/ /5b61 138-451 1a6531 15d-611 EX GF P <br />137-371 <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />MINIMUM <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS <br /> <br />!si-ssl <br />ANALYSIS <br />16/-681 TY <br />E <br />169-70I <br />h SAMPLE ~4#r# ;:,: ;r C: :F: +Cl4C#0 ( ]?~ <br /> MEASUREMENT <br /> <br />UU4l)U 1 1 D PERMIT 019GSCtY OYiOO:RP '}~.- 6A~ 04gIpQ.y 9.G INCA/ tiSlT:l <br />CPFLUc21T GRO55 VALU REQUIREMENT #i::# ~;N2d0?! f AXIMU!' SU PiONTH <br />FLORA N C NDUI1' OE'. SAMPLE t 03) >o lp q>Gy: r,t;r,: t,-;. pr, r,;::;: <br />THiiL' TRd.ITMENT pLA!~' MEASUREMENT <br />5UU50 1 1 'D PERMIT HtPilT.T :tEPDCLT . +~0101?il:?!Oi• ~>rt:A4b $tC#c# °#'~=:: iNCF/ MSTA.>I <br />EFFLU.`.'NT GROSS YALLIF REQUIREMENT 30DA AV'v' DAILY '1X :7GD '.e.S~~:. `•`•%"4 f1UNTK <br />C; :iE SC SAMPLE ~.:h[-~~ ( 04) ~•b t7C10LC 0{D9V0 Ct':#:: <br />V I:iU A L MEASUREMENT <br />ti4Gb6 1 1 0 PERMIT ~;:'°~?:~# iti'OrT ES=1 tF4AdO9 0OC4A0 Id0{nt# "~r;~ yCE:/ T:;UAL <br />hFF'LUENf GROSS VALU REQUIREMENT i!~j^ t?AK t:i=0 '0vz'°# !lONiR <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 /> ~flEQUIREMENT ~. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH TXE INFOR UW THAT I NAVE PFRSONALLY EXAMIN <br />MATION SUBMITTED HEREIN <br />AND BA ED AND <br />SED ON ~ <br />^~ TELEPHONE DATE <br /> <br />~1AM I Sao M!'S ; <br />MY INQUIRY OF THOBE INDIVIDUALS IMMEDIATELY RESPONSIB <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMA LE FOR <br />TION IS <br />~~- TRUE. ACCUMTE AND COMRETE. I AM AWME THAT THE <br />SIGNIRCANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />IN RE AAE <br />CLUDING <br /> <br />L O 5 ~ . <br />THE POSSIBILITY OF RNE AND IMPwSONMENT. SEE 18 U.S.C. 1 1001 AND 33 _ <br />SIGNATURE OF INCIPAL EXECUTIVE <br />~ <br />~~~ '~ <br />` <br /> U.B.C. E 131 R. lFMWMF rs10Y tMw IbNM1F /RFY I`rC1UdI ! F rq ro ! 10,000 <br />V TYP OR PRINTED .rawnrr:rR.e lroela+vnnrt or MtrFFnsma+rers.nd6r.A~.1 OFFICER OR UTMORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference s//ettschments here/ E <br />'iSS 6 IKi/d LIifIT3 HILL 91: vAIY£D AND 52:TL:;Ai:LE 501IU5 LIf.IT AFFLIFC FCF C=]CYR,2UNR PRECIY F.V°VT; ^'S <br />ihON LIBITS YAIYFD FC3 >1JYHA2LLHH P3ECIP zYENT SUEJF.CT T7 Pt!RCEF CF FFCCF I1+ I.A.Z. OIL L GREA:iE-SEE <br />i. h. i.a. TDS M!)V iTn DTKr-ccv T-u.TF- <br />EPA Form 3320.1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) D 010 5 / 9 7 10 3 1-1513 PAGE iOF <br />