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<br />NAME COLaWY~~ CDAL COMPAEIY L.P.
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<br />5/3'1 5'fAP~; IIIGHN.AY 13
<br />"ihE:3^Ti CO D1641
<br />FACILITY
<br />LOCATION
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<br />NATIONAL POLLUTANT D' ROE ELIMINATION SYSTEM (NPDESI
<br />DISCHARGE A PORING REPORT IDMR)
<br />1-161 17-791
<br />PERMIT NUMBER OISCHAAGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 9U 04 O1 TD 98 06 30
<br />(261 /1 (17-131 l7b751 !7627/ (28-791 !30.311
<br />Form Appr2'` p t1
<br />NF^T PIT SF.D {>OEIC•D°~'AI.L,I)gr~3l-9
<br />Ap rove 'ex Ires 5- 8
<br />(S[IUR NN) 123!15
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<br /> !1653! (5b61 13845) (1653 154-6I! OF
<br />131-371
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<br />61631 ANAlYSt4
<br />(6b881 TYPE
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CEgT
<br />AM F IFY UNDER PENALTY OF UW THAT I HAVE PERSONALLY FAAMINED AND
<br />AMILIAR WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED
<br />' TELEPHONE DATE
<br /> ;
<br />ON
<br />MY INQUIRY OF TN09F INDINDUAL9 IMMEOIATEIY RESPONSIBLE FOR
<br /> OBTNNINO THE INFORMATION, I BFUEVF THE SVBMITTFD INFORMATION 19
<br />~
<br />'(~ TRUE. ACCURATE AND COMRETE. I AM AWARE TNAT THERE ARE
<br />SIGNIFICANT PENAL71E9 FOR SUBMITTING FALSE INFORMATION
<br />IHCIUOINO '
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<br />J ,
<br />THE P0991BIUTY OF FINE AND IMPN90NMENT
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<br />]] BIO ATURE OF PRINCIPAL E)<ECUTNE D ~ 6 D D ~
<br /> U.s.C. 1 Ills. Ihnler. udr Wa...bM.. 01.Y iKA.d, inr. .q m !10,000 AREA
<br />TYPED OR PRINTED .00 or erxbur,l.,p-/.anwnr olarw.rnrmonrA. r,s6 r.•ral FELLER Oq AUTHDRI2ED ADENT CODE NUMBER YEAR MO DAY
<br />i-ummux I o nn~ r~,r~nnn I Ivn yr nn r vw~n I was moerence en srrscnmenrs natal
<br />`iF.'1'TLN.AIiLi: .`;OI.TITS LIMIT APPLIES DNLY IF C= 10-YR, 24-IIR PRP,CIP F.YT?NT I:r ('T.AIMF.D. IF CLA.I'1 APPROVED BY
<br />It;~(:D, 7'S:~ I!ID4 I.II1I1'S HILL NOT UE APPLIED TD UP,PORT°D MF:ASURRMF.NTS--S F. F. T.R.1.A, PG II AYD T.D.1D, PC 6.
<br />EPA Form 3320-1 106-961 PreviOUe editions may be ueed. (REPLACES EPA FORM T40 WHICH MAY NOT BE U6ED.1 ~ ~ ~ ~~ ~ , ~ ~ „-, _ ~ _ ._ _ _ PAGE OF
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