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PERMnTEE NAME/AODRE55 ~pndni frWryNwr'lxmw /Db..w.q <br />NAME PITTSBURG E~tlTDWAY CURL NIdIAG <br />ADDRESSEDNA 7I NE <br />P. o. eox 6518 <br />ENGLEYOOD CO 80155-0518 <br />FACILm <br />LocATfONJAK CREEK CO 80467 <br />ATTH: URIAN D. GONTAREK. SR ENV ENG <br />NAr1oNDISCHARGEDMON TOR NO REPORT D lRIPDESI <br />C 3A (1(11 M!I <br />PERMIT NUMBER DISCHMUE NUMSFT <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO O1 O 1 <br />MINOR <br />(SUER JC) <br />F - FINAL <br />SURPACE RUNOFP <br />TO UAK CREEK <br />RUU'TT <br />rt:a NO DISCRAkGE ¢## <br />NOTE: R~rrd ImkuetlrNw b~1on co!pNtlnp lhb lorm. <br />PARAMETER QUANTITY OR LOADING <br />Quality or Concentration NO. fREDVENCr SAMPLE <br /> <br />E or <br /> X ,WKryy TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS <br />?H SAMPLE ###arta aoap#¢ ##fi##t <br />( 12) <br /> MEASUREMENT <br />0400 1 0 0 ;.:...,.....':.;.:-: ::iAiAt.9?k4c:4 ¢.:¢'ticOr#iR ~ of ..'" <br />"~:5:': ': '¢~?4A+'acR.i:.. y'J,:.... :;:.:':.:• E~:.IfLY' .N$ITU <br />,:FFLUE T Gk055 YAL E REQUIREMENT: rt#a . <br />'A A.;ftUk:.r ~ KAYf:°.:Slt: : y-' <br />OLiDS, SETTLEABLE SAMPLE <br />MEASUREMENT aa¢sco ae#rtea #¢vttd <br />J~ <br />~ ( 25) <br /> n(1 <br />)0545 1 0 0 t;~;;P,EgMFryii :;'iFi#rq~tlg #a.~14'~0 a aa#. 4r .rpAa#. <br /> <br />:.FPL06YT 6RD5~ YALUE . <br />~REO[~IREMEN7:. <br />~:::..:.,:.~:s,.:,_.:.:a, 3 ~...:::':.~.::::: <br /><:::,ar.... :.:: :.' <br />._" r:r:a <br />4##k <br />~ ': ~'30 ~i 41:G . i;A ::~.:~ ~.}i%~ <br />u <br />/ O~NTl1 <br />JIL AN6 GREASE SAMPLE . ¢¢¢«## qy¢#~r:~ ` <br />~ '~¢##+k <br />{: is##{':` ( 19) <br /> MEASUREMENT / <br />J.fS82 1 0 U ;;;;PERMIT:'.:' : 1¢:¢#a~LOrICr. ,, '~¢in44tk 11 :a~:# ? st#!410:: #O~Ea0r4c!r:. .: ; " <br />t gail'IN< RAH <br />F'FLUEdT GROSS VALUE :REQUIREMENT <br />~ .. <br />~~~~ . <br />~~~~ <br />~ .;# •,S~s• •' ~ ;, _ <br />s« ~` )I S: Hi /L . <br />`. Eiu2 <br />LOW, Ik CONDUIT OR SAMPLE ('~ ( 03) ¢¢¢#I?# #¢:R ¢o o~ ~ • ¢#¢##rt <br />fkRU TR(iATMENT PLA NT MEASUREMENT ~ `\ <br />\ / <br />OUSO 1 O 0 eERnt1T;' <br />,.. . .` <br />$.EPpdt7` :..' <br />: EP01tY >~.........,, <br /> <br />£ .~>;,dtlk~l0i?~Oi:::'; <br /> <br />>~ : #:':~ <br />~k;i'a?Ya~<i: ¢## L&LT: <br />E NS At; <br /> <br />FFLUENT GNDS Y LUE REl).UIREMENT <br />> ....... .:::.::.:....: . <br />.t:. .::. :.: . ?r <br />~.::. :: ~.; ., ;,~: <br />,. :ry.. ~:y ., .. <br />. <br />e .:...;.:::... . <br />.. <br />e .:..........:.....:: <br /><~;~:. <br /> <br />' , S <br />OTL AND GREASE SAMPLE uartrtaa ( 94) ~=#¢¢~+k oi+sM¢¢ ##tH~*4 <br />V I S U A L MEASUREMENT <br />Eu066 1 0 0 <br />' ::.::..:>.:.;..,ai:':. <br /><:'~#{t#LR~ik:,s:: <br />:<,.::::~~'g 'r ::. <br />Yi '~ <br />ES=1 <br />; :#0~1?t##.':.' <br />::::?OFI~?Oiati!L' ::: <br />.::. ;~!;it~t«!¢~k'^;. <br />~ <br />### <br />'S <br />..;E Y' <br />P KL <br />A <br />I StJ I. <br />.. <br />F FLUE 6 S :.REQUIREMENTS ;cs~:::r;,;;.~:~~,;::,~::::;>;: ;<,::;... ;.<:;.,~::~~:~:.,:.:`; ~ . <br />.::...,,.,. <..a.:::.::::.. ..... ,.:.: <br />.:.... <br />;.,.,. . <br />~~, - :~~ SAMPLE .~ ~ '~ - _ <br />• ~ MEASUREMENT - ~ <br /> ' " ~ ~ <br /> .: <br />..... PERMIT'''"... .. <br />,,;.:.,. <br />. <br />~ <br />' b <br />,... .. . <br />:,;: .. . <br />~ <br />r <br />~ <br />...,. <br /> REgUIREMENT' . . <br />. <br />. <br />; <br />..::::.....: ~:::. ~~".:~~:: =:;:; . ~,,;t,... <br />::::. <br />~: <br />~' :::: <br />~: <br />:.. ; <br />..~. <br /> ;.,... ... .... <br />..a:. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> :.....::'PERMIT..:.:.: ~: •:. .. ..: <br />~:~-::: <br />~~; ~ <br />~> <br />. <br />_..„>.: ... :::: ~: ~~;. <br />~. <br />:r~ • ; ~ ~;:.::.:. . <br />': <br /> <br /> <br />.. . <br />.: ~.. :g~:::...°. >a ~;:.. ~.:.::..: <br /> ~REQUIRENIENT~ . <br />. <br />. <br />: : <br />~:::~~:~~: <br />~:~~ <br />• ~ ~~~~~,~ ~~ :.~.;: <br />. ~~ ~ <br />: , <br />.~ <br />:: : <br />: <br /> ::..:::.:~::<~-s:.:.:~: ~... ~ . <br />. <br />. <br />..:..:.. . <br />. <br />. <br />.. <br /> <br />~ ~ ~ ~ ~~ ~ <br /> <br />~ ~ ~~~~ <br />NAMERITLE PRINCIPAL EXECIITNE OFFICER I "nllr ""`"' I) ° Inw Innl In <br />vRv~.e°mnn mr al,..n°nn.mp N tloD~menl nM nll DlncnmenN.rrt <br />nNl°n ln.aela.°...Iro <br />. gllrmael <br />n.a TELEPHONE DATE <br />•~ <br />URIA.~.~ ~. ~A~•k , <br />, <br />In.DUn IMI qu.I111eE perannel Pr^V.N/[nlnn .nd ...N.le lnetinrnnlrn°n <br /> wEllillld.lYrd°nm)I~Iqulr~er lne Anon nr RDnlD w~°m.n.Ee lM fnlem. <br />n (~ <br /> w I <br />ns rn•Dnw Elrtcllr IvpunCnN fn EnlneAnE Ine Inf°munnn, IM Inr°rmnllen \ J , <br />~: r2, L.~t). In ~.mml. rtpln mere.n ammnnm~Ee.m MU.r, I.Vn..rDI..N..na.°m,lon. <br />ennllln r <br />n <br />lln <br />t <br />r <br />b <br />l <br />r <br />81ONATU <br />F ~O~j Q~JO-'lOlfi OI Ob Z <br /> <br />TYPED OR PRINTED y <br />nr.n <br />m <br />nr <br />. <br />e <br />n <br />onlullw. <br />IM°EInEIM~tdEllllr°rnne.nd lmprbnnmenl rn Ym.InE.I°I.u° <br />a EO <br />-RINd~AL EXEg7TNE <br />OFFlCEq oR AIrIHOR12E <br />C <br />NUM <br /> <br />•~~~~~• •.r. cVDI ..I.TImY 11C ./JV VII.I i <br />.Tlnuc ,n_i! n a_ __ _ D AGENT ODE BER YEAR MO DAY <br />St:TTLEABLr.~SULIDS LIHIT WILL BE YAIYED, FOfl >10YA,24HR PRtCIP EVENT-SEE I.A. Sr PG. 9, FOR REQUIREMENTS. <br />(~RTRLY SA!tpLIAG INSTAUCTIOdS-LC.10, PG. 12. <br />EPA Form aazo-t (Rev 3/99) Previous Cditions may be used. - ~ ~ _ ~ rs 4 fonn. PAGE of <br />;'; <br />