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PERMITTEE NAME/ADDRESS ((nc(ude FaclGry NmnvJ(ocanon lfDi$errnq <br />NAME -C T D " ~.. ~ -. . - , -. _ „ <br />ADDRESS'T ~ K~"~: r ; ~ 7'7 •: r, I' ° "r " , •I ~ ,< <br />%NGL.-7^~ ~'1 '~15i <br />FACILfTY <br />LOCATION <br />. ':(: '1:)4:'I, .. ..'!'r.. - 'CAI. IITVY <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMRI <br />p4fiJ ry]- B) <br />?.^.~7715!I nnc e <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM " ' " I -' I TO -.. .'.{ , . <br />(2621) RZ-YJ) (14151 (16Y1) (38291 (3031) <br />Form Approved. <br />T ., , OMB No. 2040-0004 <br />Approval expires 05-37-98 <br />NOTE: Read Instructions before completing this form. <br /> (3 Cerd OnN1 QUANTITY OR LOADING (4 CerU OnN) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4E53 5461 3845 (46-53) 54-61 FCC OF TYPE <br />(3z~>7 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS l~-s31 ~~ 68jS 6&70 <br /> SAMPLE <br /> <br />~~ ,~ r~~ l <br />MEASUREMENT <br />~ r ~ ~ <br />r ~ <br />/7JCJ ,/~ <br />_7 p <br />ul.::b5 I '7 .I ...... <br />~ <br />~~ <br />~ <br />,_ <br />11~ <br /> ~ . . . , <br />''~LUE`l? _.F,?!;S VA L'tt :REOUIREMENT . ra, <br />... ., .. <br />~ ~.y <br />= .nC~ <br />' 3(}ilK I(1'ar <br />.:. llltt~:t' rx ~%~L t•' lE~' ~ '?lies <br />;.I:,~ iN ::. it T'" n'f <br />r.;l ?PEAT("',;r DLA v' SAMPLE <br />MEASUREMENT <br />OIOv 1~ <br />O.O'I4/ ~ r~l rt4i't'.:kA .~. ..,.,~~ ,, .~,).~... J'~ <br />V J/~ <br />i`.' '1L~ <br />~NJIIIIV <br /> <br /> ' <br />,:'Ff <br />IItNT G°~ :^ V~LIII EOUIREMENT 301 <br />`)~ <br />1 ~ D~Ib>F !f~ '°~C - ~ =~:~ <br />~`+~ .::+' t'"~= "^~. <br />. , <br />- . <br />, <br />.i v bNr .. ,~ SAMPLE .. ...a +. (I hr. r.n,, .. -Gy..y ...~ .rte«.. ,:..- <br />~ <br />3 zn ` <br />"Z_~IrAL <br />~ MEASUREMENT O IN <br />'Gpg6 1 0 'R <br />PERMIT- ~;"~' Iz' gc_1 ~~~ <br />~ <br />~ ~##%r~4,. :A;t '~ <br />~I` <br />~ <br /> <br />,.. ;,ITEM? GRO515 T~'.' <br />REOUI~EdAENT: <br />~ E!k32- ~~ <br />N0=0 ? ~. <br />~_ <br />~ . #iY". -,t . <br />_ <br />~k;: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ s; "'- <br />~ ~" ' . q ~ ~ <br />I~ °'~~"~ <br />- ~.,~• <br /> EOUIREMENT , <br />~~ .~1 , <br /> SAMPLE <br /> MEASUREMENT <br /> ~(?ERMfT <br />~ - ~ <br />~ - <br />- - - <br />- ': <br />~~ <br />~ <br />- <br /> tAEQ~1IREMENT `r {' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT" ~ '. ~'r # ~- ~ ~ex'~".'~ <br />" tiMe. ~ <br />-;";I <br /> "REQUIREMENT ~ ~; ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ - _ _ - " .` ~ X~rp <br /> REQUIREMENT - - - - ~ --~" <br />" <br />NAMERITLE PRINCIPAL IXECUTNE OFFICER I CERn <br />AM FAM FY UNDER PENALTY OF <br />ILIAR WRH THE INFORM lAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY E7UMINED AND <br />IN <br />AND BASED ON MY ' TELEPHONE DATE <br /> <br />hichard i:EIIIS INQUIRY OF THOSE INDNIDUAL <br />THE INFORMATION <br />I BELIEV ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE ^ <br />~ / <br />~ <br />/ _1~ <br />~ <br />/ <br />/ <br /> <br /> <br />1 ~llana <br />er <br />ir <br />Y <br />E , <br />ACCURATE AND COMPLETE. <br />T <br />E <br />F <br />R <br />B <br />TTN , <br />I AM AWARE THAT THERE ARE SIGNIFICAM <br />FA <br />E INF <br />RMATION <br />INCLUDING THE ~ <br />~~ <br />~~ <br />L <br />[ / <br />/ <br />/ <br /> <br />970-870-2712 <br /> <br />5 <br /> <br />24 <br /> <br />99 <br />g <br />nv <br />onmen <br />0 PENAL <br />I <br />M <br />S <br />O <br />SU <br />POSSIBILnY OF FINE AND IMPR LS <br />, <br />G <br />O <br />ISONMENT. SEE t8 U.S.C. 41001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL IXECUTIVE <br /> <br />TYPED OR PRINTED § 1378. (Peneltles antler Nese smNles mey /nclutle liner up ro 510,000 entl a <br />mmdmum lmpnsanmerx olSeMeenBmamAS entl5yaors.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (rrererence ell etracnmenrs nere) <br />rL+?~: orl'p" r.,_ _ .rr„ ~15~ r,..~t. r "s L._~~r. r. 7T. C')~ ST T.. rG.' ~nrr ~tv tr o ^_. ^,f-'f~ nr., ...r. -.n-,~.. <br />I- CLA 7:".-.. r ~. ..., L'• °'~" 4:1F'7 7P ^4n(ir rr ~)Ta c•+ .~n~-~ .7 T. G ~~^p_•r .^.nn-~1^. c/. Tr- . <br />~t r V TT '- -t^rr ~~~ ,•nr..t irr_ n~~o'i 'rr nr <br />EPA Form 332o-7 (Ob95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) O ,~ ~ 1 r ~ T ., „ tl 1 T _ T ~ ., II PAGE _ OF <br />