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PERMfTTEE NAME/ADDRESS (rnclude Facility Namr/Locadon i/Di$ereny
<br />NAME HINREC, [tiC.
<br />ADDRESSN08TH THDrpSON CREEK NINP.S
<br />276d CO"IPASS DRIYe:, SUITE 101
<br />GRAND JONCTInv CO 01506
<br />FACILITY
<br />LOCATION, A H b U R D A L c
<br />Co 81623
<br />ATTN: J. F.:. ST~Y,'.u, f_C..+~ULTING ENG.
<br />NATIONAL POLLIfTANT DISCHARGE EUMINATON SYSTEM MPDES)
<br />DISCrZAS GE MONITORING REPORT (OMR;
<br />(Ir- B)
<br />r'nO. 95 0 .• ~ p
<br />PERMIT NUMBER ., IgOilAriGE NUMBER
<br />MONITORING PERIOD
<br />' Y R MO DAY YEAR MO DAY
<br />FROM ON O1 TO ~9 Oli ;0
<br />(2P ~ f22-231 (24-251 2621) t2a-291 (34311
<br />Form Approved.
<br />(^,I!qR GC) III IIIIIIIIIIIIIIIl431-98 ~.
<br />F - F'T'YAI. 999 PITRh
<br />'1 'f) `' (1^7 rnMRINF.D DSCH[IG '
<br />^:'1 .~~ nr ;~C!?AR„£ i ( Arta
<br />NOTE: ~ Read Instructions before-~moletinD this form
<br />PARAMETER (3 Card Ony) QUA NTITY OR LOAD (q Card Ony) Q UANTITY OR CON CENTRATION NO. FREDUENC SAMPLE
<br /> (46-53) (54-61) (38-d5) (qB-53) (5x61) EX OF TYPE
<br />f3Y3n AVERAGE MAXIMUM ~
<br />S
<br />i
<br />~ MINIMUM AVERAGE MAXIMUM UNITS
<br />aNALYSrs
<br />
<br />PH .
<br />~ Isz-tn) (at-ea) 69-70
<br /> SAMPLE .': rth.: t ;:-,-~
<br />~ ...~..A„
<br />( 1?)
<br /> MEASUREMENT
<br />'~ Z
<br />OU+JUO 1 D D i£Gn.IV~I'~^ :'
<br />E-Yf - v~.i Y. ~-.~.
<br />• ~+ K
<br />a
<br />
<br />EFFLUENT GROSS YALrJ _
<br />EOl)IEi~MI=N7 .._ } v..
<br />~~~ YT
<br />~ ~ .-
<br />t„
<br />* :
<br />r ~•s- `r yt...
<br />~'-.
<br />SOLI US, TOTAL SAMPLE °~~+T^'. -`-~rt4tr: ~ri~G - '~
<br />( 1 1) ,
<br />t,
<br />/
<br />SUSPENDED MEASUREMENT ~ ~Q C(O <~~ ,
<br />'h
<br />Y /,~~
<br />00530 1 0 0 ~` `PERfd1T` 91iA#~# #>pr~r#rp~q} ~ ;:;:,;'
<br />F:PFLUE9T GROSS YALUF flEG1UIgl:MENT " ~ ~"
<br />
<br />UIL AND GBP.ASF SAMPLE Aar„v °"ra"='Y racnpt~t' ?t#aa:: ( 1
<br />9)
<br />PNEON F;(Tk-CNAY ncT MEASUREMENT
<br />~~ 5,U . )
<br />OOSS6 1 0 0 ,•,:f~~IiMII';,, #a###* ####«# ~,:c: „ . -
<br />I:FFLUEKT GROSS YALDF .R~OaIF~EM~NT `-
<br />astir =`
<br />-- ,~
<br />` 4
<br />~
<br />
<br />CA Di".IUPS,
<br />SAMPLE
<br />;'1 r,. `zr.w
<br />`=n;'~"-' "G/
<br />( la) L~`- > '.
<br />~,
<br />
<br />POItNTIALL! DISSOLV[
<br />MEASUREMENT
<br />~O.OU~
<br />~U•00~
<br />il~(O.UoI ~ /
<br />01313 I 0 0
<br />
<br />iiPFLU
<br />MT ~~•~ ~y
<br />f~l..y:,
<br />~Uiq
<br />1k410Pa
<br />#$#~#. :::::~ gxt(srtt~ v +~.. ~r
<br />
<br />' ,~
<br />'
<br />E
<br />GROSS VALU ~MNr
<br />. ix;,
<br />•
<br />'
<br />'
<br />' SAMPLE ~' ~ °` ( 1 9) )
<br />kt0
<br />I
<br />~
<br />NTIALL! DI5S0[.Y[ MEASUREMENi b, Z O,Z Zr) rL
<br />01317 1 0 0 =~ p~gqMlt` - {1ul11~QIk# ilt ##~ r.---r ~IfttA'L 2r3 .~'~ ^,
<br />'
<br />cFF'LUENT GROSS VALU ~1CdUlIiEME`NT ~ ~ ~'
<br />r ati~~ ~ ~ .-
<br />-
<br />+ y,
<br />FL'JL, IN CONDUIT C4 SAMPLE ( O;j Ra:a^r: -;...~~ 't 's t"`rC H
<br />
<br />THiU TNiiATM?NT PLAY
<br />MEASUREMENT
<br />D
<br />b,~(~~
<br />Z -
<br />1
<br />S O O S O 1 0 U ~'4;EkiMIT~`~ ; s; ~ r,._ r
<br />~~~
<br />' ##±plly{I{~II~ ~.-
<br />:' >tl>¢T~I#{igt
<br />I.##~rr~12
<br />.G a
<br />!: F F L U E N 1' G P. O S S Y A L U f {)~QUICI~MiT ~
<br />,
<br />, ,. >, n,:r ~ - F
<br />~ r .. oaalo
<br />SGLIUS TOTAL
<br />• SAMPLE z-a^
<br />aa
<br />r +- ~ r
<br />r 3•"-^ kft^.^. r. ( I9)
<br />UI350LY~0 MEASUREMENT /¢Z / O
<br />70295 1 0 0 RMI
<br />~~ ~ ~ ~ .,~ ~ °~
<br />~ ~ car #dr° AEiFBN"! `; fiI~7~A ~•
<br />
<br />e:FFLUENT GROSS YALU_
<br />~~U f:M ~
<br />~?' Ia;~~ .-
<br />,~ ~1 Cr
<br />t~`G°
<br />~ ,_
<br />
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L
<br />AM FAM AW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> ILIAR WITH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MY
<br />
<br />J ~ Ve ~ INQUIRY OF THOSE INDIVIDUALS
<br />THE INFORMATION, I BELIEVE IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE SUBMITTED INFORMATION IS TRUE,
<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />LL
<br />L S 1 D C NL PENALTIES FOR SUBMITTING
<br />POSSIBILffY OF FINE AND IMPRI FALSE INFORMATION, INCLUDING THE
<br />SONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C.
<br />SIGNATURE OF PRINCIPAL EXECUTIVE O QQ
<br />
<br />
<br />TYPED OR PRINTED
<br />4 1319. Penett/u untler chase statutes me Include erres u b 5/0,000 entl a
<br />maximum imphmmem of hetween8manths end5yems.) F
<br />
<br />OFFICER OR AUTHORIZED AGENT ~
<br />
<br />NUMBER / 7
<br />
<br />YEAR
<br />
<br />MO
<br />
<br />DAY
<br />.. -'
<br />nnuuvunro w - D
<br />~,~ ~.c.+....+~ ~..~..+~ .,~.. n~l~1l Ivrva Inererence eu eaacnmenrs oars)
<br />Yrd'IIC'fet: BUST `:7T1FY II~,Z.'.D 30 DAYS PRI7R TO CO"!BIHINS DISCHARGQ$-PART I•A.4, ?; Tl'. YOglfiL! SA"1PLING P0°
<br />Ph, FLUw >> OBG ALLOY°D OUHI'1G Prl{IODS OF LTD ACCESS; ATTACH STAT°.MF.YT TO OrFP. DFTFCTIO!§ LIRITS-SfF I.F.2.
<br />~, . _ _ _
<br />@PA korm 33261 ~(03-9 )' rev#ous editlons`ma`y ntit ~e used.` ~' ^ ^(REPUICES'EPA F I(A -4 \TVHI~ II~A~ t~OT BE'USED:) `' ' " " u ~ ~. r a v u ~ `pAGE: Li • OF
<br />~~ __-,,.~ ~~~ 00003/990221-10.j3 t
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