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PERMITTEE NAME/ADDRESS pnc(ude Faci(iry NmndLoemion (JDigerenq <br />NAME RIN+rt" IF:. <br />ADDRESSI,IORTH Td OHDS(1N CPEE!( >~TNeS <br />27b6 CO"1pA55 DHIVr', SUITI' l0l <br />FACILITY GkA9D JUFCT Iny CO 8106 <br />LOCATIO~AAFONDALl. CO dI623 <br />ATTN: J. t'.. STOYfR, CU!:;ULffyC F.N. <br />NATONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPOES) <br />DISCHAR GE MONITORING REPORT (DMR~ <br />(1T- e) <br />rn n'T c nnc . <br />PERMIT NUMBER DlscriAnce r+urneER <br />MONITORING PERIOD <br />Y MO DAY YEAR MO DAY <br />FROM 04 D TO ?~ O6 ':~ <br />,(77-731 (70251 (7521) (2B-2B) (3031) <br />Forth Approvetl. <br />OMB No. 2040-0004 <br />r [ '~ ^ ° Approval expires OS-31-98 ; <br />('7Il%IP GC) <br />- .°I~IAL PTTBT+ <br />"'~9T-RIMpC, AONOPP SEDI QOti'' <br />"*'' N DTI°C~H~RGg ~`f' <br />NOT~:~iea Ins rudlons efo mpleting this forth. <br /> (3 Card Ony) QUANTITY OR LOAD (4 CeN Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (45-53 (54-81) (38-45) (46.53) (54-Bf) EX OF TYPE <br />(~~>) AVERAGE MAXIMUM `S~ MINIMUM AVERAGE MAXIMUM UNITS <br />(82-83) aNALYSIs <br />(64.88) <br />69-70 <br />R SAMPLE Ca.d :~ ~?#Gh~ vA #rtr ( 1 .) <br /> MEASUREMENT <br />0400 1 U 0 '. =;~E~M!'l~: ~~ <br />1 ~ ~M Or.' :~~ ~ #t; 1p~ 0 '~'( - <br />CFFLUENT GROSS VALOF ~~~)~M~NT '~ _' t'ra ,~~ ~' - II , <br />° - ~`>*'" <br />SOLIDS, :,ETTLFA^.LF. SAMPLE ;t:#~.,r„ :r;r:,'•;trF- ( 25) <br /> MEASUREMENT <br />0545 1 U 0 PERMIT' (RO~¢4~Rir.. 9r44a3lr" i ...~, ?+~`x ., ~cr' <br />rll~ <br />i <br /> <br />FFLU6NT GRO55 YAL!7F <br />~EOLr15EMENT <br />'~ <br /> <br />` ~ <br />-s <br />r <br />~ <br />T <br />IL ANU L:RFASE SAMPLE +--v~°~'~ ?::n-: :'r '~".=#:'a# #####:: ( 7q) <br />kEOY 6'1(TH-GARY '!ETH MEASUREMENT <br />0556 1 0 0 ° PEAMI tpp~~4#- <br /> <br />,- <br />~ - .O#r~~llit;° ap <br /> <br />- _ <br />~ <br />- ~:;:c. ~ <br /> <br />... >~: ~ ~`~ <br />. ~. ~ ~_ <br /> <br />~.•:-. <br />~. <br />I c <br />Ff'LlEGt GAOS., YALIIF, ~QUfREMENT - <br />- xs-t ~ / T ~'~• ^:',_ <br />'LOM, IN CDNDUIT OR SAMPLE I C ~ (JAI ~'!~ ##:~ ##aa#G r#++~•~^ <br />HHU TP.EATRENT PLA NT MEASUREMENT J /i V <br />OOSU 1 0 0 ~_'~~AMJ'F' &KP~f ~F$~0~~° - ~+IM#k' y1" <br />~ a#r <br />,:FFLUENT GAOSS YALUP UIk~PMEN7. .~ Gr, .r' ~. ,,.~ ~`~~ -"`~~ <br />:~ r :y <br />~OL1DS, TOTAL SAMPLE '~#><#C': •~^~~a~=a <br />,r ~w#:?#a ( 3 q) <br />ISSOLV):0 MEASUREMENT <br />7 U 2 9 5 1 0 0 P'~,[3ML~` ` '" ElsoO : '~~;~. ~ a+~ ~ aFefiR~h~b#r~ '~: ~ j <br /> <br />'FFLJRNT GRO55 YALUI? <br />~G1U .EMENT' <br />S ." <br />rnt-~ a,~ ~~~- <br /> <br />rir ,. ,, <br />JIL ANU GRE-SE SAMPLE P:a:~vr,R ( q4) ,.:I.,.... ~.,. <br />. ;j:p n.~... <br />"~ <br />R####'.t <br />I S U A L MEASUREMENT <br />uU66 1 D 0 s~~f)MI ~ ~dFlpt~ , ' c; 1< <br />t" <br />~ ES=1 ~ d+f~6EIPIGr° ;'~~ ' #:' <br />'FFLUENT GROSS PRLUE ~~4UI~iE ANT ;+`. " ` ~ ~ <br />` <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~' <br />4E( <br />U <br />td'C <br />4 <br />'~ <br />c° <br />; fr <br />1 'N <br />~K; <br />y ~ <br />r <br /> <br />"~ u <br />f. <br />a:; <br /> <br />+;rN <br /> ,1 <br />1 <br />E x <br />~ tom ,y ., r f <br />Y ;e <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATON SUBMITTED HERE NALLY E7(AMINED AND <br />IN <br />AND BASED ON MY TELEPHONE DATE <br /> <br />J . ~. ~vJE lL INQUIRY OF THOSE INDNIDUAL <br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPON <br />E THE SUBMITTED INF : <br />SIBLE FOR OBTAINING <br />ORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTIN I AM AWARE THAT TH <br />G FALSE INFORMATIO ERE ARE SIGNIFlCANT <br />N <br />INCLUDING THE <br />(GAS I <br />DE1.)~ POSSIBILITY OF FINE AND IMPRI , <br />SONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C. IGNATURE OF PRINCIPAL EXECUTIVE Q n <br /> ~ fines up ro fI0,000 sntl or <br />mu <br />mmr ns <br />~ <br />~ <br />e <br />TYPED OR PRINTED imu <br />onme <br />bsMasn B <br />anW <br />ntl5 <br />p yms.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) <br />SEI'TLrANLE SOLIDS LIMIT PILL Rf: YAIYED P7° >10-YR, 2u-F!R PRFCIP rVFtlT-S F'' [.A.i, PG IY, TOR REtUIRF-FNTS. <br />CBTBLC 5AtlPLING I9STRUCTIONS-I. C. 9, PG IiC. 30 OAT AY., I$ EZCRF.ST ~ONTNLY NYC ,1UR7MC PERIOD RF.POATF.D. <br />EPA Form 3320.1 (OS-95) Previous editions may not be used. (REPLACES EPA FORM T30 WHICH MAY NOT~BE USED.) PAGE OF <br />00011/99D?11-1033 1 <br />