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PERMfTTEE NAMEJADDRESS (Include Facili0•Name2ocation ifDiBuenrJ <br />NAME <br />CIiNREC, i~'::. <br />ADDRESSpURTN T:tOMFSnK f.RF,t?( MINES <br />2769 CO~nA;S DRIVE, SCITF. 101 <br />FACILITYGRAND JIINCTiO!1 CO R1S06 <br />LOCATIONUA RifON DA LS. - <br />CO 81623 <br />ATiN: J. E. STOVFP COy~ULT[NG E'+G• <br />PARAMETER (3CerdOnN) OW <br />(46-53) <br />(~-3n AVERAGE <br />JIL AND GREASE SAMPLE ac~~=afifi <br />I S U A L MEASUREMENT <br />4066 1 0 0 Ml ~_' , <br />.PFLUHNT GRDSs' YA LGE ~~~UIRCf)f~ki` <br />SAMPLE <br />r.¢ecnocui <br />SAMPLE <br />MEASUREMENT <br />'qE¢ 1()~IMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />NATIONAL POLLUTANT DISCHARGE ELJMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMfl <br />ERMIT NUMBER . UI$CH ,GE NOMSER <br />MONITORING PERIOIT <br />FROM 99 ~ i O 1 T' 99 <br />f1a3q ~( - az 5) i (26z]) <br />ry OR LOADING ~, <br />(54-671 .G4 pyJ <br />38-45 <br />MAXIMUM UNIT • ~ ~ ~INIMUM <br /> ( •ru) <br />S=1 <br />• :naoaa <br /> <br />ra • <br /> <br /> ri~ _ <br />(zB-z9) (30.31) <br />QUANTITY OR <br />(46-53) <br />AVERAGE <br /> <br />~~~~~: <br /> <br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY ExAMINED AND TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFORM <br />INQUIRY OF THOSE INDIVIDUAL ATION SUDMITTED HEREIN; AND BASED ON MY <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />_ <br />C ~ V E lJ <br />'C•• THE INFORMATION, I BELIEV <br />ACCURATE AND COMPLETE E THE SUBMITTED INFORMATION IS TRUE, <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />LL . <br />PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING THE <br /> <br />YCS I O G~ L <br />POSSIBILfTY OF FINE AND IMPRI , <br />SONMENT. SEE 15 U.S.C. § 7001 AND 33 U.S.C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ >/ / A' <br />4r7 ~ `f~~ <br />J <br />TYPED OR PRINTED me.~ilmum lm~wmeMOl h~eMeen6meont7¢enltl SUde tines uprotr0,000 entl or <br />w1 ymrs.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPUIRATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />FF.N9ITTSB ^!UST YOTI£Y 7'?CD 30 DAYS PRIOR PO C(`AHINIKG DLSCHAP;FS-FART I.A.4, P,~ TV. MONTHLY S AMPLIK; POP <br />FN, PLOY t; QS~ 4LL~iiFC DUt3ING PERIODS OP LTD ACCPSS; ATTACH i*RTEKFVT TO D"R. OPTi:CTION LIMITS -SEE I.F.2. <br />EP`A=dim 332 1 (OB`-J~) ~revlous etli ons ma`y note used:"' • ° ° (RE L'ACES7EPA F WHICIi M Y`NOfi'B ' US ti.' ° n L b c u H 1 .' b c x U t[ C ' G ~ D • OF <br /> OOD02{990211-1033 <br />u <br />Forrn Approved. ~ <br />OMB No. 2040-0004 - <br />" 1 ";) ,! Approval expires OS-31-98 ' <br />(c,1uR iif) t" <br />r _ rr•+~1. FITISN <br />001 ~!'? C.1Rh7N?D D~CRPG <br />~ NOTE: Read Instructions before'cbmpleting this form. <br />CONCENTRATION NO. PREOUENC SAMPLE <br />54-61) EX OF TYPE <br />ANALYSIS <br />MAXIMUM UNITS „„,,, _ ]aa~m <br />