HYDRO25164

• Permit No: C1981010
• IBM Index Class Name: Hydrology
• Doc Date: 4/14/1999
• Doc Name: COLO CDPS WET TEST REPORT FORM ACUTE
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

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NAi1pNAL POLLUtANi dBCHMDE ELMINA71oN 4YSiE1M /NPDESI Form Approved.
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i. U 0. 1 S 0 0 N ~ { gi n° V R N) Approval expires 05-31-98 .,
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NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENN.TY Of LAW THAT I NAVE PEfl50NALLY FxAMINED MD ~~~ ~~ TELEPHONE DATE /
AM FMIILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON
MY INOUIPY OF THOSE INgVIDUµS IMMEDIATELY flEBPONSIBLE FOR
OBTNNINO iNE INFORMATION, I BELIEVE THE SUBMITTED INF011MATION IS
W. Gordnle Peters TRUE. ACCLXUTE MD COMPLETE. I AM AWME THAT THERE ME 970-824-4401 99 l0 27
SIGNIFICMT PENN.TIE9 FOR SUBMITTING FµSE INFORMATION. INCLUgNG ,
Presldea/General Manager THE POSSIBILITY OF NNE MDIMPRISONMENT.SEE1eLLS.QE1001MD33
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EPA Form 3320.1 108-961 Previous editions may be used. (REPLACES EPA FORM T-40 WNICH MAY NOT BE USED.) ~ {I rt S ~ ~ n ~ !~ f, ~ t- ~ r1 Z q PAGE ~OF