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FERMTREE NAME/ADDRESS QMri iwibbNrrxarw r/D(QFwn)
<br />NAME BLUE i90UNTAZ:7 6.I.dRGY[ INC.
<br />ADORessD~yERADO C1IfiE
<br />36(17 COUNTY ROnD 6S
<br />+1RANGELY CO 81646
<br />FACILTry D~SLRADD ;1ZNE
<br />LDCATIOr4Rt1NGELY CJ tt164S
<br />ATTN: ALzN J. HZLLARD, i3INE P;ANASECt
<br />PARAMETER
<br />AVERAGE
<br />SAMPLE
<br />Form Approved.
<br />NATIONAL POLLUTANT dSCNMOE fLIMINAmON [Y9TEM NPDESI DMB N0. 2040-0004
<br />DISCHARGE MONITORING REPORT /D R) E:I N UR
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<br />MONITORING PERIOD SJH3/5 SE;DI POND TO Rr.D iiASH
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<br />CODE NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /RF/ir~ncF eN ~tt~chmFnrs h~r~l
<br />OIL E GH','i5i: REPORTING-SEE I.8.1.F, PG S. pF.TRLY SA(~FLING INS'PRUCT=aNS-I.C.B
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<br />EPA Form 3320-t (Rev. 3109) Provious editions may be used. O U ~ 3 2 / U~i1SrJ' A3J4-QBII~'fII1. PAGE ~F
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