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PERMRTEE NAME/ADORE55 Rna~F.reryN~term..VnIQ:.+v) <br />NAME BLUE (iOU:i'IAIN EaERGY. IitiG. <br />ADDRESSD~DRA DO i:ZNE <br />,3bU7 CUUI7TY kO/iD o5 <br />~RANG.3LY CO 81648 <br />FAaLrrv DESEdADO KINE <br />LocATroNRANGELY CO 81°48 <br />aTTri: ALAPS J. RILLAApi i.INE t:AiidGER <br />NATIONAL POLLIRANT DIeCNMOE EtIMINATON eY9TEM NPOESI <br />DISCHARGE MONITORING REPORT (D~RI <br />c, u ~ :, a <br />PERMIT NUMBER daCNMOE NI1n1eER <br />MONITORING PERIOD <br />Y MQ D YEAR O_ D <br />FROM TO <br />tiT::OR <br />(scex Du) <br />F - FI::AL <br />Rk-2 2,Oi,D0U2 <br />Form Approved. <br />OMB No. 2040.0004 <br />TO P.P.D «IASR <br />kifLAN <br />%'f:=~ tr0 OISCNARGG ~~) ,';^a$c <br />NOTE: Reed Irletruetlal» belore eompletln0 this Iwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. mE°Ua~ SAMPLE <br /> <br />EX of <br />PE <br /> ANALrSIS TY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />r tl SAMPLE F' ~ri'11;• ~ iT S,. ,. :,'c:I ;plx :ac::.S:r: 1 <br /> MEASUREMENT <br />00400 1 0 0 PERMIT -b z~' +e - t ee - <br />EFFLUL~NT GROSS TACO REQUIREMENT ; <br />z ' t <br />" <br />` aas r ~~t.,;r ;~~ <br />~~ <br />ri f <br />~ ~R~31l~~< <br />' SU ` <br />' ~` <br /> q <br />,. , <br />a.. , <br />f_ <br />., , <br />lx..z"a . .,v: .., <br />,;. ~,;;., <br />s 1 r 'iU a SAMPLE i•• <br />5°{iµ rR i•+Ab'"'~7 s:a4~f,~>z <br />JUSPENDED MEASUREMENT <br /> <br />~ <br />~ ~,:. w <br />z <br />r ty. <br />~' <br />; <br />~;FFLUEtlT GRASS VALUE pEnlliREMENT t <br />~ <br />I ~t~!t: ~;:%:ta t# .;te ~ <br />~„I ~ ~ <br />Y '~ i9G/L ' "l~. <br />s. <br /> . <br />. <br />., .; <br />~ " z <br />,, <br />• <br />vi . ,ii c ,. SAMPLE y. Y <br />ti Y S: <br />.. ., if rt: <br /> MEASUREMENT <br />00545 1 U 0 PERMIT ~ I + ~"'`" ~: ° :ns~ . ._' <br />it <br />' <br />EF'F'LUEN^t GROSS VALUF REOUIREMENT t <br />' z ° <br />' ~ xc'rr <br />dS $ ° ° ~ FiL/L :z4 : .i,~#;' <br />n <br />~ <br /> : r, <br />~ g~,.. f ., .. , <br />° .r • '~ SAMPLE .: , .. <br />r .r ..t ~,- 1 <br />(AS Fr;) MEASUREMENT <br /> <br />U1U45 1 0 0 PERMIT 11 : '`'}`r ' r t.. f <br />EFFLUEN'P GROSS YALU . <br />REQUIREMENT i "'z a. <br />a E s.ra <br />~ ~' ?I <br />;~ ~Q2Y~ ~i9 T?i?~ MG/L ` ' <br /> , <br />,. ,~ $, ; , <br />t. ~s s SAMPLE u.s c.a. r +,:. 1 <br />' MEASUREMENT <br />U3562 1 U 0 PERMIT <br />~~ <br />a'~ <br />"1 <br />~ «%'0~ <br />3 r <br />z <br />iy <br />1 ~~I <br />I <br />~ <br />t+FFLUEciT Git055 YALJ1 REQUIREMENT .~ <br />~°$ '~%~ <br />` ~ $ ~~ ' <br /> , <br />t <br />..Ue~ A 5, n SAMPLE ~ '"" <br />T:i t1U fkE?iTMENT PLAN, EAQUREMENT <br />~UU7U 1 0 0 PERMIT 1 ~' ~ I : <br />z ~~''~ I ' <br />;FFLUcNT GROSS VALU 'REOUIREMEN'C ~ ~':~~ Y~~ 4''I' :SGD { ~~t rw i{~`~§ ' i <br />z ~ <br />t+l <br />^:' -^''~'^+# <br />. <br />,, I <br /> <br />• q ;,= <br />~ „~ <br />_ <br />4 l ~ A SAMPLE • •h"!M' W >J"} YMYY ~-~YMY•~ <br />VISUAL MEASUREMENT <br />84066 1 0 O PERMIT ~ . ES=1 a. ~ <br />te. u=r#: <br />~ <br />EFFLUEFtT GROSS VALJ REtiUtREMENT . <br />" NO=O 5 z $ _ <br />$ <br />~" t ' "`` '`:k~s i~ I > <br /> , <br />~ .,z„,,, k <br />~ „w ~ ~ Y<: <br />a <br />TTLE PRINCIPAL EXECUTIVE OFFlCER 10 <br />'t ° "v`"' <br />IT° iw J111" n d0"'"""I'n°i°'llid11enb"`rt TELEPHONE DATE <br />NAMER vrtvrt d nMer rtT a1..tllon or mv mNOn 1°.ao.a.nrt »un .,nlrn eWined <br />1~ l..a.rt IA.1 qu.eeM p<rwnn<I jrtpedT plMr.nd erW.l.lne Inrarnull.n <br /> ,.nrtln.d. e..e on rt> Imnln of we P^en °. prow woo m.n.i, dn,na,n, <br /> <br />C/I, • ~. <br />cam' ~ or Ihmr ~nan dlr.cly rnp.MnN for pN,A,ry Ne Inferm.dwi Ine Infon,ull.n <br />mnminM 4, b Ne MI °f mT LnnwtAis.M beeef. INe..ttvnle..M mmpkle. <br />u <br />t ln <br />l <br />ln <br />I <br />m <br />ltl <br />f <br />n <br />lltl <br />nn <br />l <br /> <br />eIONATU11E Of M11NCNAL EXECUTIVE <br />9~ 67~ j ~ <br />O 3 <br />~~ <br />07j~ <br /> .m.w.re <br />. <br />ert,rt, <br />En <br />ca <br />pen. <br />ora <br />m <br />nr <br />~ <br />e <br />nlorm.tlon, A <br />TYPED OR PRINTED I.andmi ln.p®Iblmy ornne.na lmprtronnnr rornmwlni rl.i.u.l¢ OFFICER OR AUTHORIZED AGENT COD NUMBER YEAR MO DAV <br />COMMENTS AND EXPUNATION OF ANV VIOLATIONS (Ra/irenn ell ethchmentt herd -- -- <br />I`SS E TDSAL I?i0ii LINTS 'rtILL 31; WaIVEU~ Ai:D StTTLh.'Ai,LE SOLIDS LIi9IY RcPLIEO FO:t <=lOYR,Z4EiR PRF:CIP EVEHT- <br />SEE I.A.I. PG 1, FOR RE(,tIIRT:,M:iTS. OZL l: G:tEASE REPO.~TING-SEE I.U.1.F, PG S. QFtRLY SAMPLING <br />INSTRUCYZONS-T C d~ he a. <br />EPA Fefm 3320.1(Rev. 3/99)Previaus editions maybe used. 00476/L'~ItIS~~I~B JO71n. PAGE pF <br />