Laserfiche WebLink
PERMITTEE NAME/ADDRESS (1Mib FSWryNmw/Lorum dDld...m) <br />NAME :iLGECA l~hL CO^:I'f':i <br />ADDRESS DRAit2R U <br />KAYDe.r Cu 81639 <br />FACILITY <br />LocnnoNHAYUdN CO 91c.3) <br />AT'PN: G. 6UD RRONNr GL'I°dAL '1A1.A:;ER <br />NATIONAL POLLUTMT DISOHMGE EUMINADON SYSTEM INPOESI <br />DISCHARGE MONRORING REPORT lOMR) <br />11-161 I7-191 <br />coODUO~21 CSC e <br />PERMIT NUMBER DISCHMGENUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM y o b TO y tl l ., J <br />114111 m-131 nusl~~ 116171 l16-191 !34311 <br />w <br />Form Approved. <br />c E $ • F ~ ~i f U :i C'~ a !OMB No~209U-0004 Y ~R . i• <br />Approval ezpires~05-31-98, <br />(SUcFi 6y) lc~v~ <br />F - FI bAL 1, <br />MINCA ~• <br />Y7 %'i NC I`ISC'iA~GE ~__~ ;c t_ <br />NOTE: Reed inetructlone balwe eomplatinp thie form. <br />PARAMETER 13 Grd Onlyl QUANTTfY OR LOADING <br />~ l4~G~rd Onlvl OUANTRY OR CONCENTRATION r~D. FlIEOUENCY SAMPLE <br /> /46531 !546/1 a IP'" 13gd51 !46531 154-611 <br />EX of <br />131-371 <br />AVERAGE <br />MAXIMUM <br />UN~TISR- <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />rez-i]1 MAlrss <br />164-6g1 TYPE <br />169-701 <br />ULL ANU GitEASE <br />Y I S J A L SAMPLE <br />MEASUREMENT +=t##tI. ( S4) ++'~JOL`4A it#;TG~+b Ltv{-.•.`- ~ ' <br /> <br />d4L)66 I 0 0 PERMIT r'v[rur.:t:. ALPO^pT ' FS=1 RGO~art #'at4#^ t'`+`:':~' <br />!V\• ..- iH?FLY dI5UAI <br />EFFLUENT GfcJ55 VALU! RenuiaEMENT INST MAR NC=O <br />~*4. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br />~ <br /> REQUIREMENT ~ "~~~<.~ <br />~~ <br />:»':,.: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> :PERMIT ~. <br /> REQUIREMENT <br />NAME?ITLE PRINCIPAL EXECUTNE OFFICER I CERTFV UNDER PENN-TY OF <br />AM FAMILIM WITH THE INFO LAW THAT I HAVE PERSONALLY F%AMINED MD <br />RMATION SUBMITTED HEREIN <br />MD BASED ON , TELEPHONE DATE <br /> : <br />MY INDUIRY OF TNOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOP <br /> OBTNNING THE INFORMADON, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME <br /> SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br /> , <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 1B U.S.C. 1 1001 MD ]] <br /> <br />U.S.C. F 1Jle. lPnrlei. urtlr dwr mAn.. nvY YrcluW rvr. uP ro 710,000 gIDNATURE OF PRINCIP L EXECUTIVE <br />AREA <br /> <br />TYPED OR PRINTED <br />snare muinun brp/swnw~lt of MrwwnemonNa eM6yrn.1 <br />OFFlCER OR AUTHO ZED AGENT <br /> <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Re/erence s!l effeehmenfs here) <br />TS.i E IP.U:. LIMITS WILL iit YAIVED AND SETTLEA[3LE SOI7D5 LIMIT lPFLI°C FCF <=1CYFF2411~1 Ph°_CIP EVENT; T» G <br />LAUN LIMITS AAIYF,D FCR >lOYiir24HR PRdCIP EYENT SUB,]F,CT 'f0 906CEA Cf EFCOF IA T.F.2. nLL ,°, GREASE-S[E <br />T u 1 n Tnt` rnr TTr~n~~ ~+ r~r~ ~ • n <br />332v-T LOS-951 PreVloue eamone mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.( PAGE ~ <br />00116/971031-1513 . <br />