My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
HYDRO25435
DRMS
>
Back File Migration
>
Hydrology
>
HYDRO25435
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:45:11 PM
Creation date
11/20/2007 5:34:00 PM
Metadata
Fields
Template:
DRMS Permit Index
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PERMITTEE NAME/ADDRESS (Include Facilin• Name/Locmion ifDiBerenq <br />NAME <br />THAFPiF, t!i~lirt;, IMC. <br />ADDRESSI R A F F E R E I N L• <br />P. C. SCY. 1t77 <br />PACILITYCR3IG CC E1E26 <br />LOCATION <br />Aflti: i. GONDCN FETFF_, PIiES/GEl+ NGR <br /> '4 <br />NATgNAL~POLLUf'APA'F1fSDHARGE ELIMWAT101!$4S7EM (NUDES) <br />BCRARGE MONITORING REPOR'TF (DMRI ' <br />(2`761' (17- 9) <br />PERMIT U BER DISCHARGE NUMBER <br /> MONITORING PERIOD <br /> YEAR MO DAY YEAR MO DAY <br />PRDM 0 0 C l O l TO G G 1 <br />(2621) 12223) 124.2 5) (26-21J (1629) (30-3.) <br />ForATA)5proved. <br />~ I A C A OMB No. 2040-0004 <br />Approval expires 05.31-98 . <br />ISUEf, Di) <br />F. - E211[ NCFA4' <br />ACUTE 4ET TE51IpC FCF CCSP <br />~A9 NC C1°CEAFCE ~{ xtt <br />NOTE: Read Instructions befo e c mpleting this form. <br /> (3 Cerd Only) QUANTITY OR LOADING (4 Card Only) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61 (38-45) (46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALrsls <br />69.70 <br /> l52E31 l64-68) ) <br />( <br />L_SU 51'AYFE 481ifi ACC SAMPLE ###~+## ##Cg#t tts~>ci S9;LLr: ( .":) <br />C E R I O D A P H Il I A MEASUREMENT <br />1 A N S i! 1 U U ' .: - 4 <br />" ~ <br />:' : . <br />z: S : O ~'~ „"` <br />~" ' <br />~ ~ 1 ~~ „~+ E F ~ ~ ~' <br />~ <br />'' <br />cFFLU $T Gk05 ~ Y . .. , <br />,. ; <br />~*r'Y,~z,,~41:;~ iLOC a ,. <br />'~ <br />' ^ ,« x~1- .~ x , .: CE6 , <br />. , <br />... <br />i.c:SU STATNE 9bE18 lGL' $$ ##•#*# 44##apt# o>ca### ortlCi## { s3) <br />PII1EPJALES M5r\S ENT .' <br />:kRbC 1 0 0 ,. <br />, A# s~~d~ <br />•`k' i~ FF- ~- ;' . <br />- FFLUENI G OSP ~ ICE ~~ t <br />~`° 11~## - <br />~ f~=s~r~ ~'`_L q _ 'r ,r a` <br /> SAMPLE <br /> MEASUREMENT <br /> ~AEi~IIT ' ~ ~ < <br />e '' {~` <br />a,rn ~° <br />1 fIEC,14iIRRfxy~MT •_ x <br />~ r <br /> ~ Y <br />~~ SAMPLE <br /> MEASUREMENT /~ ./~/)`~[°~~p- <br /> <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ' , ~ , a s <br /> A~OCJ1RSiaENT' s r ~ , <br />,~ ~a,N : * ~, : <br />w~ ~ , >~ ~,, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,:;y kq 4 '; ~ nt' .r $ ""i #~' y p; <br />~ <br />~ <br />~ <br /> RE6~UIRBM~NT ,-~ t ii ~ : Yxy 1 x- (rP ^E ,,~. _ a <br />. <br />` . <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~~`~~1MPf ~ i <br /> <br />xs. <br />r <br /> <br />~ <br /> <br />Y °. <br /> <br />t <br /> Fl~ll1F~BW&pi] <br />y ~ <br /> <br />i :. <br /> <br /> <br />. <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />gTION SUBMnTED HERE NALLY ExAMINED AND <br />IN; AND BASED ON MV ~ TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL <br />RIANDO <br />~~ <br />E S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />M <br />O <br />~~ I / /^ <br />~~ <br />970-824 <br />4401 <br />00 <br />04 <br />7 <br />W, Gordan Peters URATE <br />MPLET <br />ACC <br />-PENALTIES - FOR SUBMRTIN pM AWARE <br />THERE <br />A E <br />SIGNIFICANT <br />G FALSE NJFORMATION <br />INCLUDI <br />THE /!-~ ~- • - Z <br />President/General Manager POSSIBIIITV OF FINE AND IMPRI <br />P <br />lti <br />8 , <br />NG <br />SONMENT. SEE IB U.S.C.41001 AN033 U.S.C. <br />l <br />i <br />d <br />l <br />Ef0 <br />d SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . ( <br />nc <br />4 131 <br />ena <br />es under (Hasa s(etures may <br />u <br />e <br />nac up ro <br />,o00 an <br />w <br />maximum impnsonmerrt of belween6montns end5years.) OFFICER OR AUTHOR12ED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />~f.~ I.p,1, PP 7-9, FCF CiTAILS CF 7EST FRCCELG~E. NEFOFT LCSO - `_RATI`_TICAL FCIF1 E`1IClTE VIEICN IS <br />;,YIHAL TO SOX CE TES7 CF1Gp6I5~iS, AND ATTACH ACUTE TOEICITI 7EST BEFCFT FCFC TC LEE. CCFIE`_ CF ALI <br />p dorm -9 Fyrevious edi$ons may o be used ( bk dR -4 Y BE .) ~ ' ~ GE O ' <br />CCC59/GCC111-1Ei4 l <br />
The URL can be used to link to this page
Your browser does not support the video tag.