HYDRO25435

• 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

PERMITTEE NAME/ADDRESS pnclude Fan)iry NamelLocarion ifD~emeq
NAME
TRAPPER lILNINC, INC.
ADDRESST R A F F E N YIN E
P.C. UC% lb7
FACILITY CR AIG CC x1626
LOCATION
":'TN7 Y. GORDCh Cf•Tt6~_ PRES/Gf{M AG5
NATIONALFOIlUI'ANTDISCNARGE ELIMINATIONSYSTEM (NPDESf
DISCHARGE MONITORING REPORT (OMR~
(z-vet (r:- 91
PE MIT NUMBER DISCHARGE NUMBER
MONITORING PERI0~4
YEAR MO DAY YEAR Mp DAY
FROM O C C O TO C C 3 31
f2p~21J (22-231 (2d-251 (26.2]J (2829) (9P91)
Form`Approved.
OMB~Np. ZMO-0004 `~
l! I NC F Approval expires OS-31,98 ' _ '~, e_
(SUE6 FN)
t - FINlI ecpi4'..
FONC Et 1C EAS1 EYFA11 GCLCF
aAA NC [I`_C6A6EE tst
NOTE: Read Instructions before completing this form.
(3 Cerd Onry) QUANTITY OR LOADING (c Certl Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
PARAMETER (46-53) (54-67) (3845) (46-53) (54-61) EX OF TYPE
(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
f626J) ANALYSIS
(64-68)
(69-70)
{-n SAMPLE i-.~i~Y4>Y o4t~:L•+G IFL>0 >a94
( 1 4)
/
MEASUREMENT >~ 8 , y O /"f/TIi
UU40U 1 U G _ (T 'J r0.04419iq A:61R6+N:D LC# ~,~ r a~>4~~1 ~ MI~+' 1;~: ~~i ~ ~`~,r~'
'
EFFLUENT G C55 8 ti~fJIEN~ teas ~t ~."..' %" T"' cL ~ z ,.i.: + ::
•,L;LIUS, 1CTAL SAMPLE eau;:+;: °>'tt>,Y#a >alAA>DA ). 19) /
L .i F E N U F L' MEASUREMENT ~ D /
L Ii~~Q 1 ~ G ~µ ~i
t, e'~~~~A ~yy
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MEASI# ENT Gp, .~ O, ~ CJ
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IiiCN, TCTAL SAMPLE GL?;:T+ 4s:i-fit:t AL4>a'7~ ( 15) /
(A S F E) MEASUREMENT Q
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EFFLUENT G CSS YALUF ~.5 ENT ' ~toa 6fl -I tG I C k
LL AND 6fi8~SE SAMPLE ;iXOrk r,: ;t ytII .ar, x:aaca~ tcotaa ( ]~)
MEASUREMENT /~/~ iV iY
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i.F'FLUENI GOOSE YALCE
fiES~1~f ENT
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i:.GN, IN COND011 CF SAMPLE ( 03) t~tAAO nilOAA>C bOSeso
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-lnkU TREAT.4FiNT PLAit1 MEASUREMENT ~./~3 0352 ® ~
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Sc LIUS, TCTAL SAMPLE :Tnaa~A=: etaroa ;•S6A;A ( ]S)
v I 5 5 U L Y E D MEASUREMENT v I Aft 'D
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~: U '^!T aNCSS YALCE
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NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND
AND BASED ON MY
AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN TELEPHONE DATE
;
INQUIRY OF THOSE INDIVIDI l°I S IMMED~TEL1' RESPONSI@LE FOR OBTAINING
THE INFORMATION. I BELIEVE THE SUBMIITTED INFORMATION IS TRUE,
/ ~e _ //~~
W. GOrdOII Peters ACCURATE AND COMPLETE. I AM AWARE THAT THEPE ARE SIGNIFICANT
F
I
N
TH
D ,C/ G ICI 970-824-4401 DO U4 2]
ORMATION,
PENALTIES FOR SUBMITTING PALSE IN
NCLU
I
G
E
President/General Manager POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1e U.S.C.41001 AND 33 U.S.C.
SIGNATURE OF PRINCIPAL EXECUTIVE
§ 131 e. (Penalties under Ihese sfelufes may include lines up to E10,000 end or
TYPED OR PRINTED maximum impnsonment ol6eersen8momhs endsyeers.) OFFICER OR AUTHORIZED AGENT
O
'NUMBER
YEAR
MO
DAY
4~ -
COMMENTS AND EXPLANATION OF ANY VIULA I TUNS (neterence all avacnmernE nere)
-h L TCtAL IFCN LI[!11S NZLL HE NAIYED, ANC SF.22LEArit SCLICS LIYI1 AFF1IcC FCF <=1CYFI,i4Ef FFECIF FVfN1-
_;!:b BUFCEN CF FnGCF EEQUIRECENTS UNDER I.A.3. TCS tlGNT1CFINC - I.E.3. CiL E GFFASf - SFE I.E.7.(C).
E orm 3 T S- Pr vlous a itloris'may not a used. ( R IC EUSED.) O G C 6 4/ O C L I l i- l E i G PAGE ) OF Z