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PERMITTEE NAME/ADDRESS pndude £aci(iry Name/Lxarion i/D~ecenU <br />NAME <br />THAPFF.N YI61aIG, ltiC. <br />ADDRESSI H A F F E !i ". I <br />F.C. UCX lel <br />FACILITY CnAI~ CO 81626 <br />LOCATION <br />n1-f .'•: F. GUHI:LA FF'IF P'_ FN CC /GFY YGp <br />NATIONAL POLLUf'gNf DISCHARGE ELIMINATION SYSTEM (NPDES} <br />DISCHARGE XIONITORING REPORT (DMR! <br />l2.16) (]]- 9) <br />PERMIT NUMBER DISCHAflGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FRDM C O O l TD C C ~ ~ 1 <br />(zP2t) (22-1]l 12+-2>) R6~2rJ (z6d9) (ao-sp <br />Form Approved. <br />OMB No. 2040-0004 <br />!! I NC F Approval expires 05-31-98 <br />(SU6R s~) <br />F - FI(,AI t.CFiT.~ <br />FOND 1`_ 7L NC EAtE CLICN <br />=~~ NC CISCHAFGf ~~~ <br />NOTE: Reatl Instructions halo ~ completing this form. <br />- <br /> (3 Cerd Ony) QUANTITY OR LOADING (<Card Ony/ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (5461) (3845) (46-53) (54-61) EX OF TYPE <br />(32-37/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNaLYSis <br />69 <br />7 <br /> f62~s91 (64-68) - <br />0 <br />JIL AND GRBASF SAMPLE ~~'~~~~ ( 54) ~nx>a~6 #OOtOA >74LtC>? <br />J I:iUAL MEASUREMENT ~ 4~ ~ r/fI. <br />nuU66 1 C C -. H;~ #-.- t -?~ -' :"'~,~ <br />'.~ E°aI ~ <br />?~7R- <br />4°r x c'~~+~' k x ` ,a I'~.'~ R0i i '~'~ ' <br />~ 3.nk <br />iFFLU$~T GROS YALUE ', ' ~~`~ r <br />. :r <br />~ UC=O t <br />- <br />'~)I~ ~ <br />~;) ;i I~r~;r? t,, ;;:t '~r`- L6~9 '~.:; ._ . <br /> .SAMPLE <br /> fCJf4EMENT <br /> ~, <br /> . ,,: -,•- yam,. - <br /> SAMPLE ~. ~ / <br /> MEASUREMENT <br /> ~d kT ' s i <br /> ~ <br />_~ <br />R~t9p!NQMENT y; ` .-;p <br /> SAMPLE <br /> MEASUREMENT ~ - <br /> M1r ` <br /> 33~UI~I~IENT <br />~ <br />~ - ~ '! <br />~ .~ `s- <br />,. .. - <br />.. <br />-, - <br /> SAMPLE <br /> MEASUREMENT <br /> (I, <br />~ r - r , <br /> <br />" ,, s,. ~ ~ ., ~ 'x ~ < 5; <br />nl .t ~ <br />~ -?' a :: ~ ~ <br />'h <br /> " <br />R EAENT i .1 ,~ <br />'~ x <br />'x ^1 w " .4 r <br /> W , , a.~, :.+ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - , . .. ,.y,,.,( - <br />' <br /> REQUIREMENT - r` <br />- ~ <br /> SAMPLE <br /> MEASUREMENT <br /> QERNIIY .- ~ -~ .:-- ~ -- - ~ - -~- -z = . <br /> REQUIREIlEN1' - - --- _ ~ _ _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS iRDE; /J <br />~~ <br />W. Gordon Peters ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMTRING FALBE INFORMATION <br />INCLUDING THE ~L ~~ 97x824-4401 UO 04 y] <br />President/General Mana er , <br />POSSIBILffV OF FINE AND IMPRISONMENT. SEE IB U.S.C.§1001 AND 33 U.S.C. <br />(Penettias untler these sler <br />includo lin <br />§ tat 9 <br />lBS ma <br />s u <br />to 5/0 <br />nd or <br />000 SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED . <br />y <br />p <br />, <br />u <br />o <br />e <br />merimum impnsomrem of betweenBmonlhs end5yeers.) OFFICER OR AUTHORIZED AGENT R <br />O <br />NUMBER <br />YEAR <br />MO <br />DAY <br />connMtn I ~ ANU curl-Arvn I Ian ~r nrvv vwun~rvs (nererence an artacnmenrs nere/ <br />I .iL E TOTAL ISCN 1It17S RILL EE rAIYEU, AAD SETTLfAELE SCLILS LI6I1 AFF CI EG FCF <=1GT F, i4EF FFECIF E>rEE7- <br />~r,l: BURDEN OF FFCCF FEQUIREl7ER1S UNDER 1.A.?. t'EFhITTEE t1UST TAIfE AL1 SEASCNAEIE tFASCFE~ 1C FFCCCF Lit <br />orm^ ~ 6 - ) revlous e i Ions may no a used. (REPO( E /~ OFiM~-40 fCH E D.) C C C 3 4 / U C C 1 ] ] -1 E < u PAGE L OF <br />L <br />