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PERMITTEE NAME/ADDRESS (1..bbF.rWryN../Lawa UDIS r.u) <br />NAB 2FAPPCR tlINIl~G, INC. <br />ADDRESS TRAPPER MLNE <br />Pe O. BOS 197 <br />CaA1G <br />CO Blb2o <br />FACILITY <br />LOCATION <br />ATTN: iFe f,OND7Y PAT FRS, PRFS/Gf,H N6R <br />NATIONAL POLLVEMT dSCNMOE EUMINATON SY9fEM /NPDES/ <br />DISCHARGE MONITORING REPORT /OMRI <br />l2-l6I 17-191 <br />PERMIT NUM ER ' nscNMOE NUMBER <br />INONL ORI G PERI00 <br />YEAR MO DAV YEAR MO DAV <br />FROM 70 <br />124211 l72-23/ 121-751. (2627/ (ItT-29/ f30-311 <br />Forrn Approved. <br />M T qU R OMB No. 2040.0004 <br />(S V B R R Y) APProvM exD~ree OS-31-S8 <br />A^p*R. MRT ?RS'eTNG POR 713A <br />trQR LAO nT SCMIAG!! t~( ~ l~hR <br />NOTE: Reed kleauctlofr Mf eompNtMq Ulie Iwm. <br />PARAMETER !3 Gre Onlyl QUANTITY OR LOADING /1 Grd Onryl QUANTITY OR CONCENTRATION NO, fnEOUENCr SAMPLE <br /> /16.53/ /546/1 /38-151 11b53 /51-6l1 EX <br /> <br />l32-371 µKVS15 TYPE <br /> AVERAGE MAXIMUM UNITS ~ MINIMUM AVERAGE MAXIMUM UNITS, /12-sal (64661 (63701 <br />i.C S AT1:E 4R11R AC SAMPLE trRQtrRR tr4trRRR trRRgl tk¢ DA4RQ# ( 7j~ <br />C6flI0UA~NRIA MEASUREMENT <br />TAn3B 1 U J PERMIT QOttAQIPQ QtT4ik i/Af Qtr4 <br />.; ..... <br />i ao ttr4r~'~#. : .:::.4:#3nl##;#:.:. TR- •.:, '` ~Y'• :•~~~;..: <br /> <br />EFPLURk2 GNO55 YA L!I <br />REQUIREMENt <br />~ <br />QQaR . <br />~4M ~.ILd:E:' ,.::..,. <br />,;'. <br />C ,NT <br />.'.:~^,+ <br />:'::::' -' <br />LC5U STAIFE 9ITRP AC SAMPLE ~omtrtta a4laaaR thQQQRtr traQtrQYt ( 77) <br />PIRF.PfiA1.cS MEASUREMENT <br />TAN6C 1 0 D ,.. /i/sxs.>1F91A':: , R>RC OQ <br />:: gtt4Q5di'0:. ::::.e/>111:i~I.IS#4:' FR- ~L<x <br />~ <br />: :R#:$ <br />: <br /> ~ <br />E <br />E . . <br />, . <br />. ; <br />RFFLUEtlT GRr3SS ~ALq NT, <br />; <br />~Q~7!B <br />M ,, ogcn AN ~#.LR!'LF CEAT <br />,..:.. <br /> SAMPLE <br /> MEASUREMENT <br /> <br />:~-.~ .RMI. <br />~ ~ <br />.~ <br />~ .... ... <br />.,.....,.., <br /> ~RECIUIREMENT ~ ; - ~ .: <br />: • ~ ~ ~ <br /> <br />.. <br />.. <br /> SAMPLE <br /> MEASUREMENT ~~ ~~~«v1- <br /> PERMIT ~ ~ ~ ~ ~ ' <br />:.. ... <br /> FEQUIREMENT - - <br /> SAMPLE <br /> MEASUREMENT <br /> ,. <br /> .f:.; .. <br />.,. <br /> <br />.:. .::... <br /> <br />. <br />' ~ SAMPtE~ ~~' "' <br />„ <br /> MEASUREMENT ~ ~ .~ ° ~ ~ - <br /> ~~ fERM1T . <br /> REQUIREMENT ~ ~- <br /> SAMPLE <br /> MEA:UREMENT <br /> F'FRMIT <br /> ;REQUIREMENT <br />NAMElFITIE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENKTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br /> AM.FAMILIM WITH' THE INFORMATION SUBMITTED HEREIN: AND BASED ON <br /> MY INQUIRY Of THOSE INDINDUALS IMMEDIATELY RESPON90LE FOR <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 15 <br />TRUE <br />ACCURATE MD COMPLETE <br />t AM <br />WARE T <br />T ~I <br />~~~~ ~~~ <br />n~ <br />N. GOldOD P~CtiIB , <br />. <br />A <br />HA <br />THERE ME <br />SIGNIFICMT PENALTIES fOR SUBMITTING fALSE INFORMATION <br />INCLUDING 970-824-4401 99 04 30 <br /> , <br />THE POSSIBILITY OF RNE MD' IM%USONMENT. SEE to U.S.C. { 1001 MD ~] <br />U <br />S <br />C <br />f t ]tB <br />/P,n.m:. uNlr ev,. ,otvn. m. <br />inchi0, rn„ <br />SIO <br />IX10 <br />SIGNATURE OF IRIINpPAL EXECUTNE <br /> <br />TYPED OR PRINTED . <br />. <br />. <br />. <br />w ro <br />, <br />r <br />.tea a m..:m,n enpx>a+wnr e/ NMwr 6 mommaW 6I^FFrA/ <br />OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER YEAR MO DAV <br />f:UMMCN 1 J Hrvu cArinrvn I wn yr nrv ~ vIVLP I ivna Inwerepc'e en euecnmm~rs oars/ <br />SEE I.A.I, Pp /-4, POR DETAILS OP TEST PROCEDDRi:. REPJRT Li50 - STAT7STL'4L P9L`•T ++",ST2"`ATF pRICH I$ <br />LbTNAL TO SDZ OF TEST J.P.CAFLSAS, A6D ATTACK ACOTg YOKTJI?i *RS* RP.VnRT FOPS TO DrR. CnpTg~ Of ALL <br />T1P(TAMA4iClY IeRC~e w1t clPa ~ w <br />EPA Fmm 731D-t IDB-951 Previous edition. may De used. r LAC 5 PA FOR O I H A BE ~I nnT ~ -// q n n l+ ~ ~ _~ (1 ~? A T OF <br />1 <br />