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PERMITTEE NAME/ADDRESS pneL4 i.Hl~ryNa./[u.nw pbrprr.Ip
<br />HAS TRAPPP.P. 'FTWI'tC;, L!4 (;, ,
<br />ADDRESS YRAPPER !FINE - -
<br />P.D. P.OT 7RT
<br />CR~IC, CO 6162b
<br />FACILITY
<br />LOCATpN
<br />AYTN: R, GDi?G1" I'f'TFk~. PRES~/GEN NGW
<br />NATIOMK POLLUTANT DIBCHMOE ELIMINATION BYSfEM //NPDESI Form Approved.
<br />DISCHARGE MONITORING REPORT /OMHI OM8 Na. 2040-0004
<br />T-rgl n•!sl RTNDP
<br />Approval expires OS-31-98
<br />(SUFA NN)
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<br />MONITORING PERIOD DISCP~T.Gr TO ~AOUSS C?ULCN
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<br />13T-371 ~ EX
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<br />AME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY.
<br />DEfl PENALTY OP LAW TNAT I HAVE PERSONALLY EXAMINED AND
<br />AM FAMI M N1TH
<br />THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON TELEPHONE DATE
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<br />MY INOU Y OF CHOSE INDINDUALB IMMEDIATELY RESPONSIBLE FOP
<br /> OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IB
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<br />',. Iir COidOII PatlLQ SIGNIFICANT PENALTIIES FOP SUBMITTING FALSE MFORMATION, INCLW MG ~/
<br />~ ~ 970-824-440 8! O4 30
<br /> THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. ! 1001 ANp J3 61ON
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<br />EPA Form 9320-T IOR-451 Previous edainnv mnv he uee I C 5 O H Y ~U p,l~, pA6•E t OF Z
<br />{ ~It~/9904?I-TOl'
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