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J <br />PERMDTEE NAME/ADDRESS (Include Facility NamdCxanon jD$erenq <br />NAME BOYiE °ES'. IfN~'r~ LIMITED <br />ADDRESSROLL~ N"i, ? •I".p <br />P.G. 9'1~. ~;y't <br />FACILITY PAUNIA CJ S1~L29 <br />LOCATIONR~4if L <br />CO 61d1d <br />ATTN: 4ILLIA" ~. ?i'AF J2._ !TMF. ~ti:3 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATON SYSTEM (NPOES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR~ OMB No. 2640-0004 <br />(2-161 (n- BI M I N Q O <br />Approval expires 0531-98 <br />r ~ PERMIT NUMBER DISCHARGE NUMBER (c r7 n p 9 C) <br />P - F! NlI. .L'_ T A <br />MONITORING PERIOD 1T`CH^ OP 53 TO PF,BR TdAIL DT(~ <br />YEAR MO DAY YEAR MO DAY __ <br />FROM 94 U4 U1 TO Q9 5 3 ~" y'~ f I SC!1AF ;@ a« <br />(zo-zD (zz-z3/ (se~se) (as-z17 rzs-sel (3x31) A~NOTE: Read Instructions betor~T4Tmbleting this form. <br /> (3 Csrd Onry) QUANTITY OR LOADING (4 Card Onty) OUANTITV OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61 (38-45) (4B-53) 54-61) ~( pF TYPE <br />t323~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~ <br />BS 5370 <br /> (~~! B <br />OIL AND t;REASE SAMPLE +==~r3~ ( 94) C~+.=:rk~ 'k "`=`C ~. ,.. ~'7 <br />VISUAL MEASUREMENT <br />G u D b b 1 U U "-~ "> - - *~# "~ <br />(~'~:i" E5=1 f+~+M +~ ~#tE "~ a# A '";'~ E :S ~ ~' <br />r:Pf'!. ~!:: 'rT t;R7S5 VALU ~. ~- ~ .. =e_~ • _~•- ' _ 0=0 " "` r "~: ~~ ::. ~C{•fk >~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> • <br /> SAMPLE s " <br /> MEASUREMENT <br />~ ~ <br />~ <br /> ,yy~~ <br />~vSp <br /> <br />_,. <br />•.. t <br />f } <br /> <br />,:, <br /> <br /> <br />. <br />R <br /> <br /> <br />r T <br />~T F <br /> <br /> <br />t <br /> REQU , _ <br /> SAMPLE <br /> MEASUREMENT <br /> MIT ~• - * -. _. - ~~~Ps: <br /> IREMENT .l s ,.'K ` <br />- , , ,~ ~~ <br />~ ~ <br />... .: , ~ :.~ - <br />.,: - ~.',.{.f <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> PF,,,HMIT~ - <br />( ~ S ~~ ~ <br />i r r f~: <br />~ _ '_ <br />' ~ <br />' - <br />' --" ' ~- <br /> REQUIRE 3 ~ e <br />~ ~ ` +~~ <br />:y£,'~~ <br />: - <br /> . <br />,~ <br />,. > . _ ., ,,. <br /> SAMPLE <br />• MEASUREMENT <br /> <br />PERMTI" ~ - - _,: ~~- <br />. ti-..:. `~ -- - - - .- .~., <br /> REQUIR$A1ENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY E%AMINED AND <br />IN <br />AND BASED ON MY TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ^_ J <br />< <br />~ <br />, <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITRN I AM AWARE THAT THERE ARE SIGNIFICANT <br />G FALSE INFORMATION <br />INCLUDING THE ~ „~~ <br />~ <br />~~ i ~ I/jl - ~/~~ '~/( POSSIBILTTV OF FINE AND IMPRI , <br />SONMENT. SEE 18 U.S.C. 5 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE X70 9 7 S.~ S - ? 7 "',~ L Z <br />TYPED OR PRINTED meximum~~onme or6eMSeneB mmth end 5utle byres up mff0,000 entlw <br />Pn rews.l OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXVLANATIUN Uh ANY VIOLATIONS (Relerence ell atlachmenl5 hare) <br />`~!:TTLEedLE SO L: US LIFIIT A('PLIS° ONLI IF <=10 Y.°., .24f1R PRECIP °VP'iT IS !'LAI!'!^.D. TF CIAIh AP?cnVf~ rT v•;!CD, <br />-~T,~ E IttON LIMITS YIIL VUT 9F APVLIED SD RP.POP.TSD MEASUP,E!".°NT^.-:,'.P. i. ".. 2, P~ 5 FOo P,SrRDEN CF Da')OP <br />~PA"Porm 3~2 I -9~ Pre s e lions ma not be uSe ~ _ ' ~ ( E CES A F T' IC %IY O 'BE .) ' ' • ' • r' PAGE OF • <br />nM nn •nn n~.~ +~~+ - <br />