Laserfiche WebLink
PERMITTEE NAME/ADDRESS (/ir4L F•eWryN•w/lor•NOn gDlp.r•r) - <br />NAME - YOfiDERI{axR caAL LOSYEPT-- <br />ADDRESS BOAD$IDi SINE, N G 5 PORTALS <br />P.O. e~X 1'131) <br />PALISADE CO tlI526 <br />FACILITY <br />LOCATION - <br />ATTN: JOHN A. ~C9Rf?. PH F.i fDIRNT <br />PERMIT NUMBER ~ LDISCHARGE NUMBER ~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM _ _ QI TO Q], O9 - ~O_ <br />124111 l11-131 111-151 116-171 118-191 !34311 <br />(SUAR >r[) ""'~-i23R5 `!~Y,`#P"t"-~ <br />F - FIFAL I <br />!7I !10 H ~' . <br />....~ I <br />v#: NO_ DISCHARGE (~I #:`4 <br />NOTE: Reid lnetructioru be7or~ o NOnQ this lorm- - <br />- PARAMETER -- - 13-bra Onlq QUANTITY_ORIOADING.- _ _ !1_C~r~Dnh!__OUANTITY OR CONCENTRATION <br />-~ - NO FREQUENCY SAMPLE <br /> /46531 51-6/1 !38-15 /16;53 <br />!54611 - - - <br />EX oF- - - <br />l31-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />re:-131 ANALYSIS <br />151-5e1 <br />169-701 <br />PH SAMPLE ##a##a dl##a#~x ax#a>#,t ( ~, 2) <br /> MEASUREMENT ' <br />04tlU 1 0 O PERMIT. a>a~l>k~rF #a#4~.L aa# ~5:. a~a+Q~O%! 9.0... HEALY ~$ITU <br />EFFLUENT GROSS YALU :RE¢UIF3EIviENT: <br /> <br />_ ..'...:.: ;- <br />,~,. .....,. <br />##aa ' - . <br />K. <br />a <br />.; tiLIDSA S>STSLEABL£ SAMPLE IDC>!I##'r a##usa a!#PP# ( ZS) <br /> MEASUREMENT <br /> PERMIT: ~ .:: ~ .... : ~ Ir;apl#`lal~.;~ ?a# ~.:~;.C;~~~##!~ ..:: <br />~ : ~ . ~R~B~Q~''(~ :. ; :~ ~:~ ~~~:, ~.:::. <br />'O S .:~..~ ~~.BCEI ~ 3~1x <br />EFFLUENT CROSS YALU ;REQUIREMENT ; #9#R . <br />~ .. <br />')IL AND GgBAS£ <br />' SAMPLE ###ts#:. a#i##>f aaa4## ( 19) <br /> MEASUREMENT <br />-3582 1 ~O O PERMIT ###11ta tsv>pRlao aas ~Aay#IR AEF!DR'T 3.f! 'QIlTYN ~BAB <br />EFFLUENT $5 YALUk NEQUIREMEN7 ##3a 3 <br />FLURF IY DUIT OH SAMPLE ( O3) t;?#a# ###r6#~~ #t#### <br />iHKU TREA~ N7 PLAN MEASUREMENT <br />50050 L, ". O,i 0 PERMIT HEPBRT REPCIBT 4aaaaa aattaenb ani#~a #a# EEKL! ~MSTAN <br />i.FFLUEYT 8055 YALUE REQUIREMENT 3UDA AYG Del L b GD #rx## <br />::ULIAS, 2C1TlL SAMPLE r##### ##a#aa ####t# ( 19) <br />I$$OLY£D ~ MEASUREMENT <br />7029$ I -0 O PERMIT ~ C#~10#St ~ ~. a#AIIetAlO~~~~ a#C pt?#a:e0~: ~ RRPO..RT ~.~'1t~B~p4$T TREY :RAB <br />:.f'FLUEYT CROSS YALU 'REQUIREMENT = aaa4 Y6' G <br />'IL AYD G$6A$E SAMPLE ##:t#K:# ( 94) #a#a## #004#la 3>t##aa <br />ISU AL MEASUREMENT <br />0066 1 U. 0 PERMIY #a:#4#a RCpO $y! Y ES=1 #'#LixA4r as##~t ~Idl+e~atz a~oa i EEA LT =SURE <br />.FFLUEYS CR05$ YALU REQUIREMENT zN'S$ .ttAY MO=O #+d## <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ . <br /> REQI IIREMENT. : . <br />NAMEITITLE PRINCIPAL EXECUTNE OFFICER I cERnFr uIVDER PENUTV of <br />AM FAMILIAR WITH THE INFO uwrHAT I HAVE PERSONALLr ExAMINED AND <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br />~.~ <br />J E . S-~~y [ ~ MY INOVIRV Of TNOSE IN <br />OBTNNING THE INFORMATON DIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />, 1 BELIEVE THE SUBMITTED INFORMATION IB <br />T <br /> TRUE. ACCURATE AND COM <br />SIGNIFICANT PENKTIES fOR PLETE. I AM AWARE THAT <br />HERE ARE <br />SUBMITTING FALSE INFORMATION <br />INCLUDING ^- <br />~ <br />r • 1 <br /> <br />C f ~ , <br />THE POSSIBILITY OF RME ANO IMPRISONMENT. SEE 18 U.B.C. 1 1001 AND 33 <br />ONATUIIE OF PRINCIPAL E7tECI1TNE {/Q <br />' ! , <br />/O 1 <br />`t y a I 1C; D~ <br /> U.S.C. ! 1310. IMWtlr• Wrr Orr rbNhr nrrY NrcAN• erwr yP b S IO,000 <br />..J <br />TYPED OR PRINTED .nOnrr.FFinr•n imM•aww•r elMM•rr6mmaa elG6yral OFFICER OR AUTHORRED AOENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IR•Ierence e!l ettechments here/ <br />1G5Y NIYiMG LIMITATIONS APPLC - S.z.'E I.A. 3. <br />t <br />t <br />i~ <br />EPA Form 3320-1 108-951 Previous editions may be used. /REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.! 0 O59 I ~ 9 P C 2 2 3- 12 5 F PAGE 1 OF <br />