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PERMITTEE NAME/ADDRESS p.cW4 FrWryNs/fx,nm l/DlpGrers <br />NAME ENEk::Y FUELS !IINIti;, ~]yPANT <br />ADDRESS SUUII:FIELD nIa'E ~(iAL LUAUUUT <br />35V lYDIhNh SrkE%T, SUITE 8DD <br />bULGcti CO 90~D1 <br />FAal.m <br />LOCATIONf' L'J r. T. i~ ~ h: L J tl 12 Z b <br />AT:N: GLJ=2k Y. P0.TT=RSJtJ, Dh-.a. :7 ;,fi. <br />NATIONAL POLLUTANT~DISCMMOE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />1-161 - 17-191 <br />C]~950006 UG1 ~ <br />PERMIT NUMBER DISCMAROE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM Y tl v J L TO y u u y ,f U <br />116111 l11-131 /1I-151 12617) (1B-191 /3631/ <br />Form Approved. "-' <br />FOND I DSCHRG TO ~nw~r°Ii.2.04R•DDO,t4R <br />($URR SE) APProvei L%Iy ~OS-31-98 <br />F - PItiAL <br />':IAUk <br />NOTE: Read Inetluaiam before eomple[inq thu form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !~ Grd Onhl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> 106531 I5I-sil 138-~51 !4653 154-s/l <br />E% OF <br />l31-J71 ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ts1-ssi 164681 169-701 <br />N ~ SAMPLE as aP aO, O;Aa7rJr ;: 17': :}{: ( ] ~) <br /> MEASUREMENT <br />3UuUU 1 0 D PERMIT-: '4taaalXtt' rJM4GQa .^. f,: `It 'r.5 iIr:LM`fF TS 9r0 ~ ~1/.~4`~:If• :11fiI7'L` <br />PFLUEaT .;c];5 YAL'JE .RE~UIREMEN7 +aaaU rlit4:Lt;til1 [7A~CIt4U!l S1; <br />'~F <br />3 Li US, :,~TTLEAyLF SAMPLE aaxaa~, auaka:s ;trsaaao a~>~(J1~t.. ~' _~_~ y25) <br /> MEASUREMENT ~ ~~ <br />3054`: ? !: ] .:..~ PERMIT "`Q3 ~Gt..p. <br />V :..praryC<k:vf (I ::::,^- .:~:k.^..~:t~4:i:.~.:: +}r ( NCE/ <br /> <br />R <br />EFFL'JcHT <br />., F' 7 ~ 5 V A LJ F. <br />REQUIREMENT <br /> <br />r: ar,: a <br /> <br />.. <br />)IL ANJ '~r.=ASE SAMPLE CrPaaka aaG;Far= I;r:r:a:: ~4a{~ 'kC ( 19) <br /> MEASUREMENT <br />)35L'•2 1 ~ D PERMIT Qaa a. k.4 aa:Y k.ka ,>s >:I'7F R;d rt.a>r ~:: 44ra0 # <br />::...: <br />t:a <br />c <br />l~. <br />oK <br />rz <br />:~A9 <br />cF'FLJr:tri .;BJ55 YALUF. .REQUIREMENT. ;.: rrA(aa . <br />bAI~:T. MX' hS/L . <br />. <br />G't!#T : <br />'LUs, IN ::~NGUIT ]F SAMPLE ( C3) aGaau;: :: ;: r,: Ca carxYt+Yi <br />[HHU TitGnl PENT NLAVT MEASUREMENT <br />iUU!~J C D PERMIT. ?PTIJNAL RE?UkT Raupaal. .;<ilaR: # LctAOYAI::.lk.i a;:r,. ( NCF/ k$TAa <br />eFFLt/r.vr :%k755 YALUE :REQUIREMENT 30U~ AYE .pA.TLY:'!f1( dGG ',.r,', <br />1tOxTN <br />:: <br />)IL A.rll „.ttASE SAMPLE :alaaa ( 94) arTa4tA:• :SI{: YA rA at::a^, r:a <br />/ I j IJ A ;, MEASUREMENT <br />i110Gb i ll U PERMIT ~ ~>r:.KEt;tLra~ ..~F.~PD3T Y F:;=L ~ ir4:,GiIQ V{r L: (: 1{t '. l,::Yrtis!::;: r r:~~:: r v~(•/ , <br />L. ,:~;SU~AL <br />;FFLU::A'I UMJSS YALJL REQUIREMENT - It35T NA1t hl:,=U <br />"1,]%T.H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT: <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ <br /> REQUIREMENT~~ <br />NAMERITLE PRINCIPAL E%ECUTNE OFFlCER I CERTI FY UNDE11-PENALTY OF UW THAT I NAVE PERSO NALLY E%AMINED AND TELEPHONE DATE <br /> AM FA MILIAR WITH THE INFO RMATION SUBMITTED N EREIN; AXD BASED ON <br />~ <br />r <br />' <br />~ /~ <br />~I <br />b <br />LI ~ `N /'I MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFOMIATION <br />1 BELIEVE THE SUBMITTED INFORMATION IS <br />- <br />. <br />~ <br />I <br />. /r .i <br />_ <br />(- , <br />TRUE <br />ACCUMTE AND COMRETE <br />I AM AWARE THAT TNERE ARE ~ r - <br />- . <br />. <br />SIGNIFlCANT PENALTIES FOfl SUBMITTING FALSE INFORMATION <br />INCLUDING "" r ~~ ~ 4''-t~~Z`'" ~ ~ ? <br />' <br />' <br />J <br />_ <br />S , <br />THE POSSIBILITY OF NNE AND IMPNSONMENT <br />SEE to U <br />S <br />1 1001 AND GG <br />C _ y~~ /~ <br />I, <br />i' <br />- <br />I ; t <br />. . <br />. <br />. <br />. <br />' BIONATURE OF PRINCIPAL E%ECUENE / ~ ' ` <br /> U.S.C. E tats. ObWei, u <br />t/Ar eM,. mM„ nvY bcNre, hw, ry ro F 10,000 <br />TYPED OR PRINTED AM nmuinvn nlFdrawMnt,Iblw„rr4monN,w6Y,vsl OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANV VIDLA11VN5 (RS/eienee ell ettscAments oars/ <br />St':TTLEAbLd SULKS LIMIT ~AIVEU FDR 17-YR, 2U-9R PkeCIP EYdHT ~UCJa;;;T TO B[15f!ET JF' F7~'r ;'Ii4e:"IENT.' :'• <br />PART I.d.1.D, PJ. L. 5TUk9NATF.d MAtiAUE9EVT PLAN DUF. 1-1-9a. <br />EPA Form 3320.1 108-951 Previous editions may be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.1 <br />. ')DU5/'i7:'^1 ;-] ~ ~4 PAGE I OF <br />