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<br />NAME ENE9GY FdELS NINI96 COCPANY
<br />I;'~,ADDRE55 -)CUTN FIELD NINE C3.AL LDAD007
<br />:It 35J INDIANA STREET, SUITE BUD
<br />GULDL'k CO 90LL71
<br />Y-' FACILITY
<br />LOCATIONP LDti$NCE CD 91225
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<br />DISCHARGE MONTTORING~REPORT (OMR1 ~ O B No. 2040-0004
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<br />PERMIT NUMBER DIBCHMOE NUMBER F - FI N A L
<br />MONITORING PERIOD MIXOR
<br />YEAR MO DAY YEAR MO DAY
<br />FROM Jl Vl JL TO UL U.i 31 ### NC CI SC`!A4:; !? ~~~ aGo
<br />!10.11) !TT-131 l1bT51 !T6-171 !TB-191 /30.311 NOTE: Reed Inetruetlom before eomp6tinQ ihie farm.
<br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING !s Grd OnlYl QUANTITY OR CONCENTRATION NO FREDUENCr ~ SAMPLE
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<br />NAME/TITLE PRINCIPAL FJ(ECUTNE OFFICER I CERTIFY UNDER PENN.TY OF LAW THAT 1 HAVE PERSONALLY EXAMINED MD TELEPHONE ~ DATE
<br /> AM FAMIUM WITH TXE INF011MATION BUBMITTED HEAEIH: MD BASED ON
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<br />~? 1 ~_~ ~C: ~•~ ~ /LJLtN j! YL MY INQUIRY OF THOBE INDINDUN.9 IMMEDIATELY REGPONSIBLE FOR
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<br />-~sEPA Form 3320-T 108.951--Praviouaeditions mey be used. _ _ _ IREPLAOE$ EPA FORM
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