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PERMR'~@NAAIE/ADDRESSp.afri F.nnryN~WlxuluF,/D(pGwr}_-- ---~-~~_ <br />NAB pOYDER80RK COIL COMPANI T T <br />ADDRESS YOADSID=: ''IRE, N E S PORTALS <br />P•D. BOA 143G <br />PALISADE CU 81525 <br />FACILITY <br />IOGTION <br />AT'fli: JOHTi A. •!CNLi+,r4d5I~ENT <br />DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO 9 12 31 <br />!76711 177-73) !14751 176-771 118-291 130-371 <br />PORD 6 TO COA"I...C Q• 2D~-oooa <br />(SUBR NC) ~~-~ ~""'"-`I~°~C~1U°y05-37•se I~ <br />F - FINAL <br />PIYOR <br />NOTE: Reed inetrucUoru belore completing this lorm. <br />PARAMETER !3 Cerd Onlyl QUANTITY OR LOADING /4 Grd only! QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 146531 151-ell I38-151 !4653 !54611 E QF <br />131-371 X <br />MALYSIS TVPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s7-s.Tl 164681 188-70I <br />k~cl SAMPLE .'e#>~/.--4# :##### #Y>##i'{: ( 12) <br /> MEASUREMENT <br />04UU 1 U U PERMIT #~P!R+R+71# #1140!## ##;c <br />b.5 <br />##~`e#~#4 <br />9 0 <br />• EBLLY -NS I'f `,J <br />e' c I e <br />..F. LUENT GH03S YkL 1, REQUIREMENT ~ a#:~# vln K K <br />:;ULIDS, TOTAL SAMPLE #a#a## #aaa## #i#a## ( 19) . <br />SUSPENDED MEASUREMENT <br />'O~JO 1 0 0 PERMIT an4lA!# ~#IR44#1 .. #4a LlOi+P#1P. 33 7© ( NcEI :+St$ <br />LFFLUENT GROSS YALIIF REQUIREMENT a#~# 17 <br />OLIDs, SETTLEABLE SAMPLE >rr#### s:#a##~ #a#### ( 2S) <br /> MEASUREMENT <br />U54S 1 "A 0 PERMIT :>###:;;. ::aaolc# ##t: a##### REPORT RE FORT ! NCE/ iRAB <br />Ef'FLUENT ~lAS5 YALUE .REQUIREMENT a### 30DA A4 Y 'A H <br />LHON. TOTAIr' SAMPLE -.fi#i~;:~: #''.I.'rY.## ####f-« ( 19) <br />(AS -N'L) MEASUREMENT <br />1045 1 0 0 PERMIT r###x# #ia#, # s:#x a#a##a 3.5 7.0 NCE/ ;RAB <br />r.FE'L'JENT BRO55 YALUE REQUIREMENT a#;~,~ A K <br />il:. AYU GffP,ASE <br />- SAMPLE :`YA###:t #aaa## .'}#r.?#Y ( 19) <br /> MEASUREMENT <br />.i5t+2 1 0 U PERMIT ###aaa <br />~ <br />~ ##a4## b#ir a+as>p,pa REPORT . 10 ONT3N ~RAR <br />.: E'FLUENT GNO55 VA LUi. REQUIREMENT ~ ~ #### ~ G <br />°LUY, IN CONDUIT OF SAMPLE ( O3) #a##t:# #r~tr## fi;#### <br />HHG TREATMENT F'LdN MEASUREMENT <br />JUSU 1 0 0 PERMIT. HEFOP,T REPORT x#t#na ##+>~#a #Y10t1Q# ### i E?H LT '',ISTAp <br />FFLUENT GROSS 'tALUF REQUIREMENT 30DA AYG A1ILZ !!X MGD a#a# <br />;ULADS, 'TOTAL SAMPLE ##a##G s#a### #II##v# ( iQ) <br />I~SOLYEU MEASUREMENT <br />/U19S 1 0 U PERMIT ##4atz;f ##aa## ,.,. ###4#a REPORT RY.FORT TRLY :aAB <br />Ff'LUERT GROSS VALU REQUIREMENT a#a# RT8 AYG MA !1G <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L AW THAT I HAVE PERSONALLY E%AMINED MD TELEPHONE DATE <br /> AM FAMILIM WITH THE INFO RMATION SUBMITTED HEREIN; MD BASED ON <br />~E_ •' N <br />V <br />E. <br />7rD MY INQUIRY OF TNOSE INDIVIDUALB IMMEDIATELY RESPON46LE FOR <br />OBTAINING THE INFORMATION <br />1 BELIEVE THE SUBMITTED INFORMATON IB / <br />r <br />/ <br />. <br />V <br />F L~ , <br />TRUE <br />ACCUMTE MD COMPLETE <br />I AM AWME THAT THERE ME { <br />/~ <br />' <br /> <br />~ . <br />. <br />BIONIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCIWING - <br />_ <br />(~ <br /> <br />I~ <br />~"'( , <br />THE POSSIBILITY OF RNE MD IMPII <br />T <br />SEE 18 U <br />1001 MD 37 <br />O <br />E <br />~ .s~ ~iY <br />~~/ <br />06 <br />O / <br />-µ. . <br />IS <br />NM <br />N <br />.S.C. E 610NATURE OF PIIINCIPAL EXECl1TIVE ` <br />_ " - <br /> U.S.C. f I B t s. !/-nwl.. u.ew- a.r mnma my MrcAre• err. w ro S 10,000 AREA <br />TYPED OR PRINTED w>T,rNenr lrlplsnrnrrr olMrwwn smonNarg6Y•r..l OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLAI IUNJ fRlle/once s//sftsCNmenFS DB/el <br />SETTLEABLY SOLIDS LIKIT APPLIES ONLY I° <=l0YR,24HR PRECIPITATIOM1 FVF.HT IS CLAI!!ED. PtRMITTP.~ IIAS <br />;URUEY OF PROOF YHEN REpUESTING RELIEF FROM SETTLEABLE SOLID= PRINAkY LIMITATIONS. <br />EPA Form 3320.1 108-951 Previous editions mey be used. IREPIACES EPA FORM T~70 WNICN MAY NOT BE USED.1 0 0 6 ~ 1 / 9 8 C 2 23-125 b PAGE 1 OF <br />'~ <br />