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P/'i'ERMITTEE NAME/ADDRESS pwd,6 F,.ctliryNa./L«aila. UD~fr.,.nq ~^ ~,
<br />~CNAME ENERGY rDEL$ tlIMIYo COtlPAM l~~~'
<br />~~ADDRESS SOUTNFiBLD nI®B ~oAL LOADOUT
<br />35U INDIANA STREET, SUITE 807
<br />' GOLDEN- CD 80731
<br />FACILITY -
<br />,~LOCgr1oNFLOREN~6 CO 81226
<br />:ATTN: GEOkCE Y. PAfTBR50N. GEN. RGH.
<br />'NATIONAL POLLUTANT UISCNMOE ELIMINATION SYSTEM Il1TPD~SI
<br />~DISCHARGE'MONRORINC REPORT IDMRI -
<br />11-161 ~ 17-191
<br />COS850906
<br />PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 9 Y U L TO Y 51 '09 jU
<br />I1071I I11-131 116751 ~ 116-771 l18-191 !30311
<br />. x:. ~• ~ .. .. Forrri A'PProyed~) -I
<br />PORD 1 DSCHRG TO O~AE~°F~~Ob4~_OOb~j~
<br />($UBR 5E) Approval L~~ge;05-31-98
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<br />NOTE: Reed Inewetiaro b.loye.eompkting this 1drm.
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<br />~ .NO FREQUENCY SAMPLE
<br /> I46-531 1546/ ~ 138-451 146-53I
<br />154-611 OF
<br />l3a371 EX Marss TYPE
<br /> -AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s7-esl 164681 /69-701
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<br />NAME/TITLE PRINCIPAL E%ECUTR/E OFFICER I CERT
<br />AM FA IFY, UNDEN`IPENALTY, OF
<br />MILIM KITH THE INFO LAW TNAT I NAVE PERSONALLY EXAMI
<br />RMATION SUBMITTED NEREIN; MD B NED•MD.
<br />ASED ON ~ -~
<br />: TELEPHONE ~~ DATE
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<br /> MY' INQUIRY OF TNOSF INDIVIpUN
<br />3 IMMEDIATELY• RESPONSIBLE 'FOR - -
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<br />OBT.NNING TNE7INFORMATON, (BELIEVE THE SUBMITTED INFORMATON IS
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<br />SIGNIFICMT PERALTIES FOP SUBMITTING FALSE INFORMATION, INCLUDING ~ ~ - r
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<br />~JrC.C..• ~I'Le_~E~aN'~+ THE POSSIBILITV10F RNE AND IMPRISONMENT. SFE Ie U.S.C.11001 MD33 gIONATURE OF ~INCIPAL EXECUTIVE ;~
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRrrerence s// sftschments here/ .
<br />SEfS'LEABLE 51LIDS Lltli! YAIYED POIf LD-TR, 24-HR PRECIP BYENP ,iu6JECT TO BURDEN OF PROP h:(±'JIRR"IENTS IY
<br />PARf I. B. 1.D,..P„• 5e SPOflnYAf6H YA~AG6IENT PG111 DUE I-1-93,
<br />Nm 3320,1 108-951 PreN0U6'eAiUOne mey De:M9eQ. y ~ (REP.IAE:GS,EP.A FORM TAO WMIGN.MAY NOT ELE VSED.I PAGE Of
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