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PERMITTEE NAME/ADDRESS pnclede Faciliro Name/Gxmton i/Di$erenq <br />NAME <br />COLQ.YO CURL CU!'PSNY~ L. P. <br />ADDRESSr(11.CIYTO feINE <br />~/3] STATE: NlGriiiAT l.i <br />FACILITY '! E E ri E: F C O. 816 U E <br />LOCATION <br />ATT`+: .1. U. HAR`ION. GFNEkti YA~Nlr:ilR <br />T - - <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR; <br />(2461 (t]- 91 <br />:-.. r'nn nl1 S7A1 ;1~1A7 <br />L"r-:• ~ PERMIT NUMBER --'~' Isc ARGE NUMBER <br />_.~ 3._ e.;atb~` <br />_ . _ ,., :'MONITORING EHIOD <br />FROM <br />lY6~Yr1 (16-z9) (3431) <br />Form Approved. <br />M E S `,a OMB No. 2040-0004 <br />Approval expires OS-31-98 <br />(54JBR NH) <br />T`':s" PI'FAL M6PAT <br />E~HOOSe. 56DI TG T1ITLOR CPF.EK <br />.rli0 DIS'Ci1tJIRGE ~+~'~ <br />•.NOTiE;WRead I. n5t[udions before completing this form. I <br /> (3 CeN Only) QUANTITY OR LOADING <br />~ (4 Card Onry) QUANTITY OR CONCENTRATION <br />) TJO;; <br />~ FREOUENC SAMPLE <br />PARAMETER (46-53) (54-611 (38.45) (46-53) (54.61 EX~. '" OF TYPE <br />(3za71 AVERAGE MAXIMUM UNITS MINIMUM .~ 'AVERAGE MAXIMUM UNITS.. <br />(6z~G3) 'ANAws/s <br />(64-88) <br />" (69-70 <br />%~ ? L A tJ :? :. F: F, A :i o SAMPLE r, r<.:::: ~ ~~ <br />( ')4) <br />¢~pt>Or IRIS qi <br />i1C4iF4# <br />'r aY A:t rj :y ' <br />Y 1511 A ], MEASUREMENT - ~~" <br />;. . ~• <br />HJl16h 1 U U :'PERMIT :" ~~ .. RRPOR~;'1 F5=1 . <br />~ ~z~ 1M#~IfS5+01 ~. ~ 't'}y ; .-.. ~~ <br /> <br />°FiLCeNT GRO55 YALUE <br />REOUIREMENT+ <br /> <br />Ix~t <br />~~` <br />T . <br />+"*.3 <br />, <br />j~~'F a°'s ~~ <br />~atyeyl <br />' <br />° ., <br />r <br />~q' <br /> , - , z ,: <br />.fo 0 ~, <br />~ . <br />- K . ;;:~, <br /> SAMPLE a ~ ~-~}, . <br /> MEASUREMENT i <br /> - ' " <br />~ <br />"r <br />" -'" ~~ <br />- <br /> REQUIREMENT i'+-~ r ~ <br />r ;,; <br />-; <br />r~ <br />t * <br />- <br />t } <br /> , <br />' .L l .~{ <br />^ r t <br />~4 <br /> SAMPLE ' , ~'' <br />~ - <br /> MF3ASUREMENT - ` x."~ ~ ' <br /> tj,;.ev v.: <br /> .. ,;-'PERMIT - - - - - ~~',..3, ,.. ^. <br /> REQUIREMENT - -}s~` r - - <br /> SAMPLE <br /> MEASUREMENT <br />Tz", ... ' <br /> ~ Y ' <br /> FiEC1l11fiEMENT - s' <br />S', lr - .~rfT~4a. ~}„x~w:, ": <br />A.~r<.s ! <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />F7EOlIIFiEMENT: <br />+ ~ <br />. - <br />.: - +7; ,,,x, <br />-'+, v°s+ i/; "` _c ~ <br />v;~.. <br />~' <br />~ x ~°. : <br />3p•' ~q?za• ~'~ <br />+. <br />„t a~ .,:~ ;; <br />'~~,'ri ,:r <br />r <br /> ~ z <br />r • 1 <br /> SAMPLE <br /> MEASUREMENT <br /> ~' PERMIT ~ - - - -_ <br />* " ~-' <br />~ <br />f <br />i. <br /> REOl11REMENT~ ~ - + <br />"+a-74 ~. " <br />}""± <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT ' '~'`` <br /> <br />REOUIFiEMENT <br />~ _ <br />- <br />~ <br />" ' <br />~ ~. <br />r <br />i` , ~ x ;~ <br />I <br /> .n <br />- <br />~ - <br />,,, ~ <br />• _ <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY <br />OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I <br />HAVE PERSONALLY E7(AMINED AND <br />ATION SUBMITTED HEREIN <br />AND BASED ON MY J TELEPHON E . ~~ DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING (` <br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 18 TRUE: <br /> <br />i ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />O <br />~ <br />O <br />1 ' <br />A <br />~~ N BIUTY OF <br />PO <br />NE AND <br />ONME <br />NS <br />C ~ <br />7 <br />~ ' ~ <br /> <br />I7 rMn FI <br />MPR S <br />Nr. SEE 16 <br />SS <br />U.S <br />C <br />100 <br />AN0 <br />39 U.S.C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />7A <br />. <br />. <br />~ F1,n0 <br />~ 1 <br />11 <br />r <br />~ <br />TYPED OR PRINTED § ~3t9. (Perielfies WWer Ihese s18Mes may include fines up to E1D,000 end or <br />maximum tmpnsonment ol4hveen6monrhs entl5yeers <br />) OFFICER OR AUTHORIZED AGENT NUMBER'"' YEAR MO DAY <br /> . DE <br />~UMMhN I S ANU hXYLANA I ION Uh ANY VIOLA I IONS (Hete2nC9 9// attaChOlents hare) - ~ " <br />SE'CTLEANLE SOLIDS LI!'~I7 APPLIE:° ONLY IF <=]DYR,24HR PRPCIP EYEYT IS CLAIMED. IP CL~;„ PROYE;C FT W^,CDr <br />TS5 G IHOR LIEIITS PILL NOT PE APPI.I!:D TO RE:PORTECi Y.EASUP.$MFATS - SF,E I.1.2. PG. 5 l RDEF OF PROOF <br />pvA ~F~or~in 3320-7 (OB-95) Previous eddlons may not•be used ~w(REPLACES EPA,~ORM T-00 WHICH.MAP NOT BE USED) _~YA~r~ ~ I" #~ ~ "~ _ ~ ~ PAGE. ~ "OF <br />J~'.i ._. 'r ~- ... -.. ~.. ._ r_r _... ..-c~Wiw..}._f i6 i.fif~5®IYK ~1 .. ~4 .. <br />