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FERMTTTEE NAMFJADDRESS Qrbi /~sfryN~/Lrrfw yDd..wq <br />NAME BLUE !7OUNTAIN ENERGY, INC. <br />ADDRESSOESF.RADO ~9INE <br />ibU"/ COUNTY ROAD 65 <br />RANGLY Cu tl1649 <br />FACILm <br />Lt3GTION <br />ATTN: JEPF DUBBEHT <br />PARAMETER <br />.. .,.„ <br />Farm Approved. <br />NATIp1At FMLUTANT dSCNMOF FUMINATON lYITIM //NPDESI oM6 No. zoao-oooa <br />DISCHARGE MONRORING REPORT /DAIRI h I N 0 ft <br />2 (SUUR UM) <br />PERMIT NUMBER ~ xNAnaf NuaeFn F- FINAL R B L A N <br />dA-i LOADOUT TO RED WASR <br />MONITORING PERIOD <br />FROM D r D v a## NO DISCHARGE ~~~ ### <br />TO <br />NOTE: R~r,d kIf Wctlarr MIerA eompMtlrq tft6 corm. <br />NO. FriFOOFNCr SAMPLE <br />QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />AVERAGE MAXIMUM UNITS. MINIMUM AVERAGE MAXIMUM ~ UNRS ~ ~~ ~ ANUrss ~ r r~~ <br />/, •V1M1Y .IAMILL TTTYYY YY'lYYY i YY YYYry• t 19/ <br />UISSOLYED MEASUREMENT <br />7U1~S 1 U U :PERMIT O;trf <br />EFFLUENT GROSS YALU "REQUIREMENT" ` #### ;~~}A',(!~'•. NG/L <br />f SAMPLE <br />GENERAL MEASUREMENT <br />7 4 U S S 1 0 0 .PERMIT rn t. / <br />EFFLUENT GROSS YALD AEnUIREMEN7 w °~, . .`.s=_ ~-:' t4 >•'"-= E". 100[1 <br /> SAMPLE <br />VISUAL MEASUREMENT <br />tl4U6b 1 0 0 <br />PERMIT <br />+~" ~ -- <br />E5=1 <br />u-x ### <br />Et'PLUENT GROSS YALU pEQDIREMENT '. ,-X`~~=~' N6=0 ~~';° ,, ~~+Ii~l~;~,^2~. #### <br />REQUIREMENT <br />SAMPLE <br />SAMPLE <br /> <br />. ~ .~:~ .„ <br />NAMERRLE PRINCIPAL EXECUTIVE OFFlCER """" ""' ^""" °"'" ""' "" """'"' •'° •• •""'"`"° ~^' <br />,rtp.rN.wf.. wy llr..llw w.upr.Yw I..m.d.n.e wlln . qn..n adf.ra TELEPHONE DATE <br />S~ ~, <br />~NS/' le r.n InY ~..IIIMd pnon..l rr.rrdl f•IM.M nW.le IM I.r....nw <br />r.sMUri. Fwe w wr irquin N Yw pnow er F.rv..na M1.n.p u..ynlM1 <br /> <br />G <br />~ sr Ins. pr..w a1..cey rvptiM for f.lnedn f N. infw~n.lls, In. 1.fa~Nen <br />.uYwi11M w b IFe .m er riy Lw.raR.na MM <br />In. <br />.n..nle <br />.nd mm <br />len <br />~ <br />~ <br />2 2 <br />K / , <br />. <br />. <br />. <br />r ,~/ <br />r/ O~ <br /> I.n...nr~.l lern.n Af~.nonl pw.els fw wlriunfnr dre..row. t110NATURE OF MIIMCIFAL EXECUTIVE <br />TYPED PRMiTED IndiMlq 111f p~INXlr ern.e..a nn,rls.rn.l r>nee.inf.lel.uoia ___..__ _ _ _ _OFFICER OR AUTNOR¢ED AGENT COpE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~/~rrancF fvT FfM1ehmFnff hfrfl <br />OIL t GREASE REPORTING-SEt. I.3.L.F, PG VII. QRTRLY SAtIPLING INSTRUCTIONS-I.C.9, PG XI. <br />EPA Fortn 3320.1 (Rev. 3/9D) Previous editions maybe used. O 0 0 ~/ B / V L•(S s~iy~-~a~l. <br />