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PERMITTEE NAME/ADDRESS.pnelude Faciliry Namdfarntion yDr$erenq <br />NAME p <br />ADDRESS-~'-UE MOUNTAIN ENERGY. INC. <br />DESERADO MIME <br />3607 COUNTY ROAD 69 <br />FACILITYRANGLY CO 81648 <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES/ FOrtn AppTOVed. <br />DISCWIRGE MONITORING REPORT (DMRJ i OMB No. 2040-0004 <br />MINOR <br />P RM BER DI G NUMBER (5UIIR NW ) <br />F - FINAL RBL-AN <br />MONITORING PERIOD RA-1 LOADOUT l-0 RED WASH <br />YEAR MO DAY YEAR MO DAY <br />FROM t nt TO t^. ^~t +r#unr~~oD~7SCHARO~_,I,~~_~###A: ~^~ <br />.v. nl r r __- - -- - - __ , <br />- ~ QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNa-~Is <br />OL I DS. :TOTAL SAMPLE ##arw## ~###*# ##~I•### ( 19 ) <br />)I5SOLVED MEASUREMENT <br />X0295 I O 0 ## ,fit <br />t t rrl.tr .y,, <br />:OLIFORM, FECAL SAMPLE *wtet*# •M,ll•triHt{F ###### ( 13) <br />>ENERAL MEASUREMENT <br />4059 I -0 O `, ## <br /> t <br />IL AND GREA®E SAMPLE .X..p..q.X.*.~ ( 94) #####iF ###### +titaF#it# • <br />I SUAL - MEASUREMENT <br />4066 1 O .O S~rT A o-#x . <br />~y <br />~':~ <br />SAMPLE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER (Certify under penely of law lhm tldt OOwmeM and dl edacLmenla ware ~ TELEPHONE DATE <br />.. prepared under my dlreclion or suPervisbn In eaerdance wier a system tleslgnad <br />to eawre eW qualiMed-0Bnormel propedY gaNer antl erWUete the Intimation <br />S~~~l'Cc.de.,,9yr~ ~ submitted. Based an my inquiry of are perean a peabre who menage the system, <br />or Nose pereara dkeeey responsible br geNedng the Inlomatlon, the Intimation - <br />H - submNletl b , to Ne heal of my krovAedge end belief, true, accurate, en0 complete. SIGNATURE OF PRINCIPAL EXECUTIVE 7 ~~ 7 ,, ) U) 5 <br />I err) aware ttlaz rhea ere elgnificera penaNes for wbmiteng false Inbmaeon, OFFICER OR AUTHORIZED AGENT <br />TYPEDO PRINTED including the posvibilily WRne and imonwnmerrt br knowing NOlatlana.. r•nnr: NUMBE "' YEAR' MO DAY <br />C:nMMENTS AND EXPLANATION OF ANY VIOLATIONS !Re/erence all attachments here) <br />OIL >~ GREASE REPORTING-SEE I. 8. 1. F, PG VII. GRTRLY SAMPLING INSTRUCTIONS-I. C F1, PG XI <br />I <br />EPA.Fortn 3320.1.EREV 3/49j_ Fievious editions may be used. - ~ THIS IS A 4-PART FORM PAGE OF <br />' '. 00116/000222-iS16 2 <br />