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PERMITIEE NAME/ADDRESS (1nrAdsFadLryNantdLooetlon yD(ffeea)
<br />NAME WESTERN FUELS-COLORADO, LLC
<br />ADDRESSN E lr R p R I'G 0 5 :% I t. t'
<br />P.O. B01C I%Zt3
<br />FACILITYRUCLA CO R142U
<br />LOCATION
<br />ATTRI 3. LANCE GAne_ Y.TNC NaNar_~z
<br />NA710NAL POLLUTAM DISCHMGE ELMINATION SYSTEM (NPDES)
<br />DISCHARGE MONRORING REPORT (DMR)
<br />PERMR NUMBER • DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM D O 1 0 0 TO ~ 1 2
<br />Fonn Approved.
<br />"1 I N 0 R OMB No. 2040.0004
<br />(SURR WC) - -
<br />F - PI\AL ~' ' ISNTP.S
<br />POND RUNOFF 0:7LY-TtlTTL~ DR1UY
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<br />naa 40 DISCNAAGF"i~.F aoa '
<br />NOTE: Read InstrucUOns etln8ltrle form.
<br /> QUANTITY OH LOADING QUANTITY OR CONCENTRATION ; ~ ~ N Oz F S
<br />REOU AMPLE
<br />PARAMETER ~ ; EX~ (
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<br />61GNATURE OF PRINCIPAL EIDiCIJI1VE
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<br />_ the tll otane enC Itn rtwC br lawn HdeaoN. OFFICER OR AUTHORDED AGENT
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<br />SSDTLEABL-e SOLIDS. LIMIT BILL 3F MAIY;:D POR >1DYk„14i1R i R3CIP EV=ST.-SF.E I. A.1 (D) , P ~,4,. RORj R.EQU=RElIF~NTSe
<br />QRPRLY SA`1PLING IRSTkUC'."IONS-I.C.G, PG YIe 30 DAY AYG IG IiIGNF.ST. t50!:T'iILY AYG DURI+~C"rP~kI4D'-A6.pOR'C___~jD.
<br />EPA Form 3320.1 (REV 3/99) Prllvlous editions may be used. 7 t THIS IS A 4PART FORM PAGE OF
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