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PERMITTEE NAME/ADDRESS (1nclude Pociliry NamrJlneation jD~erenq <br />NAME BLUE 'IOUNTAIN ENEiiGYr ItiC. <br />ADDRESSDESSAADO riIYE <br />.i6U7 COUNTY HOAD 65 <br />FACILITY RANGLY CJ tl16113 <br />LOCATION <br />ATTV: JBFf DI)Ut!e:RT <br />NATIONALPOLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER `'rnEC ~ ~R <br />' MONNA G PERIOD <br />YEgp MO DA YEAR MO DAY <br />FROM ~, 1 U4 30 <br />~' <br />Form Approvetl. <br />OMB No. 2040-0004 <br />w.IxOR <br />(SU9R NY) <br />F - PINAL Rd LAN <br />Reatl Instructions before~'pleting this form. <br /> QUANTITY OR LOADING QUANTITY OR C RATION NO;, FA{;FUFNC SAMPLE <br />PARAMETEq EX' y,oP TYPE <br /> AVERAGE MAXIMUM UN MINIMUM AVERAGE MAXIMUM UNITS ANAtY5/s <br />~JD. 1-DA7 SAMPLE aas#C# #a##~s# #rxos## 'S ( 19) <br />(ZU DE~• C) MEASUREMENT <br />=i <br /> . <br /> <br />EFFLUENT GRO55 YALU 8~ ~ ° ~ i,- <br />PN SAMPLE ^aaxa ~;:aa3# ####?# ~ 12) <br /> MEASUREMENT <br />U U 7 U U I J 1 ", .~~4 #+Y ~' tR ~ i-, <br />0 ~<:F y ~'~i :?5.; <br /> <br />E P !' L "DENT GROSS YALU <br />i3~1t)11)~IENt <br />, " ~ <br />~ <br />;: ;r :...; ,- <br />r <br />. T 3:' <br />a ~, _ <br />SJLIJS~ TOTA6 SAMPLE ^ '' ~' •`' `"r'r0 ~ ~ • ( 19) <br />S J S P E N D E U MEASUREMENT <br />UJ7.iU 1 U .d ~ ~t~`,' t'~ ~C6#4r ~-'-et0164~i~-"' •' ~ ~ R#tfa~# `: ' :::~, ~ ~- " '~' <br />t.FFLUf:NT GR055 YALU •-A~~V1RelhENi` ~ ~ Y` _ <br />~-°~~` - <br />., <br />JLL i ~R~A3E SAMPLE )'.,: c;:..:: -~ .. .. :.% ( 19) <br /> MEASUREMENT <br /> ~~ <br />cr!'LUF.Ni' GROSS VALU ,y5~lIJ~pEMENT ^..a '~ ,r; <br />IkJN TOTAL <br />r <br />SAMPLE :::r~axv ....,rwtr,: <br />-' ^ ~ ~ rr•uu:r- <br />s ' ~ <br />( 19).' <br />. <br />(Ag Fg~ MEASUREMENT <br />U 1 U LL S I U Q ->~..~ .- Mme: ~ p~~3?4" $Jl#>RI$ ~ e ~- ~ 0 #a <br />L•FFLUEyT GROSS YALU ~T" 'r~ ~" '" ~`° ~ "" ~ 34 <br />FLDY, IN CONDUIT OR SAMPLE ( 03) -•• _:~;"=-+;~` ^;t^`': ~^. <br />T;{RU TREATfSENT PLAN MEASUREMENT <br />" <br />. <br />S U J S U ], U a ~" ~ 0'(G~r -. " <br />y <br />~ ik ~+br". " "" #4t~F ic#.: ., <br />r'- ¢# C <br />!sFPLUENi GROS5 YALU _ <br />~N'{' ~0ti v. -~} <br />` N.;D w ~" #### ,'' <br />,<; <br />~'' <br />NLJAINE,' TDTAL SAMPLE :xaaa#a r##cm- ..iro=:~ ~ :t ~>.,:`«u ( l:9) <br />n E~ I D'J A L MEASUREMENT <br />:UUDU 1 D U :§p~ ,~ a t aaa il!~~Ar# ~+#i~l#i## s ~$~,,y '.`t, <br />cFPLUr."!T GROSS VALU L ~~~~ Y' n.'u'.'= a+tx~x "~ r <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1Cemry under penelry of law that lhis tlocumentand all anachmams were TELEPHON E .DATE <br />' 1 -L,~ <br />~ ~ (/a~'r S'/ Cd ~ prepared under my dkenion orsPpeMS' Ain ecroNan<e wllh esystem designed <br />to assure tnet qualified personnel prop¢rly:galher and evaluate the inbrtnallan <br />~" t7 <br />' subminetl. Based on myingeiry olthe person or persons who mane9ethe system, <br />information <br />the nbrmatim <br />ri <br />tl <br />lblek <br />lh <br />th <br />l <br />, <br /> <br />~rj U, Cn <br />r , <br />vecl <br />r g8 <br />e <br />ng <br />e <br />or Nose persoru <br />y respons <br />submitted is,to the bestWmy knowledge and beliel,tme, accurate, end cromplele. <br />SIGNATURE DF PRINCIPAL EXECUTIVE . <br />~~ ~ ( Q l J <br />T <br />TYPED PRINTED lem aware that rtrere are 9ignilkam penalties for submitting false inhrmation' <br />" OFFICEfl OR AUTHORIZED AGENT NUMBER R MO DAY <br />. of endi risonment (or kna+i vtolatiore. <br />Inclutlin the ossib <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/e2nc8ajC¢Kachmenls here) <br />JLL S ::R`:ASN, iIP,P7ii':L`;:.-~f: l.e.I.F~ PG VII. QRTRLY SAHPL.IhG INSiRfiC~I')NS-I.C.9. PG XI. <br />EPA Form G32o~1 (REV 0/99 Previous editions may be used. THIS IS A a-PART FORM PAGE OF <br />:. ooszn~Da.a~l~-l~eo.. 1 <br />