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PERMITTEE NAME/ADDRESS pwelJrF.ewryNew•/Ia•IIm UD~inwq <br />NAME fRAt~r'["R '".?VI1l;, LAC. <br />ADDRESS T i{ p k` i' E, h "'. i '! <br />crIAII~ <br />CO 81026 <br />FACILITY <br />LOCATION <br />r.1Ttii w. 40RD0~' F:~i':E.i. PkES/G F.tJ "1vR <br />NATIONAL -OILUTMT DISCNMOE ELIMINATON SY6TEM /NPDES/ <br />DISCHARGE MONITORING REPORT IDMR! <br />1.161 17• I91 <br />Co00 S <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />/26111 /17-731 /1L151 /16771 /I8-191 lJ03T/ <br />Form Approved. <br />ACUTF. -ET TesTIR~D"1~3'1e'a9t`~ ° <br />(S U E A ~ WS ApproveLellp3rp-37-98 <br />>: - rlnatF i <br />MIVrp <br />666 Na o?scHARCE I~I~ ":;=r: <br />NOTE: Reed Inetruellarr before compledny this fam. <br />PARAMETER !3 Grd On/Yl QUANTITY OR IOADINO !I Grd OnlYl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 1A6531 15e-5I1 13BJ51 1853 I51-511 EX µ~ TYPE <br />!31.371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 163-e~J M <br />~s <br />!µ5B1 !5&701 <br />(.SU S Aih 48Hk AC SAMPLE 6ts06rs~ 61Y406f11 ~ 6i6'6fi6 666'~.::r ( 23) <br />Cti{IOJAi'HNIA MEASUREMENT <br />~iAyj9 1 O O ~.~PERMI7::. ~:.~: ~..: 66!SQilirg ~~~~ <br />. ~ ~.#~~#'7P. I~[Q .: <br />. {16:1 100 ~":~.:~. ~ :~ O#0#Rtl~ :~. 064#.G:lf~... ER- ~~~ ~:(~AI.Y ~. :sRAB <br />:.FFLUENT GFO$S VALU .REQUIREMENT i:......:• ::..... ....: ;~ 6f,IX:y aii. p N <br />iC~U ST0."~kE 6N6 AC ~ SAMPLE 4~R:00#LI- 491aG 4.4:r 06A046 6;#L•fi6 ("2$) <br />Pi.`1EPHALGS MEASUREMENT <br />i ANbC 1 0 0 :,~...-. ,. <br />~tMIT-~, <br />~ <br />~ <br />.::~>r0#'..4.0~.~..:: ~~i:`~44rP1?¢+0~~#~~~~. 40# .V... ,..... _•~..,: <br />~~0 - ::: . .~. ~.444:?QII~#.:: .::?.y~'i9~~QQRi~101.'':': EB= .~.. ~.7EL:~'~~< ~~A$ <br />tr'rLJ6NT .;ROSS VALO ~~~l1~REM6NT ~ ~ ~ "~ >p6#~ i1-~. 1f ~ ~ _ t ~~~~~ ~~~ C6~2 <br /> SAMPLE <br /> MEASUREMENT ' <br /> :~ :PERMIT ::~~~~ ~.:~.,: ~ <br />::1~:eY. 'i.:: ~ .. <br /> ., <br />- <br />~ .. <br /> 'f(EQUIREMENS~~: ~ '~`.~c-:,;?~_: .' :. . .. <br /> SAMPLE _ '; ' <br />- <br />. MEASUREMENT ~jf yj~,C+~( ~ y? <br /> <br />~ i. <br />.., .REQUIRE. ~ :,: .:,:. <br />r•:: .i.•.,.~ ~ . <br />.' SAMP <br />' - MEASURE11ilENT <br /> <br />_ ~ELIFIIREMENT`' .: - - ~ . <br /> SAMPLE ' <br /> MEASUREMENT <br />__ <br /> PER.MIF : ~ : ,.: .. ..:. .: ~. <br /> REQUIREMENT ~ ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. ~..~. <br />•: <br />•. <br /> REQUIREMENT: :..::: ~~ ~.. .:~: ~ ~ ~ : ~. .~. ~ - <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MILIM WITH THE INFO LAW THAT I HAVE PERSONALLY E%AMINED MD <br />RMATION SIBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> <br />P <br />E MY INQUIRY OF TNOSE INDINDUALS IMMEDIAT0.V RESPONSIBLE FOR <br />OBTAINING THE INFORMATION, I BDJEVE THE SUBMITTED INFORMATION IS' ~ ~~ ~~ //_-_~_ <br />/-~'- <br />B <br />are <br />W. Gordon ACCUMTE- MD COMPLETE. 1 ABI AWME THAT THERE ME <br />TRUE <br /> <br />President 6 Gsneral Menager . <br />510NIFICMi PENAl71E9 FOR SUBBIITTMO FALSE INFORMATION, INClU01NG <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 10 U.S.C. ! 1001 MD S] <br />' <br /> <br />BIONATURE OF PRINCH'AL E%ECUTNE <br />0 24-4401 . <br />9 0 <br />S <br />TYPED OR PRINTED .• ulcer dw•. mnm• Ilur {xAd, a,.• w M1+ E roam <br />u.3.c. E 171e. rlvlrro <br />rld>muLmnr irWY.twrr+rNbM•n emwlNarMSWVa! OFFICER OR AUTNORRED AOENT CODE NUMBER YEAR MO DAV <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS IReJerence all utschments h-re) ~ - _ _ <br />.,Ld I.A.1, PP 7-I, FCft [>rTAILS GF TEST PROCEDU9E. E_F.PJi+.:' LC`0 - 'TAT?_e?ICaL PCINT ESTI`!ATc: ':HICK I:: <br />Lt:"fHAL 'fU SOA OF T°eT .IIiGaNISRS, AND ATTACH ACUTE TOXICITi TES' AfFCF7 f(;N1a TC [t'H. COF'IFS OF ALL <br />I VCIINM IT TlIN III IICT 4 CC r <br />Lam[) <br />EPA Form 3320-1 IOB•961 Previous editions may be uebd. IREPLACEb EPA FORM T-d0 WHICH MAY NOT BE USED.) Q ~ ~ 5 6 / 9 8 C 113-10 5 h PAGE' lOF I <br />