Laserfiche WebLink
._.. PERMITiEE_-NAME/A~@pCSSRwiMF.eW7NrWb.eMl_~-....-.- ,._yr~___ <br />NAME P~YL n~W OBE CCS IL-. .~LY~~ .LL. .. ^,. <br />ADDRessS0AD5IDE :1INE, N E S POflTALS <br />P.o. sox iu3o <br />PALISADE CO &1526 <br />FACILITY <br />LOCATON <br />.4TTN: JUtlh ~-. 'CN6:1. FRKSIUF.NT <br />--r-~+~- r~oQv~jeQd. Fy~p[ - <br />~ goo ~ L_ ~~~ J~~. y`rf~~05'31=8B <br />00 0 02 719 6 L-~ (SGBR 110} e1B~~Tjj <br />PERMIT NUMBER DISCNAROE NUMBER F- F I 1 A L . <br />MONITORING PERIOD !I I N O A <br />YEAR MO DAY YEAR MO DAV <br />FROM u 70 ### NO CISCHARGEp/~~/ ~"~= <br />!1621! l22-231 !14251 /I5-271 !Ie-I9/ !36911 NOTE: Resd InetructlaFM bNof1 Compbtinp thb foFm• <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !1 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 146531 154-611 I3B-r51 !4653 I5I-61/ - <br />EX OF <br />TYPE <br />l31-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is2ss1 ANALr515 <br />(6<-681 !63701 <br />N SAMPLE #t~i### 314### #At### '( ~2} <br /> MEASUREMENT <br />70400 I ~~ ~0 PERMIT .::.. ~~:~., #+01#p4i~. ~. ~ #'i1Q~ll4i~4 ##.. ..5.. AC.fiIRi4 ~9~~U.:, ~~ ~ ::: ~LgiST.T 'g5YTU <br />Ft'LUENT G$USS YALUE REQUIREMENT.: : ;.: ##4# XT.;Tt~tt:. ' <br />,/; . <br />„)LIDS• TUT~L SAMPLE 4#i4## iai4## iiri#i# r iQy <br />.~ L .i d ~' h ll F; U MEASUREMENT ~ ~ <br />' ~- - - <br /> <br />JJ~jU 1. O 0 <br />.: PERMIT;..~: <br />:.....IOIi3M~1K~;, ...:: <br />,: r..jY01.>,.~:~. ~;, <br />i;7# . <br />;':. .~.~~~%~!~:; ~:: .. <br />~5 '` ~ <br />:7: ~.•..::.~.: ~. .~...: <br />.. - <br />."-;` <br />N[~£~~ <br />i~~ <br />`rYLUSNT G$OSS VALU :REQUIREMENT " 1141 F SOD ~ .gG flfl . ..T .B n ?,.i. <br />~ <br />L kUh, TOTAL SAMPLE ##4~k## ##1i~#IR f+4ini# ~ ( 19~ :.t <br />(AS F£) MEASUREMENT <br />J1UU5 1 O 0 PERMIT 9>k'tEtp+4# ::: .: #4#### #;0 4i*191+Ci j.$ 7.r4 i1C£/ ~~lii <br />'FFLUENT Gi805S VALU REQl11REMENT. #### 3ODl 1 DA><..Y. l1.I. !FG/L ~ !1 <br />7IL AND GAEAS'r,' SAMPLE #:#### ..:.`•#~#: 17#>QC3t ( 19) <br /> MEASUREMENT <br />i3D81 ~.~~~~0 U ~ ~PERIp117~:;:: :~r;ilil.~111<ffSr ~.#SY44~~6 b#G 'a$?43)# AEPOH~ lO ~~~ ~ GNTIN~ iiIAB <br />'FPLUEN!'GflOSS VALU REQUIREMENT:: :".:.;....i;~f: 4i#O SODA AL6 N R tlAI RG L N <br />'LUN, IR (CONDUIT OR SAMPLE ~ D3) ####A# #0#.G# #st##-S# <br />:'Hi(U TREAT M'ENT PLA NT MEASUREMENT <br />uOSU 1 0 U <br />;:.,:PERM(.T.;^4.::~ <br />:::'BEPO:RT.~::~ <br />~:~~~:H)3'1~gA2~.:: <br />.91:?0?f..il!Cd.. <br />:~: <br />:~:~. lpa-?C./f.1Rtk~~..: <br />~.~.t~pl,;~#iF+O <br />i>41p ~ <br />~~ •.: <br />EEKLY <br />NSTAN <br />FFLUENT 6R055 VALUE ;REQUIREM.ENT: . <br />:3UDA Alb` Vii:. .1'.. T GD . <br />~ ~~~# <br />~OiiUS, T TEL SAMPLE ##~##O t10raO~bA #4~lilOq ~ ( Ig) <br />:IS~./LYCU MEASUREMENT <br />JU.:3`. 1 0 U PERMIT 8#'F4#i . .4#14171 1 i## 1>w:101G1 BEFQ9~. BBktlFLS TRL7 iRAB <br />.F['LUch'f VAOSS YA:.UE REQUIREMENT 00x4 CflTf AYG {~jRTT< ltAl sG/L <br />L AN E :7E SAMPLE ###### ( 94) IGO#4## tY.'J#O# #;#t#r <br />I ~ U A L MEASUREMENT <br />i4Ubb 1 0 U PERMIT ~ i~#4.i##~ ~ RLP~OHT l~ ES=), '1iaOrRT># ~:~ #+dAiAlo ~ ~ :914{16##~ ~ o## EBYiLT ISUAL <br />FY LUENT c;ROS5 VALiJE REQUIREMENT: . ~ ~ ~ ~ ~ ~.I if$T .lt.AE~~~ N0=0 ~ ~ ~ ~ ~ >1Z7## <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERT <br />M FA FY UNDER PENALTY OF <br />IAR WITH THE INFO <br />MI LAW THAT 1 NAVE PERSOMN.LY E%AMIMED ANO <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> A <br />L <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />c <br />' ~ S-~o/6/2r OBTNNING THE INF011MATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />1 AM AWARE THAT THERE ARE <br />ACCURATE AND COM0.ETE <br />TR <br />E <br />L <br /> . <br />U <br />. <br />SIGNIFICANT PENALTIES FOR SUBMITTNG FALSE INFORMATON. INCLUDING <br /> <br />Q <br />THE POSSIBILITY OF RME AND IMPRISONMENT. BEE 1e U.S.C. 1 1001 AND 73 <br />BIONATURE OF PRINCIPAL EXECUTNE ~ O I d 0 O O <br /> U.S.C. 1 171e. IArWOY. uvN err mNn. wrr IsA.Mr rmaW ro 110,000 AREA <br />~ <br />TYPED OR PRINTED <br />.nd arnrrirvn irrAWawwNOrbMrnemana•r/syFrs/ <br />OFFlCER OR AUTHORIZED AGENT <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS lrrsrerence sn arrecnmenrs oars! <br />'CniS 0U'CFALL IS NUT nLIGIliLE FUR EXEPIPTIONS FROM TGTAL SUSPPNCEC SCLICS (TSS), 1GTAL IRGN AND/0.! <br />:it,TTLEAbLE SOLIDS LI9ITA'CI0:15 - 5E6 I.A.2. <br />EPA Form 3320-1 108.961 Previous editions mey be used. (REPLACES EPA FORM TAO WNICN MAY NOT BE USED.) C D 3 5 5 / 9 8 C 2 2 3-12 5 6 PAGE I OF <br />