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PERMITTEE NAME/ADDRESS pM,4 Fsd~ryN~r/(xn,ar l(Drdinnq <br />NAME TiiA4'r` '. i' i i, !,, ~,, <br />ADDRESS T i? n r' P 'r' 'c '~ i .: <br />~IiAl'.; CO fllb:.u <br />FACam <br />LOCATION <br />ti i'LAI M• vOit :!'14 e-. }. !'"~'F ~[it 5/~o t:1 1°~~i <br />NATIONAL POLLUTANT gSCNAROE EIIMINATGN SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT IOMRI <br />11-18) 17-191 <br />r_p0032115 CC A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM L TO <br />/20.171 l11-231 /21-251 !26271 129-291 /30.311 <br />Form Approved. <br />pf1NC 810 TO Jp u;l cp~Ne/ROIQ-0004 <br />(5 !1 F g N 7) Approval exp)r s OS-31-98 <br />I_ a.> <br />~ - FIl;,L <br />"~tiCF <br />NOTE: Read Inatruetiorr before complatinp thia lorm. <br />PARAMETER !3 Grd Ontyl QUANTITY OR LOADING /I Ord Ontyl QUANTITY OR CONCENTRATION ND FREpUENCY SAMPLE <br /> /1653/ (5b811 /38-151 4653 /54-51 OF <br />/32-371 EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /sps~l 184-681 169-7D1 <br />c,. 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MJ/L <br />NAME7TITLE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I NAVE PERSO NALLY FKAMINED AND TELEPHONE DATE <br /> AM FA MILIAR WITH THE INFORMATION SUBMITTED H EREIN; AND BASED ON <br /> <br />Gordon PeCerB <br />{~ MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPON9BLE FOR <br />OBTNNINO THE INFORMATION, I BELIEVE THE BUBMITTED INFORMATON IS _ <br /> <br />I <br />~""' <br />. TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THEME ARE <br />SIGNIRCANT PENALTIES FOP BUBMITi1N0 FALSE INFORMATION <br />INCLUDING ~rr/ <br />r <br />824~44OI <br />9~ <br />98 <br />lU <br />23 <br />PTeeident 6 General lfenageT , <br />7NEPOSSIBILITYOFFNEANOIMPRISONMENT <br />SEEIBU <br />C <br />ll001AHD3G <br />B ~ <br />- . <br />. <br />. <br />. <br />U <br />S <br />C <br />f 1710 <br />IP <br />tl <br />d <br />. <br />A iIONATURE OF PRINCIPAL EXECUTNE <br /> . <br />. <br />. <br />. <br />NW <br />„ uW <br />nAr ,b NN, mFy <br />/chnF, <br />... y ro F/0,000 <br />TYPED OR PRINTED NIONlIIMII`IIVIIMwiaonnnrdMwwrsmma, nds Y..'•l OFFICER OR AUTHORIZED ADENT CODE NUMBER YEAR MO Dqy <br />tlVmmV,./J nIYV Cn~Lnnn//Vn Vr / ~/V/~n//V/.J InNN./IYI Nr ~n~Gr///Ia/I/i/I./I/ <br />~~ ~ TO1'J.L LF.D': Li':"IT:, wii.L HE :AIYca, A:vD ;i`:'fiLL•'APLC SJ1.IC5 ITC?'! D[FLI'D Frq l.lOY§, '4a.V F'ZCII` Y:GT. <br />Et tiUkU:, OF nu1GF FF:;UIht.i"ENT.~ L"iDli::i I.A. 3. P°R "7TT°'r ."LUST ?!Rf ACI 5}'ASCNA?If. 'I t:A.iU!-~'i :'G 3i:C"''= <br />may <br />C^[^P/^,7]211-16~^ <br /> <br />