HYDRO28557

• Permit No: C1981010
• IBM Index Class Name: Hydrology
• Doc Date: 4/14/1999
• Doc Name: COLO CDPS WT TEST REPORT FORM ACUTE
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS (/ntlude FaciliryName/LOCmion ifOgere~y
NAME
ADORES TH6PFEk NINING, INC.
S!!iAFFEk KINE
P.C. UCX 1'r7
FACILITY C R A I G
LOCATION
CO tl162b
ATTN: w. GGkUCN FFTfFF. PHES/GEF NGfi
NATIONAL POLLUTANT DISCHgRGE ELIMINATION SYSTEM (NppES)
DISCHARGE MONITORING REPORT (pMR,~
(2-161 07- 9)
PERMIT NUMBER DISCHARGE NUMBER
MONITORING PERI00
YEAR_ MO_ OAY YEAR. MO-T DAY
FROM U O G 4 Ol I 70~r Q b~ C
{:031} (22-2J) (2426) (26~2]f (2a,29) (30.31)
Form Approved.
OMB No. 20x0-0004
K I N C F Approval expires 0531-9R
(SUBk Iri)
F - FIN.lI MCEPT
CISCRAbGE TC ~lGf CEfEY
### MG CISCEAECE ':#r
NOTE: Reatl Instructions befo!~mpl¢ling this form.
(3 CeN Ony) OUANTITY OR COADING~ (4 Cerd Ony) QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE
PARAMETER (46-53J (56-67) ' 3B~I5) (46-53/ (sa-e]/ EX or= TYPE
(32-97) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS
7D
9
' (62631 (64-88) 6
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NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY
UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY EXAMINED ANO TELEPHONE DATE
AM FAM ILIAR WITH THE INFORM ATION SUBMITTED HERE IN; AND flASED ON MY
INOUIRV OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE ~~ ~ . / ~
~{e(/~
,
W. Gordon Peters ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT ~
970-824-4401 00 07 )
a(~ PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
Pr~ dent /Ge 81 !'38TLS CS PO551&UTY CF FINE AND IMPRISONMENT SEE 16 U.S C 4 1001 AND 33 U.S.C.
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COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
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CCC50/CCG711-1E~4 1 >_