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HYDRO28557
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Last modified
8/24/2016 8:47:45 PM
Creation date
11/20/2007 9:35:53 PM
Metadata
Fields
Template:
DRMS Permit Index
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
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PERMITTEE NAME/ADDRESS pnclude Facility Nume/Ltx'ntion i/'D~erenr) <br />NAME <br />TAAPPtA MIMING, INC. <br />ADDRESSI'AAPFEA E1tlE. <br />P. C. HCY 167 <br />FACILITY CNAIG CC b1b26 <br />LOCATION <br />A TT~t Y. GFIRAfM PF9FL~_ Dk FG //:FA Ml:N <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR+ <br />z <br />rs <br />9 OMB No. 2040-0004 <br /> ( <br />- <br />J ) <br />(°- N I F C A l <br />i <br />31 ~96 <br />A <br />OS <br /> res <br />pprova <br />exp <br />- <br /> ~SUE'A !ft') <br /> PERMIT NUMBER DISCHARGE NUMBER F- F I A A L N C F A I <br /> MONITORING PERIOD ACUTE YET TE`_TIBG FC F. G17 A <br /> YEAR MO DAY YEAR MO DAY _ <br />FROM GG G4 0 TO C va, NO LIEC1iAFGE ~ ~~ LaC <br />l20-zrJ (z2-zJJ (24~25J ~(26-TlJ (ze-z9J (J031J NOTE: Read Instructions befo 6 ~~ pleting this form. <br /> (3 Cerd Ony) QUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER . <br />(46-53 (54-6/) (3845) (46-53) (54-6[) E% OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(sz-Wl ~'v-GIs <br />(64-6aJ <br />69-70 <br />CSU STATAE YbHk aCL SAMPLE obi}~~~ ~+~~~~~ ao:oka kFtAa~ ( ~_~ <br />C E 6 I U L' w'r N N 1 A MEASUREMENT <br />Anjs 1 v c ~ ~s#+1-mro ', .la~~-., rao ~{~ ~ a+~as>l~x~. <br />,~ <br />,' <br />E F - <br />C <br />~L I <br />~`~'~ <br />Ff'LUE[rT GNOS: YALGF ENT. 1 - ;;k~ , <br />;;; D <br />Ceti STA.fiF, 91iHF ACL SAMPLE csav:-x oaaa>"+~ „tour aa~saa ~ ~?~ <br />F I N K k~ FI A L E S MEASUREMENT <br />;.nbC 1 u G F` +bi~;#diR b. '•, . cao Q+Ei'~ ;'-.Y~ ? ~~, <br />fi FF- ~ ~Il;. ~IA~ <br />~ <br />'FYLUENT GROSS YALLE .E?T +f',•Y ~. ^v ~ . <br />r <br />~ . . <br /> SAMPLE <br /> M <br />MEASURE <br />ENT ~ - . <br /> y <br />~ I j <br /> <br /> <br /> SAMPLEI ~ ' ' / <br /> MEASUREMENT <br /> PET ~ ~ ~ <br /> . <br />~ ~ ~rY s br ~," - <br />•~ ~~ <br /> SAMPLE ~ - <br /> MEASUREMENT L <br />17 <br /> <br /> T <br /> SAMPLE ~ ~ - ^ . <br /> MCASUREMENi ? <br /> <br /> <br />to . <br />7 - ;[.~. .~ <br />%.{ <br />~T <br />~ <br /> <br />~ <br /> <br />~ <br />:. a, <br />r < ,/ ~ <br /> <br />~ :. <br />f. <br />, , <br />~ <br /> <br />_ <br />r <br />., <br /> <br />' <br /> of '~}~E <br />A ~ t 1 ~ i' ~ t} 4', M Yl <$1'~'~ .. /f- ) ~.-W^^~~ ~ z i # .T- , <br /> SAMPLE <br /> MEASUREMENT <br /> n <br /> ~ t~~u 7 <br />' <br />eA' t <br />' d„i>~p''i <br />'a .Y4~' 'L ' _[r~ N')~. tea U. ~ j5 !~,~, ! <br /> . <br />A P <br />~ i.5, c ,.t- ~ ~ ~ <br /> .} x... - w. i - <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDEfl PENALTY OF I AW THAT 1 NAVE PERSO NALLY EXAMINED AND TELEPHONE '~ DATE <br />' AM FAMILIAR WITH THE INFORM ATION SUBMITTED HER EIN; AND BASED ON MV <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~/ / /J <br />~At~/ <br />Id. GOrdOD Petare THE INFORMATION. 1 BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~ <br />-J <br />`M-( L /'T'om'- 9]O~S24-4401 07 25 <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUDMITTIN I AM AWARE THAT THERE ARE SIGNIFICAM <br />G FALSE INFORMATION <br />INCLUDING THE / . <br />President/General MHna 8r P <br />Y <br />F F <br />N <br />D IMPR , <br />A <br />D <br /> OSSIBILIT <br />I <br />E AN <br />O <br />P <br />f <br />i <br />th <br />d <br />4 ISONMENT. SEE 1e U.S.C. 4 1001 <br />N <br />33 U S.C. <br />i <br />l <br />Ti <br />Ef0 <br />d <br />000 <br />d SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED ( <br />tu un <br />er <br />1318. ( <br />Bne <br />ese srotutes mey <br />nc <br />u <br />e <br />nes up ro <br />, <br />en <br />w <br />mtuimum ~mpnsrnmenl albetwaen6monf/ts entl Syaers.) OFFICER OR AUTHOR12ED AGENT <br />NUMBER <br />I EAR <br />MO <br />DAY <br />OOMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re[erence all ettachmen[s here) '~ <br />SEE I.A.2, PP 7-9, FC_F DETAILS CF TEST FACCEDGkE. AEPOFT LCSG - °7A775TICA1 F~=1A1 .51]>11. -ICh IS <br />LETHAL TO 5U,'. OF' TE51 OAGAlISS115, AND ATTACH ACUTE TCIICITt TEST F.EFCFT FCe:t Ti. OFF. CCF1E: CF All <br />CC::9'i/CI:L'll]-1Ct4 '""`1 yr <br />
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