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

RERMITTEE NAME/ADDRESS (Include Facdih•NamdLocarion ijD~erenq
NAME
ADDRES TnAPFER RI hIYG, ]YC.
STRAPPER LINE
P.G. 60Y 1C7
FACILITYCRAIG CO E1626
LOCATION
6 nmu. rnonr~ vonccc nc cc ircr rr•o
NATIONA~POLLUTANY DISCHARGE ELIMINATION SYSTEM (NPDES)
DISClH2AAGE MONITORING REPORt (DIMR,~e)
PERMI NUMBER DISCHARGE NVMBER
MONITORING PERIOD
YEAR MO DAY YEAR MO DAY
FROM 0 C 0 TO C G 6 ' C
(2Q~21) (2223) (2e~25) (2627) 68291 (JO-31)
Form Approved.
C I N C Ji OMB No. 2040-0004
Approval expires OS-31-96
(SUER NY)
F - EI~AI CCiPT
CISCHAFCE 7C bCbSl~yGULCH
SA%r bC CIECHAFCE )x) Ki0#
NOTE: Read Instructions befor ompleting this form.
(3 Cerd Ony) QUANTITY OR LOADING (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
PARAMETER (46.53) 5461) (38-45) (4&53) (54-61) EX OF TYPE
(3237) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
(62-G7) ANALYSIS
(6.468)
69-70
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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERS
AM FAMILIAR WITH THE INFORMATION SUBMITTED HER ONALLY EXAMINED AND
AND BASED ON MV
EIN TELEPHONE DATE
;
INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
~ /L _ /~
THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE. [ /'~'~
Gordon Peters ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
W 970-824-4401 00 07 2
.
PENALTIES FOR SUBMnm NG FALSE INFORMATION, INCLUDING THE
POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1e U.S.C. § 1001 AND 33 U.S.C.
ant a Mena

SIGNATURE OF PRINCIPAL EXECUTIVE
§ 1319. (Penetties antler these stall4es may include lines up ro 510,000 end w
TYPED OR PRINTED maximum rmpdsonmanr of belween6months and5yaers.) OFFICER OR AUTNORIZED AGENT Op NUMBER YEAR MO DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence all attachments here)
T55 E TOTAL IFCN LICI7S MILL iiF ~AIYEC, ANC SETTLFAELE SCLICS LICIT AIFLIEC ECIi <=1CtE,24FF F~~CIF 1FEh'J-
SF.i BUACEN OF PACCE bFQUIREHEhTS UNDEk I.A.3. 7D~ MONI70h1hG - I.b.3. CIL E GbE!°_E - _°FF 1.t.i.IC). 3C
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