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PERMITTE[ NAME/ADDRESS IlnuuRr <br />Farlllr)' Nalnr /Lorarlon I) dlBennl) bAr wnn~ rur~u lnnl uua..nnnmc « ~......r.. ..xN SYSTEM INPUI..., . <br /> <br />I . I I ' I r 1 ! ,.. I I •' 1 ' ~ 1 DISCHARGE MONITORING REPORT OMR <br />( ) <br />OMB No. ?O'140AD4 <br />NAM[---__ - <br />~- <br />~-------- (1.161 <br />---- (17-19) EXp/res ~-29-B4 <br />i i <br />ADDREt[- •I:r -• ~ ~ i .IATr:ofcnLrnlAlto <br />-1 1-•T"•~ -- I --•l l.~'"P''- PERMIT NUMBER DucwhnDE NUMBER <br />~ MENT OF NATURAL RESO <br /> <br />-----~-^- <br />---r----------- <br />---- URCES <br />MINCD L <br />G R <br />CLAIdATIO <br />~ _ <br />N <br />---~-------~-------- ---- MONITORING PERIOD 423 CENTLN' IAL EUILDINQ <br />N <br /> <br /> <br />~CILITY <br /> <br />YF,AR <br /> <br />MO <br /> <br />DA <br /> <br />Y[AR <br /> <br />MO <br /> <br />DAY A <br />1313 SIiERMA <br />STREET fV[ Q <br />DENVER <br /> <br />LOCATIO -- -- <br />FROM <br />TO V <br />. <br />. GOLORApQ g0~ <br />B uoa/l 127-3) rz1-vl IzA 1 11A~S91 r3B-3n. NDTE:RS[dln[tnlclbm bBlon CORIDI[IIRD Mb1DTR7.~ <br /> (J Card Only) OU ANTITY OR LOA DING (I Card Only) OU ALITY OR CONCENTRATION <br /> <br />PARAM lTER <br />(16-J3) (716/) <br />l3A~J) f16-JJl (1161) <br />NO. rREOU EHCY <br />DF <br />[AMPL! <br />(37-37) EX wNAL VeI~ TYP[ <br /> AVERAGE MAXIMUM UNITB MINIMUM AVERAGE MA%IMVM UNITB 6163) (616A) (6970) <br /> BAMPLE <br />{ ( I)Y, (~ { L I ' I 1 MEAN RHM ENT • . . r • • <br /> M(%IIT <br />M ~ ~ ~ .. <br />'. (; n LI n . <br />Ric <br />wRw[MT s p s f f•, • ,. i r• .,, i E l y {;'i <br /> [AMPLE <br />T 11 ~ , 1 " I I' <br />\1)I ) il:l T MEA[U REM ENT • • • • • • + a <br /> <br /> <br /> RRMR "'& <br />A " L• S I' Rtqu1R[M[NT s, ! 4 f • f ~ a + 4 l •i . ;,~ ! L) `'1 [? <br /> [AMPLE <br />I Ir'(1. ~ Y ( 0I MEABUR EM ENT • • • • • • • <br /> y <br />T <br />H ~ <br />>J •1' R[OU <br />iN <br />[M <br />[NT r s f <br />w r • ~ • ~ 1.• ! / i(:~ p•'! <br />F ` <br />1 'IAI I' '( 1 LJ ', T r [AMPLE <br />M[ABU REM ENT <br />• • • ' <br />• • ' <br /> <br /> <br /> Fa+t6NT ' '' <br />~ <br />1 <br />~ d 7 U 0 . R[OY[R[r1[NT • a s y. 4 a, a ~ a . v • B r• i .. Y. t~~ ~ '~~ <br />', ~ i~ ~d. '.'{i!. <br /> <br />I 'I,f lY1 swMPL[ <br />MEASUREMENT <br />' <br />r - • <br />• • <br /> rneiu i <br />s <br />' .• 1 V~ M[OUIIS[Y~N9' J; k L t a s f t „' > k s ~ ~ ~!? `"1~ <br /> [AMPLE <br />I I •• F MEASUREMENT ` ' ` ' <br /> <br />( .I:'ll <br /> PBrMiT <br />" f • I / R[CUIR[M [NT f • f 4 h '1 • t '' • • • / • ~• J 1 f i .. <br /> <br />'.111 I'1 •• ~I.T )( 1 '~1`I I BAMPLE <br />MEABUREM ENT <br />~ / • r <br />• • <br /> r I /~ ~ -. <br /> P[RNIT <br />~•UT.JS ~ R[C11/RW[N7 f ~} ~ • f i' t A • • k • • Y Y i Y +r Y. ~~T "~#• <br />NAME/TITLE RINCIPAL E%EC bTIVE OFFICER I CEPTIIY UNDER PEnALTV OF LAw THAT I HAVE PERSOHALLr UAMIn[D <br />AND AM FAMILMR wITH THE INFORMATION SUBMITED HEREIN hND BASCD ' TELEPHONE D A T [ <br /> ON MY MOUIRr Of LHOSE MCIIV~DUALg IMMCpAiELV RESPONSIBLE FOR <br />' / OBTAINING THE IHFOPMATiOH 1 BELIEVE THE SUBM~TTCO INV'ORMrTION <br />f IS TRUE ACCURATE dND COMPLETC ~ AM 1WARC THAT THERF ARE gIG <br />Y <br />F NIFICINT PEHALTIE$ FOR Sl1 BAITTIHG F1LSE INFORMATION INCLUpNG <br /> <br />/ / THE POSSIBILIT•' OF FINE AHD IMPRISONMENT SEE IB USC t IODI TEND <br />33 USC f IBIg IPrwlnr. uMr. Ihrr npmH• m mrludr /mrr up e. rln wx~ <br />BIONAT URE OF PRINCIPAL E%ECUTIVE <br />TYPED OR PRINT[D vM~.•maTlmum lmp•I•nnmrnr..l hrlunrnEmnnrhr Pnd.S.ra•r• OFFICER OR AUTHORIZED AO[NT NUMRlR Y[AR MO DAY <br />COIr_MENT AND !%PLANATION OF ANY VIOLATIONS lwr/ornrr all unarhmrnle hrrr) <br />IF ...11 ~ I :1 1 l LI "•1.~ •- !{ ~ 1 I I I I I i , <br />r <br />EPA Form 3320-I (Rev. 10-79)PREYIOUe EDITION TO BE USED (REPLAClt EPA FORM T-~O WHICH MAY NOT BE USED.) <br />UNTIL SUPPLY IB [%HA UBTED <br />