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PERMITTEE NAME/ADDRESS (InNade Facility Nmnd/ncaion ijD~erenq <br />NAME BOYIE AE4~L.;".: :.f r')"t'!) <br />ADDRESSyONIE NO. ? '1 : N A <br />P.J. DOX 4r;i~ <br />FACILfTY PflONIA CJ 91429 <br />LOCATION O fi L h <br />CO 81429 <br />.4TT1i: NILLT.4P 4. ~•n~ la_. MrNr ~r_n <br />NATIONAL POLLUTANTDISOHARGE ELIMINATION SYSTEM (NPDES) <br />OISCRARGE MONITORING REPORT (OMR~ <br />(lasl fn- B) <br />rn <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 0 i 07 1 TO :) `l <br />QOYf/ rZ1-231 R4-25) (3617) (2&Z9) (30.31) <br />Forrn Approved. <br />OMB No. 2040-0004 <br />" I v ~ R Approval expires O~r31-98 <br />(C^~1R G^) <br />DSCH~ OF :,q TO DEE9 'TRAif, :'TON <br />NOTE: ~ Readlristru~ons befor~ 'plating this form. <br /> (3 Card Onty) QUANTITY OR LOADING (4 CaN Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER as-53) (5a-sr) (3B<5 (as-53) 54-87) EX Of TYPE <br />(32J>) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />is3uT) AWaL~lB <br />(s4-se) <br />69-70 <br />='N SAMPLE c##### ###aa# #':###'4 ( 12) <br /> MEASUREMENT <br />~U4J'I t 0 0 - ) <br />~ .,,faM~,l! ~ <br />; ^; IM~~_"_ ### ~~ -1~~ 4rf~ ~F1k14,-.'. <br />:}•; .r GF.DSS YALU R : <br />~ F -ya', r `+w.~ }.'~ .+~s II### ,:y - o ,~," <br />_.JL1[!-,, TLITAL SAMPLE ####O# #a#### #####z <br />( 29) <br />.•USP <br />E!+U~:J MEASUREMENT <br />1 <br />^ <br />IIJ~JD 1 D 1! <br /> <br />._ <br />PERMIT' ' <br />~ 1 <br /> <br />o ~ - 3 <br /> <br />` y <br />YY# j~ <br />Y <br />f ! Y .t Y'i'.~ <br />w <br />~ X'~ <br />~ <br />1~ <br />_~_ <br />. <br />FE'LUENt GRJSS YALU BEQUIF9E {` <br />f Ib <br />)~L, .')° ###a -'~.~w w °" 4 <br />~ . <br />„, . <br />''~ ~.~e- ` <br />:,ilLIDS, ."iETTLE'4i'.},g SAMPLE ;:+YY##% ¢#T##x ##4# <br />- <br />~ <br />( 25 <br /> MEASUREMENT /~Q ~~;. ~ 1, ~ ~L)` <br />uUS4S 1 D ') #><4T#~ ~ # ##: ~EBOR'1` "' (t~~pj~';" ~'u. <br />r.FPLUBNT 6ROSG vALU =~~.`~ #### '+';~" `'~ <br />I J1~, TOTAL SAMPLE ~'~#Q7r #R7C.'s ~: . -'.`+~-'.`r~^ ( lOJ <br />(AS PBy MEASUREMENT I <br />01045 1 0 ~ d' •: ''HERMIT - <br /> <br />' <br />` -fit ,1 ~~`IP~~~- O#t >R#t~#~10- '!r ~~' ~ <br />~# 11.0 -= 1~ <br />CE1 ''~ <br />` '' <br />;,crLUENT GRO7S YALU EQUIREMEN <br /># <br />. --t. ~y~,Q i. ~ r dr. <br />,rIL AND GR$ASE SAMPLE O>QR##+ ####3# #b###+~ fi##### ( 19) <br /> MEASUREMENT <br />uj582 1 0 0 '~pEpMff : - ## <br />~ ~`- ~ ~ ##c `,~ ~y'`. ~. <br />~ ~1y~~y- <br />. <br />EFFLUBNT GRASS YALU H~U EMENT ~ <br />~ ~ .~? R ,~,;- ##aa ~ ~ "~ ~ ~ ~~ ~ ` <br />FL01i, IN CO`i DUI? !)H SAMPLE ( 03) ###'3## '~#Y#C'--'.` ####II# <br />TyRU TREAT11c NT PLAN MEASUREMENT <br />SU050 1 0 0 'kI~MJI"' ~RB$gl!'L} zm'~l~P .~: t01~M9Ltr :""##It~~L4Il# ~I#I?Q ##>~ ~IR!(E!' <br />i:FFLDEAT GAn55 YALU ~~~?EI~NT . ` , =;: `'` --'~= ##a <br />_.OLIDS, TOTAL SAMPLE =71##3## #:##3!* #####'~ ( Ig) <br />UI550LYF.U MEASUREMENT <br />"/0295 1 U r.' `PEFIMIT #~M#!ii~ '~# ##x: >11~d 1tE~7R'4`'~ P'~EOM{l ~~`" _ ; #$y~ " <br />!`'FFLUBF'P GROSS V 4 LU _ RE~iUIHEMENT a , - ~ #rt#~ <br />. ' ; <br />NAME/TRLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION RUBMRTED HERE NALLY ExAMINEO AND <br />IN; AND BASED ON A/V TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPON SIBLE FOR OBTAINING <br /> THE INFORMATION, I BELIEV <br />ACC <br />TE AND C <br />MPLETE E THE SUBMRTED IN <br />I AM AWARE TH <br />T TH FORMATON IS TRUE, <br />ERE AR <br />N <br />Fl <br />AM <br />~% <br />ce <br />~~ <br />' <br /> <br />' URA <br />. <br />O <br />PENALTIES FOR SUBMITTING A <br />FALSE A4FORA7AT10 E SIG <br />I <br />C <br />N <br />INCLUDING THE i <br />/ <br />~, <br />~ <br />. <br />//) , <br />~ <br />~ <br />) <br />~ <br />~i~ <br />IN <br />l <br />I , <br />M <br />E <br />1 <br />1 <br />5~ _ <br />~ <br />`r <br />~ <br />` <br />~ <br />' _ <br />~ ~ <br />~-"~ <br />~ <br />' <br />'' Pera/n~ <br />u <br />r Nxa s <br />4~3SB <br />d ~ <br />~snc/ud <br />e <br />tiea <br />m <br />d <br />5A0 <br />000 SIGNA7UREOF PRINCIPAL EXECUTIVE ~ / <br />7 <br />a <br />~T t- 'j/ <br />TYPED OR PRINTED ~ <br />n <br />e <br />e <br />i <br />e <br />P <br />erl <br />w <br />. <br />, <br />I <br />mevmum impisanmera of betreensmomhs ends years.) OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Aererence all attacnments oars) <br />;ETTLEABLE :iOLT:;S LT"Tf 1?PLIq,S ONLY IP C10YR,2'}RI+ FR?CID EVEV? IS CLA?I'°. (1. IF f'LAII" APPPOYF,D 9Y d(`CD~ <br />T55 E IROF LI'7T5 iItl HOT ?':: A^PLI°0 TD P.EPJRTI'0 rEASUR?ME9TS-S['F. L.A.2, PG 5 FOR BU9DE9 OF PROOF <br />A orm ' d8-9$) Previo s editions ay'fi t b d.' ' '" • (AEP CES`E T' C AY S .) -' • - -' PAGE OF <br />00721/90312-1222 <br />e <br />~! <br />