|
PERMITTEE NAME/ADDRESS Owdb isrGryNa/Tocaee!/Dlpw.np
<br />NAME COLDwY7 CORL C4!IPANY L•P•
<br />NATIONK PoLLUTANT DISCNAROE ELIMINATION SYSTEM (NPDES) Form APProved.
<br />DISCHARGE MONITORING REPORT (OMRI ,. MB No 20, -000,4,
<br />. rzrAl nzrol I1LCH L CPDT rnNn9..._L.a ~.__ R
<br />ADDRESSCOL0YY0 NINE ~G85U017 n;.aQ~.l- ApproVelexpfss05-31-98
<br />SOAR NN) 1L}~-O
<br />5731 STATE FIGRiIAY 13 ~~"t.PEaM1TNUMBER,. ;;DiscNARGENUFAeER
<br />F - sINtIL
<br />!7EERER CO 81611 ~"" ~ '- MINOR
<br />MONITORING PERIOD
<br />.
<br />FACILm
<br />"" ~ YEAR ' MO DA.Yj YEAR MO DAY
<br />LocAnoN ;"t~,=. FROM Y ~
<br />T0
<br />11 jl ~~v NC' DISCHAkGF ~~
<br />~`A~
<br />Y
<br />._ ;~
<br />,
<br />~
<br />•
<br />8
<br />A T T h`: -n-; iiz-~3z~cT 9iF~ -P$~I~RI~I'~'.. 110-171 /12$3_!`!11-~?5 { .L.,11E171 118-19/ 13631/ NOTE: Reed Inetruetlaro Mton complstinp thu form.
<br />PARAMETER /3Tid Onlyl QUANTITY OR LOADING ~ ~ laTid`On/vl M"OUANTITY~ OR CONCENTRATION N~ FREDUENCY SAMPLE
<br />'_
<br />~
<br />/38-151 '-~" "
<br />131-371 !4653/ 151-5/1 A
<br />M653 151-61/ Ex DF TYPE
<br />AVERAGE MAXIMUM UNITS MINIMUM T''. AVERAGE MAXIMUM UNITS lemcm (µ61~-681 158701
<br />OIL AND GREASE SAMPLE r..'=R?R# ( 94) ~#~{(r #~#NI*y ~:#~:r:~:
<br />Y I S U A L MEASUREMENT
<br />`~
<br />tl4Ub6 1 U 0 PERMIT :.•:•.Y,:~;q.. ) ;':'.-.ya"=` ~6c1 '`~'4- bC%:i?t;::;~`-~`;'-,"•.;
<br />. .:.!'s^:':::;:...; :fi-'.:e;c t R.E:SLY 'I.SU3L
<br />EFFLUF,NT GRDSS YALUF REQUIREMENT. I1Fa'T' " ~
<br />
<br />D 4 ~
<br />.:.....
<br />,~,:.:.:,.: !"`-'-';
<br /> SAMPLE
<br />~ r:
<br />~ `
<br />-
<br />'
<br />'~
<br /> MEASUREMENT '
<br />~. .~ ~~
<br />' ~
<br />~
<br />.,i.~.r ..
<br />»; ,..,.
<br /> .PERMIT. ~~
<br />~ ~ ~
<br />~
<br />:. ~:'
<br />. :y,.. ,~,. r.:
<br />~::
<br />,
<br />
<br />.:.
<br />`r.~
<br />:
<br /> REQUIREMENT ..
<br />~ .
<br />:. . .,>.i w,~.,-4s, ,;
<br />.
<br />>.::;::
<br />
<br /> SAMPLE
<br />• _
<br />.~ _
<br /> MEASUREMENT ~.
<br /> :. PERMIT ~ ~ ~ ~
<br />~
<br />~ ~ ~ "~7-'~
<br />t
<br /> REQUIREMENT ~
<br />~~
<br />.
<br />.....
<br />r. ~~
<br /> SAMPLE
<br /> MEASUREMENT
<br /> 'rc
<br /> :~. PERMIT
<br />Q
<br />MEN ~ ~ ~ ~. ~... •:-..,. ~s
<br />~~~~~~~~"~~ ;,i'.`. ~'~
<br /> RE
<br />UIRE
<br />T ~
<br />.. .. 1~.
<br /> SAMPLE
<br />r
<br /> MEASUREMENT _
<br />e "~
<br /> PERMIT.' ~ ~ .. ~~
<br />~
<br />~ ~... ~ ~ . ,T ,.:,,~;
<br />, ~:
<br />
<br />REQUIREMENT .
<br />.
<br />.
<br />.~
<br />~.. ~
<br />:.:~.
<br />~:. ~
<br />
<br />~4.
<br />:'.;:Cap
<br />5_i~~'; .
<br />.
<br />:`'.:.~::~
<br />
<br />
<br />... ..
<br />.
<br /> 5 :.
<br /> SAMPLE ~yAr, 's.
<br /> MEASUREMENT
<br /> PERMIT ~ .. ...
<br />
<br />~
<br />
<br />~ ~ -;. r-,
<br />;.::: ~:.:.
<br />
<br />~
<br />
<br />"
<br /> REQUIREMENT ~ ~+ ' :~
<br /> :.. ~ .~:. .: ... .~
<br /> SAMPLE
<br /> MEASUREMENT
<br /> .PERMIT ~ ~ ~. ~
<br />~ ~ ~ ~. .... ~:.;:;,:~
<br />~
<br />~ ##~
<br />
<br />,:.
<br />:.:: :
<br />y ..
<br />~ ~ Y~e.r,
<br />- .,> ..
<br /> REQUIREMENT ~ ~ ~ ~ ~~ '
<br />/~~:;~a.
<br />~~ '
<br />~ ~~~
<br />NAME/TITLE PRINCIPAL E%ECUTn/E OFFICER I cERTI
<br />AM FA Fr uFIDER PENN.r of
<br />MILIAR WITH THE INFO uw rNAr I NAVE PERSONALLr EXAMI
<br />RMATION SUBMITTED HEREIN
<br />AND BA NED AND
<br />SED O ~ (.~ TELEPHONE DATE
<br /> ;
<br />Mr INOUIRr OF THOSE INDINOVN.S IMMFDIATELr RESPONSIB N
<br />LE FOR ~
<br />Q/~/)
<br /> OBTNNING THE INFOIU/ATION, I BELEVE THE SUBMITTED INFORM ATION IS '
<br />"
<br />X (~
<br />1
<br />\ t-y/, ,, `
<br />T
<br />F Y~~G '~ TRUE, ACCVMTE AND COMPLETE. 1 AM AWARE THAT THE
<br />SIGNIFICANT PENILLTIES FOR SUBMITTING FN.SE INFORMATION, IN RE AAE
<br />CLUDING /
<br />r
<br />'
<br />~
<br />Lj'~D gZl~-,~I
<br />~
<br />~r
<br />~~
<br />I
<br />J V I
<br />YN THE POSSIBIl1Tr OF NNE AND IMPRISONMENT. SEE to U.S.L. 1 1001 AND ]] '
<br />1 ~
<br />IPAL EXE
<br />UT
<br />E
<br />'
<br /> U.S.C. 1 t31 s. IM1e„ uW swa, mom. m,y 4sAaI, 5rr, Iq ro t 10,000 610NATURE OF PRINC
<br />C
<br />IV
<br />.~! AREA
<br />TYPED OR PRINTED rls e•nrninun irw'luw+wreFbMwn enNrllA, rtle yral -' . OFFlCER OR AUTHORRED ADENT CODE NUMBER YEAR MO DAY
<br />mm~~. ~ ~ n~.v ~nr~nnn I wn yr nn r vw~w l was Inerwence sn arrecnmsnrs nerel
<br />5ETTLEAHLE SOLIDS LIMIT APPLIES ONLY IF <= 10-TR, 24-HR PREC~? EfEl1T IS CLAINP.D. IF CLAIM APPR'JYED BT
<br />~QCD, 'PSS ZRON LI°IT5 HILL NOT RE APP~,~$D:,~.O. REPORTED HE 9SffR1yT1$NTS--SEE I.B.lA, PG U AND I.B.1D, PG 6.
<br />c~nnDrus sco re Yer_vr orT'Dr eM nrrv T_r _nn ~ ~ ~ "~ ~ -- ... ..
<br />EPA Form 3320.7 IDB-96) Previous editions mey be used. "
<br />~... - - ~ ~ --. - ~ ... :. _sau
<br />40 WHICH MAY'NOT BE U6ED 1 .PAGE OF -
<br />•: 40.O~r1880713±;916 2.
<br />r~c~:n:.~~. ,~~~,~. _.r: ... _ . ..;.:___ ..~, .. ._. _ ~ _ ~-:~
<br />
|