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PERMITTEE NAME/ADDRESS (A.d.6isWnNwr/Lm.na, dOIC•xenl NATIONK POLLUTANT OISCHAROE ELMINATION SYBTD.1 /INPDESI Forrn ApPFDVed.
<br />NAME CO LO Y Y 0 C 0 A L CO M FA ti Y L . P . - DISCHARGE MONITORING REPORT (DA'IRl
<br />r7-151 n-ref R OMB No: 20400004^
<br />P9rSP_,CT_ SF.D. PD/G,,,,J .,. ,.~... ..R
<br />
<br />ADDRessCOLOMTO !1INE
<br />.. :.COG350017 OD7 A Approval expi sa OS-31-98
<br />(SUBR NV) it.flE7
<br />5731 STAlE NIGRBAY 13 ~~" PERMIT"NUMBER OISCHNIGE NUMBER ,
<br />INAL
<br />REEKER CO 81611 MINOR
<br />FACILITY _ _ MONITORING' PERIOD
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<br />LOCATION ~~ff (~~ ('? ~
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<br />"'; YEAR;; MO ,DAM+.,~`;~ YEAR MO DAY
<br />FROM •
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<br />Waal-ID7z731al74751_ :` 'I7&771778=791 (3631) NOTE: Read Irnvucriane bdore complatlnp this form.
<br />PARAMETER !3 bid On/yl QUANTITY 011 LOADIPl
<br />~ C + 11 Gid;Onry',1 ~~ .QUANTITY OR CONCENTRATION Np- FREOUwcY SAMPLE
<br /> /4653/ l51-57/ ~ e•`. '~-; 139=151r.:':~ ' ~ !4653 /51-61/
<br />E% OF
<br />137.371 .
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<br />. -. ._ ANALVSts TYPE
<br /> AVERAGE MA%IMUM ~
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<br />UNITS ~ ~ .. MINIMUM',-~' AVERAGE ~ MA%IMUM UNITS rsaam 15I-5B1 153701
<br />PH SAMPLE ###t3',~ :. ~Y~b.'~ r+:
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<br />~ CI ~'i',F9r •°.- ( 17~
<br /> MEASUREMENT ,;:„~ . , '-;°,'? t{
<br />U O4 0 0 1 0 D .PERMIT ~ ~ ~. ;<':'t<G ,X:, ... .,t~-. •'k:k ~'~
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<br />EFFLUENT GROSS YALUE REQUIREMENT
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<br />SOLIDS, TOTAL SAMPLE ~GR:Y4 „,-,:~;:#:~ R~-'~#7lI~I.~Ae,. ( tq)
<br />SUSPENDED MEASUREMENT ~/,
<br />OOS30 1 0 0 PERMIT .::a:;".~. K-i~.-~.^ =i +Cr 4':~5'.-'ae". ~>~j;j
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<br />2FPLOENT GROSS YALUE REQUIREMENT ,. : ~#Rr `:'• `•, :~•,Ar~ .
<br />';~j~IfA:A$:;: ..0?l.TLY. ••.% !1;/L NONTi!
<br />SOLIDS, 3F.TTLEABLE SAMPLE :oaa~xa ar:xr#: #aa~~' ####~~# ( ~ ,)
<br /> MEASUREMENT
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<br />DOS45 1 0 0 PERMIT
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<br />JIL AND GREASE SAMPLE ..,`-tea: as#rY~k +:r a ~:;~"s~,~,N,~#.-, ( lq)
<br />FREON E%TR-GRAV RP
<br />TH MEASUREMENT .'r ~; ~
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<br />00556 1 0 0 .PERMIT . :'kt~ ~'.-=k.;F ;=bet. ..^•-;= . Y' ~'aC
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<br />EFFLUENT GROSS YALUE REnuIREMENT .. Y~a# : :.~~ '~~;<~,.:-:'•. .r~Y"xr'7 tlG/L ~~:~;<se G;E1:T~ .
<br />IRON, TUTAL SAMPLE '.t r:r4d Cyr„::.`- O~~FSIY:• :':.,
<br />(AS FE) MEASUREMENT
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<br />01045 1 0 U "PERMIT: n's "S;'n :. ; 9rr»":::: i G=~: s ~':::^;~;yt:e,
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<br />EFFLUENT GROSS YALUE REGUIREIr1EN7 :'#'k# ~,;~.:: ::::30D'A...AY,^* Di.TF.Y "fix. M;/L "~~":: 'II,~JI~F~
<br />f ON, 1N (:ONDULT OR SAMPLE ( Dj) #glg'>~ia ~g>raafi aSr`.Y#~
<br />THRU TREATtl ENT PLA NI MEASUREMENT
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<br />50050 1 D O "PERMIT J?TIONAL REPOFT. ~.:;r,.x:t,s:.::" :.;^,:,~isf:Xeg; -s:•ay"«:`>Y : v-,;:
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<br />DISSOLVED MEASUREMENT ' ,
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<br />70295 1 0 0 ,PERMIT.: ::F::.t;;:,. cu..::c::. . ~::C -:~:~;.,.=s-,;:.
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<br />NAMERFfLE PRINCIPAL EXECUTIVE OFFlCER I CERTI
<br />AM FA FY UNDER PENALTY OF
<br />MILIAR WITH 7HE INFO UW THAT I HAVE PFASONALLY EXAMI
<br />RMATION SUBM
<br />TTED
<br />ERE
<br />D B NED AND '
<br />: T,ELEPHONE DATE
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<br />IN; AN
<br />ARED ON
<br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
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<br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS ;, ~;
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<br />, TgUE, ACCUMTE AND COMPLETE. I AM AWME THAT THERE ME
<br />SIGNIFICANT PFNALTIE9 FOR SUBMITTING FALSE INFORMATION, INCLUDING
<br />THE POSSIBILITY OF RNE AND IMPNBONMENT. SEE 1a U.S.C. f 1001 AND 3] - !
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<br />TYPED OR PRINTED U.S.C. f 1]10. IANWOV• Host e5•r mem•T•Y icpd• a..s Ip ro t 10,000 '-. BIONATURE OF PRINCIPAL E%ECUTNE ,AREA
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<br />ER OR AUTHORRED AGENT .L IGODE "N Y
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<br />GVMMCIYIJ ANV UL/'LANA IIUN VF ANT VWLA INNS lne16/InCe a//IETaCA/NBO [s halal - ~ ''~!'.
<br />SETTLEABLE SOLZDS LI!!IT APPLIES ONLY IF <= 10-TR,: 24-HR PRL'EIP $MENT IS CLAIlIEDe 7F CLAII7 l,PPAOYED RY
<br />RQCD, TSS E IRON LIMITS WILL NOT DE APPLIED 20 REPORTED xEASU$rREN?s--SEE I.R.lA, PG 4 AlfO L B.1D, PG 6.
<br />S?nne[L1~rE•u ra9er_aNVUT Dr ^o nnc i_i _oa ... .. ~ .
<br />EPA Form 3320.7.109x96) Pnvioue editions may be ueed., _„ .:./REPLACES FPi
<br />8E USED 1 PAGE OF
<br />r ~; ,,.. OADg1/98 C713-13,;,x' 1 ,
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