|
/ ~ /
<br />PERMTfTEE NAME/ADDRESS nclude Facili Name2ocanoni Di enmt ~ Form Approved.
<br />n ry I B ) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ
<br />NAME DISCHARGE MONITORING REPORT (DMR; OMB No. 2040-0004
<br />COLJWlO CDAL COPPA.'t! L. P. (z'i6j 1"-e) "T`.'!1^ Approvelexpires05-31-98j ~
<br />ADDRESS`DLOYlO !§I9P. ~ rnrac n -T ~ ~ (~UOR NW) :(n!
<br />$731 STATE. NIGHWA! ~3 _ PERMIT NUMBER DISCHARGENUMBER c _ FINAL ~ ~ ~.ElDF11T
<br />FACILITY REEK HP. CO 151641 .. MONITORING PERIOD LOADOQI LOOP SBD7/WILSON CRHER~
<br />LOCATION YEAR MO DAY YEAR MO DAY _
<br />FROM ''9y9 O1 fl'4 .ro qQ Di a mr91R .~ OI#CHA,$GH I~C.1 ###.
<br />A T T N: J. D. N A R {! D N. G E N°, R A L !! A Y A G P. R Lzazfj~ Rs ss1 (z_azsj. tze-zr) Ize-ss) (3as1) `: NOTE:'Read Instrucllons befo mple6'ng thrs form.
<br />-....
<br /> (3 Card Ony) QUANTITY OR LOADING ' .. (4 Card Ony) QUANTITY OR CON~~~S EN~~~T~IJiiAATION " ~ N0. FREOUENC SAMPLE
<br />PARAMETER 46-53) (54-sf) ". ,I;: (38-45) (4G53) X54-sf) EX OF TYPE
<br />(3s~~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />/5283) aNALrsis
<br />(6468)
<br />69-70
<br />N SAMPLE ?#4RSa aaaa#a Lr#(t0{:',r
<br />f• ~?1_
<br /> MEASUREMENT ,,~
<br />)0400 1 0 0 "PERMITS .
<br />E
<br />i , r:f t,~ RY-r a5t` +r
<br />, ~
<br />~
<br />EFFLUEtl? GROS$ YALUF R
<br />Ciu
<br />REMErtr _ a ~ -~" aaa# ..~~
<br />#'a ~
<br />iOLIDS4 TOTAL SAMPLE #%~#Y# 4x#R## I~ryNR/s# ~ 19)
<br />•USPENDED MEASUREMENT ~ ~'~"-
<br />
<br />.
<br />4Dt~%'
<br />)0530 1 0 0 PERMR
<br />° ' 1~HR~itMrlF 0~4 ~ ~`
<br /> _• .
<br />.
<br />m
<br />E :
<br />"
<br />` - ~
<br />° "
<br />
<br />EFFLUENT GROSS YALUF R
<br />UIREMENT
<br />' 4_,. _ -
<br />t,r-;... ay,
<br />;
<br />.~ „ ,,~,~
<br />#x~
<br />r, .
<br />rr_ T
<br />~ "
<br />i0LID54 SETTLEAULE SAMPLE '~=~~~~~ aa•-r•r:~ asdes~ any;*..a- ( 25)
<br /> MEASUREMENT F:
<br />)054$ 1 0 0 °~-PERMIT,{~- C4fr#~k>t~ ~~k4~#~=-C as•r
<br />.. ,
<br />`_ ~
<br />
<br />~
<br />
<br />v
<br />EPFLDENT GROSS VALIJF, REQUIREMENT- ~L-- a.-L:a f ~ ~ '~~,, z n§ /t
<br />IL AND GREASE SAMPLE ;: Y^#.a;: #"."YR#~2 h'xrt~tr: ##OS3a ( 19)
<br />FAEDA EYTR-GF.AY 11'TH MEASUREMENT
<br />)0556 1 0 0 iePERM1T ?71#~I?il#: O~t9tait ~'' ffi G'+`t v. - , • y y~gsPx_y,c;F
<br />EFFLUENT GROSS VALUE REQUIREMENT t ,. ,: p„~{; ;
<br />;r
<br />•- ~q. •'° f ~ ~r r
<br />[RON, TOTAL SAMPLE a, aaax oasaas At r,#wA- ( 19)
<br />(A$ FE) MEASUREMENT
<br />]1045 1 0 0 ;~~"+PERMIT >t410~` ~~t`~
<br />~ G3+` !jt ~ ~.5=' x`, ''"Vi': ,~'~`r =`n
<br />'
<br />~
<br />EFFLUENT GROSS YALIIE R~~UIREMENT .• ^r - p#r.- `~~-,fr "~~~. '
<br />""~~ ` r t
<br />PLOW, IN CONDOiT Ok SAMPLE ( 03) :'.r#~`^~= #'=:`R'~r as#°#a
<br />PHRU TREATMENT PLANT MEASUREMENT
<br />10050 1 0 D ~ I~~PERMIT:' ~ ~~ ° ~
<br />~ ' !~'``,
<br />~'
<br />` ~'~ ~"1`
<br />t' '+ ~
<br />` " ~: ~"
<br />.' >#a
<br />BPFLUENT GROSS YALUF .RE UIREMENT,
<br />„~ Q„,~ ;(,
<br />~' .
<br />~° ~e;n G
<br />; ~' ..
<br />v~ ..tea ,- _
<br />-, ~eriE2 -,. ,-,_ x#a#
<br />iOLtDS, TOTAL SAMPLE ##a#aa Quaaaa $#b#ra ^`-art:xa ( 19)
<br />)ISSOLYED MEASUREMENT
<br />1029$ 1 0 0 s,,'PER MIT'~F
<br />' , ~` ;~
<br />" . ~ ~~
<br />° oav
<br />~ ~ '~ ~ `
<br />~ '
<br />%~
<br />f.PFLUENY GROSS YALU$ JREQLII~RE MENr a~~y„" ~~.#,~;®
<br />~; _ ~
<br />;r~ o### ~
<br />'":~>~,~ .v`.:(J'k ~.~~~` :;'=.°s
<br />' ~ wit
<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO
<br />ATION SUBMITTED HER NALLY EI(AMINED ANO
<br />EIN
<br />AND BASED ON MY TELEPHONE DATE
<br /> ;
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br /> ACCURATE AND COMPLETE. 1 AM AWARE THAI THERE ARE SIGNIFICANT
<br /> PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br /> POSSIBILRY OF FINE AND IMPRISONMEM. SEE 1B U.S.C. § 1001 AND 33 U.S.C. I ATURE OF PRINCIPAL E%ECUTIVE ~/u~ C ~
<br /> ude Ilires up ro f10,000 end ar
<br />w
<br />m
<br />m m~s~a
<br />m
<br />M
<br />b
<br />e
<br />e~
<br />n FFICER OR AUTHORIZED AGENT
<br />TYPED OR PRINTED Ol
<br />n
<br />u
<br />n
<br />e
<br />I
<br />e
<br />pn years.)
<br />e
<br />d 5 NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all el7achments here)
<br />SETTLEABLH SOLIDS LI'iT APPLIES ONLi IP C= 10-YR, 24-HR PAF.CIP PYSJfT IS CLAI`18D. IF CLAIM APRAOYED [t!
<br />WQCDe T5S G IRON LI+!IT$ WILL :lOT J?E APPLIED TO RHPORTED REASUA.°.!!ENTS--SFP I.D.lA, PG 4 AND I.B.1D, FG 6.
<br />EPA F'oim 3320.1 (G8=95)° Previous eAition`s may not'be u"sad.` ` " (REPLACES EPA FORM T-40 WHICH MAY NO7 BE USED.) ~ PAGE OF
<br />
|