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PERMITTEE NAME/ADDRESS preclude Fociliry NameRncatian ijDigerenq <br />NAME <br />COLUYY~ CDAL CONPAVY L.F. <br />ADDRESS~OLOYYO RIME <br />5731 STAi6 RIGRYAT 13 <br />FACILrTY nEEKER CO 81641 <br />LOCATION <br />ATTN: J. D. HARRON GRMBIIAI~. Ri~CgR <br />NATONAL POLLUTAM DISCHARGE EUMINATON SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR~ <br />(ode) (1A g) <br />r1r_gcnn n~ <br />' ~ - -"!'~P„ERMIT NUMBER DISCFiAFiGE NUMBER <br />•~..,.; <br />~~~ MONITORING PERIOD <br />FROM <br />r,,a311 <br />Forth Approved. • <br />OMB No. 2040-0004 ` <br />M T 9 (1 R Approval expires 05-31-96:. } <br />(SORR NN) r <br />p - FINAL MO°~QI? <br />PROSP:CT 5[D PD/GCOD SPRING CR <br />roc 9!; Df SCI!ARr° 1y 1 ct#: <br />NOTE: Read Instructions befon~mpleting this form. <br /> <br />PARAMETER <br />'(3 Eero;0 <br />UAN <br />5) <br />TITY O~ sOADING .~ <br />; ,.~ ~. <br />(Gerd 080 <br />O <br />UANTI 6 OR CON <br />CENTRA410 N <br />IX <br />FREO <br />U <br />ENC <br />SA <br />M~E E <br /> 6 <br />3) 5 O <br />F ~ <br />(a2an RAGE MAXIMUM UNIT»3~ MINIMUM AVERAGE MAXIMUM UNITS ~ <br />4 <br />8)S ~ <br />JIL ANL .: kF.ASF. SAMPLE '~rcah C4 ( 94) Ott AIR•O ?Ob~4x #fiC:`C^ rea®I 8 <br />6 69-70 <br />Y IS U A L MEASUREMENT <br /> <br />d4DG6 1 D ~ ~~_PERMIT"- - <br />• <br />EOUIREMEN >ari~4k~~, y <br />y <br />e~ <br />~ <br />`~'~ <br />~ <br />~ <br />EFPLUENT 6RD55 YALUP R <br />7 ~~ t ;, '~ <br />=.. ti~t t -s = .. <br /> SAMPLE ~-~ <br /> MEASUREMENT <br />~ <br />~ <br /> ' PERMIT,) , <br />~ <br />E <br />N ~ z'' <br />"~ + ~~;. t <br />~ <br />~ . ey'~~ <br />~ A~":~` <br /> R <br />Ol11REME <br />T. <br />s ..-.:. ~-~_>_ ~ <br />.....~~?- __. <br />_>~'~-. -..-nom .._ k + <br />.,~ -,tlt}e.,. '.~ ~ <br />.;. <br />?~. <br />s::w.c»r ~wx.i <br /> <br />iR.- ti <br /> SAMPLE ,~-. <br />~ <br /> MEASUREMENT - <br /> -'%PERMIT -:. <br />/REQUIREMENT- :~. ° r <br />~;•- ,.v, ~.:; <br />,t x g, ~ <br />,r ~° ..~'=~~+~,~,' <br /> <br />=u kxa; <br /> SAMPLE <br /> <br />MEASUREMENT <br />_ _ <br /> .:`'PERMIT: "T . :~,. ~t ~c :.~ z'i~ <br /> REQUIREMENT - r r, i= ,.4`' e* ~` -' <br /> SAMPLE ~ - <br /> MEASUREMENT <br />- k ~PERMIT~.' <br />' <br />U 3- <br />-^ ~ ~ <br />~ - P ,'~ +~'~ <br />'~ <br />~ <br /> REQ <br />IREMENT <br />- <br />x ~,}' ~a <br />, ;':' ~ ~,~'_~~ <br />_ tea,- ~- . ~ <br />.4_- . z <br /> SAMPLE <br />*~~' <br /> MEASUREMENT <br /> *w~`PERMIT4 {, y .'~1;~ <br />i <br />e ,' "er-•v t~. <br />r ~ #'~~`~ q,~ <br />~ s x !rw= j <br />~~' <br />~ <br />~ ~ <br />~ <br /> (REOUIREMENT ;.. <br />r <br />. ~~'-,'"~.~ t" <br />~*4, ,~, r'} ~s+~'~` r <br />a}r <br />~ i .. Wig ` <br />- <br />.,,'y - <br />d a~9'. ' <br />'ti <br />i j lly. . <br /> SAMPLE <br />~ <br /> MEASUREMENT k;"' <br />~~';CPERMII~` <br />REQUIREMENT r ~ ,~{~~~ <br />: <br />~` <br />' ~tr* '~r ~ ~~' <br />'~ ,t, <br />' <br />` <br />" <br />` ~- }`"F <br />*~' ' <br />. <br />m x , <br />;A <br />~ ~ <br />~ , <br />F ~ ~~ ~' -v. <br />~ <br />y~ <br />jM <br />,iiT a <br />Y 4f_ <br />'~ <br />15 <br />I CERTI <br />NAME?RLE PRINCIPAL EXECUTIVE OFFICER FY UNDER PENALTY OF , <br />. <br />LAW THAT I HAVE PERSO .?III!c <br />NALLY EXAMINED AND r 3 <br />- <br />R~ <br />r <br />* TELEPHONE DATE <br />AM FAM IUAA WITH THE INFORM ATION SUBMITTED HERE IN; AND EASED ON MY <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ ~ <br /> R <br />~ E <br />I <br />F <br />O ~~_'- <br /> <br />+{ T ACCUR <br />PENALT A E <br />AND COMPLETE <br />IES FOR SUBMITTNG AM AWARE <br />THAT THERE <br />SIGNIFICANT <br />A E <br />FALSE INFORMATION, INCLUDING THE <br />'~ <br />~ <br />1 / 1 ~ POSSIBI UiY OF FINE AND IMPRI <br />' SONMEM. SEE 18 U.S.C. g 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE lA f/. C Q Pl <br /> 4 1318. (Penelb <br />u antler Ihave a mhrtes mey Ine/utle Hnes up m SIO,txq entl d O _ <br />TYPED OA PRINTED meximu mlmpnionmem ol6eMeen Bmomhr end5yeers./ OFFICER OA AUTHORIZED AGENT NUMBER: - YEAR Mb DAY <br />....~•~~•~_~.. ~ ev.~ wi~uvr+l rvrv yr wv. vluua I I~rvs Inererence en ertecnmenrs here/ ~ ~ -: <br />" -: ~ .~-_ <br />SETTLEABLE SOLIDS LIr'IT APPLIES ONLL IP <= LO-TR, 24-IIR PRF.CIP EYExt IS CLAInED. I° CLf'~!~ APPROTED BT' <br />YQCD• TSS E IROS LIgiTti PILL NOT 1?F. APPLIES TO 3EPOHTP.D HEASURERBNTS--SE£ I.Fl.lA, PC 0 ADD L R.1D, PG 6. <br />EPA Form 3320-1 (0&95) Previous editions may not'be used` i "' (REPLACES EPA FORM T-40 WHICH,MAY~NOT BE USED.) PAGE OF <br />.._ ,,. ,. -. 00 9 <br />9. 0 11-1049 ,.. <br />nx -. _ .. ~_v~i_ <br />