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PERMITTEE NAME/ADDRESS (/nchde F-orgiy NmnrJLocnnon ~Digerenq
<br />NAME COLOW YO CbAL COMFA ::Y L. P.
<br />ADDRESSLOLOMYO E~TNE
<br />5731 STATE HIGgyA[ 13
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES)
<br />DISCHARGE NONITORING REPORT (OMR~
<br />lS15) (1]- 9)
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />Form Approved.
<br />OMB No. 2040-0004 ~
<br />!1 T an R Approval expires 051-98 _
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<br />FACILITY necn LN ~ ~; CO ~. 111541 ~ ~ MONITORING PERIOD STHP,~ EN
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<br />LOCATION .-r - YEAR MO DAYS _ , , YEAR MO DAY LU __
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<br />PARAMETER '~~t~.(46-53) (5q-67J (38-45) 4&53) (54-67 ETC OF TYPE
<br />(32-3n AVERAGE:. MAXIMUM UNITS MINIMUM ~ AVERAGE MAXIMUM UNITS
<br />(82501 aluaL~1B
<br />(64.68 69-70
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<br />50050 1 0 D .,'PERMIT ~~}N, " ~, z ~ ~1 +~=
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<br />SOLIDS, TOTAL SAMPLE c#a#a# ##Y#Y# a##~I#ss >r###+1~ ( 19)
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<br />DISSOLYEU MEASUREMENT ~jZ~ 7 /9D cjr'Q4j
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<br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FAM FY UNDER PENALTY OF
<br />ILIAR WRH THE INFORM LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE
<br />ATION SUBMnTED HEREIN
<br />AND BASED
<br />MY DATE
<br />
<br />I
<br />F TH ;
<br />ON
<br />-
<br /> NQUIRY O
<br />OSE INDIVIDUAL
<br />THE INFORMATON, I BELIEV R IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE, /1 w.. i~~~•
<br /> ACCURATE AND COMPLETE, I AM AWARE THAT THERE ARE SIGNIFICANT WYM~~
<br />
<br />' M A .4 PENALTIES FOR SUBMITTIN
<br />POSSIBILT' OF FINE AND IMPR G FALSE INFORMATION, INCLUDING THE
<br />ISONMEM. BEE 18 U.S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE ~IT ~ Q ~~ ) Dl ~ qq /~
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<br />V TYPED OR PRINTED 4 131 B. (Porn/rie>; antler Nase smlules may inclutle Ilrree up m f10,000 end or V OFFICER OR AUTHORIZED AGENT
<br />maximum ~mpdsonmenl of heMbanBmonl/5 end 51eers
<br />1
<br />NUI4TBER
<br />YEAR
<br />MO
<br />DAY
<br /> .
<br />p
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell ef(achments here)
<br />SETTLEABLE SOLIDS LI!?71' APPLIES ONLY IF <= 10-YR, 2U-NP. PRECIP LTLNT T$ CLAI'~ED, IF CLAItI APPROlCU HY
<br />YQCD, T55 E IRON LIMITS SILL NOT HE APPLIED TD RE PORTP.D MFASURC?!£lITS--SEP. T.P.lA, FG ~ AMD T. B. 1D, PG 5.
<br />EPA Form 320.1`(08=95)~ Previous edlGons` may not tie used.` ~ (REPLACES EPA FORM 7-40 WHICH MAY NOT BE USED.) PAGE OF
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