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<br />PERMITTEE NAME/ADDRESS parlude Facility Nmnr/LamNOn yni$areaq NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESJ Form Approved. <br />OISCHARGE MONITORING REPORT (OMR/ <br />NAME <br />OMB No. 2040-0004 <br />T fi A P P E R to W I N G, I M C. <br />M I !10 H <br />ADDRESSTRAPPdH 7IN~ C~25 (SUBH ri4) <br />P. D. 6 D% 1 B T PERMIT NUMBER OISCNAROE NUMBER P - F I i A L "' 7 f' A T <br />FgCILITYChAjG CO if161h MONITORINGPERI00 DISCHAAGw 70 GROUSE GULCH { <br />LOCATION ~ - - YEAR MO DAY YEAR MO DAY _ <br />FROM TO~a: HO DISCHAf.GE (~ #~x# <br />,' T'1: f7 . r? A D it H P E T t: R 5, P R E S/ G F, N y G R - NOTE: Read Instructions bafor mpleting Mis form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX of TYPE <br /> PARAMETER <br />~ AVERAGE MAXIMUM- UNITS MINIMUM AVERAGE MAXIMUM UNITS aNa.YSIs <br />` <br />` PI~ - SAMPLE ~+naa as a>Y~oe# #d+,: ~. x'r ( ,~) <br />f <br />2 MEASUREMENT <br /> <br />1 <br />' <br />~k~4U0 . 1 U U <br />#a# <br />- ~~ <br />y~ . <br />'_ <br />~ <br /> PfbUEtli•GRO55 YALU a##o t. <br />~ <br />I <br /> a~~x04, TOTAL SAMPLE 4:rp4a? - 4d'?4#4 _ # srt ( <br />I ') <br />~u . 5U5'AgltD4D MEASUREMENT <br /> 00530 :-. - 0 U <br />~ <br />• ##a - r ~ <br /> t:FFLU <br />.•• <br />t055 YRLU a N; MG '_ ~ _'. <br /> SJLI ~ - EASLE <br />,~~ <br />SAMPLE aaactva ~ ltra#f710~0 er oa ~ <br />( ZS) ' <br /> ~ ~ MEASUREMENT r . ,.i - <br /> <br /> S:PFLUEMf:"FIRO55 YRLU ##aa <br />" h'i. <br /> IhON~ rarAL SAMPLE #':G-<;t;r ,. laaas~ ) ;tr ( lu) . <br /> (A S ) MEASUREMENT G <br />' <br />~ U l0 U S 1 U L6 <br />' r~-I <br />~ ~ _`- <br />~ s w.gyw~ .. a.~ <br /> EFFLUENT G 5 YALIf , <br />" <br />".. ~ <br />= ~.• <br /> OIL AND :;KEA~c SAMPLE F <br />F <br />aaaa n #s~ ~ 4##aa~.. ua,;r~:rr: (.19) <br /> <br />MESS MENT . <br /> U 3 ~'3 1 I J '~ <br />' >u <br />) <br /> ; . <br />E:FF'LUEYY :;HUSx:' - <br />, 140! 3- *1 <br /> FL7~f , I H C?dDU -SAM <br />F <br />r s'•, <br />/ "~ 03 - ` C~~L, <br /> <br />~ <br />" <br />~~ S <br />~ ; <br />,. OMr ' a.,: a+PtFrta. <br /> <br />- , <br /> T N,nU 'lR6A'1 H~HT PE~Ag MEASURE 1:NT ? .,p ,j4. <br />: %'.:r <br />;j;. = <br />..^~: rt' ~ <br />;.:'.:~ G'<:" ~ .fiY. <br /> SOUSU L U U ~# <br /> L!'FLUE'rY GROSS YALU N6 §:, ; *q#:: ,+ <br /> S;JLIOSa TOTAL SAMPLE aaaaa# aaaaan #a#o~a ( I°) <br /> ll I S S? L Y L L MEASUREMENT <br /> ~ ~~ <br /> F ~ : <br />H.'FLUE:~'T ; )SS YALU- r <br />#aaa <br />/ <br />~,° <br />' !~' <br /> NAMElTITLE PRINCIPAL EXECIJTNE OFFICER I coney <br />re under penalty or law that mis dowment and as attachments were <br />ervision in earorUance wiN a s <br />stem tlesi <br />netl <br />ed a <br />tler rt <br />ctlon or su <br />tll TELEPHON E DA TE <br /> g <br />y <br />p <br />par <br />ry <br />p <br />n <br />re <br /> to assure Nel4uallae0 personnel properly gave. and evaluate Neinlormatlon <br />W. Gordon Petara aubmetetl. Beeetl on my irpulry of the person or persom wTO menage me eyatem, ~~ ~„~ 970-826-4441 00 j0 <br />~ <br />4 <br /> President/General Manager wthose persona tllrectly responsPole fir gathering the lMOmialion,Ute lreormellon <br />l <br /> ete. <br />wbmltled la, to the beat my Mnawledge end ballet, true, acwrme, and comp <br />false lntormeeon <br />I <br />iMCent <br />e <br />alties br aubmitW <br />l <br />th <br />th SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br /> <br />~ g <br />, <br />gn <br />am aware <br />p <br />n <br />at <br />ere <br />TYPED OR PRINTED Includln the asibill fineaM isonmeM for knowi vblatlona. OFFICER OR AUTHORRED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />ENTS AND EXPLANATION OF ANY VIOLATIONS (Reference achments here) <br />{ <br />4 y i ~ n ~ C • T v- .. <br />'7'!'}L I@7h :.I...TS AIL: ~ .•~ 95D, A,ID SET4L~;A:.Lc ~i.1L'S i. .. .'•,! ~';;+ i=lUY^i,21JH° PR$CIF' FYF:IT- <br />~ <br />fe <br />~/ <br />p <br />YPOY'~ OF PN07 F' r,c~ I1'.?":.4T-T `. ~: DE? I.A.3. TDS `1CYLT;-~•:i a - ?.... ~f. AIL - :~+"A:Se - BEY. T. 9.1. (D) <br />II IIR~~{.,ilE S3'r'~' " N1N Of 3 RIaV IJ6 0 tai ` - ~ ~ ~~ ~ 1 ~ ` ~ THIS I$ A d•PART Fr1RM PA aE OF <br /> <br />