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PERMTI'TEE NAMEIADORESS OweLidr FsmpNwa~fer.no. tlnUlbwl NAnONAL PQLLIrtANi OISCHMGE EUMINATI0N 1YSfEM INPOE$) Form Approved. 0004 NAME S k: Y tCA C D A L C O tl P AY [ ~ DISCHARGE MONITORING REPORT /DMRI 8 0 ~ ' 0-751 rn191 DISCRiBG$ TO GgIS os-31-~a ~ ~ I~~ . ADDRESS DSRYl;B D - ~$U98 RH) HA[DE11 CO 81631 ERMITNUMBER wscHAR ~ F - PIM11L + MONITO INGPERIO ' f•IM08 FAauTV YEA ` MO DAY YEAR ~ DAY LocarroNtlAYUEH CO 81637 FROM 70. a40 YO OI SCR48C6 f'~ •%t# , ~ T? M S G• tlD D ..8 Y D i p a G EM E N A L R A Y R 6 E R 114 2-131 lII-251 126?71 !IS-2sl !34311 NOTE: Reed imtrue}4q!r b!fon wmpMTing thM fam. PARAMETER l3 Ord Ontyl QUANTITY OR LOA (1 G<d OAry/ QUANTITY OR CONCENTRATION NO, NIEQOO+cY SAMPLE !4653/ (5~F-611 ./3g-{51 !1653 5451 (32-371 .~: ' EX ANALYSIS TYPE ~ UNITS s-asi /µ5g1 !6&701 ' ~ AVERAGE MAXIMUM . ~ MINIMUM AVERAGE MAXIMUM IL AYD LikRA3t ~ SAMPLE T iY~43Rrt ~\ J / ~ O~dOfi+t t;.fiGGG d44#Ori b v t 1~; ~~// Y Z SU 1L MEASUREMEN V , ti40bti 1 D D PERMIT;.i :: :fr..410cP!~6~': : 1f~.i-'lit1~ :, £$=1 >¢yrR4>pp>~. : : +ri.4gti3.3 .. : ; 0!'A!!/f+A#INaO.':' 605Y c;t'". :~r'l .;::. EPPLUEYT eH0.35 9aLU .REnu1REMENT. : : . ~Og~' RO=D .. . rte.>.. >aO~fl 3~"`~ '" SAMPLE ~ '..: MEASUREMENT _ .. ~, _ •~ .. .:.. PERMIT..: :.:. I .~ .... ~;.:~:::er.::. ~ ~:q;..::~::":;::5':::: ~.. .. :. .. . ;: ~: vf;a<. ;{.i4~i; ~"e?".,::..: ~::~ ' :: ~R ~ ENT. EQUIREM . . ~ *: .. . ::.:. I;^:. :.. ;~::.: : .::. :. .... ij F..„"i ' is~',';i;;'.' SAMPLE ~ MEASUREMENT .. PERMIT .~ ... ..... :...:..:: ij;... .; '.; ~: ~.' y;~..':.: .:;:'; ?'::. i ,. : -v.:.; ~}, ,c}''s,.;:;ii'~I::' ~':yt):; ~...~~:: ~~. ~REOUIREMENT - ' .: ... ..... . ...... .. ~:-...... .>. ,._y ... c...:.:.:. '.`. : ,... ':. ,~ 9: SAMPLE MEASUREMENT . , ,. F,., ,. , - ... ,. `:. ; ~REOUIREM.EN7 ~;~ :. ~ ~ ~ ~ ~ ,::. ;. ~::.. . ;.. .. ..~ . ': ~~~. pF?,':i:: ~_;.~:. , .~,;•.:..,<.:.( SAMPLE MEASUREMENT '~:+. ~. PERMIT. rFEQUIREMENT . .>: ~ .:::~. .. ... .:. ...... . ... . ,.. ,:. ....:. >`:" .:.... .::~:~:.~a :.':;. .. ...... S::i:~~::. 4';'. x~.... .... ' .:; . SAMPLE MEASUREMENT _ r,.. PERMIT: ~'.. ~REOUIREMENT< SAMPLE MEASUREMENS ' ::.:::...~y.; '>~, ' y:;; REQUIREMENT.. .. .. .. ~ .. , . ... .. ...:, . NAME(TITIE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND ~ TELEPHONE AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON DATE MY INQUIRY OF TXOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR OBTNNING THE INFORMATON, I BFLEVE THE SUBMITTED INFORMATION IS TRUE, ACCUMTE AND COM0.ETE. I AM AWARE THAT THERE ARE SIOMIFICANT PENALTIES FOR SUBMITTING FALBE INFOIUAATION, INCIIIDING ^J - C THE POSSIBILITY OF NNE AMD IMPRISONMENT. SEE 18 U.S.C. E 1001 AND 93 lANWtl,. uM.< ewr mwr,. T,r ~~• ~•• w ro S ro.000 E t9la u s c gIONATURE OF INCTPAL EXECIfI1VE AREA . . . . / OFFlCERO UfHORIZED AGENT ODE NUMBER YEAR MO DAY TYPED OR PRINTED w.-mumun Anadc+ww+rwalwwlemonur, rdsr,e~ C COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference e/l sfrschmsnrs hare/ IBS 6 IH011 LI'(IYS PILL tlE YAIfED G SETTLBdBL£ SOLIDS LIRIi xPPLIED POR C=LD[8e24tle PR6CIP .C98RTi TSS IHOY 6 SETTLELBLC SOLIDS LIRITS Y1tL[EO POH >1D[de2Ytl8 PBECIP BYRMT 308JECS TO 80HDLq OF PROOF 111 I. 2. EPA Fwm 3320- 10g-95 Previous a moos mey be, used. M.i3.0 Wy1~H MAY NOT BE USED.1 PAGE OF 00002 tl091~i~0923 ,L 2 {9 .. _...._ ... -,._ . a ~., . , ~ .