|
<br />PERMITTEE NAME/ADDRESS Bntlrb farwryNaWla,nmdD~Q«..rj ~ r
<br />xA710NAL POLLUTANT DISCNAROE ELw1efA710N SYSTEM INPDESj
<br />FormApproved.-
<br />NAME E N E k 6 X P D E L
<br />
<br />SSOUTHPIELO
<br />ADDRE S N Z N I N w C D M P A N Y -
<br />
<br />MIN£ JAL LDADOUT 'DISCHARGE MONITORING REPORT lOMRI
<br />z-16 /7-1s~
<br />CD"
<br />8
<br />0
<br />0
<br />PpND I DSCi1RG TO
<br />~~~1~4]~~~(°
<br />pprov e o 7,88
<br />S m
<br />S
<br />0
<br />5 UG (SUER SE]
<br />3~0 INDIANA STREET, SUITE BOD PERMIT NUMBER DlsaNUlcENUMeER P -. t"INRL.
<br />60LOEN, CD 80401 NItrgR
<br />FACILITY MONITORING.PERIOD
<br />
<br />LocAT1DNpLL1REN~E
<br />CO 81226 YEAR MO DAY ~ YEAR MO- DAY ~
<br />FROM To ~
<br />KrY.b NO DISCNARf.E- .~,G' ~ '
<br />' a4a.
<br />A T'T h : G Et7 it G E V • PATTER 5 D N , DEN . I7 C, R . lZ6I11~122-231 !24251 !26271 (28.291 !36311 NOTE: Reed InevucUorle bslw compktinp this form.
<br />~^
<br />PARAMETER /3 Grd On/W QUANTITY OR LOADING ' (4 Grd On1rl nUANTiTY OR CON_ CENTRATION ~ - N~; giEduExcY
<br />~
<br />- .SAMPLE
<br /> 14653 151.61 138-151 4653 151-61 ~ - . OF
<br />:
<br />(32-371 _ ~ EX rsls
<br />r TYPE
<br /> ' ~ AVERAGE - ~ MAXIMUM
<br />. UNITS • MINIMUM AVERAGE ~ MAXIMUM 'UNITS ~-
<br />163-e91 ' u
<br />µ
<br />!6{.681 /63701
<br />
<br />"
<br />'
<br />MEASUREMENT ~ 1 ~) .
<br />,
<br />
<br />D4U0 I D D PERMIT #P~Raatr aii~tit>Aa #? fiaSy .5 ~'~~# ~' ', 4.0 ~ 4 ~"PiAI.T II:;SZTU
<br />^PPLUEST GRDSS VALUE R~auIREMENT' , ~,ppa NI ~~ .:
<br />"'DL D5, SETTLEABLE sAMPLE Ixaaaaa a+~aaaa
<br />~ ti,E~ltrivr~a
<br />- 4TtrKc ~rzT
<br />- (
<br />25)
<br /> MEASUREMENT - , .
<br />
<br />0,545 1 0 0 PERMIT ; `, TxFx aa~ ~aa~xaa=,Y rx a>ro 4ctsKra~µrk ~s~a*~ a, ; / tdiYu/ 1~A9
<br />
<br />°PPLUENT GgD55
<br />VALUE
<br />REQu1REMENT,
<br />r
<br />K>'r7Kra
<br />
<br />, „
<br />L AND GNEASE sAMPLE' Kraaaa,
<br />~ arxnarxrx . acra:xYS>a +~ua 19) '
<br /> MEASUREMENT
<br /> ~
<br />35E32 1 D "D
<br />' PERMIT kY>aaa~a ~
<br />' ', frtacX 6'Calk $ 4#9 ~n~a?~>X >h~rrT ~', 0 •. U~TItI
<br />PPLUL~NT GRDSS VALUE RELiuIRENIENT: ; zraaa ~ f TtAII;~t"' Ft~ NG L ~^ $.Et ~ '
<br />LDii• Itt CONDUIT DR SAMPLE (' 03] aa4a~{+ FxK:k rka G~lYarxN •
<br />'NitU TIiEA1'NENT P(:ANT MEASUREMENT
<br />
<br />OD50 I " U 0 PERM17 pT~ONAL''; ` Rid~Ofl.Y t~tcvYtXCFfA s:rxl',t •~ ': .#1;tdicR+kT>;= :tKr# ~~"E/ 4;$3'A'4
<br />PFLUEtiT GROSS VALUE REnUIREMENT 301IA, A;VG AAYI.][ M7t •; t1GD ~~rtaKr iR ~ # ;;
<br />IL Atl0 GREASE SAMPLE' - aaR4ar,
<br />' ~- 94j trl~aarx4 ~K:Ya Kt Kr ~rNr,IFisz#
<br />I S U A L MEASUREMENT
<br /> '
<br />405b 1 0.' ,D PERMIT °:
<br />; ax~~wua .gE.Pf}l~T Y E5-1 aaacld!~ ~~t~~,` ~ ~u;a>k~~ rslan NCP1, X,
<br />SU'AL
<br />
<br />'PFLUENT GROSS
<br />vALDE
<br />+}EattIREMENT'
<br />1~~~ -~gq~ :
<br />NO=Ii
<br />:~~srrA,
<br />~pp~~~, ,
<br />.
<br />' ~ SAMPLE' -
<br />~' MEASUREMENT - - ~ ~ ~.~ SAMPLE KraalTaa aaaad~r7 ~ - Kc (: Kc Yx rl
<br />.
<br />~ (('' ~/.y.t
<br />1~L'R7'P~ - J~ (,1.,'~J' E,yt,~
<br />.- t
<br />,.~}} `~
<br />•'~
<br />.
<br />j
<br />,
<br />- MY :IN
<br />OBTAIN
<br />'TRUE,
<br />SIONIFl QUIRY OF ~Tx0aE1° INOINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />ING 7NE~INFOIIMA7'ION, 1 BEUEVE,TNE SUBMITTED INFORMATION IS
<br />ACCUMTE ,'.AND COMRETE. I';MI. AWARF' TNAT, TNERE ME
<br />CANT PENALTIES FOR".SUBMITTINO,FALSE fNFORMA710N
<br />INCLUDING ~' - t ~,' -
<br />~j./v~5~~ _ ~ ~. . - ~
<br />C.lpcu~°+" ; ~ ~
<br />"mil -
<br />~ ~~' 7'L?L~~„
<br />FG.J!
<br />~~ /
<br />-
<br />
<br />~`
<br />J
<br />
<br />1
<br />,-
<br />, _
<br />,
<br />,
<br />'
<br />tLI lxi4. 7 r ~=w!'1!:'~~ ' L.~ ,
<br />- TNE~POSSIBIUTV OF NxE AND IMPNSONMENT. SEE 13 U.S.C. f 10D7 ANDaS
<br />~ ,
<br />• B~AN
<br />TUR
<br />OF _
<br />CJ j
<br />r•- ~'
<br />
<br />TYPED OR PRINTED ~ u.s.c. E tate.:rP,IWtlu:,WY w,w ,exm, m.r exga, Ar, y,rotro,Aae
<br />rHamviiwor implawlm«Nwe.nvarBmvnma.na6r«ral A
<br />E
<br />PRINCIPAL EXECUTNE
<br />OFFICER OR AUTNOR2ED AUENT
<br />ODE-.
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND' EXPLANATION OF ANY VIOLATIONS /Reference e/l attachments here! - ~ ~ - ~ - -
<br />5ETTLEA$LE'SO.LID5 LIMIT
<br />itART I.$.1,0, PG. 6. S WAIVED 'ApR LQ-iA, 24-NR PRFCIP EVEN'!
<br />TCJRf4Yd2£R NAP.AG£MENT PLAN O,UE 1-Iw9ii. SJBJLCT TO }3US20.F,'N 7P PROOP tiF.(jUIkEPENTS IN
<br />EPA Form 3320-1 108.98) Previous editions may be Daed. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED./ DC 1~Fj / $ 70 fI I $- ],' a $1(~ ~ PAGE OF
<br />1
<br />
|