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PERMITTEE NAME/ADDRESS (/nrL4 FrerryNswd(xanm yDrpnap <br />NAME K°I: II ~)AL ~~^IPA+Y <br />ADDRESS n A d u tS L i p <br />P.U. 9~;; 1 /3'a~l <br />SPE1:!L)A: SP!'I713; CO 90x77 <br />FACILITY <br />LOCATION d A L ~: i': N C~ !~ U J 3 i) <br />arcs: c~:,;se ~. Ua°r.:; ,~v, .ylNe .7~a. <br />NQPONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM INPDE$l <br />DISCHARGE MONITORING REPORT IOMRI <br />l1-161 17-I9/ . <br />C0~850037 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM U J TO U JY j <br />/16171 /11-131 /1x75/ !76171 /18-291 /3631/ <br />• 'Form Approved. '" ~~ ~ I <br />POND D/TRIR TO Ci~~,° 3oaR-ogoya`~ ~' <br />Approve ex it x05-~1-98 <br />(SUBN NII) ~t91F~ ~~ -- <br />P - FINAL <br />PINO~ ''-" <br />"" NO DI5^HARGP. ~ z_~ r¢~ ,~{~Cf? <br />`NOTE: Reed inetructloru belae completing this corm. ~'"~" <br />PARAMETER 13 Grd Onlrl QUANTITY OR LOADING !4 Grd OnlYl QUANTITY OR CONCENTRATION NO FREOUENOY SAMPLE <br /> 106-531 l5461J !38-45 !96531 l5i6/ <br />EX OF <br />TYPE <br />l31-371 ANALYSIS . <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s2-ssl 16q-681 169-)Ol <br /> <br />!'i1 SAMPLE 4Rk4rY ,.,".tkG': .,,. ~ .. ( 12) <br /> MEASUREMENT <br />JJ4;lU L U U PERMIT `.~ni-¢°fw #A1913'.M1'i Yr:: ,~j li#rk4 >k y,() EEKLY ~$4IPU <br />cFY1.U~kP :.HJ:TS iIALUE REQUIREMENT =at~R yly.ttiUl'I RAXI?SIj~-: SU <br />-:JL10S, Sr.TTLE:A3LF SAMPLE FtR#r0 SCrCS## SSiFYOr iA:# #¢ ~ q5) <br /> MEASUREMENT <br />.l v ~'a ~ 1 U 0 :,~'~~.;,':PERMIT <br />• a'+ssarx~ .. <br />. aautaa: <br />aaa <br />s~I~.a#>x <br />~>a~.~. ~. ' <br />0'.5. <br />,N~.C(. <br />:g~~.~,.:: <br />aFfL'Jc:NT' ;;RJ55 IlAL7E REnIiigEM¢Fii ' i#x AIIT't"Y A /L R ~.;:~ ' <br />1IL AND GREASE SAMPLE ;Isa~aY aosaa: ;r•ka~aa rat ~:~ ( 19~ <br /> MEASUREMENT ' <br />J3i91 i ~Q D PERMIT'`s ••,, II.~ <br />T'~~Y'fr` A <br />fYYrY! ~ #+:= 6%Y~iFi•4t%i #vikxr ;r IO F ONFIN i$i0 <br />feLUEN'f~D~HASS VALJE REQUIREMENT Y:~:~Q flAIL~Y :1I MC/L G$~NT <br />' 7d, I:1 DUII' U~ SAMPLE ( U3) Y:'=.k Y- .`•;:4 #{: :4i;; .t .;~ <br />f'!,;J R3CAYIIIB'NP PLAUf MEASUREMENT <br />;UU~V 1 0 D PERMIT )PPIJSAL REpOP,P ?~~#~# ~Fv4 # #v##:~:`': a^# I •IIOE/ '!iSTAN <br />'~f-rLUENT GRJ55 '7ALUf, REQUIREMENT 3DDA AYG DAILY IS% 11GD ##R# #I'}KTN <br />1 L ANU :. EASE SAMPLE ~• ~ r ( r)'l) C+~F ~'`i-#{- ~-+-. t: ++'++^•+- <br />/ I :i U A L MEASUREMENT <br />:~1V~6 1 D J PERMIT -^~-aa,-', :tBPJRY I Ei=1 ~~~~>~Y '~#'v4 tt ~i.'~c+:# ~:+k < NC~/ ISUAt. <br />~Fr'~UEti[ 6N05S VAL'J~: :REQUIREMENT >"!52 :SAY AO=O %{.4;t RONfN <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFO LAW THAT I HAVE PERSONALLY EXAMINED MID <br />RMATION SUBMITTED NEREIN; AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIOUMS IMMEDIATELY RESPONSIBLE FOR <br />Richard A..Munson EVE Tii <br />I <br />ET <br />A <br />I <br />S <br />Tg <br />NI <br />F <br /> ON <br />AWA E <br />HAT THERE ARE <br />A000MTE <br />ANO <br />C <br />PLETE. <br />A <br />UE. <br />V SC® YlQeidant SlONIFOANT PENALTIES FOR SUBMITTIMO FALSE INFORMATION, INCLUDING <br />970 <br />72}4721 <br />000 <br />10 <br />11 <br /> THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 18 U.S.C. 1 1001 AND SO gIONATURE OF Pi11NCIPAL EXECUTIVE . <br /> U.S.C. 1 t 31e. /F<.rWei. uM~r N.r moms rmY InrNM Ives W ro J 10,000 AREA <br />TYPED OR PRINTED war muMMn vnpdovrwrt a/bnr„nemrnMaeM fr rera! OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />j~i <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erence sl1 etteehments here/ <br />`5:.'YPLEAtIL2 SOLIDS LI"ILP i1AIVED FOR LU-'t P,, 24-d!? PSc:IP El/f:.~i -iuuJt::;1' 10 9URDFti OF PRr10F R.':,,UTA~~EtiP; IN <br />l.Ai!i I.rs.1.D, P. 6. SLUHRNAYE9 :~ANA~E"IENT PLAN DUE 1-1-)3. <br />~ E Form 3320.1 106-951 Previous sditiane mey be ueed. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.1 U 2 9 3 / 9 7 U U 1 9- l : r_~ 4 PAGE I OF <br />