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PERMITTEE NAME/ADDRESS pr1.4 £rlHryNrWTu[ONq dDlpwv~q ,.. . <br />NAME pOYDE(i}IURN CURL COMYANi <br />ADDRESS ROAUSIUE `TINE, N 6 S PORTALS <br />P.o. Rux 1u 30 <br />PALISADE CO 6152G <br />FACILITY <br />LOCATION <br />hTTK2 JOHtI A. I`.CNAO, PNESIDENT <br />~NATioNA~P11Lr-urANr gBLHMOE EUMINADON S~sTEM INPOESI- ~= <br />~ISCIWScJE MONHORING REPOf1T ~ DM9/ <br />c ~ u <br />" PERMIT NUMBER DISCNMGE NVMBER " <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 1 TO l <br />!161/1 111-131 !14151 /16171 !IB-191 !363/1 <br />PCI~D a So t;DrT <br />(BURR iC) <br />F - FIIAL <br />MINOR <br />,,~FO7ol~ERri~.NAopproved. QQ~ <br />81AfP-7P7'L~ 8)I ~#P~~~053~-98 <br />44'% NO DISCRARGL ~~(~ 4+: rA <br />NOTE: Reed irutructiaro befor co letinp this form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !I 6rd On/Yl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> !46531 /54671 !38451 14653/ !54511 EX DF <br />131-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br /> <br />161-e~! <br />ANALYSIS <br />!8488/ TYPE <br /> <br />(53)01 <br />is L AN GREASE SAMPLE 4009140 ( q4) OCOL540 400404 4100Y100 - <br />Y I .``i U A L MEASUREMENT <br />b4UG6 1 0 0 PERMIT:;,.:. #OtltiMLt01. RRPpRT ES=1 R.?OIfpO##.: 47?9#tbAl ,dA.t:>p#+0 . 040 ~. .L~i(LY I519A <br />L.FFLUENT GRO33 YALU RE.GU.IREMENT. <br />.. ." ,.INST.:iIIA.X" MO=O _~ '" 040# :' <br /> <br />:.. <br />,. <br /> SAMPLE - <br /> MEASUREMENT <br />" <br />. <br /> PERMIT ::: ~ ~:.: ~ ~ ~ .: ~. ...,....:: i.:;::'. ..:~.!'•_.':.:~: ~..:. :.. :.. .. ..,e:::. , :::.ri: ~~..: <br />~ <br /> ~REQUIREMENT~ .~ "" " : ~ " <br /> SAMPLE <br /> MEASUREMENT <br /> " PERMIT <br /> "REQUIREMENT ~ ~" <br /> SAMPLE <br /> MEASUREMENT ' <br /> ~~. PERMIT ~~ - ~~ - <br />' REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />" <br /> PERMIT.. .. .. ... <br />~ <br /> REQUIREMENT - ~ ~ ~ ~ " ~~ ~ ~- <br />~ <br /> SAMPLE <br /> MEASUREMENT <br />. <br /> PERMIT ..._ ,. ~..~.~ .,. <br /> REQUIREMENT ~ " " - .~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~ ~~ <br /> REQUIREMENT: ~:: ~ ~ ." ". ~ - .:" .. ~ ~ . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERn Fr uNDm PENN.TY OF Lww THAT I HAVE PERSONALLY ExAMINED AND , TELEPHONE DATE <br /> AM FA MILIAL/ WITH THE INFORMATION BUBMITED HEREIN; AND BASED ON <br />I / L~ ~ ra <br />/// ~~~ ~~~ rV MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONBIBLE FOR <br />OBTNNINO THE INF011MATION, 1 BELIEVE THE SUBMITTED INFORMATON IS <br />' <br />1144`N"~~~ TRUE, ACLUMTE AND COMPLETE. I MI AWME THAT THERE ME <br /> SIGNIFICANT PENALTIES fOR SUBMITTING FALSE INFORMATION <br />INCLUDING / <br /> <br />~` , <br />THE POSSIBI <br />ITY OF FINE AND IMPR <br />SEE 18 <br />1 1 <br />SO <br />ME <br />T <br />S <br />0 <br />~ i <br />~ <br />!. L <br />I <br />N <br />N <br />. <br />U. <br />.L. <br />0 <br />1 AND ]] SIGNATURE OF PRINCIPAL EX E S~ <br /> U.B.L. f 131 e. /PFnYeY. uW rMr NMV. mry AfCA~41 rxN. W ro f IO,ODO <br />TYPED OR PRINTED «wormer:nun inpiavrwnrbMMrn emonNreM fr YrrF.l OFFICER OR AUTNORRED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference a//sttschmenfs here/ <br />~ETTLEAbLE SOLIDS LIMITS APPLIES ONLY IF C=lUYR,24HR PRECIPITATION EYENT IS CLAMED. PERMITTEE HAS <br />HUfcDF:tl OF PROGP MHEN RE~UdSTLNG RELIEF FROM SETTL¢-SLE SOLICS PRIMARY LIIIITATIOI15. <br />EPA Form 3320-T 10&-951 Previous editions mey be used. IREPWCES EPA FORM T~rO WHICH MAV NOT BE USED.1 0 D 4 30 / 9 8 C 2 2 3-125 G PAGE ~ F <br />