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PERMITTEE NAME/ADDRESS pnclude Faciliry Namr/Locdnon ijDifferenQ <br />NAME "I!7R~C, IsC. <br />ADDRESSN OkTH THO!fPSOI~ CRe EK '12NE5 <br />2169 .O"PASS DP.IVI;, SUITE 101 <br />G4AHD~ JUNCTION CO 9150b <br />FACILITY <br />LOCATION`AR:I0NDA 4E C] 8162) <br />"^'.'Ye .1_ F._ ;T;IV:?_ r'f]VSIiI'TI Y Y'YG_ <br />NATIONAL POLLUTANL OISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />.~ <br />PERMIT NUMBER Diss E NUMBER <br />MONITORING PERIOD <br />Y O DAY: y, YEAR MO DAY <br />FROM ~4' ~ `~ TO J i .: j <br />d, . <br />~ 1 ~ J .{ <br />{_~nH uc) <br />- FINAL <br />POST-lfINIKG <br />Forth Approved. ~ <br />OMB No. 2040-0004 <br />PLPr.ti <br />RUNOFF SERI Pn~U <br />#.RO. Q~ DI5CHARGC ~n.[~ '°~-'•° <br />Read Instructions belorel coo plating this form. <br /> QUANTITY OR LOADING QUANTITY OR C© RA710N NO. FREOUENC SAMPLE <br /> <br />~' EX of TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~rs <br />P,i SAMPLE t.Kc ^#3# #+.`•##t-^• ~#C!"'`~~ ( 12) <br /> MEASUREMENT <br />UO'IUU I J U ':_` ~; #ClihAi <br />~ :^.a:- ~`d', ,R~w'lt~a ¢; <br />~ <br />h.r'FLUENT G;iJSf. YALU' ~EQU ~M6tJT ~ "~~ <br />~ aa-:~ ~' ~~ U l <br />, <br />SOLIDS, SnfTLEAHLE SAMPLE '•`'~#'`'~`^ :*ta:~a ~ ( 25) <br /> MEASUREMENT <br />u V ~ v S 1 U U ~ : ~~ .' ~ <br />~ ~' W[qe ~' :~ Ii~MM <br />~: ~, C~ ; p t. ~ ^~ ' ; ~ ~ "~: <br />E:F'FLUN;:tT G&OSS YALUF ~A~IENT <br />'8~ _ <br />~ =r'-'' T +~ Y6 Ol ~ $ ='. ML L ~``` <br />JIL + GREASE SAMPLE `t`^````~''= .. °. ~ '~+'Y4~# '+4#'~#=f ( 19) <br /> MEASUREMENT <br />UUSSb 1 U U k~ ( <br />'` $ • .~#'#dF r A ~~ ,,.,~ ,;.$: i~3T -.r , <br />: <br />F,E'i'LU°NT GROSS YALU . <br />~!1r~3UIRE yNT ~`.~. - 't ° - ~ ::. K ::. M,;IL ~°^~' <br />E'LOM <br />IN CONDUIT OH SAMPLE { ~ ~I) <br />, <br />f '1HU ffiBATh SNT PLAN MEASUREMENT <br /> <br /> <br />" <br />~ <br />a <br />~ <br />~ <br />' <br />~~' y <br />YS4Y <br />i. <br /> <br />- <br />F.YFLUENT GROSS YALU F~utENT ~UUI AP,9 DAXLi !LX tIG° "` * <br />"° ' <br />~ <br />~ "`` ~~' <br />S~LCDS, TOTAL SAMPLE `• `'~` .^a's;*.< ',~#~.-h ( 14) <br />fi I>> J L Y C U MEASUREMENT <br />/ J 19 S 1 0 0 ,, ~Eii~Al ,: ' '~ ¢ i#~~+01# ;'IR 4~ - ;~A <br />~~ ~ ; <br />'' <br />' <br />cfPLUtNT GROSS VALU Si~~fJjf~~Et~N7 ~ ~s" ' .. t .," ~~ <br />'` YG/L ?•.~ a•,,~ <br />JiL At'D i; HI:ASt SAMPLE ^`ct .:. ( yy) :xr':'~:: bCak#3i ~r #ri r,: ;:3 <br />Y L ~ U 0.L MEASUREMENT <br />C 4 U b b 1 U U . ~. ,~F"` ^~ , ~ :p ~,,r - E S = 1 ~ ~* - <br />' <br />~ - 5~ A ~ ~ t <br />.->, <br />. <br />;; F F L U t? v T G R J S S YALU ii~Ql~l[3EN~~N? .~ . ~("~ N 0= O , : --+ -~: #•. ~ ° <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />_ <br /> <br />~•, <br /> <br /> <br />~ ,, <br /> <br /> <br />. <br /> <br />,•, <br />) <br />~` <br /> UIF)8 NT <br />I , <br />P ._tl. 1 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry under penairy of law roar this document end ell a[IachmenLS were TELEPHONE DATE <br /> ervision in accordance with a system tleslgnetl <br />r <br />d untl¢r m <br />drtectien or su <br />G C I ..-.+ <br />G ~~~p~(~ <br />M1- p <br />y <br />p <br />epare <br />to ntsure that qualified personnel properly gaVrer antl evaluate the iMOrmahon <br />lha s <br />stem <br />h <br />i <br />+ y <br />, <br />o menage <br />nquiry d the person or persons w <br />eubminad. Bazetl on my <br />the Information <br />he inf <br />r <br />tion <br />th <br />i <br />ibl <br />b <br />s <br />(~ , <br />r ga <br />er <br />ng t <br />o <br />ma <br />pons <br />e <br />or Npsa persons tliraclly re U ( Q/ <br /> <br />Y~ <br />submrttetl Is, to the best of my knowledge antl belief, true, accurate, and complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE - <br />/ <br /> lelse Information <br />lties br subminin <br />i <br />rant <br />n <br />th <br />h <br />I <br /> , <br />g <br />gn <br />pe <br />ere are s <br />a <br />em aware <br />at t OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED inclutlin the ossibili Mf~e entl im risonment for knowin violations. <br />COMMENTS AND k7CPLANA I IUN Uh ANY V I V IA I I V rvJ (rtererence all enacnnronu nerey <br />.':f1'LF.A8L6 :ii~LIDS LI)i1T MILL Sts' MAIYF,O FOk >lU-Ya, 111-dr' PdI'tiIP F.VF':1tT-SE~' I.A.2, PG IY, FOR REQUIRF:'1ENT5. <br />1rtTRLY SAi1PLING P.)ST4U~TIOilS-I.C.9, P^, I$. 3U OAY AY; IS HIGr(tS'f !"OniLLY AYG DURhN}{G $PgE.R~IOD REPORTED. <br />EPA Form 3320.7 (REV 3/99) Previous editions may be used. 0 0 14 3 / 00 071 7 ~~,~.1PART FORM PAGE 1 OF <br />