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PERMITTEE NAME/ADDRESS pnclude Fanliry Namr/Locprion iJDi$ereny <br />NAME <br />ADDRESSN JNTN THO?1PSON CHEBX MINES <br />116.9 ~OMpA55 DR1YF, SUITE 101 <br />FACILITY'RAND JUNCTION CJ 81506 <br />LOCATION. <br />..AkHOaUALF CJ Hlbl3 <br />yi IN: J. E. ST:''J6H, CONSULI7NC I+NG_ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ <br />DISCHARGE MONITORING REPORT (DMR) <br />r.~ vv irnt 1. <br />PERMIT NUMBER DISCHARGE NU ~~ R <br />M ~ ~l ING PERIOD <br />Y R ~ •; A YEAR MO .' Y <br />FROM T 1 TO O U ~ ~ 31 <br />Form Approved. <br />OMB No. 2040-0004 <br />.,. ;.fir, <br />(S :. tin 'JC) <br />F - ~,;PL <br />^.~'_ ~ OU7.`COMSINED DSCHFG <br />.:::CHARGE ~--) ::as <br />nstructions before completing this form. <br />PZiX;I <br /> QUANTITY OR LOADING QUANTITY OR CO ION NO. FREOUENC SAMPLE <br />PARAMETER '" EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAG ~' MAXIMUM UNITS '~'~1S <br />:1IL AND C:k°A3E SAMPLE <br />MEASUREMENT =^UrYaCr <br />~ ( ALL) #3~gICrt ~t#r':.. ., :z'<,: :: ~{ <br />r/ <br />~tJ <br />1~C <br />I ;i J A L t, f <br />uUbb 1 U 0 '~"P~1MlX` "" :~47r>~R . <br /> <br />, <br />- <br />-1"' <br />.+O~rGC <br />dM <br />aX3 <br />:F'F.,UdNi GRUSS VRLUE ~OUIREMLNT ~ <br />IMST , ®,; .„ <br />`ti ~ss~ <br /> SAMPLE <br /> MEASUREMENT <br /> v_ , <br />lvi t <br /> <br />pIH~M~NT <br /> <br />~ <br /> <br />" <br />~',; <br />-l - <br /> <br />'~ ~ <br />y <br />" <br /> <br />y <br />A <br /> <br />A <br />- <br />' <br /> ~, . r <br /> SAMPLE <br /> MEASUREMENT ~, <br /> ~ - ~ ~~~~~ - <br /> ~lU EMENT <br />_. - ~ -~'~ <br />_, ~ "- ~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />w <br />.. _. ~~~~ <br /> <br /><, <br />~~ ~ ; ~ t. <br />, <br />' <br /> igEnq~Nr ~~ .. <br />~_~ ~ <br />, <br />~', <br /> SAMPLE <br /> MEASUREMENT <br /> ~uMi '~'" <br />~ ~ ~ ~ ~ ~ ~ s~~ ~ - <br />w ~a~ ~; <br />~~ <br /> ~~CUIREMEN~ n~. <br /> SAMPLE <br /> MEASUREMENT <br /> t :w <br />v <br />f <br />" <br /> <br />QF11 Efvv~kNT <br />- <br />. ~ <br />~~, <br />~, ~. ~ <br /> M <br /> SAMPLE <br /> M <br />EASUR <br />MENT <br />E <br /> yr <br />jt <br />I <br />p <br />wi'g': M y - <br />~ <br />, r <br />3 - <br />. <br />.. - <br />rvx <br />= Fr'~ "rte F xk <br /> . <br />p~/~, 11 r C'y <br />P,~QU1t3E VIVI. <br />, .'.,Y `4'~ tk x. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICaniry under penalry or Lowther this tlocument and all enachments were TELEPHONE DATE <br /> preparetl under my tlirection or supervision in accortlance wish a system tlae~gned <br />f <br />J • G ~ tq assure that qualified personnel properly gather antl evaluate the inrormalion <br />submMed <br />Inquiry of the person or <br />Basetl on m <br />arsons who mana <br />e the bystem <br />~ <br /> . <br />y <br />p <br />, <br />g <br />ar Ihosa persons tllrettly responsible br gaNadng Ne inlormarion <br />Ne iMOnnallon ~ <br />Yjj <br />S , <br />submittetl is <br />to the b <br />t of m <br />knowl <br />liel <br />tr <br />d <br />tl b <br />t <br />tl <br />l <br />t ~~ ~~ <br />ip/ ~~ ~~ <br /> , <br />y <br />, <br />as <br />e <br />ge an <br />e <br />ue, accura <br />e, en <br />comp <br />e <br />e. SIGNATURE OF PRINCIPAL EXECUTIVE r <br /> <br />TYPED OR PRINTED lam aware that there era significant penalties for submining raise inbrmetion. <br />incNdr the slblli of tme and im risomment im knowl wolations. <br />OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence all attachments here) <br />rL'IPIITT/;F. 'lUiT NOTIFY a.IJD IU ~A.YS PHIJit i0 .OI"RININS DISCflAHGLS-PAnT I.A.4, ~.". IY, `tONTHLY SAMPLI!iG FO F. <br />"', t'LJM E J5G ALLOJL'D DJfiI'+G PEitIJ~S 7F LT7 ACC°SS; ATTACh SPATE ".C:IT TO D"ft. U~TECTION LIMITS-SEE I.F.2. <br />EPA oirri 330-~ (R ) arewous a iCo~sf may a ed" ~ ~ -` ~ " ~ +" i :. v ~ ~ r ~ ~ ~ n i HIS I -f' ~ F ' OF <br />-. _~ .__._....- _ _:_~r~..__- -..ro....4..L>> _ ~ - D0136/000717-1233 2 <br />