Laserfiche WebLink
PERMITfEE NAME/ADDRESS (IncludeFeclllryNmnellornrlon i/D/gerrm) <br />NAME._•COLOY[O COiL CO~FAY[, L.Y. <br />ADDRESS:OLOY[O RIYE <br />5731 SYAlE RIGNYAT 13 <br />tlEElIER CO 81641 <br />FACILITY <br />LOCATION <br />ATTN: J. D. HARNON, GfNF:HAL 1ANAGER <br />PARAMETER (3 CardOny) C <br />(46-53) <br />(32)7) '~ AVERAGE <br />nY aw onsl: SAMPLE <br />I SU A L MEASUREMI <br />4066 I D D e>'PERNIIT~ <br />FFLUENT GROSS -A LU EtFiEOUifiEl!i1E <br />" SAMPLE <br />SAMPLE <br />MEASUREMENT <br />~oonulocu`cur _. .- <br />SAMPLE <br />'~ xi'"~`,PERMIT ~- -~ ` a <br />ARE~UIREA~{ENT':r.•r-. ~- <br />SAMPLE <br />NATONAL POLLUTANT DISCHARGE EUMINATON SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR; OMB No. 2040-0004 <br />(za61 -, n'- Bl y I N O R Approval expires 05-37-98 <br />Co004S161 003 A (SUER AY) <br />- PERMITNUMBER:~~,,~j DISCHARGE NUMBER F - PIRAL ~ ~ dOPR7 <br />~`t"" ' LOlOQDT SlDI P01D TO YZLSOY CR <br />- MONITOR---` IrTGPERIOD <br />YEAR MO DAY/ YEAR MO DAY ' <br />FROM .7$. 7 ~ ~TO y UO ~ V ~~ rp• DISC811168 (~(. ~#~ <br />R6z~+ji (zazal (zazs) (zs2r) (ze-ze1 (3a3t/ ~~ ~ NO ~ Read IrtsVUC[ions before completing this form. <br />Y OR LOADING"~;:a'" (4 Certl Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />54-61) ~' (3845 46-53) 54-67) EX OF TYPE <br />MAXIMUM t ~UNRS MINIMUM . AVERAGE MAXIMUM *.=UNITS .waLrs/s <br />(carol (64-66) 69-70 <br />( y4) s>aa+lsale aa4aaa ~ .c~~a - <br />I, ,~ ii:',JJ>..' <br />Y~YY <br />'s ;') <br />.a' <.:~( <br /> <br />SAMPLE <br />SAMPLE <br />NAMERITLE PRINCIPAL EXECUTNE <br />DATE <br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, a{/ !/vK ~ ' - <br /> ~ <br /> <br />~ <br />f ACCURATE AND COMPLETE. I AM AWARE TiAT THERE ARE SIGNIFlCANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATON, INCLUDING TiE / <br />- ~ ' <br /> <br />~ <br /> J I <br />f <br />li /MO n POSSIBILnY OF FINE AND IMPRISONMEM. SEE IB U.S.C. § 7001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EI(ECUTIVE OI~SL'V Iba~ y5 ~ ~ e <br /> <br />TYPED OR PRINTED § t31 B. (PeneRies antler Mase smtutes may Inclutle Ones up ro 510.000 entl d <br />medmum/m <br />nawmerx of heMeen6mon0u entl 5 <br />ssrs <br />) OFFICER OR AUTHORQED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> p <br />y <br />. x. CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ae/erence fill attachments here) ' " <br />SETTLEABLE SOLIDS LIMIT APPLIES OHL[ IP <=10[R,Z4RR PRECIP E[EIIT IS CLSIRED. IF CLAI11 A!lRO1B0 R[ YQCD, <br />TSS 6 IRON LIRITS PILL YOT BE APPLIED TO REPORTED REASUREREYTS - SEE I.A.2, PG. 5 FOY RUROEII OF PROOF <br />O DI1 r~Tn DY Y~f I.T• ! nD~fD <br />r <br />~ <br />.EPA Form 9320-1 (OBA5) Previous editions~may not be used. <br />- `~ ` ~ Y ~ ~ ~ "' " PAGE <br />~ (REPLACES EPA FORAY=401NHI H MAY FIOT BE'USED'.)~ ` ' OF <br />-.. - <br />