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c ~/In~luJr <br />~. ililr Aanlr. n~.~c•ru un <br />DAME hE'L~d OAL CO NUCLA HIKE <br />•DDaESS COUNTI .,OAD AA _____ _ <br />___NUCLA ________ CO 91424__ <br />A_CILIIY ----------------J <br />OC ATION-_- - -- -- -- - - -- -- -+ <br />nTTN: DEtlNIS STEYENSON_ PRESIDENT <br />fJAI TONAL 1'OLLU 141.' DI°_LIIq IIGE EL RAlrln I IC4 $YS] CEI hVl'UG.CI <br />DISCHARGEM RING REPORT /UA1R) <br />11~1M1I (17-1 v1 <br />000000213 005 6 <br />PERMIT NUMBER DISCHARGE NUMBER <br />M110NlTORING PERIOD <br />YEAR MO DA YEAR MO DAY <br />FROM TO <br />rzD.zl1 /z7.aJJ /zJ.zsJ IzA.zn nx-zvJ /Jn-i/J <br />Porm AP aovM. <br />P - FINAL O71° °-00°° <br />STOAHYAiEB DISCHABGE Appr plret 670 B1 <br />IfINOA (SUER YC) HBTBS <br />NOTE: Read Inslruclions belore compleling this loan. <br /> lJ Card Onl/•J QUANTITY OR LOADING NCerd On/v/ QUALITY OR CONCENTRATION NO FREOUENCV SAMPLE <br />PARAMETER /IbA) (]J-hll lJ8-JSI M6-tJl (SJ-6// E% DF TYPE <br />/J Jl/ AVERAGE MA%IMUM UNITS rAINIrAUM AVERAGE MAkIMUM UNITS <br />r61-nl ANnL r51$ <br />iN-AFT <br />(69~1U/ <br />1. R + #####~ ####'~# <br /> SaI.IPLE <br /> AJEA$U REMENi <br /> <br />0U4DD 1 D ~ <br />###### <br />###### <br />### C <br />5 <br />6 <br />####~# <br />9 <br />U <br />YCE/ <br />BlB <br /> PERIAIT . . <br />EPPLUENT GAOSS YALUE REQUIREMENT 1, #Tr# AINIHOM HAZIA09 SO AOYiH <br />~Or iDS, SETTLEABLE $g1APLE ###### ~~#### #*#### ###+~'~# <br /> hIEASURE MENi , <br />)0545 1 D 0 PERMIT ###### ######. ### ######. ###### 0.5. YCE/' BAB <br />r:FFLUENT GROSS YALUE REQUIREMENT #+~,+„+,Ir DAILT sI HL L DONiB <br />,IL AMD GREASE $A1.1PLE ###### ###### ###### ###### <br />FAEOY EZTR-GRA- MET MEASUREMENT <br />:10556 1 0 O PERMIT ######- ######. +#Y ######. ###### 10 OYTItl HAD <br />rPFLUENT GAOSS YALUE REQUIREMENT ##r# IAST HZ DG/L GENT <br />PLOY, IN CONDUIT OR $AAIPLE <br />NO FLOW C~ a <br />~ ###~## ####~# ###+7## <br />dUAU TREATtl ENi PLANS I.JEA$UREMENT ar~ <br />/L <br />"i0050 1 0 0 PERMIT REPORT RBPO ######. ###### ######: ### BEALZ dSTAN <br />f.FFLUEN7 GROSS YALU REQUIREMENT 30 DA AY DAILT NZ AGD #### <br />SOLIDS, TOTAL $AI.IPLE ###### #####+~ +~#### ####~# <br />U I SSO LY E D ME gSUREMENT <br />10295 1 0 O PERl.11i ###### ###### a## ###### ###### AEPOHT' TELT BAB <br />'FFLUENT GROSS -ALUE REQUIREMENT 0### DAILT ML MG L <br />7IL AND GREASE sgr.IPLE ###### #3#### ,k##### ##3### <br />•~ ~• A L MEASUREMENT <br />'14 6 1 0 0 PERMIT ###### 0 ES=1 ###### ###### #C#### "#t NCE/ ISUAL <br />~FPLOENT GBOSS YALUE RCQUIREMENT INST UZ N0=0 ##$# AOYTB <br /> SA LIPLE <br /> MEq$UREAIENT <br /> PERIAIL ,. , <br /> REOUIREMENr <br />IJAMEn1TLE PRINCIPAL EXECUTIVE OFFICER nCD 4M FPM DAR WITH THEDIRFORMAi1ON $UBMEi T ED HQERn NYAND Bq$ED TELEPHONE DATE <br />Dunfee <br />firian P ON MY IIJQUIRY OF THOSE INDI VIDUAL$ IIA IAEDIAIELY RE$POII$IBLE FOR <br />OBr"•^JG THE INFORIAAiION <br />I DELIEVE THE SUBMITTED INF ORnAAiION <br />. <br />r <br />i <br />l . <br />IS i ACCURATE ANO GOMPL ETE 1 AM AWARE THAL LHERE ARE $IG <br />r <br />anage <br />• <br />Fnvi rnnmantR ~ rJIP i~.... <br />PENALTIES FOR $UBMRTING FALSE INFORMATION, INCLUDING <br />THE P0551BILITY OF FINE AND IMPRI$OrJIAErJT. SEE 19 U$ C. 0 1001 AND <br />lli <br />vnen rh <br />md <br />v us c <br />1 1719 ll' <br />a <br />m <br />e <br />IIO <br />IXp <br />$IGrJATURE OF PRINCIPAL ECU7IVE <br />6D2 <br />774-525 <br />90 <br />10 <br />26 <br />T'TPED On PRUJTEp ma <br />n <br />nr <br />d <br />en mar <br />u <br />. <br />. <br />r f'na uP m <br />enemmeumum lmPruonmrm PJbownnmm~nlNanefyran.l OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAT <br /> OD <br />(,(p.1MENT AND E%PLAMA1lun ur grvT vwLA lluna(etr/rrenn au mra[nmrnre nnrJ <br />lF NO DISCHARGE OCCURS REPORT "BO DISCRARGE°. OIL ABD GREASE; SEE FCOTYOTE F/. <br />EPA Form 33Y0~7(RBV. 9~B8/PleviOUS edit%OR$may De Used. (REPLACES EPA FORM I~eO WHICH MAY NOI BE USED.) <br />00103/900810-1402 <br />PAGE 1 OF ' <br />