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PERMI7TEE NAME/AOORESS pwei~6i.rurryN../1,«.uen I/vlQlwJ <br />NAME, <br />ADORE55 <br />5, BCi,t :i:'O <br />' - ER UT ~:;4S2b <br />FACUITr -DER CAPJYGP! MINT <br />LocATtoN ~ ' CO <br />:ID H. MILLER, BUSII~iES~= '"6R <br />NATIONAL polltfTANT ascNMOE ELIMINATION SY9TFM //NPDESI <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER ascNMaE NuMeEN <br />MONITORING PERIOD <br />'YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OM8 No. 2040.0064 <br />MIr . <br />(S~til': L.d i <br />f - FINAL ORl <br />CHRONIC WET TESTING FOR 003A <br />~~i~ NiJ DISCHARGE i ~~ <br />NOTE: R~~d In~truction~ b~for~ cofnpl~tlny thb form. <br />PARAMETER QUANTITY OR LOADING gUALITY OR CONCENTRATION NO, <br /> <br />EX EnEOVENCr <br />of SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANAtvsls <br />' ~ SAMPLE ' <br />+-1'-'~'• MEASUREMENT <br /> <br />" _ PERMIT <br />- i'.:l ''' , REQUIREMENT SINrSAMF <br /> <br />- <br />~• r . <br />' <br />''~ SAMPLE - <br />- ~ ~' MEASUREMENT <br /> • <br />' PERMIT <br />tt f REQUIREMENT ~.._ <br />' SAMPLE <br />_Pi~. MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT ` ' ' ~'' ` <br /> <br />' SAMPLE <br />_ <br />• MEASUREMENT <br /> <br />S U <br /> <br />~~rMEr•JT~~ PERMIT <br />REQUIREMENT <br />~'~ I' ` ' <br /> <br />' <br />~ SAMPLE <br />.JAF'H~JI?'+ ' <br />~ -~ ' MEASUREMENT <br /> " ' ' <br />~'b P O > PERMIT - : <br />. .:,..,~.: -. ?i.I REQUIREMENT . <br />=~Ii~IGr;~,:-,; <br /> SAMPLE <br />-, <br />MEASUREMENT <br /> . <br /> <br />'+,•!EP~E ~ _, :~ PERMIT <br />REQUIREMENT ~ ~ P,,;:-.::, .,- <br /> SAMPLE <br />''~'` ~~ '~ ~~''' ? ` MEASUREMENT <br /> 1 <br /> <br />PERMIT <br />AEQUIREMENT 5I ~~4, . <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER ' Ce^"~ " ` o`""f ° •- thsl thN dorurtwnl ,nd .11 .Il,thmenu were TELEPHONE DATE <br />prep,rrd under ~n) dlrettlon « supervl~on in accord,nre wltA • sJ•Itm desi[rted <br />to uare IhM qu,lletd personwel propeA~ [,ther ,nd ev,ly,le the Infnrns,lhrrt <br />' ~ ~ snbmllted. e.ed on me Inquiry of Ue person « persons who trwns[e the system, ~° <br />'~ :r Ti.-' <br />dl <br />tl <br />tdbk f <br />th <br />l <br />~~ <br />Ih <br />f <br />~ <br />Y <br />`r~ <br />ose persons <br />ret <br />y rrfpe <br />n[ Iht In <br />: <br />« <br />« p <br />er <br />ormNlaw. the Inrorstrllon <br />. <br />~ <br />e <br />' wbtnllled ht b the bot of my knowled[e ^nd beet(. Irtre. ,ttunle. ,nd compMt. <br />~ ~ ; f,/. ~ <br />' 1 em,w,re n1,1 (hers ere d[Nnunt pm,Irle for wlbrrtltnn[ M1be Inform,tfon <br />elONK1VRE O~~RINp-Al EXECtJTTVF - ' I:~ ;~ <br />~" ~ ~ ' <br />"TYPED OR PRINTED , <br />Inclndln[ the podbf[ly of nne •"d Imprlwnrnenl f« knowln[ rioleucnv OFFICER OR AUTHORIZED AGENT CODE NUMEfER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~f~r~nc• ~ •ttschm~nts h~r~l <br />~'1LT5 OF !_)_?'--!AL.ITY i?I-RI~'ATIONS AS "% <br />1 '; <br />This is a 1-oars form PAGE OF <br />5cq pa•", 33~r,.1 rRe; 3'g9~ = _ .. _ ~d,~:~n~ r..: tiP •:~.oa <br />