Laserfiche WebLink
PERMTREE NAME/ADDRESS pwevJrfeWryN.r/Loe.now 1/Dlpi,errr) <br />NAME Ti~~t~la~~? d~l~IV?IVG, I~lC. <br />ADDRESS TI~6~1~1"?~I~ PrIIt+la: <br />I'. 0. ~~~ 11r7 <br />CC~~II~ C~ S? ~~~, <br />FACILITY T~'$19~~~{~ !'~1Z.i~E <br />LOCATIONCC~t~I~' CO 8125 <br />~T'Yfif: F3i~Yl"i0~1%? G. IbU ~3C~~£S, S°F3~SJG1~1 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTt7N_ fNPDESI <br />DISCHARGE MONITORING REPORT /O R) <br />f.:~1~DO:i2 ~. $ S O ~S 3 ~1 <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y R MO DAY <br />FROM ~ TO ~ _ <br />Form Approved. <br />OMB No. 2040-0004 <br />IYl I ICI©i, <br />E SU~f~ .~G ~ <br />~ - t= I ItJ;f1L. f~~~~~ <br />~Qlia~ ~~ ~~..~ ~~cJ I FY~'~ITT OtJL~CH <br />NOTE: R~~d instructlora b~ior~ comphtinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCr <br />of SAMPLE <br /> <br />TYPE <br /> ANAlrsts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />rUIL. ~4iv1ID G~~~,SE SAMPLE ##i`r### ( ~~-} g •k••~#?k## #iF#•~1••)i•# #~'~#; ~fi••€f# ~ ~ ~)~<"r/// <br />~~ <br />U I SU~L MEASUREMENT ~ ~ Y <br />~I -•. <br />8~0~6 ~. CZ O PERMIT ~i;,~~~~,•3t•~ F2~6~GFi_i~ IMS-}. •~•~•##~# ~#•tt~-~~#~# ~•~~•#•k~# ~~E3br- ~ESr+I_Y I~~.f~•~ <br />~i= ~'LU~i~9T ~k~QSS V~kLU REnu~a~MEN1' I iV~T C~r~X i~iC]=t3 •~•n *g <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT "_ <br /> REQUIREMENT; <br /> SAMPLE <br /> MEASUREMENT <br /> a'ERMIT <br /> REQUIREMENT <br />:....:....:..::......:......:..... <br /> SAMPLE <br /> MEASUREMENT <br /> ~'EFtMIT '' <br /> pEQUIREMENfi <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :~ <br /> ... <br />;;~L;C1l11ft.EMlN'F` <br /> SAMPLE <br /> MEASUREMENT <br /> .'PERMIT <br />_: <br /> REauiAEMENY' <br /> SAMPLE <br /> MEASUREMENT <br /> ';15ERMI7; ;' <br /> REQUIREMENT' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' "^"y d er pens t~ o law thsl m <br /> <br />prepared under mr direction or sup b doeumenl snd dl sltschments were <br /> <br />ervglon In scmrdance with s srslem desi[ned <br />~' <br />TELEPHON <br />E <br />DATE <br />~ f ~ <br />G t/~(~ ~ ~ • Q /S to more that qusHlled personnel properly piker and erduste the Inrormslbn <br />fobmltted. Sa+rd on mr Inquiry of the person or penoro who rruna[e Ike rrslem, <br />/ <br />may, <br />///~~~ <br />/ or lhox persoro dlrecllr respornibk for ptherlrr[ Ibe Infonrutlon, the Infornutlon ~ <br />- <br />~J~ <br />Q~ „/ ~~• ~/(G ~ <br />lY ~ submitted b, to the Dnt of m~ knowkd[e and beNef, Irne, occvrate, and mmpkle. <br />bIONATURE OF PRINCIPAL EXECUTIVE ~~ gay, ~~~ ~ <br />' <br />` I tfm ~w~R lllttt IIItR ~R !i[nlRtlnl pM~Irlp rOr 7Yb111IIIIn[ r\Ne tllfOrmtUOn, <br />' TYPED OR PRINTED Ineludin[ the porslblUtr of ene snd Impelaonment for knowln[ vldsUo~ OFFICER OR AUTHORIZED AGENT CO E NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION or. nnT vwln I Ions Ina~rmci sn ~rracnmmrs n~r~~ <br />~"SS R.,, T(7T~AL IRC1N LTMiTS IJTII.. 13~ ~IAIVEO, ~ S~TTLE#~~L~' SClLII3S LIt~3~T t~$'PL~IvD F'Q~$ ~o~lOY~d, 2~~-tR ~'~~~:~P ~~1=~T- <br />S1=1w T3tlRl~Iw~:i ~~ ~'I~[7Q~' Ia~GUI~Et~i1~'irlTS Ui~II~~R I. ~. 2. TLS ~~QI~iyT~41~Z~lG - I. ~. 2. t7~1 ~r GI~~~~~ - SSE ~. #~. ~.. (I~?. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. C}Q'7~ a~j /1~'Y.~-~¢~i~4"~~Tt~f®rr[1• PAtiE <br />