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PERMITTEE NAME/ADDRESS!IncladeFarilitq:\'ame/loradoniJDifJrrenr~ <br />NAME <br />ADDRESS <br />U. BOY t:~7U <br />'' ~?E'1V t:.:J 8 1 h3`I' <br />FACILITY ~-: ~ A (~ j N!= C !.it''' i' L_ ~ '' <br />LOCATION ~; ~~ (; fl E]'1 634 <br />,' ;~;F~,t'>>, FtEC_Lt1t~f-,Tim rl~Idf~OER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 240.0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />OF SAMPLE <br /> EX SIS TYPE <br /> ANALY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - ~ / I/. i <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT • <br /> SAMPLE ~ <br />~ , <br /> MEASUREMENT ~- <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />~ <br /> MEASUREMENT ` <br /> PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br />-^` <br />~. MEASUREMENT <br /> ,::- -. <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE -- <br />- ' <br /> MEASUREMENT - <br /> PERMIT ~ - _ ~ - , <br /> <br /> REQUIREMENT <br /> SAMPLE `' <br />, <br />~ <br />' '• I <br /> MEASUREMENT - <br />' `' <br /> PERMIT .- _ ._ , ` <br /> REQUIREMENT ' - A <br /> SAMPLE ~ ~ J ~ 4 ,'y/ ~ <br /> MEASUREMENT - ~- <br /> PERMIT ~ ~- <br /> REQUIREMENT _ ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER l errtit~ under prnalq ..f m.. that this document and all attachment. wrrc <br />~^ TELEPHONE DATE <br /> prcpand under m} direetioo or ~uprrrtion in occordancr with a .)ctrm Jrcigned <br /> to atiwre That yualifiad perwnnrl priiprrl) grlhrr and rc aluutr the informati~m <br /> suhmittrd. Baud on m~ inyuin of thr prrwm nr perwm rho manage thr ...trm. <br />or thu.e prnona dir.rth rr.ptmiblr fur gat M•ring the information. the information _ _ <br />- <br /> submitted i., to the hrct of m. Anowtedgr and hrlirt. trur, accurate. and cumpktr. SIGNA RE OF PRINCIPAL EXECUTIVE ' I <br /> 1 am awarr that there arc .ignificam penaltirs for whmhting falcr information. AREA <br /> viol <br />tions <br />m <br />m fo <br />k <br />wi <br />l <br />f fi <br />d i <br />i OF ER OR AUTHORIZED AGENT NUMBER YEAR MQ DAY <br />TYPED OR PRINTED mpr <br />.~m <br />e <br />r <br />no <br />ng <br />a <br />. <br />including thr posihi <br />it. o <br />ne an D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ail anacnmenrs nere~ <br />EPA Form 3320-1 (Rev. 3199) Previous eddYOns may be used. <br />~T'hiti i~ a 4-part form. PAGE OF <br />