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PERMITTEE NAME/ADDRESSpwei.~.PaderyN...~[,er«,a,.l/n,~G,~u~ <br />NAME <br />ADDRESS <br />1.::)n <br />ISAi7E ~~ ,. `. CO 8152E <br />FACltrrr JSi iJE Ns:IP,TH f, SGr/'TH h1 i iVES <br />tocwraN ~ PALISADE ~ ~ 8152EI <br />_5I?N f_ KIDDF_R, V. P. <br />J <br />NATIONAI POIIUTANT dSCNMOE ELIMINATION SYSTEM /INPOE,Sf FOIR1 AppfOVtad <br />DISCHARGE MONITORING REPORT (OMRJ '~ ~ hiC! OMB No 2040.0004 <br />PERMIT NUMBER dscNMOE NuMeEw r } 1 !'y r1L 1l. <br />~'~AL~c ~ ~Jf= C:~%+ 'rb COLOF'r:'i!7 f~I . <br />MONITORING PERIOD _ <br />YEAR MO D Y Y AR MO DAY ~ ~}~; <br />FROM Tp _ 1 ' <br /> --- ----- ----^--__.._ __._ ._ ..... .r.~...~ ..._ ._..... <br /> PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. E~-E°OFENCr SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX 'ytuY~s TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT _ <br /> <br /> <br />'- REQUIREMENT r.} i { ! : i-ly x T !•1(,'i1 !•11=;~ <br /> SAMPLE <br /> MEASUREMENT <br /> t ~ <br /> PERMIT <br /> - ,~ <br />. ~ . <br />REQUIREMENT <br />, - .. <br />: ; . r ~•i ; <br />. <br /> _ <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> <br /> PERMIT <br /> - <br />~. <br />- REQUIREMENT <br />- - _ . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />_' lv '; ~,. ` <br /> REQUIREMENT <br />-- <br />' x !':! <br />-iT J`IAX ' <br />. SAMPLE <br />. <br />~ , MEASUREMENT <br /> <br /> PERMIT ' <br /> REQUIREMENT )~1 !- ~ ~. :; z <br /> <br /> <br />'` SAMPLE <br /> MEASUREMENT <br />'S - <br />. .- <br />- <br />- <br />t <br />- PERMIT : <br />_ . <br />rr i <br />~ ... <br />J: REQUIREME <br />T - %I, <br />~`~ i;~ A' aRl' <br /> N . R MAX ~•.. <br /> <br />'a 1. SAMPLE <br /> MEASUREMENT <br />. - <br /> PERMIT - - - - <br /> - - ~ <br />• <br />' <br /> REQUIREMENT _- -iI <br />_TF,; <br />, <br />NAME/TiTLE PRINCIPAL EXECUTIVE O FFICER ' """" ° " of"•'~ ° fw IAN IAN a°cvnwM •nd .N tlinchm fntf were <br /> p..y..fe under mf dlreclbn or fu <br />er.t <br />l <br />n I T <br />_ <br />~I <br />1 y <br />f <br />o <br />n frrnrd.ncr wtlA ^ f)sle.n ded~ned <br />Io tffurr IAN Su.xllea p.rwnnd propeA <br />lMr <br />a <br />l ~ ELEPHONE DATE <br />' <br />~ 4 =.i • _ <br />1 f p <br />.n <br />en <br />uHf IAr Infnrfmtbn <br />fabmined. Sued wn mf Irpulry °f IM Pfnon er penofu wAo man. <br />e IM <br />t <br />m f <br />-t ^• <br />~ <br />` <br />_ E <br />frf <br />e <br />, <br />or Iho.e penoro alrxUs ropoMlbk fw p1AeAn <br />lAr Inf <br />r <br />llon <br />1M _ <br />' c ' ~~ ~ ' ' ' ~ ' <br />-> ~ <br />~ <br /> <br />f ~.< < i' ~ - ~ ~ ~ <br />on <br />u <br />, <br />In/onrrt{on <br />faprNtled b. to the Heft of m~ twe.lee~e .nd A <br />xef <br />Ir ~ <br />~ ~. <br />•' <br />~ <br />; <br />~ <br />~ <br />~ <br /> <br />~- ' e <br />, <br />w, rcunte..M comOkla - <br />1 .in .w.n IAN IAere .re fl <br />Nfluwl <br />dtl <br />f ~ <br />, <br />/ <br />~ <br />' _ <br />) <br />• <br />l Cf <br />TYPED OR PRINTED tl <br />yen <br />t. <br />or fuEmlltln~ f.6f tnforrrotlon, <br />Iwcludiw <br />tM <br />dsmt <br />f n <br />d SIONA TYRE Of MIMCIPAL EXECUTIVE <br /> ~ <br />pw <br />r o <br />nc.n <br />Iw.yrb°wmtwl fa tww.l..~ •IdnMwi OFFICER OA AUTHORIZED A A A <br /> GENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOL ATIONS (R~l~i~nc• mil( •tfachm~nf~ h...I <br />• . ~ T~4i., 1•J .4l_' ) I.L. 1.-~LLL VI\ L/•~~ ~. ~ 1L75`1..5 r r~vl t 1 u 1 n~ av~r~IVL»`!.! ~LILiI7~ t T55), TO"T'AL TF~Ord AtVD/CIR <br />:TTLI~ADL_E 30L i DS L I ih 17AT I ONS - 51~I_ I A. ~. <br />- - -- - - a..: - - 'F'lii~ ig 9~3=pan-form. <br />