Laserfiche WebLink
NATIONAL POLLUTANT AIWARGE <br /> ELIMINATION SYSTEMDISCHARGE IFTORING REPORT <br /> pproved <br /> i1,:D—CT CI)AL (PPEP PLANT <br /> PO Pox 158 <br /> CAPRON11',ALE <br /> 114STRUCTIONS <br /> CO 81623 1. Provide dates for period cQvezLd by th.G report In spuces marked"PEPORTING PERIOD". <br /> 2. Enter reported minimum, average and values under"QUANTITY"and"CONCFNTRATON" <br /> i2-3) 14-161 (17-10) In the units specified for each peraa-iei as ajipropciate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> and"MINIMUM"are extreme values observed during the reporting period. <br /> 01000396 <br /> Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> PERMIT NUMBER permit conditions in the columns labeled"No. Ex." If none,enter"0". <br /> I�j Iq, _Specifyfrequency of analysis(or curb p—ametts as Nu. analyses/No. days. (a.g., "317-Is equi va- <br /> (20-2 11 (22.231 4 24-251 126-271 t28-29) (ao-311 tent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> S. Specify sample type("grab"or"—hr. composite")as applicable. If frequency was continuous, <br /> 8 <br /> enter "NA". <br /> REPORTING PERIOD: FROM TO 6. Appropriate signature is required on boom of this form. <br /> YEAR MO DAY YEAR NO DAY bottom <br /> Remove cuiton and retain copy for your records. <br /> S. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> 132-171 (6.-681 (69-70) <br /> QUANTITY CONCENTRATION FREQUENCY SAMPLE <br /> (3...d—1y) (4 aid.01y) <br /> PARAMETER 138-451 (46-331 1 a,., I 118-4s- (64-410 (.Z-.31 <br /> T OF <br /> MINIMUM AVERAGE MAXIMUM UNITS I-X AVERAGE NO. TYPE <br /> MINIMUM MAXIMUM UNITS EX ANALYSIS <br /> F!-9 w IN CONDUIT REPORTED <br /> MG() <br /> PERMIT 06D <br /> CONDITION <br /> 1/7 IN <br /> :`-oLTDSP T(;TAL DIES REPORTED <br /> U-,I t;S C�L V E 1.0 )KG/UAY MG/L' <br /> [ <br /> PERMIT eyz <br /> 1/90 (iR <br /> CONDITION <br /> -1)1-10SP TOTAL S1JSP REPORTED <br /> K. MG/L <br /> PERMIT C <br /> ONDiTiON 30 1/90 co <br /> -R011149 TOTAL(AS FE) REPORTED <br /> KG/DAY MGIL <br /> PERMIT CONDITION 7. 1/96 co <br /> 1,i4 E <br /> or <br /> F I ELI-) REPORTED <br /> S U <br /> PERMIT Su ----— <br /> COND1110" 900 1/90 GR <br /> L 6 GRE4SEOVISUAL REPORTED If <br /> PE(WIT <br /> 2 <br /> CONWITION # a a G b # # # # g # ar ff # tf # # x # # 10 1/90 VI F. <br /> REPORTED <br /> PERMIT CONDITION <br /> REPORTED <br /> PERMIT <br /> CONW rio. <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFiCrR DATE <br /> I I certify that I am farIllinr with the Information contained In this <br /> 9)K6r-UTIVG- VlCli hUZYA44T report 4z.d that to the beat of my knowledge and Witt such Riot- <br /> �-ptq/ SIGN atedon is true, coWlaia,and accurate. ATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST M1 TITLE YEAROFFICER OR AUTHORIZED AGENT <br /> w EPA Farm 3320-1(10-72) PAGE OF <br /> ORIGINAL <br /> 005 IS SETTLED MINE WATER FROM LeSs Wn0D MINE 43 ANY SINGLE GRAa CANMO <br /> T EACEFD 45) ilG/L FnR TSS <br />