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PERMI'ME NAME/ADDRESS r7m",F r4 rNe+e't«Nrat VW0Wv-0 <br />NAME <br />ADDRESS <br />4jU <br />ISADE CU <br />FACILITY 'SIDE NORTH & SOUTH MIt <br />? <br />LOCATION PALISADE <br />- <br />.?;ON L. KIDDER, V. P. <br />NATIONAL POLLUTANT 04SCHMOE ELIMINATION SYSTEM NPOES/ <br />DISCHARGE MONITORING REPORT ID R) <br />PERMIT NUMBER aNUMeErt <br />MONITORING PERIOD <br />YEAR MID -269 Y AR MO DAY <br />FROM TO <br />Form Approved <br />MINOR OMB No 20464004 <br />(SUBR DW) <br />F - FINAL <br />ROADSIDE $O+JTH TO COLO RIVER <br />NOTE: Read Irntructlons Wore completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. 'O UENCY <br />OF SAMPLE <br /> EX : TYPE <br /> NALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />UIREMENT <br />E <br />r i !Iii ! f`i!J1'1 <br />MAX I MUM <br />E <br />?•+r ` <br /> Q <br />R 0 1 <br /> SAMPLE ?.! <br />r- <br /> MEASUREMENT f <br /> PERMIT <br /> REQUIREMENT <br />x <br /> <br /> SAMPLE <br /> MEASUREMENT ' <br /> <br /> PERMIT <br /> <br />r. GkG - <br />REQUIREMENT `;`y , i <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTNE OFFICER I revue. under pen. ty o Is. that thb dorvumrnt and all uachments we" TELEPHONE <br />prepared under my dlrrclion or wpenlflon In accordance with • system designed DATE <br />to m." the, quettntd personnel propo y gather and evaluate the Informalion / <br />J - ' `. - - - submllled. 6sord oe my Inquiry or the Persons or prune, who menage the system. - - ?? (((.') J"j.1 Y(?•,,.? / ?} <br />- <br />: . <br />i <br />! ', <br />or those perwr. directly respoelbk r« gathering the larormatlen, the information j "`??? 7 /I i : . <br />submitted Is, Io the best of my knewkdge end better. Irv*. amrrsle, and compkte. <br />10 fiILW OF PIIINCNAL EXECUTIVE <br /> i am swam that there are slgNnnnt persatflo for submitting h6e Immmrsatlon. 6 AREA <br />TYPED OR PRINTED Including the Possibility of flee and imprisonment for knowing violations. OFFICER OR AUTHORIZEO AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION VI- ArjT Ylt???i?vrra t mr• tnr icraruNUqrrna rr tLOi"! TOTAL SUSPENDED SOLIDS (TSS) TOTAL iR[JN AIUU/ <br />MI I r-ears: <br />EPA Form 3320`1(Rev 3/99)Previous editionsmaybeused OUi ` T11!513A 1-pari it,rll: - -°A'r OF