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PERMITTEE NAME/ADDRESS (include Focifiq,YamdLocahint ijihJjereef) <br />NAME ORALOr L LC <br />ADDRESS <br />1 LOX 625 <br />NUCLA CO 8142 <br />FACILITY --,-W HORIZON M 1 NE <br />LOCATION J C L A CO 8142 <br />:l I &NIr s: WAn>r M T Hltw MAKIAf%-=P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />Form Approved. <br />OMB No. 20440004 <br />14NTR5 <br />U TO TU'- ri E DR <br />NOTF• Ranri Inctrrrrtinnc hafnrc rmmnlnfinn Chic fnrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ??,.. Sz?, REPORT <br /> REQUIREMENT DA A VC :)A I L.Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REF RT Lam." <br /> REQUIREMENT 10VA AVG DP.IL Y NK MON7 <br /> SAMPLE <br />,:, MEASUREMENT <br /> PERMIT T t u r I . ,: - _ ( _ _ <br /> REQUIREMENT <br />- SAMPLE <br /> MEASUREMENT1 <br /> <br />PERMIT La <br />,RT <br />REPORT- <br /> <br />NT <br />REQUIREMENT <br />DAILY MX <br /> <br />; ,;- <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I .rrti" under penull) of law that this docurnent and all attachments writ <br />d <br />d <br />di <br />- TELEPHONE DATE <br /> pnpure <br />un <br />er my <br />rection or wpcnis <br />ion in -rdame with a s?stem designed _ <br /> In ac ure that qualifled perwnnrl properly gather and esaiuate the information - <br /> whmitted. Based on m} inquire or the prism or perwuts who manage the -tem. <br />`. or those penom direct? ropmsible for gathering the Information, the Information " <br />j submitted i. to the hest (it in% knowledge and belief. true, accurate, and complete. <br /> <br />I am aw ure that then rn significant <br />enalties for submittin <br />fakir inf <br />tl <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />/ C <br />TYPED OR PRINTED P <br />g <br />orma <br />un, <br />includbW the p v%hifitt of riot and Imprisournent for knowing siohrtions. OFFICER OR AUTHORIZED AGENT <br />I <br /> <br />AREDA NUMBER <br />CO <br /> <br />YEAR <br /> <br />MQ <br /> <br />DAY <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 0008 ' ,-TTAA:h?i-r4=per, fbrni.