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PERMITTEE NAME/ADDRESS Uttrlude Facility.\'amelldwatiun if Uiffrrenti <br />NAME <br />ADDRESS <br />`4V1=RNF_SB DRIVE E, STE <br />400D CO B( <br />FACILITY f ; I EVE <br />LOCATION a E- K 00 O` <br />`_JE LE CH, SR ENV ENGINFF <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) OMB NO. 2040-0004 <br />DISCHARGE MONITORING REPORT (D R) ;.? <br />PERMIT NUMBER DISCHARGE NUMBER NAL ROUIT <br />E RUNOFF TO TROUT CREEK <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NnTF• Raa,l Incfr-fi- iwfnrn --lafinn H+in f..rss <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE v 14 ITU <br /> <br />MEASUREMENT <br />r_ 7 <br />11,4 S <br /> PERMIT r L <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT l 2 <br /> PERMIT <br /> REQUIREMENT t? <br /> SAMPLE <br /> MEASUREMENT - < ' - Ohl =+ "' C <br /> PERMIT <br /> REQUIREMENT ^IX r , . <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT 75 <br /> REQUIREMENT :? : i ?•, . ^1f :' . <br /> SAMPLE <br />a MEASUREMENT G 3 J vl ?? -? ho <br /> PERMIT <br /> REQUIREMENT TD i L <br /> SAMPLE <br /> MEASUREMENT yZ r4 /A t4 /A <br /> PERMIT - <br />73 ; I 111 <br />3 FT 71 1.? <br /> REQUIREMENT Fn•1 T <br /> SAMPLE <br /> <br />MEASUREMENT _ <br />'?' Q v? <br />S? <br />? <br />I <br />I r?1 `.. i , <br /> <br /> PERMIT <br /> REQUIREMENT <br />I <br />F <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I «rtif, under penalls d I2% that thisdorument and all uWwhmenl+ were <br /> <br />- <br /> <br />_ <br />TELEPHONE <br />DATE <br /> prepared tinder my dim <br />fion or wper i+ion in aconlance with a system de.+ipned <br />1 : \? `i,1 f to a++ure that yualifitd perwmnel proprrh gather and evaluate the information <br />+uhmltlyd. Naafi .m m? imluin of the perv,n or prrvtns who manaite the +)aem. / _ - _ - <br />l -? or these persons dirtrtiv respmdble ror gmherine the inrortttatiun. the information <br />? <br /> <br />C'j .eC <br />c V <br />whmitted is. to the best of ms knoutedge and belief. true, areurate, and complete. <br />i an :n. <br />,rv that thef <br />+i <br />ir <br />b <br />t <br />l <br />i <br />f <br />i <br />f <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />j = '--? <br />? l.' '? ! 08 ` l <br />V <br />TYPED OR PRINTED . <br />t art <br />xn <br />ican <br />pena <br />t <br />es <br />or+u <br />ng <br />alse information. <br />min <br />inehtdinw the pssibihp or fine and impriamntent for knnsinit violations. OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />D YEAR MO DAY <br />rnRAMFNTC ANTI FYPI ANATln?J nF ANV VInI ATInhIC 10nf n....s ..I, ..w....l........a....___t <br />L IDS _ - - - I <br />IVG INS <br />y v? ?aHR PPIrr TP I. <br />?EQUIREMENTS <br /> <br /> <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. .