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PERMITTEE NAME. ADDRESS rbwlwk Farilin. NomdLr><xum ilUifjertwjr <br />NAME <br />LLC <br />ADDRESS t1 I NE <br />BOX bc8 r <br />_A ? `0 81424 <br />FACILITY NUR', L ON PANE <br />LOCATION t_A CO 81424 <br />l1PXF GIA11F, I+ITNF MANAf,FR <br />NATIONAL PJLLUTANT DISCHARGE ELIMINAiI()N SYSTE?.A (NPDES) Form Apr,. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. '- -'ooa <br />PERMIT NUMBER DISCHARGE NUMBER - FINAL MNT <br />MONITORING PERIOD i'•!3 FOR 011 A <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Nf1TF• Roan Inufrrtr•flnne hafnra nrsmnlafhnn Chic fnrm <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT f # > #ti 1Q ??##::# ii ?t v r EP. - ?f(I Rt1R`3 <br /> REQUIREMENT "111 VF:L f ANNU: _ <br /> SAMPLE r.:- ? i i <br /> MEASUREMENT 14,L? Y <br /> PERMIT ri #### ?it-zrlrc# # rir 100. OiD'_ F ;- ` •FMI fYAB-;; <br />?..; REQUIREMENT MN VALUE. ANNUr: _ <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICER I ccrtit} under penalty of law that this document and all attachments were <br />_ <br />= <br />TELEPHONE <br />DATE <br /> prepared under my direction or cupendsian to accordance with a systems designed 1-- <br /> to assure that qualified penonncl properly gather and evaluate the information <br /> submined. Based on my inquiry of the person or persons who nonage the system, <br /> or thow persons directly responsible for gathering the information, the information <br /> <br />1 _? l <br />submitted is. to the tr_st of my knowledge and belief. true, accurate, and complete. <br />e that there are si <br />m <br />wa <br />nnfieant <br />enalties fo <br />ubmittin <br />l <br />I <br />f <br />i <br />f <br />ti <br />SIGNATURE OF PRINCIPAL-EXECUTIVE <br />% j _ <br />(r r <br />l <br /> <br />TYPED OR PRINTED a <br />r <br />p <br />r s <br />g <br />a <br />g <br />a <br />se <br />n <br />orma <br />on <br />including the possibility of fine anxl imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />PORT LOWEST DILUTION (iC EFFLUENT) WHICH IS LETHAL TO <br />:: I TY TEST REPOF,T FORM Tn nmR <br />3. L Fr-.