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PERMITTEE NAME/ADDRESS (7ne wk Feediy v&vwLoeatlen I/D(pGrmi) <br />NAME <br />ADDRESS`!R 'c\' ?. 7- <br />1._ ji 1}t!j { <br />FACILITY f_: i-FAR €`•€F..Y'. H i NE <br />LOCATIONIQ-Oft ,€ Sr CO 81434 <br />DANIEL E. ;RFEAR, PRIESIDFtNIT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHA^R•?GE MONITORING REPORT IDMR) 7 7 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM l n« `-/-f V; TO 1a, -5 VC, k i.t <br />Form Approved. <br />OMB No. 2040-0004 <br />GUN I S, <br />ACUTE WET , EST ! NO FOR 001A <br />NO DISCHARGE 11-f NOTE: Read Instructiora before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br />EX FREQUENCY OF SAMPLE <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />'-C SO STAT€',E 401IR}AC 4.. SAMPLE ??t•n??g? Y?E?3Iisi5'r 0 i1?3d?fi•? i i3..?s,-.? ( 23) <br /> <br />C E 0I'3f41Rf-i0€ I a s <br />MEASUREMENT ba <br />1 0 G PERMIT -'.. :... <br />15R- <br />EFFLUENT GROSS V l"rJ" aEQUIRI MENY •? . • ;,, r, .1:",._ _ CENT <br />r' °r C; t.ST{:'tfT•F E ! 3 4R, ACt SAMPLE <br />SUREMENT 1# f :'r :- :: r ;::..kif r :f i :i x'.. #.• t r it Y c i P <br />A <br />' <br />MAGNA MEA ? <br />?'`?°d?:'r { :. ¢ 7.?_'?.:• •' .,? ?..- :a ••#••>if• .i..:•`? t.,.ri.•+ ..7...?.. .. ..t'..., ; ER- <br />EFFLUENT GR02S VALU ?EQl11REMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ;PERMIT <br /> REQUIREMENT <br />,.,..: .....................:.... <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />' <br /> AEaiiR?nnENt: <br />:::::::, :............. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> A15dUIREMENT' <br />PRINCIPAL EXECUTIVE OFFICER ' Ge11lr under Pena ty o law that this document and all attachments were TELEPHON E DATE <br />NAMElTITLE prepared under my direction or supervision In accordance with a system designed <br /> to assure that qualified personnel properly gather and evaluate the Information <br /> submitted. Based on my inquiry of the person or persons who manage the system, <br /> or those persons directly responsibk for gathering the information, the Information <br /> submitted bt, to the best of my knowledge and belief, true, attvrate, and complete. <br />._.w <br />1 are that IheR are d <br />nlfinn1 <br />m.11 f <br />or submittin <br />hbe Infonnatl <br /> <br /> <br />IONATt/RE OF PRINCIPAL EXECUTIVE <br />a <br />k g <br />p <br />g <br />on, A <br /> <br />TYPED OR PRINTED <br />Inchul, the pomlbluty of fine and Imprisonment for knowing vidatbm <br />OFFICER OR AUTHORIZED AGENT <br />CODE NUMEIER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATIUN VI- ArAT VwILA I FUNS pilr*r#nCI all effecnmenrS nerej <br />?i, +. A. is«? dew ?, p: I3I? DES 41LS O 'EST P-;tOC:i Y?IJRE I~;E3 ORI' 1....1:.50 - SAI'ISTICf- L P07,MT HSaTI.,ATE €;,:"HICH T.S. <br />T'L2 O T!-=ST C? ^r, 3 3i-i3, ? :d" ATTACH :°-?iCOTE T€ X YCI TY i."BT Rr-TORT FO;IRI To Dl"R. <br />OF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. . ThIS"IS a?.4-Rart.._ form. PAGE