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PERMITTEE NAME/ADDRESS rl-lude F'ucllin ,Vurx. lrawion 4Di errnr) <br />NAME -i Tt-. R''. i NAL. INC. <br />ADDRESS I1" LOAFD'UT <br />Y. tJ. 13OX 77:` 6 <br />AMBQAT SPRINGS :: 3 <br />FACILITY DEN GIJL_ CH L O.AVO <br />LOCATION DEN /? l.0 8 <br />AN I" nt1NFi-F=. 7TF?Fr:TCIR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING OUAUTY OR CONCENTRATION NQ. FREDUENCY OF SAMPLE <br /> <br />EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE t• '-1!- <br />1 //', I .ffr- <br /> MEASUREMENT OC C.' j L) <br /> . . <br /> PERMIT c: u I in °?. U :;: _-'•-,C.Y INSIT <br /> REQUIREMENT I? (1 I fv I MI-11:•1 NI x I MUM <br /> SAMPLE <br /> MEASUREMENT S r <br /> J to I ... <br />t1tJ'_r_. PERMIT 4?tsl 1F # •: r t??: + ri a#?t iE1Ei; 35 70 <br />7:F?= L- IJF. REQUIREMENT 3ODA iaV':? t? P4 II_'Y hiX MUIVT'i <br />C, i . Ti ?7 r SAMPLE Q ?...: _ <br /> MEASUREMENT <br /> PERMIT i:ttc nt I< #t; it##i? 'y?r? _ RT O. $ ;i'ik;E/ :',ter <br /> REQUIREMENT A?.'U UA7. 'f NOW, <br />i? SAMPLE <br />' MEASUREMENT <br />) 1,.'y - PERMIT ?. ? #### #s #yvp- it •s- -0 si iF? #uai "I. 5 O 1 J- rgC1 : -r% <br />"FrLItEI•i` Fi:;ri;3 'r;'.' REQUIREMENT i .x#ri 3C'Liry AL' :)r:'.! •t• 'iX i": :fl7ftiTt <br />i1Ar4GANE':--J SAMPLE <br /> MEASUREMENT J G V? b <br /> PERMI T;: #x # r is ti t-tr #irst tt 3?iF#? 5 7 C ? ?rtc1 i F4AB <br /> REQUIREMENT t K : t?7tTF, A :' iii"• ? ! ', Pl. MG: <br /> SAMPLE <br /> MEASUREMENT V /IVI V <br /> PERMIT it lf# 1 i°# #t- r #tP is ?. iE s!# iE iF? t?# iE ### 10 <br />i <br />-. <br />J •-,! REQUIREMENT Mx <br />1t; ; ! <br />! <br />T Pt . SAMPLE I _ !! .•, _ - r >: 4,- <br />ii yi <br />A u iE iE i1 r <br />l\ <br />(J <br />(j J <br />?I <br />-:. <br />P L- MEASUREMENT v' I ?: l ?/-V 6 L) <br />y <br /> PERMIT T t- r•tJ,q ; Pc r?rtj?T ###3i## if ?h}.##!E it# K### ?'f JEI I41_.Y" ji E:= <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I comfy under penalty of laa that this document and all attachments were <br />m <br />h <br />d <br />d <br />di <br />d <br />d TELEPHONE DATE <br /> prcparc <br />er my <br />rection of super <br />on in acct-rd mcc wit <br />a system <br />esigne <br />un <br /> „ tssurc that qualified personnel properly gather and evaluate the information <br /> ubmtned. Based on my inquiry of the person or persons %ho manage the system, <br /> or those persons d,reetly responsible for gathering the information, the information <br />PCY1 276-5209 uhrintr tit it, , th b-;4 ,m An ct cr and tah •f tr u <br />accunh and nom lelc. <br />p <br />I <br /> . SIGNATURE O PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED OFFICER AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA7IUN UI- ANY VIULAI Ivrva iKererence an arracnments nere) <br />D. <br />EPA Form 3320-1 (Rev. 3?99) Previous <br />MEII, EXEMPT <br />a' i; _ OF