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PERMITTEE NAME/ADDRESS +I a"- Fiait+n Abm.:'Lu Nunr ij L+OirrrW <br />NAME (. H 1 fE RNI I NAL , i NC <br />ADDRESS -A-CH LOADOUT <br />Q. POX 772996 <br />TEAMBOAT SPRINGS CO 80477 <br />FACILITY z DEN (A fl_CH L t AD0tJ1' <br />LOCATION ;YDF_N CO 61634 <br />I AN P. DUNFEE: w RF_C•f17R <br />.?.?,0!,Ai. POLLUTANT DISCHARGL ELIMINATI(-,.•. rr. T: 61 {t4pDES) <br />DISCHARGE MONITORING REPOH-i tDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved, f <br />v'b Nr, U: n.0004' <br />MTI ' <br />F <br />PON;) k:&/4) i G !: R'r 1,RKi YHi il'N, <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION IN FREQUENCY <br />OF SAMPLE <br /> E TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />;. SAMPLE c ti i?it t <br />? -,, } <br />J/ <br /> <br />L' I SS(]L' ' I_ <br />MEASUREMENT <br />J <br />?' J /, <br />L) G <br />17 L) <br />(j..? <br /> PERMIT t t: stir'--: # >rt ##iE iFic3tti•d x. (?F°i L!-T <br />?.f ;Ui REQUIREMENT ::### <br />3JUA Ak.'t: <br /> SAMPLE <br />MEASUREMENT ,. <br />! <br />, ( 94) c r- a t i 1 i I <br />/` <br /> ! <br />J ! J <br />t?40E PERMIT #i t -II R .PCIRT r:S=l ##ii a? #Ir#I?it sr ##rrx mat s•k#x -j E- ?1_V 5 <br />FFFL!)EIV ; REQUIREMENT I. I•,'D1 PJAX NU=O <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?ITLE PRINCIPAL EXECUTIVE OFFICER I certify under penally of law that thk document and all artachrucm% wetc <br />d TELEPHONE DATE <br /> prepai <br />under my direction or >uper uion to accordance with a svslem designed .? i <br /> to amore dim qualified pentotmel pmperly gather and evaluate the information '• <br /> submitted. Based on my inquiry of the person or person% who manage the cy: tem• i - <br /> or thou persons directly resp,;nsihlc for gathering the information. the inlorination J <br /> submmed is, to the bent of my knwA ledge and Wief• true, accurate, and complete. <br />I am a <br />t th <br />re <br />r <br />ifi <br />t <br />lt <br />itti <br />a <br />e th <br />i <br />f <br />b <br />f <br />l <br />i <br />f SIGNATU E OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED e s <br />tes <br />or .u <br />ormaton, <br />% <br />r <br />a <br />e <br />a <br />gn <br />can <br />pcma <br />m <br />ng <br />a <br />se <br />n <br />including dte possibility of fine and impnuximcnt fur kn..wmc vt.datiuns OFFIC R OR AUTHORIZED AGENT pp?A <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />l.Vmmr-1710 mlvu cnrL ,l - W.. yr M+? vlv Val wim,a tnclwlwll? W oil <br />EPA Form 3320-1 (Rev. 3;99) Previous ed.rons may be used <br />1 - <br />I rar c/ <br />24-HR PRECIP EVENT IS CLAIMED. EXEMPTIONS FROt <br />00018 / Oft 4 B 4-parr4bnn.