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PERMITTEE NAMEIADDRESS (Include f'orililr Samell cution ijfAperenq <br />NAME ,). r; i, <br />ADDRESS OMPL L <br />-DEN CO 8163 <br />FACILITY ;ECA i•,` t: !Y_ COMPLEX ?, <br />LOCATION DEN CO 8163 <br />Y KARn. RF=C1 AMATT171N MAN,Ar;FR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEA MO DAY <br />FROM TO <br />Form App4oved. <br />OMB No. 040.OD04 <br />NOTE- Read Inctriinfinnc hafnra r•mmniafinn thic fnrm <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ; <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - _ 17-17 <br />. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT = <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT (J' <br /> PERMIT - ;rr• r i- .. <br /> REQUIREMENT <br /> SAMPLE y % <br /> MEASUREMENT <br />' PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT rr r ! <br /> REQUIREMENT M i <br /> SAMPLE <br />' <br />< { <br /> MEASUREMENT - I <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I a',rlif\ under lwaalh of No that Ihh document and all attachments wen <br />d <br />d <br />di <br />ti <br />Wo <br />i <br />TELEPHONE DATE <br /> prepare <br />un <br />er m) <br />on or %uper <br />rec <br />n <br />n accordance with a system designed <br /> a,,Uf[ that ynY1{rod perlonnd pfoperl? gather and fl alllatt the InfUlTltati/M <br /> submitted. Rated on m) imluln of the pemm or Iter,om who manage the ystrm, <br /> or Ihosr persons directl,i r"FKm%ibk for gathering thr Information. thr information •1 -, - <br /> ,ubnuittcd is. to the hm1 1d m., kmuwledge and belkf, true, accurate, and complete. <br />. <br /> I am aware that there are %i <br />ni(cam <br />enalties for sub <br />itti <br />f <br />lw i <br />f <br />ti SIGN URE OF PRINCIPAL EXECUTIVE <br />? <br />TYPED OR PRINTED <br />\ITf1 •\11'1 r 11i ,., , g <br />p <br />m <br />ng <br />a <br />n <br />orma <br />on. <br />including the p-ihilith of fine and imprimasment for knowing siolutiona. <br />•t, •, ;r1_?_.._ _ _.• ... O ICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />AFTER (._ QL L_EC •j -1!')N OF <br />PERFORMEC. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 00141 . `Tbisli% a 4-Pranl6rin.