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PERMITTEE NAME .ADDRESS <br />' <br />NAME 1.0) - )f4 <br />--NERGY <br />DDRESS s- UY«'3F.` CtNY W N t NE . <br />A <br />E 'sr ?,yo yy?? _d??y <br /> <br />'f70 <br />17 S <br />HELFE:EF; Ili r S 526 <br />FACILITY e li(C? c3E?, CANYON nviliW <br />LOCATION LCJM,1; co <br />ATTN: TJAS.(F) 3. MII-LER4 , .12IR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESI <br />DISCHARGE MONITORING REPORT (DAIRI <br />w r9 - . <br />PERMIT NUMBER ascHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO: DAY Y A. DAY4 <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />:rEa1 t:lyi Y°,!Xf--'G TL I ..F sw :k + (R7E: , <br />„ €f s?i1 l?:SCHAPGE ! .! of i <br />NOTE: Read Instnictione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />t _ a Tt r .,_. SAMPLE t u,: <br />'37 S SOLVED MEASUREMENT ' <br /> ' <br />° s Fs EF aRi I: <br />a <br />' <br /> PERMIT <br />YP =a.?SEffi!1I ;rte aMy ) "i..3? REQUIREMENT <br />W-; J-VG <br />If <br />VA: L.Y MX <br />;t' <br />?_ ' .. <br />era e. e;. SAMPLE <br /> MEASUREMENT <br /> ... ?,,., . ? t Y 2 a_ ,. r. 's... ^..x,xK x. v dr.",.Y.. X:. 7$.F ? ?f 'C ? { 1.:.1 <br />Al???•- u C.? ?.l' _ . <br /> PERMIT <br />" <br />t <br />t? T (-4rVOSS W^,1-L)J REQUIREMENT T N,-,T MAX A10=0 . ..... <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br /> REQUIREMENT' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT'; " <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> :'PERMIT '' - <br /> AEaU1REMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT' <br />E PRINCIPAL EXECUTIVE OFFICER t teirtil1° er penalty o law that this document and all attachments were TELEPHONE DATE <br />NAME/TITL prepared under my direction or supervon in accordance with a system designed <br /> to assure that quo ffl'ed personnel properly gather and evaluate the Information <br />submitted <br />Based on m <br />in <br />or the <br />uir <br />erson or <br />ersons wh <br />man <br />th <br />t <br /> . <br />y <br />q <br />p <br />p <br />age <br />y <br />o <br />e sys <br />em, <br />or those persons directly responsible for gathering the Information, the Information `? <br />?y <br /> submitted tr, to the best of my knowledge and better, true, accurate, and complete. <br /> <br />Ism await that there are si <br />nificant <br />enalties for submittin <br />titre Information <br /> <br />EI ATURF OF PRINCIPAL EXECUTIVE <br />® <br />41 <br />® <br />fe <br />f <br /> g <br />p <br />g <br />, <br />pED OR PRINTED Including the possibility of fine and Imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />CO EXPLANATION OF ANY VIULA IIUNS • <br />.FAENTS AND • erencs all • ac men s er <br />TSB t' t'..' s>0- , :.jNt I I? iT6 P'•.!._L 8 a t?!AI'iL- 1, ANN _ TTL.F :£3! 1 ?i `.t_ DC LT°Iry' Ar'?:=;_1ELt `?'? :.Q?'i2 ?tl.t-??? ;?t.4::;P EVENT <br />90-L IDAL. LIMIT MAY 3E WA VED "OR OYRw 2P:.'rtR X. A. 2, P7 q,..?t .)3 'rr! t ik `MRING -- S _-EE <br />1 r -, o, P S. 030 Df-`fY AV G + S <_II GHE4 'a" Vr- DURNO F E'F a.OD. `t"S--!v L0C -P-` F` C i'7LfL .c"'3 TA . . 07,,:x`. _ I . B. ?, . ? . <br />EPA Form 3320.1 (Rev. 3/99) Previous editions maybe used. 1 A / (T-' S SI 4-p?Tt form. PAGE OF , <br />ry?,-:.,i.,<«.'f,,,y:..%N56YM?fy+M+rlF:=nc4isY 'N9: w,:.'.?._ .. a. .iY,nrr ,nn •...,::.