Laserfiche WebLink
<br />PERMITTEE NAME/ADDRES S (j."FadNeyN..wLL acatton 1/D(Qban? ???' N ATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESI <br />RGE MO <br />O <br />I <br />T <br />M <br />NAME H; ;r z ; i <br />ADDRESS.6)cS NO. a, tr II1I'y <br />.IfIIP<} DISCHA <br />N <br />TORING REP <br />R <br />(D <br />R) <br />f ??1Gt??'Y37 .I+ a A <br />P. 0. BOX 175-41 PERMIT NUMBER DISCHARGE NUMBER ,"• <br /> , <br />Af-.dN I A •"O S i 1.2a MONITORING PERIOD <br />FACILITY f a' E,4 sI 1 YEAR MO DAY YEAR MO DAY'' <br />LOCATIONSOj,3iFp, S?'T CO 61434 FROM u u - LF 3 TO Lt i.1`Y =J.' <br />AT T N: DANIEL E. aW-D-%R, PRESIP?FNT t <br />Form Approved. <br />OMB No. 2040-0004 <br />Slid; Mill ) <br />i•"saNE DRA=f.4AC_•1 'r0 ICI 1=K Gti1=NISON <br />NO DISCHARGE 1_ I <br />NOTE: Reid Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PH SAMPLE ## i# d TI ?'a ? i kF Y C t !£ it ? i 0 i# d <br />12) <br /> MEASUREMENT <br />004 00 i 0 C PERMIT <br />E;;LUlrN? +ti#C)SS VLU.. REQUIpEMEN1 Su <br />: }S r SAMPLE *4:.**** # Ei si ti is t: # i ( f } <br />I <br />SUSPENDEri MEASUREMENT r p `?- ?j !r <br />i3=+uC"1 £ r 1 PERMIT : 1z <br />EFFLUENT GROSS VALU REQUIREMENT s ?fi> ii d r N°'IG L <br />.(. R OWl Tt.'I'i'AL SAMPLE ? ? » i iS ? ? ? ? ? j ?. t;•a ? / <br />366 { 2IS y <br />f 3 FE } MEASUREMENT <br /> <br />EFFLUENT GROSS VAb. LI REGUIREMENT #i?ii# °•_ _ "'' U?ir°I. 1 Sa ; <br />OIL spivs} GREASE SAMPLE fit + ? 3 7r ? ? #i ? ti E it ti di tFiF fi Te ; : ; IV) <br /> MEASUREMENT C?-? G1 v <br />a35"'.2 t O v PERMIT t ?.. Iw sf 77777 7 <br />EFFLUENT GROSS V AI. ;i REQUIREMENT <br />.........:_. ;;• MG/ L <br />?W1 IN CO DUIT OR <br />IN SAMPLE ? 03} <br />-•N-I• RU TREATMENT I'!.»AW MEASUREMENT <br />10 . 5 1 L ? PERMIT <br />wF ! UENENT GROSS VALU RE.QUI,REMENT iCS} <br />SSl 3'}:. TOTAL <br />SAMPLE <br /> <br />?r <br />DISSOLVED MEASUREMENT <br />%it5 ?I PERMIT <br />I <br />EFFLUENT GROSS VYrll ? 'REQUIREMENT <br />.... <br />__ MG!L <br />01L AND Gi{SCAtSIE- SAMPLE ti 4: ?t d£ k' <br />T ? t+J. } 4i w##? s ii ti `i liiF b 'k3srl& Y c? <br />VISUAL MEASUREMEN <br /> <br />00 <br />.540& <br /> <br />PERMIT <br /> <br />:Dr-. <br /> <br />S <br />N= L U 3 'i CROSS VALUI REQUIREMENT <br />TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty o law that this document and all attachments were <br />TELEPHONE <br />DATE <br />NAME/ Prepared under my direction supervision In accordance with • system designed <br /> assn <br />to amuse <br />to that don personnel Properly y gather and evaluate the information <br />submitted. Based on my y inquiry Prop Propuiry of the person or persons who manage ge ft Ilse system, <br /> <br />n or those persons directly responsible for gathering the Information, the information <br />N i e I ?} / ea y?• <br />I , Rea r submitted Is, to the best or my knowledge and belfer, true, accurate, and complete. <br />lti <br />1 am <br />th <br />e' <br />ifi <br />nt <br />t th <br />i <br />f <br />b <br />i <br />i <br />I <br />f <br />f <br />l <br />SIGNATURE OF PRINCIPAL EXECUTIVE a?_ 5? ?? /? <br /> aware <br />pena <br />a <br />er <br />sm s <br />gn <br />ca <br />es <br />or su <br />m <br />tt <br />ng <br />n <br />ormation, <br />se <br />a <br />TYPED OR PRINTED including the possibility or Bne and Imprisonment for knowing vldatbns. - OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION ;vr ANY VIOLA I Ions /Reference all efamcnmsnts nerd <br />s'"'.<_. & rwRE tS?- REP-G'i`Y I NG SEE &. Pf. 1. A. 30 DAY AVE-:Z GE IS HIGHEST MONTHLY AVERAGE Ol1RiNiG PERIOD REPORTED. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. wa: ;R. ?. This 1S"8~.4-paft?forfTl. PAGE OF <br />?=i ?,