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PERMITIEE NAMEIAODRESS (7-&& FwdRyNoeWL grim tfDW6r m) NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM /NPOES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />BOX 482 PERMIT NUMBER DISCHARGENUMSEII <br />AI A <br />MONITORING PERIOD <br />FACILITY I E NO. c M I r4E YEAR MO DAY YEAR MO DAY <br />LOCATION NIA CO 814 FROM TO <br />I i TAM A AFAR .1R MTNF M!;;.' <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />DSCGH OF SR TO GUNNISON RIVER <br />NOTE: Reed ktetrucdone before completkty thle form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX IREGUENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### kit###iE ####!! Y ?? r CF' ', I'1= i Tr. <br /> REQUIREMENT M I' l I`11 M MAX ? r+.?1? <br /> SAMPLE <br />UREMENT <br />EA <br /> M <br />S <br /> PERMIT #?s##IE ifk era# tl###iE 70 <br />V?•• REQUIREMENT A AVG D+-'. [ s . Y' 111 Ill 01': 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ifiEiF##n p#?r### #iE#### REPORT REPOP-T INCE <br /> REQUIREMENT :30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />c, 1 PERMIT ###### IE#?E### 3l?EiE### 3000 6000 NCE/ [R4B <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT' tea; ., .. A- u> :'iF 1aJ ;INTIN <br />IN . <br />.. <br /> REQUIREMENT IINST MAX <br />rE(`1T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT P,SPORT <br />- - <br />„ REQUIREMENT i I LY MX <br />. <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> <br />REPORT <br />PERMIT <br />"JAL <br />REQUIREMENT l--)'T MAY <br />TITLE PRINCIPAL EXECUTNE OFFICER I cernry ¦ r penalty aw that thle document and all attaehmenb were <br />TELEPHONE <br />N <br />DATE <br />AME/ <br />prepared ender my elreeuon or auper+isfon in accord¦nfe with . syl"em designed <br />to .sure that quashed personnel prWeAy gather and evaluate The Information <br />lobmltled. stated en my Inqulry of the person or persons who ~ate the system. _ <br />or Those pereores dlrecty respadbk for gathering the lnfermatfen, the Information <br />mbmlued l; to the bet of my kwowiedge and beeef, true. accurate. and c pkle. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />l <br />Nn <br />t <br />1 <br />t <br />t th <br />ltl <br />f <br />tt <br />I <br />f <br /> am aware <br />g <br />un <br />ha <br />e" art s <br />tema <br />w mbml <br />)ng Tatar <br />n <br />ormation. <br />es AKA <br />TYPED OR PRINTED Including the poadbllTty of flm and Imprisonment for knowing vlol¦Uoma OFFICER OR AUTHORIZED AGENT ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re%rence eat attachments here) <br />r'RF•r•Tr-' F'V NT IS CLATMED IF CLAII"! APPROVED PY WGCD, <br />r{ = rn??.r?.r ?:Irl - r c <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may be used - ?h % i •TWs;#S A 4-part fOri11. PAGE OF