Laserfiche WebLink
/ERMITTEE NAME/ADDRE5Sr7-A.&FwwtrN.r'L .01-(fD(4""n") <br />NAME <br />ADDRESS N <br />CO 81428 <br />FACILITY _ ; N <br />LOCATION CO 81428 <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION 9Y9TEM (/NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER ascHARaE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />( SUBR !rIH ) <br />F - F I rJAL DEL <br />SR; DEER TRL DTC OR UNMD TR I D <br />NOTE: Read Imtrucdom before eomplet" thle form. <br /> NO. F"[0U NcY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />EX <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - <br /> <br /> MEASUREMENT <br /> tl ETEv <br />LY A <br /> PERMIT tt? REPORT , <br /> <br /> REQUIREMENT t=.T MAX <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER i rert+i' " pen' ly o tan that thN document and all allachmenu were TELEPHONE <br />pnparad under ms dlrecllon w sup-hilew In iu-rdan with a system designed DATE <br />to aaun that quaMrwd pemnnel properly tether and eealuale the infx mallon <br />nrbmitled. !used on my Inquiry *(the person w person .he manage the system. <br />w Ihaae persons directly resperrdble far lath-I.S the Informatlen, the liif- allon <br />vnbmilled Is, to the bet or my tnourkdge and belief. irue. a rata, and compWe. <br /> tale Informalbn <br />are d <br />rMfka-I <br />enalMe for wbmlinn <br />t th SIGNATURE OF PRINCWAL EXECUTIVE A A <br /> . <br />g <br />p <br />g <br />en <br />i em ewers tha <br />Including the poodblilty of Mm and Impr1mrimeni rw Ano.InE Wotk m OFFICER OR AUTHORIZED AGENT CAE NUMBER YEAR MO DAY <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ahN •tfecAmenfs norol <br />G+.tt Ir T+^ t' ,%TMT--n Tr- CL ATM APPROVPD FY WOCD <br />This is a 4-part form. PAGE of <br />EPA Form 3320-1 (Rev 3'99) Previous editions may be used