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PERMITTEE NAME/ADDRESS Nn, Iml, 1 ncdirr Name Locution rjDi#emw) <br />NAME <br />"-'D4L-, INC.. <br />ADDRESS - LOADOUT <br />POX 459 <br />FACILITY tiENCE CO 81226 <br />LOCATION HF I ELD 1111'4E C QAL LOADOUT <br />i ENC E CO 61226 <br />-:R(,F V PATTI::Rcz INI. nFN mrR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />F - FINAL FRMN i <br />POND I LISCHR . TCI CHAtvr'.LER C°K <br />N(1TF• Rcari Inetn trtinnc {?nfn.dwn `.:?.. L.Hn.. •E.:.. ?...... <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREQUENCY SAMPLE <br /> Of <br /> EX TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT a r t <br />5 r t, i <br />J I C F <br /> <br />t r . -_Jr <br />REQUIREMENT . <br />' • <br />. <br /> 1 <br />I• <br /> SAMPLE ;. .. <br /> MEASUREMENT <br /> <br /> PERMIT a### t-s ###It+ t REPOPT I U. 5 -iF <br />VALUr REQUIREMENT <br /> <br />, M?. <br />AM <br />I <br />l , 1 <br /> SAMPLE a -, st• £ <br /> MEASUREMENT <br /> <br /> PERMIT i,, <br />' RAV, <br />, <br />i L REQUIREMENT <br /> SAMPLE - <br />-i HR U T R MEASUREMENT <br /> PERMIT ;: r .; -# x### -f?k:T stfi z ONTFN C CIRDR <br />-- Ti •F_I,: - r-Rr-?c <br />- REQUIREMENT <br />I_n7U <br /> SAMPLE <br />V I SUA1 MEASUREMENT <br />, .... <br />, <br />?. - PERMIT r <br />E r ' -i i j•y f ; REQUIREMENT <br />. „i T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT I <br /> REQUIREMENT 5 <br /> SAMPLE <br /> <br />MEASUREMENT O / <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAME/T TLE PRINCIPAL EXECUTIVE OFFICER I crft? under penalty of law that this document and all .ntachmentc were TELEPHONE <br /> <br />prepared under my direction or %upern ision in accordance with a > etctn designed DATE <br />A to assure that qualified personnel properly gather and cealuatc the information <br />subm <br />tted H <br />d <br />i <br />h -' ?? _ - - <br /> i <br />ale <br />on my <br />nquiry of t <br />e Person or persons who manage the si stcm, <br /> It <br />i <br />thre <br />f <br />ashhl for <br />gathering <br />the information. the n tn( <br />nation <br /> <br />• ti <br />in <br />e,, <br />m. <br />and <br />T <br />ubmntcd i,s. to the the ha.t -t m kn uleJgc and belie(. true ucurute and c,r.hplctc SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 1 ,i iwar that there r n !icdn penalties for submivme false tn1 rrmni .n. <br />_ TYPED OR PRINTED th, phsahihi. f fin, er : nnp ;onmcnt for knuwmg ainlatiom OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />rOMMFNTC aNn FXPI ANATIr1N (1F ANV trlrll ATInKIC DAY <br />TLEABLE SOLIDS* !_ M ! T WAIVED FOR . Fi F_C IP EVENT <br />T I. 2. 6. ANY ADDITIONAL DATA SF TO THE DI <br />i 6 Ihiy•is a 4-part fi)rm. PAGE OF