2009-08-03_HYDROLOGY - C1992081 ‎(2)‎

• Permit No: C1992081
• IBM Index Class Name: HYDROLOGY
• Doc Date: 8/3/2009
• Doc Name: April DMRS 2009 ‎(COG-850008)‎
• From: Hayden Gulch Terminal, Inc
• To: WQCD
• Permit Index Doc Type: DMR’s
• Email Name: JHB
• Media Type: D
• Archive: No

PERMiTTEE '4A',1E. ADDRESS
NAME
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ADDRESS JA LUADOI ,'--'
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LOCATION *rjEN
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
PERMIT NUMBER DISCHARGE NUMBER
MONITORING PERIOD
YEAR MO DAY YEAR MO DAY
FROM TO
=orm Approved.
FMB No. 2040.0004

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE

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AVERAGE
MAXIMUM
UNITS
MINIMUM
AVERAGE
MAXIMUM
UNITS ANALYSIS TYPE
SAMPLE
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NAMErTITLE PRINCIPAL EXECUTIVE OFFICER I omit., under pcoaln of law that this documzni and all attachments were ! TELEPHONE DATE
preparcyi under my direction or superl•mon in accordance with a system designed
to assure that qualified personnel properly garner and eealuate the information I
submitted Based on my Inquiry of the person or persons who manage the system. \
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or those persons directly re>pmnsiblc for
gathering the mlbnn:won, the information

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submmed is. to the hest of m} knowledge and belief, true. accurate, and complete.
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SIGNATURE OF PRINCIPAL EXECUTIVE _1
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am aware that t
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cani penaltic, Ibr ,nbmining !alsc inf rtnation. _
TYPED OR PRINTED
m11uJIng the Inrsibiht} . I tine and impris,mment for knowine vinlan°ns OFFICER OR AUTHORIZED AGENT AREA
NUMBER
CODE
YEAR
MO
DAY
!`n AA\ACAITC AAlrl CVM AMATIA\I ^C A\IV 111^1 ATIAwI[ /n _t______ _
'f.TT L "i' t (:, 'r PREC IN EVENT `;I Ir , tPt-T -(•n PUfif?EI4 nF• pFF'r'•Rf=Cit. 'P r F?,4 r. I ?.t
EPA Form 3320.1 (Rev. 399) Previous editions may be used. i?JGli _ 113 13? fAllll. PAGE OF