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`^,- <br />STORMW T_F,R ANNUAL REPORT - LIGHT INDUSTRY <br />COLORADO DEPT. OF PUBLIC HEALTH & ENVIRONMENT <br />Water Quality Control Division C p <br />WQCD-P-B2 <br />? 1 1 0 f "" Q -/ <br />4300 Cherry Creek Drive South <br />Denver, Colorado 80246-1530 <br />Make enough copies of form for each reporting year. Or go to <br />http: //www. cdphe. state. co. us/wg/Permits Unit/stormwater/industrial. html <br />/,L !? /?'r? <br />Pernuttee (Company Name): 06 <br />Facility Name: L1-d, <br />Mailing Address: / q / 4 <br />.I- V ; C,5 U , SGy - l?? N <br />L <br />d 7? <br />Facility Phone Number: (9'70 ) ?5t oZ- ?/ rJ <br />Permit Certification No. C©R$ J1 d Ltj <br />Reporting Period: Jan. 1-Dec. 31, 20 L_ Q (Form is due by Feb. 15 of the following year) <br />**Each section must be completed. Please print or type.** <br />A. A report on the facility's overall compliance with the SWMP. (Include here a summary of any measures taken <br />to comply with your Stormwater Management Plan (SWMP), to fully implement it, changes or improvements <br />made in any of your Best Management Practices (BMPs), employee training, spills, other problems <br />encountered, etc. How is your plan working?) <br />O /0 <br />Were changes made to your SWMP? X_ No <br />_ Yes - Describe changes on a separate sheet. <br />B. A summary of each comprehensive stormwater facility inspection made, including date, findings, and action <br />taken. (The permit requires at least two comprehensive facility inspections per year - see page 8 of the permit. <br />Include here a summary of those inspections, plus any other comprehensive inspections made. It is not <br />necessary to summarize day-to-day inspections, unless significant problems were noted.) <br />First Inspection - Date Findings, and action taken: <br />41 a_ <br />Note - form may be reproduced Page 1 of 2 <br />k=fir NED <br />Nei 19 20'? <br />Division of Reclamation, <br />K & Safety <br />Check if this is a <br />new name, address, etc. <br />at-6/0611 <br />1h?cv