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STORMWATER ANNUAL REPORT - LIGHT INDUSTRY <br />COLORADO DEPT. OF PUBLIC HEALTH & ENVIRONMENT <br />Water Quality Control Division <br />WQCD-P-B2 <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/wq/Permits Unitlstonnwater/industrial. html <br />Permittee (Company Name): A <br />Facility Name: <br />Mailing Address: - V /?/ <br /> <br />/, ,ILL - x <br />vd i - <br />Facility Phone Number: (Y74) Permit Certification No. COR-OR_,21 d 1S <br /> <br />Reporting Period: Jan. 1-Dec. 31, 20 j _0 (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 />Check if this is a <br />new name, address, etc. <br />:6, S /-3 -/3Js6c") <br />B. <br />Were changes made to your SWMP? )? No <br />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: jZ_x'e' <br />y i a %__ - <br />Yes - Describe changes on a separate sheet. <br />Note - form may be reproduced Page 1 of 2 <br />ar6io6n <br />