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PARAMETER
<br />QUANTITY OR LOADING
<br />QUALITY OR- CONCENTRATION
<br />Z 1
<br />FREQUENCY
<br />OF
<br />ANALYSIS
<br />SAMPLE
<br />TYPE
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />C V ,.yP i ; :'t: , `;. L',I"R A C, I ) r
<br />D I SSOC IA01 i7
<br />c 7 3 :. c: ;,
<br />_ '. _
<br />EFFLUENT iT G `OSS VALUE
<br />SAMPLE
<br />MEASUREMENT
<br />'• .*. **
<br />:...**'sl•
<br />ii•:"r #?f
<br />'3t'ib•?r' '•ii•4
<br />_ .
<br />t L `-
<br />MOr 0...
<br />, .
<br />t'_.: `.'f
<br />-
<br />1•:••f • .•1.
<br />a }= i ,7
<br />i §
<br />Tot Av ;
<br />1 •
<br />C# k :. ; N.. +% I
<br />DAILY S'O)i
<br />PERMIT
<br />REQUIREMENT
<br />>- .... _
<br />..
<br />fi N. \r i..d T t..7 £di: TLJ i i'2`:b..
<br />t AS BE)
<br />_, 03 2 •t (..' ' • s •
<br />D_ _ I GROSS S r
<br />� L..l�l'•1�T !�'v!^Ut...
<br />SAMPLE
<br />MEASUREMENT
<br />�' #':t'
<br />''r •.i.-..:.•:t iI'
<br />' «���'
<br />*• t *3� #•
<br />k.
<br />a.C'i
<br />,�!/ f
<br />UG f L.
<br />.,
<br />..i'i Bµ0.0,,
<br />, .
<br />, ., m
<br />Ir --t l`' . 1 "'
<br />'
<br />...: '.3•:r ,•.''
<br />C 1
<br />is C !
<br />tt��
<br />a"....z e ; w?. `
<br />. i ... . tie..
<br />Y1 .; I. '( 1 li
<br />-
<br />PERMIT
<br />REQUIREMENT
<br />. +.r ,t .-r
<br />c ...
<br />. $- s . .
<br />C F :5 I3)
<br />' '10,' ::U3 i r t
<br />1 „c. r
<br />�lr`F�_tJl�••i�' G'I:c��'S VALUE
<br />SAMPLE
<br />MEASUREMENT
<br />� #•�
<br />ik}
<br />f�C. -r /L..
<br />1 ... , .' ,, -.
<br />f. :i `�.9.,d
<br />r -{t r
<br />s .'I'!`t
<br />#.z L --
<br />**--z- .. - . -.
<br />(+till
<br />r,,
<br />� )' . _� t -' :��:�f,:z
<br />itt 1
<br />`
<br />' .. _.� .
<br />�r§e � �
<br />PERMIT
<br />REQUIREMENT
<br />.. ...
<br />r.
<br />.•1Iric.E.I.
<br />TOTAL aREC OVER =in `
<br />0107 4 ., {. if
<br />EF'1L ":T GR OSS tv' ?LUF
<br />SAMPLE
<br />MEASUREMENT
<br />+,•ii' #3i•I7.n;.
<br />... x.
<br />•#�a
<br />i*•3##
<br />*-L.. **3F
<br />J
<br />.1
<br />c ..�'tr/
<br />UG; w
<br />tai'......
<br />.": '"
<br />„.,'� .i'° ,_
<br />.;* ti*:.:
<br />7
<br />.- i f
<br />ZrCOA :
<br />'dre.""_l�''i..h.i i
<br />D: =2IL'T FIN
<br />PERMIT
<br />REQUIREMENT
<br />o . . .... . .
<br />•
<br />'s. . , • .. • . •� .:
<br />_a AD
<br />TOTAL RECOVERABLE
<br />. ;, 4. 1. (;, `,)
<br />EFVL.UEt'•NT GROSS S VALUE
<br />SAMPLE
<br />MEASUREMENT
<br />w :••t ?4'i'
<br />•`i• * ••
<br />fie *
<br />* *
<br />�4
<br />3d•3t - 11•y4'
<br />l twt,i
<br />LIG /L -
<br />. 1
<br />: :1 I
<br />.to Zr . v .
<br />idL 1 4 , 1
<br />;. ,-. AVQ •
<br />l ' .t ' t #i 1
<br />1 dt`:I i_Y Ni(
<br />PERMIT
<br />REQUIREMENT
<br />,. .. r
<br />• f.
<br />.tA `Jy''.!) - '_°i i, •1 3 f Ylt._ t FCU
<br />` Ertiv sLr..
<br />C 1 , c.:.. 1 0 0
<br />EFC- 1..UENT GROSS VALUE
<br />SAMPLE
<br />MEASUREMENT
<br />ir•ik*• qg X
<br />y.4. i Y 's dr
<br />>'
<br />****
<br /># # -A•"7• •;i•
<br />t e:t r
<br />US /L
<br />U � f L
<br />J
<br />i
<br />: t °.: =_. S
<br />t-�••_t
<br />� :...,�?: fi �
<br />' -
<br />i
<br />3 )2) aft °+
<br />,:rr, , �., �, 43'L7
<br />tI....1 LIN t
<br />!� , :, .._. ; I , �t
<br />DAILY Y )t.
<br />PERMIT
<br />REQUIREMENT
<br />REQUIREMENT
<br />: :• •. .. ., .
<br />_ ., >..: /•-• I'ai i..'t s . f P. I Sr i= 4 E N
<br />1"OTt•'•.I R EC, ".:1 E.RABL. E
<br />- 2 ...
<br />;r ,�,. r
<br />9 FiLUI±i + 07.0SF3 VALUE
<br />SAMPLE
<br />MEASUREMENT
<br />• $**
<br />?:I . .:i' * irt ...A. i:•
<br />i'o•2'ir
<br />It'* #fi•
<br />*****3.,
<br />t3 3
<br />U0/I
<br />..:;<•.r.i•:.. P.
<br />-t...r sue'
<br />3UD.A A
<br />e',: `:»ro <
<br />Dt.IL'.` H.
<br />•
<br />.V.. _.F
<br />t.tt ".'
<br />.l. l • .. .., ,
<br />PERMIT �
<br />REQUIREMENT
<br />r:.. Y: : ti ,t
<br />7 L -.:••
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />1 certify under penalty of law that this document and all attachments were
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<br />lam aware that there are significant penalties for submitting false information,
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<br />TELEPHONE
<br />DATE
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<br />S IGN , ATUREE OF PR! • IPAL XECUTIVE
<br />OFFICER OR AUTHORIZED AGENT
<br />G N 4 f /
<br />�'
<br />���_ ���
<br />AREA
<br />CODE
<br />NUMBER '
<br />YEAR
<br />MO
<br />DAY
<br />TYPED OR PRINTED
<br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location iiD /eren
<br />NAME _-1-,; ' "1 RESOURCES 1.2.0
<br />ADDRESS Wg-).Tr, ri_H IND FRO.E:. E
<br />3l a ` 90
<br />}
<br />I�•i'='y q 1.
<br />FACILITY l,i' - 1 Y ° ._E' - I i iii PRO }122
<br />LOCATION. ,TE!,j
<br />EPA Form 3320 -1 (Rev. 3/99) Previous editions may be used.
<br />CO 19142.
<br />CO 81522.
<br />EXEC VP/CCD
<br />FROM
<br />YEA
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />Cr..100 ~r' 62
<br />PERMIT NUMBER
<br />MO
<br />MONITORING PERIOD
<br />DAY
<br />:i
<br />TO
<br />DISCHARGE NUMBER
<br />YEAR
<br />MO_
<br />DAY .
<br />'r3"s:t.iO:l
<br />C SU2F• Dial )
<br />-- F X NAL
<br />POST f;MNT
<br />•E• *# NO tIScHARO : ::
<br />DSCi G TO LU SDEN CF
<br />00048I0nigIt 44511f13tform.
<br />Form Approved.
<br />OMB No. 2040 -0004 ,
<br />ti
<br />NOTE: Read Instructions before completing this form.
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