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PERMITTEE NAM S (Include NATIONAL POLLUTANT D RGE ELIMINATION SYSTEM (NPLICSI /- 'roved <br /> Factltt) home/Laca rent) DISCHARGE h ORING REPORT (DMR) o .204&0004 <br /> NAME v�lh1. C "r_C-11_�(� J�=� MI�:� (2-/6) (17-19) Expires?2984 <br /> ADDRESS_ 1037F L r"Il1JA P I., ...( . C T L 0 C600000213 003 <br /> -DE <br /> ------- <br /> DENVER MCI'•'T P,,SE PERMIT NUMBER DISCHARGE NUMBER <br /> ---- ------------ <br /> CD �0231 <br /> ------------------------ MONITORING PERIOD <br /> FACILITY--------------------- YEAR MO DAY I I YEAR MO I DAY <br /> LOCATION--------------------- FROM 1 1 TO _ 1 .51 <br /> (20-21) (22-23) (24-2s) (26 ) (28-29) (30-31) NOTE: Read Instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADINGJUN <br /> (4 Card OnJy) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (38-5) (46-53) (5"1) NO. FREQUENCY SAMPLE <br /> OF <br /> (52-37) EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS>< 6263) (64�8) (69-70) <br /> SAMPLE <br /> FLOW (EFFLUENT) MEASUREMENT No ischarge * * <br /> PERMIT M5lh,05n 1REgtiIREMENT ati il' f tk Yr +f * 9r a+ .* # * 't4 �' tk >ti '� lY CT <br /> SAMPLE <br /> S !DS9 TOTAL SUSP MEASUREMENT <br /> ,-FFLUENT) r1ERM1T LB/DA a;G/L <br /> b o 53 REQUIREMENT ,� ,� •� ,k * � ,yr ,* ,� � .* � 5 7 t) 6�t <br /> SAMPLE - <br /> IRON s TOTAL MEASUREMENT <br /> vrcwIrr L B/D A > M ; <br /> 1 d 5 REOV6REl1SZIT .� ,�' �, "* 'MC '�' "R '�' :xi ,w ,�,,:�• .; ,r ,�-`.r" .,.>...y�r ...,. -. �:,,: r �,, «+r�•o.,:tt s.. <br /> SAMPLE <br /> PHSFIELD MEASUREMENT <br /> U <br /> PERMIT 9 U <br /> 00400 REQUIREMENT 9 o .i!�0 <br /> SAMPLE <br /> OIL 8 GREASE MEASUREMENT <br /> VISUAL PERMTY K KG/L <br /> A 0 0 0 2 13 0 <br /> D r� SAMPLE <br /> COUIDUCTIVITY &/OR MEASUREMENT <br /> T (EFFLUENT) ,.gRMIT <br /> 7 0 u 0 0 RSQVIREMENT yk ttr + ylI` �I w atC �k t�F >k 7r( )I ( 1r It >x .k ak !t'' 0 <br /> SAMPLE <br /> MEASUREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINEp TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND SASE. -- <br /> ON MY INOUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR '- _ <br /> James $. 'Lunan oeTA1NING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION - ` <br /> IS TRUE ACCURATE AND COMPLETE 1 AM AWARE THAT THERE ARE SIG <br /> Manager - Permits NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING - - - <br /> THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC I loot AN <br /> 33 USC 1 1319 /Penahw. wder the.. .btllte. m•y Inc/de 1-e. rp Iu Sludmi SIGNATURE OF PRINCIPAL EXECUTIVE 0 4-5253 87 04 24 <br /> TYPED OR PRINTED snd'orms:ImWnImpnw,ven/o/Mtureen6 month.and Syver.I OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br /> IF NO DISCHARGE OCCURRED DURING THIS REPORTING PERIOD REPORT. *NO DISCHARGE! <br /> 7-PA Form 3320-1 (Rev. 10-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) } PAGE OF <br /> UNTIL SUPPLY IS EXHAUSTED <br />