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PERMITTEE E ADDRESS (Include NATIONAL POL NT DISCHARGE ELIMINATION SYSTEM lNPDES) <br /> Faci:ayA'cme 1e,aNunr def TreyJ DISCHARGE MONITORING REPORT lDMR1 <br /> IiAM4_-- IZD__—O T1NF.NT RESOURCFS, INC.___-'--- -_(=io (17-1V) F — FINAL <br /> _�_ucness_P 0 BOXY 158 _ _ _ C00039136 001 A _ TOTAL DISCHARGE FACILITY <br /> 105'3 100 ROAD PERMIT NUMBER olscHA RGE NUMBER <br /> CARBONDALE CO 81623 _ f MONITORING PERIOD <br /> /AGILITY (YEAR MO DAV YEAR MO DAY <br /> LOCATION ------ _ _ FROM09 TO MINOR PITKN <br /> ATTN: UCUGLAS u BOWMAN 120-21) (22.13) (24-25) (2627) (28-291 /30-31/ NOTE: Read instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING (4 Curd Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (3845) (46-53) (54-61) 1Vo. FREQUENCY SAMPLE <br /> (32-37) EX ANALYSIS <br /> TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE <br /> AVERA.IG�.E MAXIMUM UNITS 6Z�3) (64.68) (69-70) <br /> OIL AND GREASE SAMPLE ##'VIM## ',k',iI Y�'k## M#Y# # <br /> VISUAL MEASUREMENT <br /> 84066 1 0 0 PERMIT REPORT WEEKLY VISU,A <br /> EFFLUENT GROSS VALE REQUIREMENT DAILY NX NO=O #### <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E <br /> AND AM FAMILIAR WITHTH THE INFORMATION SUBMITTED HEREIN ANDDBASED � <br /> N c ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> O./ � e �� OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION <br /> `' IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br /> NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING � Q <br /> j� THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USC S 1001 AND <br /> 33 USC 41319 IYrnalru•. —drr rhr+r staruaa —, Inl ludr /Inv. up 1" )lu rHH1 SIGNATURE OF PRINCIPAL EX UTIVE (0�/'f [ / <br /> TYPED OR PRINTED —pr, 6monrh.and i-- OFFICER OR AUTHORIZED AGENT AREA NUMBER I YEAR MO DAY <br /> L- CODE <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (He/erenee edI arlurhmenls here) <br /> IF NO DISCHARGE OCCURS REPORT NO DISCHARGE ON YOUR DMR, OIL 6 GREASE NOW 2 PARA". NO SHEEN: 84066=0, <br /> _e556=0, A SHEEN: <br /> 8j4J06_66=�j1?[,`T j5y56=GRAB. SiLTSITY LEAS. AS TDS. TSS,SETT. 50L, 6 IRON NO LIMIT PREPRINTED ON <br /> EPA A4F T(iI 7 eV. V/ kIdUS YCf111bR T iJS D RM'ETTREPLACES EPA FORM T-40 WHICH MAY NOT it 1ecFC+ I _ <br /> UNTIL SUPPLY IS EXHAUSTED. I;;y ! ( rf :'� di")•? I..-.; <br />