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PARAMETER
<br />t comfy under penalty of mat this document and all attachments wen prepared under mv dm -coon or
<br />,,,pm in geordanee withnay,wm designed to emorc that qualified perx properly gather and
<br />duate the ose pem on amm,,nd. ponsi le ma my try of the fo r , rm or . the manna rr ho manage the
<br />f flu rrc those peen s directly l. .g sed for gm lutry the person tha n Au ma age the cd is
<br />r o 2ha Lmst Mmy knn n`l and lather. we. ludtn ra, and comptctr I nth n u that flan: arc r k m
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<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />FREQUENCY
<br />OF ANALYSIS
<br />SAMPLE
<br />TY
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />p H
<br />00400 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,.,.
<br />..,,,.
<br />,..,,.
<br />PERMIT
<br />REQUIREMENT
<br />"""'
<br />""'e.
<br />' "" "'
<br />6.5
<br />MINIMUM
<br />""""
<br />9
<br />MAXIMUM
<br />SU
<br />Twice Per
<br />Month
<br />GRAB
<br />Solids, total suspended
<br />00530 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />.,.,,.
<br />,,,,,.
<br />PERMIT
<br />REQUIREMENT
<br />' ""'
<br />' " " ""
<br />' "'""
<br />" "`
<br />30
<br />30DA AVG
<br />45
<br />MX 7D AV
<br />mg/L
<br />Twice Per
<br />Month
<br />GRAB
<br />Iron, total recoverable
<br />009801 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,....
<br />,,,,.,
<br />.._.._
<br />PERMIT
<br />REQUIREMENT
<br />" ""'
<br />" "'""
<br />"'"""
<br />1
<br />30DAAVG
<br />2
<br />DAILY MX
<br />mg/L
<br />Weekly
<br />Y
<br />GRAB
<br />Oil and grease
<br />0358210
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,...,.
<br />PERMIT
<br />REQUIREMENT
<br />"'"'"'
<br />"""""
<br />10
<br />INST MAX
<br />mg/L
<br />Contingent
<br />GRAB
<br />Flow, in conduit or thru treatment plant
<br />50050 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />._....
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />Mgal/d
<br />"'""""
<br />""'""'
<br />""""""
<br />""""'"
<br />Continuous
<br />RCORDR
<br />Oil and grease visual
<br />84066 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />...,..
<br />".,,,,
<br />....
<br />--
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />INST MAX
<br />Y =1 :N =0
<br />""""
<br />Twice Per
<br />Month
<br />VISUAL
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />t comfy under penalty of mat this document and all attachments wen prepared under mv dm -coon or
<br />,,,pm in geordanee withnay,wm designed to emorc that qualified perx properly gather and
<br />duate the ose pem on amm,,nd. ponsi le ma my try of the fo r , rm or . the manna rr ho manage the
<br />f flu rrc those peen s directly l. .g sed for gm lutry the person tha n Au ma age the cd is
<br />r o 2ha Lmst Mmy knn n`l and lather. we. ludtn ra, and comptctr I nth n u that flan: arc r k m
<br />p hest <of yknowl d mlurnnnon, e, audmp dco mhlr of hm•andrmpnvmme wknowme
<br />��
<br />,. 1 .7N.........''''''''
<br />/
<br />TELEPHONE
<br />DATE
<br />�„S
<br />� , (
<br />Al
<br />iemiummi II
<br />SIGNA URE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA code NUMBER
<br />MM /DD/YYYY
<br />TYPED OR PRINTED
<br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different)
<br />NAME: Gilcrest Reservoir LLC do Summit Global Managemei
<br />ADDRESS: 9191 Towne Centre Dr Ste 210
<br />San Diego, CA 92122
<br />5 & H MINE
<br />18311 WCR 23
<br />PLATTEVILLE, CO 80651
<br />FACILITY:
<br />LOCATION:
<br />ATTN. Rob Afuso, Principal
<br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />FROM
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />OIL & GREASE - SEE PART I D 20, PAGE 15
<br />COG500411
<br />PERMIT NUMBER
<br />001 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD /YYYY
<br />01/01/2012
<br />MM /DD /YYYY
<br />03/31/2012
<br />TO
<br />DMR Mailing ZIP CODE: 92122
<br />MINOR
<br />WELD
<br />SOUTH PLATTE RIVER
<br />External Outfall
<br />Form Approved
<br />OMB No 2040 -0004
<br />No Discharge
<br />03/23/2011 Page 1
<br />
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