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COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT <br /> WATER QUALITY CONTROL DIVISION-BIOSOLIDS MANAGEMENT PROGRAM <br /> Aauoai Biosolids Report-Application Summary _ <br /> Fey Name : Gl i M*X ..19N 9 ,<< <br /> CDPH&E Biosolids Producer ID Number : — DATE <br /> (tor=PH"ate) <br /> Report Completed By : 171?�,L 9' lZo m I A �, �N✓. Cap,2 v. <br /> Date ! Date Actual T of Amount _ <br /> Site Application A=iicarion ( Acres Applied !Method or <br /> ID # Began Concluded Amiied To in Tons Annlication <br /> 2. <br /> 3. <br /> 4. <br /> 5. I <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> TOTAL. DRY TONS APPLIED = $9s 91 z 52.40 = S 15'0- I S <br /> ( You will be billed for payment due ) <br /> �ofir3: �o l fi! fa��1�GF7�r"o., Sv,c i✓d rt lggtr 0-�- <br /> not SNa 1ucl+ Sno g, Riary Wa f•• 1 ?641.7 f' <br /> /k�Alcaho •s of h c»vl.ds off 1tir Cl.+-�x Mnyflor��r� <br /> fb=BMP SMR om-94- S tv ! o D y o S) <br /> � Sw F'•'c(I�LN RiPc-1s To: j IvGl�j• 14.ra�ySPS <br /> p r.rr�i n y �v,. i7.'�/ah f %dr✓�'��i,+r e!loss 14 S&,d y e� <br /> p���afii" �r1✓lt5 /4H� U9/✓.H+�S O!r pof � h c I�of�c` ►a <br />