1999-03-04_REPORT - M1977493

• Permit No: M1977493
• IBM Index Class Name: REPORT
• Doc Date: 3/4/1999
• Doc Name: Annual Fee/Report/Map
• From: Climax
• To: DMG
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
WATER QUALITY CONTROL DIVISION - BIOSOLIDS MANAGEMENT PROGRAM
Annual Biosolids Report Application Summary
Facility Name :
CDPH&E Biosolids Producer ID Number : DATE
(for CJPH E uw)
Repox Completed By
Nam*of Contractor Used:
Date Gallons
Sludge Released to Percent Amount in
n Released Contractor Solids Dry Tons
i2 i
5.
6.
7.
8.
9.
10.
TOTAL DRY TONS APPLIED = x $2.40 = $
( You will be Billed for Payment due. )
form SMP SMR 002-98-I