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PERMITTEE NAME/ADDRESS (Include Farilirv h'ame/[acarion ijDrfferenr) <br />NAME SENECA CGAL CGCEAN~ <br />ADDRESSD R A e B R D <br />HAYDEN CO dI6~4 <br />FACILITY :.; <br />LOCATION r'~ <br />aArDEH {`81630` <br />ATTN: G. 8UU BAUGN, GE6E8AL HANAGEq. <br />NATIONALPOLLUTANTDlSCHARGE ELIMINATION SYSTEM (NPDES) FOrm ApprOVed. ' <br />bISCHARGE MONITORING REPORT (OMR OMB No. 2040-0004 ~' <br />rz-+s) rn-;s) `1 NCH Approval expires OS-3t"'-98 <br />r~0 ~ (SU6A 6Y) <br />PERMIT NUMBER ,~-•~.D.ISCHARGE NUMBER p- F I F l L N~tT1 T <br />MONITORI ~ IOD UI9C'flAiiq TC iNIEILrY CFEit <br />YE O UAY AR MO DAY i -- <br />FROM 70 yy ~ 4~ YC LISCEFAEEE ~__~ qat <br />ao-zrl . T r24.zs1 r2s-zn ae zsl (3o-3r7 ~+~~.. Read Instructions beforD completing this form. <br /> (3 Cerd Onry) ~~UANTITY OR LOADING j<Cerd Onty/ QUANTITY OR CO RATION 0. FaEOUENC SAMPLE <br />PARAMETER (46-5~~. (54-61J {3845) (46-53) (54-61) EX OF TYPE <br />(32-37) AVERAGE. MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62 s3) aNal.vsrs <br />(64-68) <br />69-70 <br />5 LIES, 7 TA <br />DISSOLVED SAMPLE <br />MEASUREMENT ''~ ~ O 009 <br />3 a 15 <br />t' DSO <br />~ L <br />O q <br />1~ <br />GP4l, <br /> . <br />./ <br />/UL`l~ 1 U U PEF3H11T ~ O~ t100 A L S!, <br /> <br />ht'FLUF.K'T GR055 YALU <br />AEQUIRENIENY <br />' <br />Asia <br />`-.Ax , <br />` ,( <br />E:G/I . -. <br /> SAMPLE , <br /> MEASUREMENT <br /> <br /> <br /> <br /> SAMPLE , <br /> MEA <br />M <br />SU <br />R <br />E <br />ENT <br /> (~ <br />[ <br />~ <br />yy <br />p <br />+r,:, pEpll~.l Fem... <br />. ~ 4i ~ <br /> ~21<iIf~MENT` <br /> a, <br /> SAMPLE <br /> MEASUREMENT <br /> ppEEiM!T <br />~ <br />~ 1 n <br />k <br />.~ <br />4 ..,.; <br />~,~: <br /> 63UIREf <br />ENT w <br />- l~ ~} ~ I <br /> • <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> ~1~QUIR6F~IENF ~ <br /> SAMPLE <br /> MEASUREMENT . <br /> <br /> <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ' ' ~P6HMIT' ,- ~ - <br /> :~I~OUIEiEMENT ~'~ <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAM <br />LIAR W <br />T <br />T <br />E I <br />M YF,W THAT I HAVE PERSONALLY E%AMINED AND <br />TI <br />BM <br />T <br />HERE <br />AND BA <br />ED ON MV TELEPHONE DATE <br /> I <br />I <br />H <br />H <br />NFOR <br />INQUIRY OF THOSE INDIVIDUAL A <br />I <br />TED <br />IN; <br />ON SU <br />S <br />SiMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION. I BELIEV E: T}1E SUBMnTED INFORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. <br />PE I AM AWARE THAT THERE ARE SIGNIFICANT <br />G <br /> <br />NALTIES FOR SUBMITTIN <br />POSSIBILRY OF FINE AND IMPRI <br />G FALSE INFORMATION, INCLUDIN <br />THE <br />SONMENT. SEE 18 U S.C. § 1001 AND 33 U.S.C. <br /> <br />SIGNATURE OF PRI CIPAL EXECUTIVE <br />I <br />'`~ <br />l/ ~~ <br /> <br />TYPED OR PRINTED § 13t9 (Penenies under mesa stee4es may mcWde lines up ro Sr0,000 end or <br />maximum impdsonmem of 6eRVeenBmonths ends years.) OFFICER OR AI~ <br />NORIZED AGENT R A <br />ODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) r <br />a5S E IKON LIJ!ITS YIIi 6E fIAIYEC AHD SLTTLEAP.LF. 5(1205 LICIT AFPLIEC fCE <-lOYFeiUEF FNECIiF EYEIS, T.S E <br />1RUi LIlIITpSr~41AIYE0 EC~~5~~1GYH,14N6 PAt'CIP l,YFNT SUEJECT TO EUFOBN CE PNCCF IH I.A.Q. CI1 E GFbI°F-SEE <br />;. s+ T~-y-i -+-Y~Qi-~- V,iK-rt1"s~'~-~C T L 1 O <br />EPA Form 3320.1 (OB-95) Previous editions may not be usetl. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.). w.wnun i an n e a a . e e s PAGE ~ OF <br />