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PERtdITTEE NAME/ADDRESS pndude Fanlirv Name/Location i~Orperem) <br />NAME SENECA CCAL CClIFA6S <br />ADDRESSD F A M L h D <br />NAYllEN <br />CO 81E~9 <br />FACILITY 4 G _ U~, O I <br />LOCATIONAY CriN CO tl1630 <br />AT'fN: G. &UD UA04ti, CL~BRAL RAVAGER <br />IAL POLLIfrANT DISCHARGE ELIMINATION SVSTEM (NPDES) Fofm AppfoVed. <br />DISCHARGE MONITORING REPORT (OMR; OMB No. 2040-0004 <br />Iz-tsl l17- 91 f°, I ~C 6 Approval expires 05-31-98 <br />000(721 GCb A (;hE18 NY) <br />PERMIT NUMBER DISCHARGE NUMRER E _ P1111 ~ ~C L'7'I <br />MONITORING PERIOD DIS~CHAlLE 'tC~.#iIL/~IF1 CHEEK <br />.M DAY YEAR MO DAY -- <br />_ To ~y ~- ~u HOPI `IISC8AE6t 1__I sco <br />o-z -~ a-zsl (zs-z71 fze-291 f90~s1) ead Instructions before completing this form. <br /> (3 Card Ony) QUANTITY OR LOADING (a Card On/y) QUANTITY OR CON 'PION ~ NO. FREOOENC SAMPLE <br />PARAMETER (a6-Sa) (sa-s1/ (3B-as) (as-ss) (5a-s1) EX of TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />ls2s~) ~'a-ysls <br />(6a-6e) <br />69-70 <br /> SAMPLE <br />MEASUREMENT r9ar~~4 4 7tr4 (( <br />~I U GQQQOi <br />~ ~ ~~^r <br />r ( Ian V 7 ) <br />.F <br /> <br />UU40U 1 U 1 <br />`P,~Rrylt~' AO~R4!0 Kt1Ria0tgrgt <br /> <br />~ 4 <br /> <br />~ O " M1 <br />EF'F'LUENT G.RU55 YALUE R~Gls11~E;r,~Elat ', ~` !~ '`--~ EtAYIIUI! SU - ~4#'~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> ¢?~K7f14' : <br />' <br />` <br />- ,t' u_._ ~ ~~t <br /> ©UIFi~M~ <br />EIT~ <br />E - .yam' ( ~ s ,~ <br /> SAMPLE <br /> <br />MEASUREMENT <br />a <br />IA~O 11~ <br />~ N <br /> P~RU7IT~_ ~ .fb- <br />ar. ',b . s <br /> .w : r <br /> SAMPLE CI <br /> MEASUREMENT v <br /> { <br /> ~~~r~ Ei~ilNfi <br /> SAMPLE <br /> MEASUREMENT <br /> MSS; <br />~ ~ .. <br />~ <br />- <br />" <br /> 'i~Ef~(~ <br />~fGfENT r <br />.' ~ ~ .d -.~-. . <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> fERMl-i~ <br /> A`fi1F3EFn~N`f <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERP FY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND <br />M <br />TTED HERE <br />N <br />AND BASED ON MY • <br />~ TELEPHONE DATE <br />AM FAMILIAR WfRI THE INFORMATION SUR <br />I <br />I <br />; ~ <br />INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br /> <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT / <br />I <br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br />POSSIBILITY OF FINE AND IMPRISONMEM SEE 1B U.S.C. 41001 AND 03 U.S.C. SIGNATURE OF PRI IPAL EXECUTIVE <br />4 1319 (Penetties untler these slelures may incluoe fines up to E10,000 eno or <br />TYPED OR PRINTED maximum rmprisonmenr of beMeen6mpMfa entl5years) OFFICER OR A MORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DA <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) l <br />1'55 r' IROti LIN1T5 VIII DE YAIYL'D AND SP,TTLEAELE SCLIJS 11t!LT APPLIED FCE <=lOYA,:4kf1 F6EC7i EYAlT~ T`_5 b <br />IF.uN LIMITS MAIYFD ECE ~lOTA,24N6 PRF:CLP EVENT SUEJE:CT TC bUADlai CF FFCCF IN I.A.i. CIL 6 46EA~E-SEE <br />_T M 1~T_l ~l~C Ar`Y 1 R!' L lYf ~CiV T Y ~i' <br />EPA~orm 3320.1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) 00 0 S 7 / 9 9 C E i 7 ~ 1 65 3 PAGE 1 OF <br />