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PERMITTEE NAME/ADDRESS (lndude Facility Name/Locouon iJDifferem) <br />NAME SENECA CCAL CCPFAtiY <br />ADDRESSDkAiIER U <br />RA7DEDI CO 81639 <br />FACILITY <br />LOCATIONI A ] U E k <br />ATTx: G. PUD <br />CO 816!0 FR( <br />RAOYY., GE4EhbL ?TANAGER <br />Form Approved. s <br />AI h0 Fi OMB No. 2040-0004 <br />~~.u8 a ~ M ~ p`PProval expires OS-37-98~ ~a <br />l-`"- F1 EI 1 L ll~gl <br />~'flj$, 1111 2PS7111C cGS C1",A <br />aaa EiSCkAR6! ~~~ a»a <br />NOTE: Read Instructions before ompleting this form. <br /> (3 Card Onry) QUANTITY OR LOADING ~ /<Cerd Onty) QUANTITY OR CONCENTRATION , ~: NO.' FHEOUENC SAMPLE <br />PARAMETER (46-53) (64-61) (3845) (46-63) (5461) ~ " .,Tp~' EX OF TYPE <br />(32-3r1 AVERAGE MA%fMUM UNITS MINIMUM AVERAGE MAXIMUM ~ ~ UNITS ~a-ySls <br />69-70 <br /> (Sas3~ (64-681 <br />L I:~U S' A1'Rf. AtlNn ACU SAMPLE ~C~>x rla 9ioaa0 ='oAmAO alma»» ( 13). <br />CENIUOAPRtiIi MEASUREMENT <br />1 A Cl .] k1 1 0 C -PERMIT -=` "r ~~/~~~ e ~~, a a-`. x.. f~~ _' a~s~o.~a ~ E R ~ ~ ~~.~'~ f ~ ~ ~~' <br />aFPLUENT GRO55 YALUE REpUIREMENT~ ` ~ ~~ <br />) , <br />~ ~ gaaa ~ " -~' ~ CE67 ~ ~ <br /> , <br />FG _,~; <br />_ _ <br /> <br /> SAMPLE <br />MEASUREMENT ~~y~ <br />^~ <br />7 ~,~>' <br />~+• <br /> - PERMIT' - ~ ~ <br />m 3w~~ ~ x ~-''. •3 ' - - ., T ~ <br />~ S,r ~~ . <br />~ <br /> ~REOUIREMENT - , <br />~+° '~'~ ` a <br />.. ~ s <br />T. . _ <br />~ ~ <br /> SAMPLE <br /> MEASUREMENT _' <br /> .:.:PERMIT'. 1 - n .:N; 'y£; ,.. '" `°r . a .,. <br /> REGUIREIv1ENT- ,- - - -°S _ .,,: ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .`~. '`£Y q~ `~`~t`k- - - <br /> REO~l11REMENJ ~ - - ' ~~ ~ y <br />~" <br />- ' <br /> , <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> " '~ <br />' ~ ~~ <br /> REQUIREMENT . ~ .. ~ fi; ~,. <br />~ ti <br />-~} ' <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br /> REQUIREMENT -" .. - - ,(,''~v,-.- <br />'~ 'c i .~.°s i, -. <br /> - , <br />, ~ . ., <br /> SAMPLE <br /> MEASUREMENT <br /> i~PERMIT ~ ~ -'' }~ <br />~ ~ <br />~ " <br /> REQUIREMENT: °. - -- . - -' ~ ,~ ,a ~a.E,<~' <br />~ µ~""' - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR Wm1 THE INFORM LAW THAT I NAVE PERSONALLY EXAMINED ANO <br />ATION SUBMITTED HEREIN <br />AND RASED ON MV ~ TELEPHONE DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. <br /> ACCURATE AND COMPLETE. I AM AWARE THAT TNERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITT <br />FA <br />T <br />N <br />NF <br />O <br />L ~/ <br /> I <br />LSE I <br />ORMATI <br />N, INC <br />UDING <br />HE <br />G ~ ~' ' <br />} <br />( <br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U 5 C. 4 1001 AND 33 U.S.O SIGNATURE OF PRI CIPAL EXECUTIYE U <br /> <br />TYPED OR PRINTED 4 13t 9. (Ponetties under these sretu(es may incwna fines up ro 410,000 end or <br />mexrmum lm <br />dsonmenl <br />f belwe <br />n6monfh <br />d5 OFFICER OR A HORIZED AGENT <br />D <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> p <br />o <br />e <br />s en <br />ysarsl i CO <br />E <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) r <br />SEE PART I,11,Y POA LE7AIL5 UP 7Ei? PHOC£DUHE. AEICHT LCYE57 C7LU77Gw' 'w EPFLUEM7) ~AICE ]S IE7EAI 7C SCn <br />07 TEST OBGAhISdS (iC`U) dND ATTA.CR ACUTE 'iCXICIT] TEST RfPOAT PGiiM TC Op A, <br />EPA Form 3320.1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ PAGE 1 OF <br />.,.... ~ ~ .-i , . , , .,, z .. <br />