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PERMITTEE NAME/ADDRESS pnclude Fan Hp~NamrlGncarian i/Offuenp qA~ <br />NAME S£NECA CCAL CC!!FE~NY <br />ADDRESSD R A Y E 6 D r <br />NAiDEN C0 81639 C <br />FACILITY .:.>~, .y <br />LOCATION 11 Y D E N ~,. Tsu'_,_~~ 16 30 <br />-~~_ FROM <br />ATTN: G. 9UD DRQYA, GERGAAL FANAGEA <br />(2F2]) (28-29) (90 <br />Form Approved. ~ . <br />C I NO A OMB No. 2040-0004 r' <br />Approval expires 0531-98 <br />(SUBA Ni) <br />E - FIE11 EIC,i~TT <br />OISGNA6GE TC SECE CFEEA <br />~~'~ ..O LI'CNA5GE {~{ !~~ <br />NOTE: Read Instructions befor completing this form. <br /> l3 Cerd Ony) QUANTITY OR LOADING <br />~ (<~CaN Ony) QUANTITY OR CONCENTRATION <br />~ NO. FREOUENC SAMPLE <br />PARAMETER (4fi-53) (54-81) , (3B-45) (4fi-53J (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNIT"~ 9~ MINIMUM AVERAGE MAXIMUM UNITS ANALYS/S <br />69 <br />70 <br /> rsz"c~/ (6e-se/ - <br />U L AND GAGASE SAMPLE .'t4G4i7.'~ ( yµ) 4C 00>7>D 3747 .Aiit .143:1 LA <br />Y I 5ll A L MEASUREMENT <br /> <br />b406f+ 1 0 0 °=PERMIT - ~ t5=1 ~ w -0 +94 O NCE/ '15UAL <br />EEFLUF'NT GRO55 VALUE , <br />-REoU1REMENT ,, <br />~ :5 <br />' +~ EG=U , <br />'~~ ~ <br />-~ > 'y ~ ~'E;~ kCN16 <br /> ~ ., <br />" SAMPLE '~ ~ <br /> MEASUREMENT <br /> ' PERMIT - d;~y ,)#-, r-"ry . ~ <br /> "REQUIREMENT - ;:+`s 7t ! r F x.'`3n ,b, " <br /> SAMPLE <br />MEASUREMENT i•F <br /> <br />,~ <br /> <br />, <br /> PERMIT - - - <br />- ~ et~3 ~ r, ~- <br />)" i..~'- <br /> REOUIREMENT - - - `~y ,a " ~ ' <br />~ ~ ° ' <br /> SAMPLE <br /> MEASUREMENT <br /> "-:i PERMIT <br />~ - <br />~~~ i" <br />~ <br />-~~ <br />~~~ ' <br /> •REQUIREMENT - - - - -*~ /~T aT <br />~ <br />~ '* ~ <br />~` <br />' <br />;, <br />~ - <br />"n <br /> ,. <br />3,' R., xm <br /> SAMPLE <br />. MEASUREMENT <br />~ ~ <br /> :PERMIT <br />~ <br />" <br />~ ~ <br />~ ~ T , ~~ s ~ <br /> <br />a <br />~ ;, <br />" <br />"~ , %~ ,, <br /> REQUIREMENT, :~, <br />" <br />= <br />- Ir ~ ,,, <br />' <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> "PERMIT-,. <br />~ ,~ <br />U, <br />9~ '~~+,#~~ .... t> r' - <br />~ <br /> REQUIREMENT" 4 ~ <br />{~~ ~' <br />~ <br />~'k . ~t~~{ <br /> .. - i <br />s.!~x , <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> :PERMIT - <br />" x } " <br />~~ a~"x +.r - gr - <br />" REQUIREMENT< <br />~ - "t . <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMI <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN <br />AND BASE NED AND <br />D ON MY TELEPHONE DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~` <br />~ <br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ~ <br />~ <br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDI <br />G THE `ri <br />!l <br /> , <br />N <br />POSSIBILITY OF FINE AND IMPRISONMENT. BEE t8 U S.C. § tODt AND 33 U.S C. <br />' // <br />r ~ SIGNATURE OF PRJNCIPAL EXECUTIVE a <br />V D <br /> <br />TYPED OR PRINTED § 1319 (Penatttfls antler these stalules maY ~nclutle lines up ro E10,000 entl or <br />mewmum ~mpnsanmemorbeAVean ti months entlsyears.) OFFICER OR A HORIZED AGENT A <br />C <br />NUMBER ~ <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RBlerence ell attachments here) .r <br />T55 t IHON LICI25 YlIL BE Y-IYfC E SET1'LEILSLF gCL]C5 LI!(.#~z~APFLIEC FCE <=10YH,2u}IF FFECJE~EY~EfiI 7£5 E <br />IhAN LIMITS Yr)IYED FCF ~1GYN,2µNA PHECIP F.YENT 5UE08CT T~'#'ESUNDEN OF PACCF IN I.A.2. C1.1 ~ 6EF1,_H - _EE <br />r o ?.n Tnc rn MT+~rcTUr _ T c i c <br />EPA Form 3320.1 (p8-95) Previous editions may not be used (REPLACES EPA FORM T~0 WHICH MAY NO7 BE USED.) 00161 / ~ 4,G 877'-7 E 9~~ ~ -''~ ... "PAGE 2 OF <br />QION SYSTEM (NPDES) <br />~OR7 (OMR~ <br />(1]- 9) <br />alu i <br />DISCHARGE NUMBER <br />I ~~~` MONITORING PERIOD I <br />