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PERMITTEE NAME/ADDRESS (l.rbdr Fx16ryNa+arlac,HU JD~i.mr/ <br />NAME SEN.i::A C'~AL CC;IPANY <br />ADDRESS O k A FI E r< D <br />HAYDEN CO 81ti39 <br />FACILITY <br />LocAnoNNAY~f:N CU °1::30 <br />A'fTh: G. 3UD BitOiFk, G?NEi?AL flAHAG£9 <br />NATIONK POLLUTANT DISCHMOE EUMINATON SYSTEM (NPDESI Form Approved. <br />DISCHARGE MONITORING REPORT (OMRI <br />!1-rsl rn-13~ :' I S C N 4 F; E T O ^ F I ?gN':e'~°. 2orgo:ot2oa .~ <br />CGOJUUL21 f0c_ A (57Pk !Y) Approvelle~p~r4t~05-31'-98 <br />PERMIT NUMBER DISCHMGE NUMBER F- F I! A L <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 4 1 TO c <br />! 1l l11-131 111-15/ 116-17) 11B-19I !36311 <br />"INCF <br />i <br />NOTE: Reed InetrucUane bslors completing this loan. <br />PARAMETER !3 Grd Ontyl QUANTITY Oq LO N G !1 Grd On/Yl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br />l31-371 le653) (5461 - 138451 !4653) !5461) <br />EX of <br />TYPE <br /> AVERAGE MAXIMUM ITS MINIMUM AVERAGE MA%IMUM UNITS 163-6a1 ANKY515 <br />!5488) !63701 <br />+, lh CCNDI7I; LP. SAMPLE ~ 03) pg4p~s qr~?~~; ,~;..,y~;- <br /> <br />THHU Tki:A'fME!!T ?LAN <br />MEASUREMENT .G 7~ <br />~ l~ D.~~O U ~ ks <br />SOU:iO 1 1 U PERMIT RPORT HtFC)RT ~FRif 4t0 sD OilSO=lfi M;:tyo3t.. t;:~::; '.F~ FNr,TAt• <br />• <br />EFFLUENT I;HOSS 'lALU} REQUIREMENT -;QUA AYE; DAILY F4X~ MCC ~ ~ ,:;1~:,7 ~9NTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECVTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OE LAW THAT I HAVE PERSO <br />MILIM WITH THE INFORMATION S <br />BMITTED NALLY E%AMINED AND <br />ERD <br />D TELEPHONE DATE <br /> U <br />H <br />N; AN <br />BASED ON <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDI <br />TE <br />P <br />Y RE <br /> <br />Ei y~yT ~(J V\~ A <br />L <br />S <br />ONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />v TRUE, ACCURATE IWD COMRETE. 1 AM AWME THAT THERE ME <br />SIGNINCANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />~7 L , <br />THE POSSIBILITY OF NNE AND IMPRISONMENT. SEE 18 U.S.C. 1 1001 ANp 37 O ~~ ~ O <br /> <br />TYPE bR PRINTED u.s.c. E tale. lNe+w.. MW,r dNw mom, m,r ,ilca.J, r,M, ~ ro r/o,aeo SIGNATURE OF CIPAL E1tECUTR/E <br />EA <br /> IIMA./IYI,IIIYII teAYAan.nr,l arwrremaneM AMSrrra/ OFFICER OR HORIZED AGENT <br />CODE NUMBER YEAR MO DAY <br />wmmoa a nnM cnr~nnw nvn yr nn r YwLn I was rrtererence sn errecnmsnrs oars/ <br />LS3 b IkUN LI[]ITS .ILL 3r: eAIYEU AND 5`'TTLEAfiLE SOIIJS LIF;IT AFFL7liC FC9 <=l0YB,24Hk PI?ECIP EYhNT; .SS °~ <br />ikvG LIh1T~ a11IVE0 FCk >lUYR,14HH PRECIP EYEtiT SUBJECT fJ ?UFCFN C! FFCCF IM I. A, 2. OIL E CAEASE-SE:E' <br />T.+.7.n. Tnq rFnvr~rncrvr.._SF•c r.v~. T c. <br />EPA Fwm 3320-1 108.95) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 C 0 0 ~ C / 9 7 ] G 31-1 S 13 PAGE lOF <br />