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PERMITTEE NAME/ADDRESS (leiW F.ewryNwrlxula.l/Pl/lun.p NAME SEYZCI CJAL COtlPANY ADDRESS D R A Ii E k D HAYDEN CO 81639 FACnm LocnnoNyAYDEN CO 81630 ATTN: ;;. i3UD 860MN. GENERAL lfAYAGeB NATIONAL POLLUTMT OISCNMOE ELIMINATION 9YeTEM NPDESI D16CHZ R6 E MONITORING REPORT /D 18I C 1 PERMIT NUMBER ENUM(!ER MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM TO lIO-21l /II-13l 116251 !26'-Y71 /SB-491 /30.3/1 Forth Approved. Y DISCHARGE. TO TRLR ~M6r~204Q-Poq,4 • (SOBR N;i~ ppiovd e i 0 - 31.98 16~~~ P - 1FiMAL RIYO;fl t'~; NOTE: Read Inewetloro bdon eompletinp thle form. ' PARAMETER ~ 13 6rd Onlyl QUANTITY OR LO 7N0 (4 GN Onlyl QUANTITY OR CONCENTRATION NO. FREGUENr SAMPLE /t653 15x-51 l38J5 //659 6e-5I EX GF 132.37/ MALrsls TYPE AVERAGE MAXIMUM ~ '. UNITS MINIMUM AVERAGE MAXIMUM UNITS (o2-sn I5~-5e1 15x701 5ULID5, TOTAL SAMPLE MEASUREMENT ##;:S# r#C4## . .:.`-# ~ ~ 19 ( ~ ~ ) /3 :i U S P E N U F. U . f )MO OU53U 1 U D PERMIT;:.::: ,. .. ., .. : `Sx+G!9t'itC~:::. ::'.?lfil#$#:~':. ~t. ;.:r?:i$jR.~A''+'f#.: 3i5..... ;.: ':; ': ?: :. °/E1 :` : ".:`"';:` ~~'i:~:iYE;', ~:i~,? `. i tiPFLU(in'C Gk055 VALII :REQUIREMEN: : ,.... ~~.: ..: ~~::: ~~.:,~.~~;:::'~.::~ ~ ..... ;.::: ': ~::~ ~ ~: .~...:.:.." #3RtE ~. : ;'.:':»x::<'>".;::.::; . . .. :.3{tAA...AY'G: . . .. ... t.pkYLY::R:~; HG/L " ':~::;. ~a ` - ~~( . . . '::..:<"::° SOLIDS, ~tTTLEIeLk: sAMPLE MEASUREMENT t#C#Ct: G#axar ~#4##~ ~ O • 1' ~ V ' 1 ~ ( 25) ~ D 'r3 Q r~U:~47 1 0 O :.:..:.PERMIT:;.: ~. . .. a4.X## ~~~': :~: .:..~~gik~4~~~.: #:3 ;: ~ 3ri-'v~~~I.rX. .~. : ~:~: ~$PO$'T~ .. .I[p P©N~T.':: : .:~~~~•'~'. [~8 k: EF"e'LUENY8055 YALU :REQUIREMENT .. ~ : ~ ~ ~ ~~ .. ~#va . 3aBA::AYv .Oi6ILi. tli tlL/L . . "y dF~iMT ' ::;:: `;., IRON ' ' SAMPLE MEASUREMENT ##rCGC ;: .~#C;=;: :;: r`.`-'`,^, f~. /~"I ( V O. G ~ ~ 19~ v '~D L TU AL itECUY ERA?LE 1 ~ f zl i,J9bU 1 0 0 PERMIr ~Fa ava ~ .:?P#tkfi ~aa #+x#~#x 1.0 R2F{lP.T.. i~.`E/~; ':RA:~1.~. :i F'F'LlIE6T GBDSS YALU REQUIREMENL~ ~~ ~ ~ ~ ~ ~~ ~ ~ ..~•.. r,..,. 3t1D1 d Y5 i?dI LY ..tIX nr,/ L .. .. . 1~O1i2~. :' ,; :: L AH iFkE S SAMPLE MEASUREMENT .-t.#.'i .`-;`r ,-.-,. ,,. ::k ;=#4':v:~ ~..-,... I ( I0) /1 ~/ ..f v • 3 ~b2 1 0 0 ~~~PERMIT ~ FY# IC4t$ ~ &0¢to,%.t# . #,:.C ..LL i~E i+### ;<r#~Y2.. ~ 1'0.: ~. ~. ~~~~~~. ~. ~ fl.71.T ~~~~. ~$~{4'R': ~~. EYFLUEIiT GROSS YALU :REQUIREMENT trX~## LN'Sx .i3I1.I: RG/L t;~MT:: SAMPLE MEASUREMENT ~:::: PERMIT: . . .: . ... ... .... .. ~REQUIREMENT~ .. .. .. :..:.:. ~ ~.......:: :~:r.: ~~ ~ .' ~.. SAMPLE MEASUREMENT ~: ~~~~PERMIY.~ :. ~ .... .. .. .... .. ~ ,REQUIREMENT. ~ ... ::: .:.s ..~.:...... SAMPLE MEASUAEMENT :REQUIREMENT' ~'~~: ~~ ~~ :~ : ~~~~ ~ ~~ .. NAME(71TLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF l AM FAMILIM VATH THE INFO AW THAT t NAPE PERSONALLY E%AMINED MD RMATION SUBMITTED NERDN MD BASED ON TELEPHONE DATE ; Mr INOUIIIY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ' OBTAINING THE INFOIMATION, I BELIEVE THE SUBMITTED INFORMATION 19 TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME SIGNIFICMT PENAlTlE9 FOR SUBMITTNG FALSE INFORMATION INCLUDING (y ' 1 I ~~ , THE POSSIBIUTr OF RNE MD IMPRISONMENT. SEE 18 U.S.C. f 1001 MD 39 UTIVE S RE F A E , U.S.C. B 1 ]le. (hrWe.a vl0•r ees mNh. hey NcF+N 5n•a le A i 10,000 N9NATU O PRI L XEC AREA TYPED OR PRINTED .nswmuhs.si.rpa.,wNwaw..n enesN•.nsa y.e.l oFSICER OR ALIT RrzED ADENi CODE NuMSER= YEAR MO DAY, COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (Re7erence e// ertecnmentJ here/ Ti,S LIMIT 4ILL BE MAIYEU AYU SETTLEABLE SOLTUS LIHIT APPLIP,D !b$'<=lOTR,2`tHa ^RfiCiP BYEYI'- t55 SETTLEABLE SJLIUS LItlj'Y aAIYED FOk >10[Be24N,fl BRBCIP EVERT SUBJECT TO fiURU€K OF' PAOOF iY I.A.I. OIL t: mey be used. , IREpLACE6 EPA FORM T-40 WHICH MAY;NOT BE U6ED.1 OOD23 t3 1