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PERMITTEE NAME/ADDRESS p«bii«WgNa.e'l.ocenor UDI~~...p <br />NAME SEhnCA COAL COKIAhY <br />ADDRESS llRAW:.R D <br />dAYUEN <br />CO 81639 <br />FACILITY <br />LocnnoNitAYLzN CU 8163U <br />ATT?+: v• bUD cRDiiN+ Gi'+unAL HAtlAG£fi <br />Form Approved. t <br />!. C 1; T F i E T °. F :i T L n ~ofr}S;Np. 2o~at}RDOa <br />($ U G P b ~~ ApProvelLe~P~rQ ~05-31-98, <br />F - °INAL <br />~TaCA <br />qs: r, t;n C, SCNARGE (__~ ~r: <br />NOTE: Reed Instruetlone betas completing this form. <br />PARAMETER !3 GrO Ontyl QUANTITY OR LO !t Grd Only) QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br />l32-371 146531 !50.61/ l38e51 /46-53/ 15461/ Ex DF <br />TYPE <br /> AVERAGE MAXIMUM ITS MINIMUM AVERAGE MAXIMUM UNITS lez.esl MALrsls <br />!54551 !s&701 <br />C:~U _ A H AC[ SAMPLE • •~ . ... -. .., ; r1 +,1:~r, ~:=;~r,: ~:.; ( 21) <br />CEHIUDkPN.h'IA MEASUREMENT <br /> <br />1'A:11U 1 U J PERMIT vlxua~u ;Y~acr, .. ];~(?',:. tOLL:~SY L~4tr#u. Ei- 'TREY ;RAE <br />dFFLUE.hT GCr)5` VALU REQUIREMENT >x ~':,, ' <br />irt~o"<~~+~ t ~ ~ <br />C c ~I T <br />6r^~ __ll U IV'P <br />11t)Q Ve O{1 LJ I <br />VV SAMPLE <br />MEASUREMENT <br />~ <br />..• . <br /> PERMIT <br />U'1Q U,P 1n C REQUIREMENT <br /> SAMPLE <br />' S ~1„ ~~~ <br />- \ MEASUREMENT <br /> PERMIT <br />? <br />• <br /> REQUIREMENT ~~ ~ <br />'°~~ <br />"~ <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 EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW TNAT I HAVE PERSONALLY E%AMINED MD <br />AM FAMILIM VATH THE INFOIIMATION SUBMITTED HEREIN <br />MD BASED O TELEPHONE DATE <br /> <br />~ ; <br />N <br />R <br />DII^ <br />ES <br />E <br />~ <br />~ <br />~.17LAU ~ ~ <br />C:1+05 OBTAIN NG <br />THE INFORMATION <br />BEUEVE THE <br />ORMATION <br />UBMITTED <br />I <br />3 <br /> <br />/~ 1 <br />'~ TRUE. ACCURATE AND COMRETE. 1 AM AWME TNAT THERE ME <br />SIONIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />1 <br />.~~1 <br />`( <br />/ <br />S <br />T , <br />TH <br />S1 <br />1 l U ~ ~ ~ ~ ~g ~ V <br />Vy; l <br />NYV <br />\ E POS <br />6 <br />11TY OF RNE AND iMPIeSONMENT. SEE 18 U.S.C. 1 1001 MD 73 SIGNATURE OF INCIPAL E%ECllTIVE <br />V U.S.C. 1 t 7t s, lA,wu.+ t+wr eY..e +eert.+ m.r YtcAd, r+»+ to ro r ro,ooo AREA <br />TY OR PRINTED rM ar nt+rirwn lrW1ia+rwrt e/Mweenemma+eMeyeFra/ OFFlCERO UTHORRED AOEM <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference s//eftschmenfs here) <br />SEE DAFT I.f2,4 FDR DETAILS OF 'fF.ST PhUCEDUNd. REFCuT L.JI:i'"T fIIU7ICli (` EFFLGFIT) YHICE IS LETHAL TO <br />5U;1 OF 2'c:5T URGAYISHS (LCSUI AND ATTACH ACLTE T07(ICLTY TEST FEIC?T FCFP TC CKA. COPICS Of ALL <br />IN PGhHATTUN I!L15T HF SF~'P 'rnc•0~_ <br />EPA Form 3320.1 108.95) Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 00 0 2 3 / 9 T 3Q 31-15 i 3 PAGE I OF <br />