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PERMITTEE NAME/ADDRESS'(/ndude Facility' Namc4poauon if Di$erenr) <br />NAME SgNECA CC~L CClIF1RY <br />ADDRESSD h A N P, h ~D <br />MAYD7;F <br />CO E11639 <br />FAC W TV <br />LOCATIOF~p TDEq CU b1b30 <br />ATTh: G. dUD B90YN, CENE:3AL MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMRf <br />(2 tBl (n~ 91 <br />PERMIT NUMBER DISCHARGE NUMBER <br />p) MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />)M U V -iri U TO u u~ J 1 <br />(20211 12223) R+25J (262)1 (28291 l3031J <br />Form Approved.„,I~I~!''1' <br />!y I Y O N OMB No. 2040-0004 <br />A?proval expires 05-37.98 <br />(SUBN R~) <br />F - FIRlI fiCU7I <br />CISCHAFGf TC IFIi/.AGE CFfEt <br />~='~ NC CISCEAhFE ~~) Co4 <br />NOTE: Read Instructions before completing this form. <br /> (3 Card Ony) QUANTITY OR LOADING (4 Card Onry) QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE <br />PARAMETER (46-53J (5a-5 t) (3845/ (46-53J (54-61) EX ~ of TYPE <br />(3237) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 4 <br />5 <br /> (62 ) (6 <br />681 6370) <br />1'•H SAMPLE ~:tr,:t.;• ;:LtG~:t >4 O>C9Kt ( Is) <br /> MEASUREMENT <br />0040U I U 1 PE~7MIT. 'Oi!gOiRP 490t6>atP z>aC t ~ '. ~~,~ t.Q-•; ~ ` $/ ~ l~ <br />X'1` <br />FFPLUEJiT L'RDSS ~ILUE . <br />REQUIf3EMENT, :,,, staa - ~ ' ~*~' ~$$..~.~ _U N,1N ~ <br /> SAMPLE <br /> EASUREMENT <br /> w l,c, 'r' ° <br /> <br /> SAMPLE ' <br /> MEASUREMENT <br /> <br /> r~;_~ , ,I ; ~.. <br /> <br /> SAMPLE ~ "'~~ <br /> MEASUREMENT <br /> .PERMIYI- <br />~~ 1 '' ~ <br />~ - - . - -~- a ~' <br />- - <br /> '{.~EONfR~MENT `~'~ * - ~ . <br />a <br /> SAMPLE <br /> MEASUREMENT <br /> '-'PERMIT 't , _, ~'y, ~ :). <br /> -AEOUIREMENT; ' „~ • ~c • i '- , <br /> SAMPLE •`~' ~ ~~ <br /> MEASU ENT ' <br /> tr -. B= ~: ~~ :- <br /> a Kn~ . <br /> 3 <br /> • ft.' <br />SAMPLE <br /> MEASUREMENT ' <br /> ("-Ef~RMIT S ~)'--r~' tee'` ,- - _ - - J <br /> _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM F MILIAR WRH THE INFORM LAW THAT I HAVE PE <br />ATION SUBMITTED Y EXAMINED: AND <br />'AND BASED ONMY TELEPHONE DATE <br /> I Y OF THOSE INDIVIDUAL S IMMEDJATELV RES ISLE FOR OBTAINING <br /> FORMATION, I BELIEV E ~ UBMITTE . ORMATgN IS TRUE. <br /> TE AND COMPLETE. <br />PENALTIES FOR SUBMITTI I WARE THAT E <br />~ E INFOR RE ARE SIGNIFICANT <br />N <br />INCLUDING THE ' <br />~ <br />/1"~ <br /> POSSIBILITY OF FINE AN , <br />ENi. SEE to U..C. § 1 W t AND 33 U <br />S C ~ / \ <br />v ~ <br />O (~ <br /> (Penalties ands <br />§ 1319 . <br />. <br />tales mey indutle AgesJ <br />pp la $10 <br />000 entl or ~, SIGNATURE OF PRINCIPAL E%ECUTIVE <br />TYPED OR PRINTED . <br />~ muimum impnsonme _ r <br />, <br />fimpmhs entl5yeers.J `, OFFICER OR AU ORIZED AGENT AREA <br />CODE NUMBER <br />_ YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a'7,7ments Here) <br />'C 55 6'IHON LIMITS MIII BE MANED INC $ETTLb'A$LE S(IIDS LIt`IT AB~;L~;O YCP <=IOY&,idb6 PGICIP l1FYTp T.S E <br />IrUN LItlI25 tierveD FCF >l0IA,2tlN6 P9ECIf' ~YpNT SUt~ECT 1G hU9DlR~`;~~ FPCCf IH I.A.2. CII E CFEASf-SfE <br />EPA Form 3320-1 (08A5) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 0 C 0 :14 / , ~) ~ f 1 7 -1 6 5 ~ PAGE ~ OF <br />