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PERMITTEE NAME/ADDRESS (/nclude Facihn•Name/Latmion JDiJjrrenq <br />NAME SENECA CGAL CCRFAHT <br />ADDRESSDHAM EH li <br />RAIDER cu dlbj`J <br />FACILITY <br />LOCATIOt~AI06N CO [i16.iU <br />ATTH: G. i3UD BHGrd, GkY6HAL C1AbA(,ER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT Y/DMR OMB NO. 2040-0004 <br />rzasl m~;s! *! I ;+G h Approval expires 05-31-98 <br />5: ' PERMITNUMBER scHARGE NUMBER F- F I f )1 ~ ~~ R C U T T <br />r MONITORING PERIOD DISC H~iIGE~TG TF]E/LF! Cl•lEK <br />.' MO DAY YEAR MO DAY ' <br />FROM ~ U TO G L4 U.1 1O:l.,lt~ ~~:•L15Ctli16[ ~__~ ~~~ <br />L <br />! ~ rza2sl (z4-z5) rzs~nl (za~z9l (3astl . aid Instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING (y,Cerd Onry) QUANTITY OR CON ION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-67) <br />(~8-45) (4653) (54-61) <br />EX <br />OF <br />TYPE <br />(32-37) AVERAGE MAXIMUM UNIT ~. <br />S+: ': t - I IMUM <br />•• M~ AVERAGE MAXIMUM UNITS <br />(6263) ANALYSIS <br />(64-63) <br />69-70 <br />rHRU,YHEATHENTIPL O <br />ob66 ~ <br />ao66 "' ~ °°~~~ "'~9 ~ ~ <br />AfT MEASUREMEN7 .. • v <br />SUUSO 1 U 1 PEppMIT:.. A P R~"` "''~ `~'` 1f 10 ~rAO o>c *oS •.., ~ <br />fFFLUE3T GRO55 YALU t(?~abIfiEMENT SODA APG bit !CD r"~~ ~ ~~ ~ tii~ lf: t -?,' <br /> SAMPLE <br /> MEASUREMENT <br /> <br />' I~;,_.,j~P5Cpf~(y1~Jl~ <br />~~ <br />-F~filRk`fviENT <br />+ >r , <br />re "~~,~ <br />`" <br /> , <br /> SAMPLE <br />' MEASUREMENT <br /> '. AERwiR`-: <br />` <br />~~ `:ri - .. ~ - <br />ya. • ~: <br /> ~dUIR6MENT, i i _~ ~.t <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />` c--_ . <br />~~ yy <br />~Ant~. <br /> <br />n <br />1 <br />~ zW <br />L <br /> " ..: <br /> x <br /> SAMPLE <br />.. MEASUREMENT <br /> 1'6AMlt! _ - I <br /> ~( QUiR~IAENT ;, <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> r~k`~7~~RF,Mf~NI`: . ..,,. ~+i ,,~, . <br /> SAMPLE <br />. MEASUREMENT <br /> <br /> <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN <br />AND BASED ON MV TELEPHONE DATE <br /> : <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <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 S <br />BMITTING FALSE INFORMAT <br />ON <br />INC <br />D <br />NG THE .S~ T <br />L <br /> U <br />I <br />. <br />LU <br />I <br />P <br />B <br />T <br />F F <br />E A <br />D <br />PR <br />MEM <br />E <br />D <br /> OSSI <br />ILI <br />Y O <br />IN <br />N <br />IM <br />ISON <br />. SE <br />to U.S.C. 4 toot AN <br />33 U S.C. SIGNATURE OF INCIPAL EXECUTIVE V <br /> <br />TYPED OR PRINTED 4 t319. (Penalties untler these statutes may include lines up to St0,000 entl or <br />mtmmum rm <br />nsonmem of holweenBmonN5 end 5 <br />sars <br />) OFFICER OR UTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> p <br />y <br />. CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) - - ~ <br />T55 a=. ]HOPI LFMITS 4111 be MAIYED AAD SF.TTLEABLB S,CLIDS IINIT AFFLIEL !CR <=1OTR,i4liA FplC]i !YlfT~ 1°~ & <br />iROG LItlIT5 itAIYED FCF )lOTA,24Hd PAECIP EYFdT SUtdECT TC 6UFDlM CF FRCCF IN I.A.e"". OI] 6 6!ll:E-_°FE <br />r .+ ,t n ;ny rn~I •r IF'elr~~E~ Ii P I g <br />EPA' Form 3320-1 {0.95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BEMUSED.) '.: ~ r ~.,~ `~~ Qo ~ , - ~ _ ~ i ~ 1 PAGE T OF <br />