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PERMITTEE NAME/ADDRESS (/nclude Facilin•Name/Locarion fD~erenr) <br />NAME SHNECA CCAL CC!!FANY <br />ADDRESSU it A i11{ k D <br />HAYDEN CO 81639 <br />FACILITY <br />LOCATION A Y D t K <br />ATTtl: G. dUD <br />NATIONAL <br />CU 81E30 FROM <br />HHOJN, CEHtkAL HANAi,EA <br />LUTANT DISCHAgGE ELIMINATION SYSTEM (NPDES) Form Approvedf~ ~~ ~! <br />NARGE MONITORING REPORT {!)Jrt9 <br />!z-rsJ <br />~ <br />~91 <br />3' I NC1 k OMB No. 2040-15004 ` <br />47 <br />/ <br />S~_4 i _I I_ y1TE a. ,_I <br />(5 U B H Nit ) A?prove) expires OS-31-98 <br />T NUT NUMBER DISCHA OMBEq p- F I N F 1 - C U T T <br />MONITORING PEl310D UI.;C FIA IiCE 4C HUEEEi_CN CUICH <br />. <br />MO DAY Y ~' MO DAY "- ' <br />ro ~ > > ~'~~ nla il`_CHAFGF j~(( ;~~ <br />(zz~z3/ lza~zs/ Izs-zrJ (zB~~9J (3031) NOTE: Read Instructions beforve~ompletin9 this form. <br /> (3 Cerd Onty) QUANTITY OR LO (4 Certl Onry) QUANTITY OR CONCENTRATION ~ NO. FgEOUENC SAMPLE <br />PARAMETER (46-53J (54-61J (3B"45) (46-53) (54-61) EX OF TYPE <br />(32~7J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62fi31 ANALYSIS <br />/64-68) <br />(69-70 <br />p SAMPLE ~ 4`Lt ;t;. +T Y9 X'.~.: ~1-..x749 ( < <br /> MEASUREMENT <br /> <br />UDUOU 1 G U PERMIT; Z~'' i~ n <br />e <br />tFFLUEMT Gko55 YALUE .AEgUiREMEPST t,9? sp~y'l„' " ~~: , `U ltM78 ~' <br />S S• U SAMPLE ~' ~' ~" • ( <br />SUSpF:NDEU MEASUREMENT <br /> <br />UOS3U 1 U C <br />..~ PeaMlr t9a ;.a , <br />, ,.: <br />EFFLUENT GROSS YALU ~~fluiREM~[iT ~ :9iY?= ~;; ~ <br />. ~[~ ~~ 11~a A6/i ~ ~i#f ~ <br /> . ~ . <br />' SAMPLE ~ "' ¢'' '' ( < - )~ <br /> MEASUREMENT <br /> <br />OUSUS 1 0 0 <br />PfRMtfi ~~,. <br />ism <br /> <br />~ <br />dFFL'JL~'f vftOSS YALU ' fiQUIk~BM€NT ~ z>i::=~ s~ ~,, lL/I e <br />~ EN'JA' - <br />' SAMPLE ~ ~"~ ' ' <br />", <br />(AS YL~) MEASUREMENT <br /> <br />G104S 1 0 0 <br />' <br />' <br />~ ~g f17MtP <br />' <br />~ t17=7 <br />• <br />• <br />~ ~ .. <br />" „ `^:y ;. <br />~ <br />~ <br />EFF <br />LUEH <br />I GAO55 <br />YALUi Q <br />~ .MCAT, x- <br />-- AAA` <br />300• ~1t2 ~it~ B UG/i . ;, <br />= f-G.Ik;A <br />C a. AN G $ SAMPLE v "- ""`"'" '^ "" "~ <br /> MEASUREMENT <br /> <br />U3Stl1 1 0 U pSk~~11T ctY <br />EFFLUENT GRO55 YALU $~t~t11AERA~NT' t9Y4` INS! E!f' !!G/l ~'~ <br />LON, N SAMPLE I 94^=~C 9,.A ~. <br />'IHNU Th EATlIENT PLANT MEASUREMENT <br />SUUSU 1 U 0 -; ~~R,M1~lI': g,. <br />` ~ ~O4 ; o9e 1 R <br />EFFLUENT GROSS YALUB 'H ~ftifq~~{~{T- t3~ <br />{k k!. 7(Ct' ,2CAj~~: !F~ FGD ~ ~ 400 <br />SO S, SAMPLE "~" ( <br />D i 550E Y F. D MEASUREMENT <br />lU1YS 1 U 0 ~~: ' <br />~ <br />~ <br />~ '! ,"' LAS 3 G~/1 ' <br />,fir, itE' <br />EFFLUtKT 6k055 YALUF A~ <br />k1 <br />~EME ;C9II ~AIA AyG, ~i1LY A1, 11G/I <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FAM FY UNDER PENALTY OF IAW THAT I HAVE PERSO <br />ILIAR WITH THE INFORMATION SUBMITTED HERE NALLY EXAMINED AND <br />IN <br />AND BASED ON MY TELEPHONE DATE <br /> INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPON ; <br />SIBLE FOR OBTAINING <br /> THE INFORMATION, I BELIEVE THE SUBMITTED INF ORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. I AM AWARE THAT TH <br />PENALT <br />ES FOR S <br />BM <br />TT <br />N <br />FA <br />E <br />NFORM <br />O ERE ARE SIGNIFICANT <br />' <br /> I <br />I <br />I <br />LS <br />I <br />ATI <br />N, INCLUDING THE <br />U <br />G ` <br />~ t (~ <br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE tB U S.C 4 t00t AND 33 U.S G SIGNATURE OF PRIN PAL EXECUTIVE L/ l/ <br /> 4 t3t9 (Penelaes unoer these statutes may inclutle lines up Ia f 10,000 entl or <br /> <br />TYPED OR PRINTED <br />maximum impnsonmenr of oerwaen6monlhs eno5yean.) OFFICER OR ALIT ORIZED AGENT <br />CODE <br />PLUMBER <br />YEAR <br />MO <br />DA <br />GUMMhN I S AND F>1PLANATION OF ANY VIOLATIONS (RB/erenCe al/ eaachments here) <br />TS:, 6 IKON LIAITS YIlL tit YAL9E0 E SP.TTLEAELE SCL]CS LIAI7 APPLIED fCk <=l0Yk,14FA FfiECIF EY:EA4; 15E E <br />IfiUN L1l1IS5 YAIYED FCF >lOTA.2UHA PA6CIP EYENi SUfJEC2 1C BU6CEN CF FACCP IN I.A."e. Cll 8 4F~EA°E - ?EE <br />1-'~ '-G Tpc rn1u179F-3~C - TaR ~ <br />EPA Form 33261 (OB-QS)', PrevioN-s editions may~ngt be used. (REPLACES EPA FORM T-90 WHICy MAY NOT BEIISED.) Q~1B ~V 99 G E 17 -165 3 PAGE 1 OF <br />