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<br />PERMITTEE NAME/ADDRESS Rnclwle Paciliry NemeiGorahan jOFerenr) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) Form Approved. <br />NAME S E N E C A CG A L C C G F A N Y DISCXAR)GE MONITORING REPORT (OMH3e r, t s c k OMB No. 2040-0004 <br />ADDRES Approval expires OS-31-98 t <br />SfikAYEli U L '=~ (~UflN SY) 4r <br />HA YDEN CO tl1639 PERMIT NUMBER '; DISCHARGE NUMBER F - FC-AL FCD~T <br />" ..r~~rer lee to If <br />FAGIUTY ~ MONI TOR ~ERIOD `"~""°„` `~~'~~-~~~-~ --~~--~ <br />LOCATION ~ ~~ R MO Y <br />!tA'YDE'' <br />"!I CO 8163Q <br />~ 4 ~ ~ YEAR MO DAY ~ ~- <br />~~ fAt <br />~f ~i~ { <br />V~+ U ;1 C~YI YG ~l <br />"~ <br />. <br />FROM •. ~ <br />. <br />TO <br />6(ionsbeforecompletingthisform. <br />NOTE: Read) <br />A?TY: G. RUD.iikOMEi~ LkkBdAL tlAEIAGlti"' ~ .' .(z2~z~; sJ tzsz» rze~zsJ (soap <br />(3 Cerd Ony) QUANTITY ORt • . ~ <br />~ (4 Card Ony) QUANTITY OR CO[1G. , RATION N0, FREquENC SAMPLE <br />TYPE <br />" <br />PARAMETER f. .53}'„ ' .(54-6~ <br />~~s`. (54~61J EX OF <br />(38-45) (4653) 's <br />(32-37) AVERAGE MAXIMU ~• LTS <br />' ~ MINIMUM AVERAG~~-~. MAXIMUM UNITS !5 1, AN~AL68)S (69-70 <br />L 6kE. a SAMPLE '~ isoo ~ ) 40ALSq ~ O ;Y •t{<s) <br />/ ~ <br />~ , <br />I~>lf AL MEASUREMENT ~ <br /> . I <br />FiLLUob 1 U 1 pERMI`~` .' ' ' - <br />'` <br />~ 1fE ' ~ ES=1 m <br />~#. t0 AR y+i;,, id9 <br />~ i/ , II <br />- <br />- <br />BPFLUEMT GkOS9 YALGE ;'FiE4uI~EMEN~ _ ";tlST !EX',~: EC=O ~~ ~~~~ ~~~ '~~~ <br /> SAMPLE ~~ •""~ ~'`~~ <br /> MEASUREMENT - <br /> <br /> ~.,'FF~MIj. <br />' <br />". t~: M ~ p rr~+. I )It <br />,;. <br /> ~R~QI)~i~'MENT - ~ PG= ~ 1 <br />'T- <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> `~;: PEYiIakT ,~ t~:: - k <br />. -QU1l~LM~NT -"~ r <br /> SAMPLE <br />. MEASUREMENT <br />. <br /> EkMtr <br />~ <br /> . <br />Z11F$EM~NT i - <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />. - f''~F <br />' kj <br />~ ~, <br /> -. <br />i <br />~Ei~MENT ;. <br />~ + <br /> SAMPLE <br /> MEASUREMENT <br /> , <br /> PpE~BMt3? ' <br /> FiE~f~TI~~FnEFiT -- • <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> <br />NAMERITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHGNE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MV DATE <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE ~~ <br />POSSIBILm/ OF FINE AND IMPRISONMENT. SEE 10 U S.C. 4 tDtlt AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECl1TIVE <br /> (Ponetties under these sbtules may mclutle litres up (p Slp.~e end or <br />4 t319 ED AGENT O D Y <br /> . OFFICER OR HORIZ NUMBER YEAR M <br />TYPED OR PRINTED maximum rmpnspnmenf pl beMreen 6 manlhs end 5 yeers.J <br />COMMC-NTS AND EXPLANATION OF ANY VIOLATIONS (Reference all affacnments Here} ' <br />TSS £ IkOh LIlfITS YSI[ BE NAiVED Ak0 SETTLEtk!LF' S(LIDS LIDI7 AkPL[tL FCA <=lUY3e:~liF FFECIF EYE/TI TSS G <br />IkON L1h[TS ~AIYtD fCF 71GYk,24HH P&ECIP BYPDIT SOEJECT IC HL6DEN CE PfiCCF IN 1.1.2. CIL E GFE1.SE-:EE <br />rs r n r T r c • 'I <br />FrPA Kprm 3320-1 (OB-95) Previous editi.4ns rrtay not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) DU p 6 7! 99 C E i 7 - ] 6 S i PAGE ` OF <br />