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PERMITTEE NAME/ADDRESS pnclude Facilm~h'ame/Loomion JDij(ercntl <br />NAME sEMECA CCAL CCC F/t:f <br />ADDRESSF; FiA4i o"R O <br />HAYUEN C'0 81639 <br />FACILITY <br />LocATlor~ A i D i N : 8,~ 6 30 <br />ATTN: G. BUD BUUAH, LENBRAJ,=- EA <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />(24 fit (1]- 91 <br />•~"~'-~• PERMIT NUMBER DISCHARGE NUMBER <br />MONITORINC.T PERIOD <br />YEA ~, DAX `.: '" YEAR MO DAY <br />FROM 70 D u G .! L <br />(20.21) } 25) (2611) (2649) ~(30-91J <br />Form Approved. <br />14I NC A OMB No. 2040-0004 <br />(S U d R Y 1) Approval expires 0531-98 tl <br />6r <br />f - FL/!L FCl1dT <br />ACUTL' YF7 TPST]FG FCF LL6A 1 <br />aca m0 LI_CHi6GF j--~ ~~~ <br />NOTE: Read Instructions before completing this form. <br />' M Only) QUANTITY OR LOADING (4 Certl Onry) OUAN ITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4653)".' (59-61) (3845) (46-53) (sastl EX of TYPE <br />(32J7/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(62b31 ANALYSIS <br />(64-6a) <br />69-70 <br />LC U AT E 4HHR ACU SAMPLE '`a#~ r <br />• , . P ###L <br />~'OO 0 0;,~?4 #>oi91C4 ( i _) ,\ ' <br />C6hIODAPHNIA MEASUREMENT : s~ V '$Q .n <br />1'Atl30 1 U "'3 '-'"d?~BKd17+' ~~ '~ ~#~ ~ SF ~ F6' EI- f4~~, <br />tFFLUk:NT GRQSS YALUt tlIF~EM <br />ENT ~' "~ " i+lr## , <br />x"' • <br /> _ <br />, . <br />. ~ SAMPLE <br /> MEASUREMENT <br /> .. y~y ,, , w' <br />> <br />' r <br />-Y t -- <br />t ~ ~i ~Tl <br />~ Nom <br />~i <br /> . <br /> <br /> SAMPLE <br />~ <br /> MEASUREMENT ~ <br /> ` ~ <br />~ k"r <br /> i~j <br />~ N ~ <br />~ <br />S f <br /> SAMPLE <br /> ASUREMENT <br />ME r <br /> --'t' M~ T <br />A V- 4~, <br />M r .~ ~ .;. <br /> a 4L rICM~N2: a~. rv <br />T ~ IFvL ' ~. N ~ '~. ~-W. E K ~~.~ <br /> SAMPLE <br /> MEA <br />S <br />U <br />R <br />E <br />MENT <br /> }Q <br />\ <br />~ <br />*~ <br />~ <br />• <br />` <br />~' <br />% <br />'.1#~ <br />~~ fa c£ i <br />d <br />" r 3 ~~ t ~. ! .. <br />F + <br />~` <br />' i$ <br /> yjw <br />, <br />~{ <br />y' <br />~ <br />] <br />T7C•~VI4~Fs <br />IS[„ y <br />' .'icy` Y; <br />5~,. AR Y CmJ'r. R x <br />. . <br /> <br /> SAMPLE <br /> MEASUREMENT ' <br /> (;(q~} <br />'~ <br />~ r ~ <br />F <br />~ <br />`5 <br />~ <br />'~ <br />' "5 <br /> ~~Gi'(HOEML~T .~: <br />~ i '~r s x <br />; : } <br />~ ` <br />" <br /> , ._~ <br />r< . <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br />~ <br /> EG1t~MC3E~ NF = ~;,ua' ~4,r r <br />~ } ~. ~,.r,`_ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND <br />E TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BAS <br />D ON MY <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 APE SIGNIFICANT <br />INCLUDIN <br />T <br />N <br />T <br />E ~ ~ \ <br />PENALTIES FOR SUBMITTING FALSE INFORMA <br />IO <br />, <br />H <br />G <br />POSSIBILITY OF FINE AND IMPRISONMEM SEE 1B U.S.C. § 1001 AND 33 U.S.C. <br />SIGNATURE OF PRIN PAL E%ECUTIVE D~ D ~ <br />fl <br />TYPED OR PRINTED maximum imnnsonmeM Ol benveene6mmins entl5utl~ Sines up to 510,000 end or <br />P Y OFFICER OR AUTHORIZED AGENT A ~' <br />DE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) r <br />58t PART I. A.4 FOR LEIAILS GP TEST PAOCEDUitE. R£FCkT LGYEST DSLUT1Gt~ (I EFFLUEI7) IHIC6 IS 1FTFAL TC <br />SU~'OF TtiST UAGAMISCS (LCSO) AMD ATTACH ACUTE TCY]CITT TEST hEFCAT FCAM TC U`lA. CCFIFS CI All <br />r rvnrr~srnr rn<T oc CiYR rn auA <br />EPA.FOrm 3320.1 (OB-95) ~PreVl¢~s. editi(Vls~ m'ay noLLe used (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) OO O6 ~ / 9 S O e I~~ -I b S 3 ,_;},~ ~ PAGE I OF <br />