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PERMET'fEE NAME/ADDRESS prime. FmWryNaw/Ler.nw dOrpwap <br />NAME ScNE~A CGAL CO!".PANY <br />ADDRESS DkAAEi1 D <br />MAYDEEi <br />CO 816 39 <br />FACILITY <br />LOCATION H A Y D E N CO 516 3 0 <br />AI'TN: G. BUD 6A04N, Gt:hEkAL MAKAGek <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT IDMRI <br />lZ-161 I7-191 <br />C'cGGGG221 CGS ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONI ORING PERIOD <br />YEAR MO DA YEAR MO D`AV <br />FROM : Vl ~ TO " _' . 1 <br />!1611 ,-131 ~ 151 !1617) 11e-191 !36371 <br />Form Approved. ' <br />I~ C ~ F E; -. : ~~ :' a r H9MBIFp.D;;zoagoDOk . <br />(~ U F F p f.) APProvellexp~r4q~05-31-9r~, <br />F - FINAL <br />v•1:CR <br />Nc o7, ca~RL;e I~~ r:~# <br />NOTE: Re tructlom befor omDMtinq this form. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADIN~`, <br />~ !I Grd On/yl QUANTITY OR CONCENTRATIO ND, FREQUENCY SAMPLE <br /> M653/ (54611 7" - I3B-I5 (16531 15L611 <br />EX OF <br />T <br />PE <br />131-371 AVERAGE MAXIMUM U ITS MINIMUM AVERAGE MAXIMUM UNITS Ie1.691 ANALrs7s <br />/64681 Y <br />163701 <br />U~ IiS, U SAMPLE ###O## ####'al# .:""':# ( 1Q~ <br />S UJYENDCD MEASUREMENT <br /> <br />(1GS30 1 U U PERMIT 0#371dtitxl ~~+Ffk~O #.~ 43COCC 7c Q )>fC«I ~RA$ <br />EFf'LUCNT GROSS YALU REQUIREMENT L`f;# 3Gt) AVG CAX1T rx: MG/L 'fOATH <br />SOLI US, SF.TTLeAbLE SAMPLE ####=t :r ##0400 !pA#8t ( ?rj) <br /> MEASUREMENT <br /> <br />00545 1 0 G PERMIT C-7G0=r# ;;:#OXrT #00 :, ?`Ib Oip>QAIQI REFCR'" RPF~i!f? !FI (:E/ ;RAB <br />CFt'LUhN'T' GROSS VALU REQUIREMENT #A## <br />~ 3GL! AYG CAIIT t!.~! rL/L MOUTH <br />'UN• .L :t SAMPLE ^'~# rCrC: ; C#;;#;: Ot19 <br />009 ( 1a) <br />(A.; FE) MEASUREMENT <br /> <br />U1G45 1 0 0 PERMIT ~;>i,^.#fL YA ': r: r:;:# ' t: :. •'.. #YGQ60 <;~~.() >r '.G ! t11~E/ ;RAB <br />Lt'FLUtAT GROSS VALU REQItIREMENi .... "''38IA .A7G , ..CAIL'Y NY MG/L MONTk <br />1 NU is SAMPLE ... .:;~-s :t G;:;:.•': "Ln!`#A tSLA+}i+ ( 19) <br /> MEASUREMENT <br /> <br />G3Su2 1 0 U PERMIT 1D::rb~0~sq :xrr:~o,,:'r ' : %r: r: CLB;C GAtt## 2L 'ONT3R 'kA8 <br />tFt iU6R~T Gk055 YILU REQUIREMENT ... ~ IRa'! SAY '7,/L G$:IT <br /> SAMPLE <br /> MEASUREMENT <br /> .~. PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT .. ~ .. <br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I DeanFY UNDER PENALTr of uw TNAT I NAVE PER9GNULV ExAMINED AND <br />AM FAMILINI WITH THE INFORMATION BUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> MY INQUIRY OF TH09E IMDIVIOUAlS IMMEDIATELY RESPONSIBLE FOR ~ <br /> OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION I9 <br /> TRUE. ACCUMTE AND COMPLETE. I AM AWARE THAT TNERE AAE <br /> SIGNIFICIWT PFNN <br />TIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br /> . <br />, <br />THE POSSIBILITY OF FNE AND IMPRISONMENT. SEE 18 U.S.C. 1 1001 AND ]] SIONATUflE OF PRI CIPAL EXECUTNE <br /> U.9.C. 1 1 ]1 e. /MrWOYF WFI Nrr. IYrorIF rnrY 1~CAn11 rMF W ro i 10,000 <br />TYPED OR PRINTED .nenmu:nr.n irw~IS+YrIrN a/MIwAM empTdrF rW6ywa1 OFFICER ORA HORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS /Reference ell sffschmsnfs heiel <br />TSB t. IRUN LIMZTS TILL bt' 4AIYED AND SETTLEABLE SOLIDS LIMIT AFFLIEC FCP <=lCYfi,1.4HR PHF'CLP F.VENT; ': t;3 t, <br />1kUti LIMIT'S .A7YF.D F06 >LOYR,24HH PRECIP SVCNT ~UDJECT TO BGR[Ek CF FFGCF IN 7.A.~. OTL F, GREASE-FEE <br />F.I,.I.D. Tr1S M171:~TT(7FTf7 1.-C FF T.R-7-D. <br />EPA Form 3320.7 108-55) Previous editions mey ba used. (REPLACES EPA FORM TAO WNICH MAY NOT BE USED.1 C 010 7 / 9 710 31-1513 PAGE lOF <br />