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PERMIITEE NAME/ADDRESS (GeYi ieellny8sa/G«mun /DI~vN) <br />NAME SEMECd CDAL COtlPA"IY <br />ADDRESS DRAHEH D <br />HASUbM CO BLb3i <br />FACILITY <br />LocAnoNHAYDf:N CO.81630 <br />ATTb: G. RUD BRDAR, 6EYEfIAL:..~6SR <br /> <br />Form; Approved. ,,s <br />ACUTE 4E2 TESYINGOM~ND.~o1ao~ooa "^+_ <br />(S U R $ N 4}) APProvei L)}I~ j05-31-98+y <br />F - FLgAL ``~ <br />MINJk <br />#r# ND DISCHARGE ~~ #~;` <br />NOTE: Raed Inewctione belore compktinp this form. <br />PARAMETER l3 Grd"Only! QUANTITY OR LOADING ~!':;: <br />' !4 Grd Only) QUANTITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> !%653 /5/-511 <br />. 1.48-451 14653 1-61 EX <br /> <br />/3a-37I <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS <br /> <br />MINIMUM <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS <br /> <br />lerF]) MµYS13 <br /> <br />/µ5g1 <br />TYPE <br />"leg-7o! <br />LC~O STATkC 49HR AC: SAMPLE ; #ar'xa# as#a~-x a;xa~a# ##~:-~;.~ ( 23) <br />CERIODAPHNIA MEASUREMENT •, <br />fAH3H 1 0 D .PERMIT .~-:s=:i'tS~ I,.#:F:..;ttt.. # ~u: t31j =::<'-':yi <br />1 <br />. <br />~ <br />~ ::s. ;~#t.=2~~ . ti.,.y~.i+st:n: ~ GN- 4 i .T$LY:" ~"9A.C+: " <br />c <br /> <br />..FFLUENT GROSS YALUE REQUIREMENT .. .. ..:. <br /> <br /> <br />_ - <br /> <br />~ ~~ ~ <br /> <br /> <br />~~I## . <br />, <br />~ ... <br />... `..... <br />~l it IA ~ii`i~" .. <br /> <br /> <br /> <br />.:, .... . . <br /> <br />' <br /> <br /> <br /> <br />P,NT <br /> SAMPLE 4'... <br /> MEASUREMENT ;- '4 <br /> PERMIT. ~ ~ ~ ~ ~ 'fi! <br />.. <br />~~~ <br />' <br />~ <br />~ <br />. <br />~ <br />~ <br /> :REQUIREMENT ~ ~ ~ .:.. :. <br />~ ,"!M .... <br />. . <br />.: <br /> SAMPLE <br />~ <br /> MEASUREMENT ~ ' <br /> " ~ "PERMIT . .... <br />,:::: .: .. ~.. <br /> <br />REQUIREMENT <br />~~ <br />.: ~ ~. <br />.. ~ ,.:.>... <br />r.:-,.^.. : ~. <br />~ ~ <br />... <br />. <br /> SAMPLE `.c:; <br /> MEASUREMENT <br />'eF . <br />Y~,^ <br /> "PERMIT" .:.: ~ .. .. ,..:;. <br />_., ,.~. .:. <br /> REQUIREMENT ~~ ~ ~ ~ ~ ~ ~ .. ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> .~ :PERMIT ~~ <br />: .. :~ .~"~ ~ ~ ~ " <br /> . <br />REQVIRENIENT .~ ~ . .: .' .: '. ' ~ <br />:. <br />:.,: <br />. " <br />.. <br /> <br />' <br /> <br /> <br />... <br /> <br /> <br />. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT' . . ~ .. ~.. ~ ~ ... <br />~ <br />~ ~ <br />~ <br />~ ... .:.. . <br /> REQUIREMENT ~ ~ "" ~ ~ ~~ ~ " ~ ~ ~ " <br />~ <br />~ ~ <br />~~ <br /> SAMPLE , <br /> MEASUREMENT <br /> . PERMIT:. ~ ~ ..~. .: ~ ~.. .. <br /> REQUIREMENT: ". ~ ~ ". ~ " ~ ~ ~ ~~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTI <br />AM FA FV uXDER PENUTr of <br />MILIM WITN 7HE INFO uw rNAT I NAVE PERSO <br />RMATION SUBMITTED H NµLr FxAMI <br />MD B <br />EREIN NED MD <br />SED " I <br />" TELEPHONE DATE <br /> : <br />MY INQUIRY OF THOSE INDIVIOUµs IMMEDIATELY RESPONSIB ON <br />A <br />LE FOR ' <br /> OBTNNINO THE INF011MATON, I BELIEVE THE SUBMITTED INFORM ATION IS / <br /> TRUE. ACCURATE MD COM0.ETE. I AM AWME TNAT THE <br />SIGNIRCMT PENALTIES FOR SUBMITTING FAIRE INFORMATON <br />IN RE ME <br />CLUDING ~ ~ <br />/ <br />Jf <br /> , <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. BEE to U.S.C. 1 1001 MD 9]' 'V V ~ r <br />OF <br />XECIfTIV ' I <br /> U.S.C. f 1110. 1/WRMr uW dur rYNna mFr hcA.W rare W ro f F0,000 PRINCIPAL E <br />gIONATURE <br />E <br />TYPED OR PRINTED xlsnmuMunAwlbrn.rn Ne.rw..n emonNa rMer..'.~1 .' OFFlCER ON AUTHORIZED ADENi CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference ell etfschmenh hers) <br />SSE PAi12 L. A.4 FDR DETAILS DF TEST PRDCEDORB. REPORT LOiiESS <br />OF TEST JBGAgISt45 (LC50) AHD ATTACH ACUTE TOCICI?I tEST @~Spp <br />Form 3320.1 (00.861 Previous editions may be ueedS IREPLACE6 EPA FORM T~0 <br />;~ . <br />DILUTION (m -:FFLUEST) RNICII IS LETHAL TO 50'.d <br />S FORM TO DMH. CDPIES,-~""ALL INFORKATI01i <br />USED.1 00117 / 9 8 0 914- 092 3. <br />j <br />