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PERMI7TEE NAME/ADDRESS pare. PrulyNa.urLoc•nar dDb...,q <br />NAME SENcCA CORL COh:P.1~Y <br />ADDRESS DAAGtR U <br />NAYDL'N <br />CU 81b39 <br />FACaIn <br />LOCATION d1YUEN CO 81630 FR( <br />ATT'.i: G. BUD BAOWN, GEkERAL NANAG~r? <br />Form Approved. <br />~i.L• FCR[1 DSCGY lOM8 No 120940004 y~~~ <br />(S U A R h w~ APProvelle~pi ys 05-37-98u' <br />F FIIIAL '~ <br />Y.IFC5 <br />~~~ Rr, DISCHRkC•E ~ ~ -tie <br />NOTE: Raed Instructlans balore omplatiny this form. <br />PARAMETER !9 Grd Onlyl QUANTITY OR LOADING '~y <br />1[6-53) 15461) ! Grd Onlyl QUANTITY OR CONCENTRATION <br />~ 138 <br />A51 146-531 154-611 f,ID. FREOVENCY <br />DF SAMPLE i <br />137-371 ,yam - EX TYPE <br /> AVERAGE MAXIMUM UNI~S* MINIMUM AVERAGE MAXIMUM UNITS <br />le]-411 MALrsts <br />(64681 <br />(6470/ <br />1'H SAMPLE ~`r:L="=:~ GYF~.:t:S '~ ~t'X4zv60 ( 22) . <br /> MEASUREMENT <br /> <br />U04U0 1 0 0 PERMIT +-r,;i<W;L; `=s.'txtt<:= ;+~; 6.5 >w~~~~"' 9 <br />C iP <br />»KLY i'~iIT( <br /> <br />EFE'LUEliT .;ROSS YALC. <br />REQUIREMENT <br />':~1;`•Y <br />i~4Z NIHi1!! . <br />wAYI7'U~. <br />SIJ . . <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 />•:. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~~AEQUIREMENT <br />NAMEl11TLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW TNAT I HAVE PERSONALLY EXAMINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREI <br />MD BA <br />E <br />' TELEPHONE DATE <br /> N: <br />S <br />D ON <br />MY INQUIRY Of THOSE INDINDUN.S IMMEDIATELY RESPONSIBLE FOq <br /> OBTNNINO THE INFORMADON. I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE, AOGURATE'MD COMRETE. 1 AM AWME TNAT THERE ME <br /> SIONIFICMT PFNN <br />TIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING - <br /> . <br />, <br />THE POSSIBILITY DF RNE AND IMPglSONMENT. SEE 18 U.S.C. f 1001 MD 3$ 610NATURE OF F'111N AL EXECUTNE <br /> ~ a u <br />~ <br />~ <br />r~ <br />a ~ ro t 1O'~ AREA <br />TYPED OR PRINTED .neomuinNan <br />Neanvw~ <br />ma;aa ~+e 6 <br />yara <br />l OFFICER OR A RIZED AGENT <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AHD EXPLANATION OF ANY VIOLATIONS IRsFerence sll etteehmsnts hers) <br />TSS E IHUA LItlZTS PILL L'E :AIMED At:D SETTLEABLE SOLIDS LIt"IT BFFLIEC FC° <o1CYR,24iiY, PRECIP EYF.NT: ISS E <br />IRUh LIMITS MAIM°U FOk >lOYit,24Hk PRECIP °Y3AT SUBJP.CT TJ BUACF.h CF FFGOF 7F I.F.2. OZL E GREASE-SF'E <br />L.rr.1.D. Tng Mf1ATTEIGTUF.-S PR T-R-1 -P, <br />EPA Form 3320-1 108.951 Previous editions mey be used. /REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) PAGE OF <br />00134/97]031-1513 1 <br /> <br />