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PERMITTEE NAME/ADDRESS (rnd~de R1nliNNume/Loro/ion jDi$erenq .N <br />NAME SL'NECA CURL C_ C!4@AYY <br />ADDRESSDR~MEA D' <br />HatoeN co 81839 ': <br />FACILITY <br />LOCATIOt~AYDEN CG 81830 <br />~TTb: G. 8UD EFGNN, GE>tEAAi MANI6E11 <br />OISCHAgGE ELIMINATION SYySSTEM (NPDES) Farm Approved. <br />MONITORING REPORT QOM ..y_ l1I NO A OMB N0. 2040-0004 <br />_ Approval expires 0537-98! <br />(sueE url <br />BER"c'ra'. DI Y E11 F - FI@,lI FO~TlT <br />IONI I^Cy ERIOD ACUgE NET 7E57]fG ALE r. (f31 <br />DAY ~iEAR MO DAY <br />yr, ~ ,~ #a;s NC [I~CHIEGI ~_„~ Ooe <br />2a-zs) is-zrl (z5~z91 (3031) NOTE: Read Instrucfons before; completing this forma <br /> ~ (3 Cerd Only) OUANT§')'Y OR LOADI G ,y;"; ~ ) QUANTITY OR CONCENTRATION NO.: FREOUENC SAMPLE <br />PARAMETER (A6-53) (54-61) i', , ~ ~. :45) (46-53) (54-61J E%' OF TYPE <br />(32-37), AVERAGE MA%IMUM EJ'~~ ~~ UM AVERAGE MAXIMUM UNITS <br />f5a53) ~A~ys/s <br />(64-88) <br />69-70 <br />L $TA AB E U SAMPLE C40~1>p0 a QLO:+ - 40AOOY~ A####n ( i3) <br />CEAIUUIPNMIA MEASUREMENT -~,' ' <br />A M.Id 1 D I x>- - c <br />t- >4~~ pp <br />.QQ•Y «1u~t~ "+/ I'I7- 4~ ^`z: <br />EFFLUENT GROSS YALUE ,- <br />h , ti. .. <br />- ~~ e~1~„~,,,~ ~`-i ~{0#fi rtN p~ h ~ '~ E17 ~ a <br />~ ~ ~"' <br /> SAMPLE pS <br /> MEASUREMENT <br />r <br /> .:_ t., .: <br /> <br /> w <br /> SAMPLE <br />MEASUREME <br />( jy;, ! <br />c <br />' ~~ <br /> NT V ~+ .Qc ~ ~ ~V~. Q V W W , <br />j <br /> - - .to--. - - " ,ti I °.~ x - z- , -,,,~ - <br /> - ~ ~o i ~~, . , r <br />' SAMPLE ~s' <br /> MEASUREMENT <br /> -",'} ,..p %,, .t z <br />~° ~ <br />~ <br />~A , <br />`srF <br />l 'r~o- 4}a e <br /> <br />; <br />i , <br />~~ <br />~ w. . <br />. <br />y„ <br />t . <br />, <br />~ <br />~ l. <br />~ <br />~ ,. xl <br />' ~ . <br /> SAMPLE <br /> MEASUREMENT ' <br /> <br />~ <br />~~ 4 x - _ <br />4i }XC ~1. v' <br />~il' i ~ <br />tl "}~ <br />< <br />rl <br />. <br /> , /4 nl <br />k <br />l' - U ~ t <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> M~A <br />t .~~4 ZS(1'. ' 1:. y <br /> ~} ~ J <br />FSF <br />y .. n ~ . <br />L - <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~.,. <br />, j <br />e ~. ~~ 'Y yY <br /> <br /> <br />+ .:yai ~~ <br /> <br />.. .. <br />- .:x~fR W Y T i r, <br /> ~"' _ <br />~i <br /> ~ A } x <br />NAME/TITLE PRINCIPAL EXECUTIVE O FFICER I CERTIFY UNDER PENALTY OF r <br />M F <br />M <br />AR <br />RH T <br />E I <br />F <br />RM AVr/ THAT I HAVE PERSONALLY E%AMINED ANO <br />ATI <br />N <br />BMITTED HE <br />EIN <br />AND B <br />SED ON MY TELEPHQN E'~ , DATE <br /> A <br />A <br />ILI <br />W <br />H <br />N <br />O R <br />; <br />g <br />O <br />SU _ . <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ <br /> T/1E INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTIN I AM AWARE THAT THERE ARE SIGNIFICANT <br />G FALSE INFORMATION, INCLUDING THE ^ O <br />/ <br />I D ~ I (J <br />`/ <br />s <br /> POSSIBILITY OF FINE AND IMPR ISONMENT. SEE 1S U.S.C. § 1001 AND 33 U.S.C. SIGNATUREOF INCIPAL EXECUTIVE V V <br /> <br />TYPED OR PRINTED § 1319 (PCMIhBS 1/n[IBr IIIflSB SIBINBS mey inclutle !Ines up ro EI0,000 entl or <br />maximum im <br />nsonmenr of oenveen6momhs entl 5 <br />eers <br />) OFFICER OR UTHORIZED AGENT <br />NUMBER' <br />YEAR <br />MO <br />DAY <br /> p <br />y <br />. p <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell ettachmen[s here) r <br />SEE PAfiT I. B.4 FC8 LElAILS OP TEST pAUCEDUNE. AEICRT LUYbS4 CILUTICN (X kFFLUEl17) Ytl1Ctl l5.-IET6A1 1C <br />SU: GP Y£ST UAGANxSN° (1CSU) 4ND ATT~CA -CDTE TUf]CITI TBST 11Ef0ET FG51! TC DRb. CCfIEa C! 111 <br />~ a <br />PA Fonrv332b1^ 08j 95) revious•ed~ IcnS=Itlay~nbCbg used, ~ ~(RE~L~C~S EP '~~Oli -T-40 WHICkI MA1('IJOT BE USED.) ~~,,., .~~ ~ e -w aae; ~ ,. ~ PAGE ~ OF. <br />