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PERMITTEE NAME/ADDRESS (/nrlvde Facdirv Namdlomrinn i/D~J/eicnp <br />NAME S£A~CA COAL CCP.FAt:Y <br />ADDRESSD A A fz E R D <br />NAYDEN CO 82ti39 <br />FACILITY <br />LOCATIONd A Y D E R CO °+r 16 30 <br />ATTlI: L'. bU~ bkU11A, GENERAL MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (OMR; <br />(P46) (17- 9J <br />COO DO(12] Qll ii <br />PERMIT NUMBER ~ . ~ DISCHARGE NUMBER <br />. °. <br />FROM <br />(YPB1) ~(22-231 (1425) (P6~2)J (78-281 f303Q <br />Form Approved ~~ ~` <br />CI !: C A OMB No. 2040-0004 , <br />Aoproval expires OS-31-98 <br />(SUkA ii) ~ <br />F - Fir11 6cuTs <br />ACUTE i1T TFST]~C FCF Cls~ <br />NOTE: Read Instructions befo completing this form. <br /> (3 Card Ony) QUANTITY OR LOADING ~`f~, (4 Cartl Ony) QUANTITY OR CONCENTRATION ~ .NO. <br />^ FREOUEND SAMPLE <br />PARAMETER (ae-53) (sa-st) ,~ (3945) (es-53) (cast) EX of TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(szG3J ANaLVSIs <br />(64-68) <br />69-70 <br />LCSU ST AT HE 4tlHB ACL SAMPLE :~m433i: 903440 G00~'. rl lr: OL>rt5+~ ( i:) <br />CERIODAPSAIA MEASUREMENT <br />TAn3b 1 0 0 <br />- PERMIT +RO y t~- i~ .,r TP, ~; as3 F ES- •- F.Efe <br /> <br />£fFLUEHT GROSS YALUk , <br />~FiEOUIREMENT- - .~ <br />"<s F <br />Xt;74 3. ,, ,~.y4 <br />~~~~ '+ <br />CEb1 - <br />''~' , <br />*~; <br /> _ _ <br /> SAMPLE "~ <br /> MEASUREMENT <br /> PERMIT + <br />n ~+` ~ „t.T. <br /> REQUIREMENT. - - ~ -~ r~3 - <br /> i rzc~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ :.~ •' ' <br /> REQUIREMENT , °. ~"'.±4jz ~~ <br /> a , <br /> SAMPLE <br /> MEASUREMENT <br /> `-PERMIT - ~ Ir .~~ ~}~^2 ..,. +Pat`- '. -- ~ .. <br /> REQUIREMENT - - - ~ - ~'.tr 'j?, ~f ,r s. <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT' - - <br />~ ~~~ k~ <br /> <br />,REQUIREMENT. , <br />- <br />~ <br />~ <br />_ 7 V <br />,a~ <br /> SAMPLE <br /> MEASUREMENT <br /> ._. PERMIT - _ ~~~- ~ ~" <br /> REQUIREMENT: ~ _ ti 4 ,-~_ <br /> SAMPLE <br /> MEASUREMENT <br /> 'PERMIT':,- . - a , ~ -. - •:F;- - <br /> ~RE~OIREMEt~T- ~:;,"~ ~ - - - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE <br />NFORM LAW THAT I HAVE PERSONALLY EXAMINED AND <br />ATION S <br />BMITTED HEREIN <br />AND BASED ON MV <br />' TELEPHONE DATE <br /> I <br />U <br />; <br />INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE. <br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />r`I\ <br />/ <br />LI <br /> PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE L 1 <br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1a U S C 4 1001 AND 33 U.S.C. SIGNATURE OF PFINCIPAL EXECUTIVE U ~J V <br /> <br />' TYPED OR PRINTED 4 1319. (Pene/ries under these s1,Mes mey Inclutle lines up ro St0,000 antl or <br />maximum lmpnsonmerrt of between9months ends years.) OFFICER OR THORIZED AGENT A <br />'CODE <br />NUMBER ~ <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reverence all attacnmenfs here) - <br />SEr PAdT I.l.G P08 CF]AILS OF TEST PROCEDUaE. AEFC3T LCY£ST DILUTIC6 (A EFFLUEN9) iR;C~..TS IFiNAI TC SCT <br />OF T£ST ORGANISdS (IC50) AND ATTACK ACUTL TGRICITI TESS AFPCAT FGtiC TC DL6. <br /> <br />EPA Form 3320.1 (OS-96) Previous editions may not be used (REPLACES EPA^F.ORM T-0O WHICH MAY NO7 BE USED.) D.01~ ~ '3 ~ ,PAGE 1 OF <br />