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PERMITTEE NAME/ADDRESS (!nrludc Facihrv Name2ocarion jDifferenq
<br />NAME CYFFIlS YAMPA VALLEY COAL CORP.
<br />ADDRESSgrF::S 1, 2.'J3 SOUTh, S 'CK"A.N PR
<br />91U'., EAST !".ZN"r.HAL CI2CL'c
<br />FACILITY F':GLi:NOGO CU yU1Ss
<br />LOCATION
<br />ATTN: "'(11'.RIS W. Kt"~LtY. GF.SiriTAL &'PI+~Y
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (OMR;
<br />(7461 (n- 9)
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM UU U9 O1 TO UU U'a 30
<br />(20-2t) (2&23) (2425) (26~b) f26-29) f303p
<br />Form Approved.
<br />OMB No. 2040-0004
<br />!1 A J U }; Approval expires OS-31-98
<br />(SUdk 9N)
<br />F - FI'I AL 't i.L:
<br />"ZNY. i, PCNL ° TC FO7CFL C3e~
<br />NOTE: Read Instructions beto!e completing this form.
<br /> (3 Cerd Ony) QUANTITY OR LOADING (4 Card Onry/ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46.53) (54-6 r) (38-45) (4653) (54-6 r) EX OF TYPE
<br />(32.37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(62-63) ANALYSIS
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO
<br />ATION SUBMITTED HER NALLY EXAMINED AND
<br />EIN; AND BASED ON MV TELEPHONE DATE
<br />
<br />Richard Miils INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE,
<br />
<br />er
<br />tal Mana
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<br />i ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />97D-S7O-2712
<br />g
<br />ronmen
<br />nv PENALTIES FOR SUBMITTIN ING THE
<br />G FALSE INFORMATION. INCLU
<br />~, POSSIBILITY OF FINE AND IMPR
<br />tti
<br />P ISONMENT. SEE 18 U.S.C. § 1 W1 AND 33 U.S.C.
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<br />d SIGNATURE OF PRINCIPAL EXECUTIVE (~'J /(/ ~ J
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<br />TYPED OR PRINTED ene
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<br />§ 1319. (
<br />es under mesa statures may ,nc
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<br />maximum rmpdsonmenr ol6etween6montlis end5ysers.) OFFICER OR 4UTHORIZED AGENT
<br />COD
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMEN~STAND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />.ir.';:•:R l,TF LIAITSr'O$ TS S, IHO:+ G SE."'TLf 4BLE SOLIDS (LOC 'C') APPLY UKLY IF' <- 10-Y , L4-nd. PRzCIF EVENT
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<br />EPA Form 3320-1 (08.95) Previous editions may not be used. (REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.)
<br />Q Il '~7`~~/;,~i.'1i'~-1: ~]1 PAGE1 OF
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