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PERMITTEE NAME/ADDRESS (!ncludeFocdy~Nnnn/[nmdnn fDiffereeq <br />NAME SEHE.CA COAL CCCFAkY <br />ADDRESSGk~YY& D <br />HATDEk CO 81639 <br />FACILITY <br />LocnnoNAAYDEN CO ti163U <br />ATTN: G. bUU BHOYN, CEEF.kA.1 HAN~GEB <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. '~ ~ ~ <br />DISCHARGE MONITORING REPORT (DMRI <br />(2-161 N7- 91 <br />r <br />I H G a OMB No. 2040-0004 <br /> ' . Approval expires05~3T-se `~ <br /> COOGUfs <br />21 U10 Y (SU68 Ili) <br /> PERMIT NUMBER DISCHARGE NUMBER F - FI f/L bC'~TT <br /> <br /> r.MONITORmG PERIOD ACUTE Y17 TE3T]iG AT C1GE <br /> YEAR. '~fv10; 9DAY YEAR MO DAY ~_ <br />FROM YY' ~(%:Vl TO yY le 11 ~~l~ ~~EIEC8l6GE ~~~+ CA4 <br />(zo-zp "(zzT~ Rassl (zszr) (za zs) (awr) NOTE: Read Instructions before completing this form. <br /> (3 Card Ony) QUANTITY OR LOADING (4 Cartl Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (48-53) '(54-6T) (38-45) (46-53) (54-67) ~ EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />70 <br />9 <br /> f52g1 /64-681 (6 <br />- <br />L l:7U~ S'f A'f Ei f; 4tlHk P.LU <br />CENIODAPMNIA SAMPLE <br />MEASUREMENT 'A ^~`Av+"A ~. r, n>: gTj <br />; 1, ~ ~~ ~ <br />~ <br />i 4iiT00M =. +C ri9~v <br />( ~~) O I <br />'~ <br />~ M~ <br /> i <br />. <br />TAt73b 1 0 0 <br />EFF'LUEBT GROSS 4ALGE 'PEFiN11T'" <br />.REOUIREMENT ~ .i0>•gu ai FIi .. p <br />r t4~ <br />Y+l -sQQ <br />N yj~` y~;'~ltll~A4 <br />' <br />~a OtC"+R !O.i'I. F Efi- <br />CEe1 <br />+ ~~.~~ l <br />~ v~ i, ~a~'~;. ~. <br />"-a'_I, <br /> EG <br />~ <br /> SAMPLE <br /> MEASUREMENT <br /> ;PERMIT <br />- - ° <br />~' r,aT n - " .- <br />+~ <br /> REGQUIR_EMENT, .:n ~t ~ 7~ <br /> SAMPLE <br /> MEASUREMENT <br /> `'PERIy11T.- ~ ~ - =.;? ~.~~y' Cry czK.: kr- G~ °"--- - <br /> REOUIREMENT ~ ~ .5 '~ ~ ~ ~ '-f' <br /> - =rei ~:,. v.. ¢e...t: :. I i . <br /> SAMPLE <br /> MEASUREMENT <br /> ' ` ` ' <br /> REQUIREMENT ~ - <br />- ~ ;4+~ , ! <br />. ~ GI~~'~ 9.. ~ <br />- sr v <br /> SAMPLE <br /> MEASUREMENT <br /> e ° <br />PERMIT :~- ;- - ,, ~';~ . ?, <br />,~ r= _ `~ '~ r'' ' <br /> , <br />.REQUIREMENT ~`; ~ ~- a ~ , <br />;~~ • • r¢ ~ ,'~fT 'v~ <br /> SAMPLE <br /> MEASUREMENT <br /> 'PERMIT Li <br />~ ,;~ +~",~+~ + a ' . ~ ,~:. <br /> REQUIREMENT ' ~'- ~ x. '"- • - - 'i ~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />'. ,PERMIT <br /> <br />' <br />~ <br />R?~~ <br />`,~.°' fit- f+ <br />r 47` ..,~> ~ <br />- <br />~ <br />^~- <br /> REOUIREMENT M <br />` 7 <br /> . . i.. ~ - _ t:.. S d- <br />NAMEITITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY El(AMINED AND <br />ATION SUBMDTED HEREIN <br />AND BASED ON MY TELEPHONE DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ' <br /> THE INFORMATION, 1 BELIEVE 7HE SUBMITTED INFORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDIN <br />HE ~ <br />§ <br /> , <br />G T <br />P <br />TY <br />F FI _ <br />~ / <br />~ ~ ( <br /> OSSIBILI <br />O <br />NE AND IMPRISONMENT. SEE 10 U.S.C. § 1001 AND 33 U.S C. SIGNATURE OF PRINGPAL E%ECUTIVE (J <br />TYPED OR PRINTED ~imu~m~rnsonme ~olOeMee ~6 monln^"as end 5uda lines up roEl0.000 anda <br />p years.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />GOMMhNTS ANU EXPLANATION OF ANY VIOLATIONS (Reference all attachments hale) <br />SEE PANT 1. A.4 FOk CETAILS OF TEST PAOC£DUHE. HEEChT LGYtSI CILUTICN (x EFFLUEA7) YBICN IS LETpAl TC 50, <br />OF TEST ORGANISMS (LC_`U) A&D ATTACH ACUTC TCYLTIT TEST FeFCkT FCF.•, TC CHR. COpIIS CB lII IMIGBlA7IC! <br />r11 c'r' 4L' CCYT nn LE• <br />.. r <br />EPA Form 3320-1 (05.95) Previous editions may not be used. (REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.) ~~ q 3 PAGE ~ OF <br />_.- <br />