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FERMR'TEE NAME/ADDRESS QwYJriwlLrygwr//amra. l/OldE+eN <br />NAME b'AVU YnLL'-.Y rp+IL Cn~P1hY <br />ADDRESS ?ItJ;l it.k CP.'i'(nv ;hi l;r <br />P.O. AUX /7 <br />LOrA <br />FACaITY UkAVD YALLPY "UPL ~'7v?AhY <br />LOCATION <br />C~~ 9152V-OUPU <br />1,'1"LV: JJHN r'. Wr, r, ~'0'p.;_ Saar. r.eN <br />NAnoNAa PouuTANr ascNMDE EvAnNAnoN sysiw lNPDESI <br />DISCHARGE MONITORING REPORT DMRI <br />11-161 t7-191 <br />PERMIT NUMBER SCHMGE NUMBER <br />MON G PERIOD <br />YEAR MO DAY VEA MO DAY <br />FROM ~ U U T~ 7 i' <br />!14111 /11-23/ /1L1g1 "I /16-171 118-19/ !3431/ <br />;;gip PO"ip DSCG <br />~' - FINAL <br />"INOF. <br />Form Approved. <br />~~~''{{,,QQrr{{qgo- ooa <br />T UAppfbS~Ydxplre~-a5F9ti %9R <br />12745 <br />"•.~ H(' ISCHA/' ° IBC 1 0;.'' <br />NOTE: f~ea~Metructione 6e}'arA+coER2Mtlnp this form. <br /> <br />PARAMETER !3 Grd Onlyl QUANTITY OR lOA INO <br />OUANTITV <br />OR 3ONCENTRAT~~ <br />i6 <br />NO. <br />FRED <br />FENCY <br />SAMPLE ~ <br /> <br />131-371 !IS-531 15F61 / <br />6/ <br />, <br />1 <br />E% O , <br />TYPE <br /> AVERAGE MAXIMUM ~ UNITS IMUM AVERAGE MAXIMUM UNITS /sa-sal MALrsTS <br />!µ6g1 1s9-701 <br />l7iL AND SiIFASi SAMPLE A;R na Ot <br />( 9Y) <br />^>tit1OII <br />Ot:;: =~:~'" <br />4;~::'r::~`- <br />YI~i I7AL MEASUREMENT <br />194Ub6 I 0 0 FERM{T. <br />~ .. r.s11O:ar#~ ~ .~~~?t7~~T ~~ F°-l ~ .ts~~.::. .;.1P <br />~aa+st>~R <br />' agaLa~~ti~.: a.a ~ ~ HEKLY ISUAI <br />- .~ REQl7 <br />IREMEN7~ ~ ^"`. . <br />. <br />~ ~ ~ <br />s . _ <br />- <br />~~ ~ <br />~~ . <br /> SAMPLE ~J <br /> MEASUREMENT <br /> PERMI7 .. ~~:......:... .. .. <br /> :REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> :REQUIREMENT ~ ~~ <br /> SAMPLE v+e <br /> MEASUREMENT <br /> PERMIT ~~ ~ ... .. ... ..... .. ... ..:. <br /> .REQUIREMENT <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 />NAMEli1T1.E PRINCIPAL E%ECUTIVE OFFICER I OERTI <br />AM fA FY UNDER PENALTY OF <br />MILIM WITH THE INFOR UW THAT I HAVE PERSO <br />MATION SUBMITTED H NALLY E%AMINED MD <br />EREIN <br />AND BASED ON TELEPHON E DATE <br /> ; <br />MY I <br />OURY OF TN <br />N <br />T <br />R <br />S <br />' _ ~ <br />'~ <br />JOHNM WALTERS N <br />OBE I <br />aVIDVAlS IMMEDIA <br />ESPON <br />IBLE FOR <br />ELY <br />TOR <br />NI <br />I <br />F <br />~ <br />T <br />S <br />E <br />AO /. <br />`~ <br /> UE, <br />A CUMTE <br />MD <br />OMPL£rE. <br />I <br />AM <br />AWARE <br />TNAT THERE M <br />E <br />SIGNIFICMT PENKTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />MANAGER OF MINE SERVICES , <br />THE POSSIBILITY OF FNE MD IMPIiISONMFNT. BEE 18 U.B.C. 1 1001 MD 33 BIONATURE OF P111NCpAL EXECUTIVE 57~ R~ - 3e~ ~ D1 <br /> U.S.C. f 1310. IPMWp. 1/tlII tMw .nnma mrY 4Nhd~ ~iNr Ip ro P10,000• <br />TYPED OR PRINTED .ndnm•.:rwn NryrlwmNnt elMtrwn BmenNa rM6ywa/ OFflCER OR AUTHOR2ED AOENT CODE NDMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS lRNeroncs sl/ stT~chmenTS halal (/ --- -- <br />t <br />F, T%?'"A (. Iu~lr LI"IIT: WILL 9E' YAIYED, ANU SFT?'LdA6L:: SOLiI/S L.•'T A11PLi!'D FO^ <=lUY!t,ZUfIR PBF.CIF k'VF'N?'; <br />-T'~TTLEAALE yULiUS LINK ':4Y AF MAIYEn°UR )lUTFt,2VN.F EVE*T-SE£ I. 4. 1, PP 3-4,r.tiU I.A.?, P. 7. t•PT!iLT <br />~ EP - 0 - P aEl dtio tme be us A W O 'ESED. - • - <br />00250/96121-/-1206 2 <br />