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-[RMITT[[ NAM[ ADDROB f/wrludr ~ NATIONAL POLLUTANT DIBCNARO[ lLIM INATION BYBT[M (NPO F.S) Pxlllry Namr/l~w If drOrnwr) ~ r DISCHARGE NITORING REPORT (OMR) .' ' ': ' +-F yew `_5 4'S9 COAL- C4-THO-1P80N CR M '_ I I2-) (n )9) "'. `> z,i..••,k ADDR~•.S(r~~ [~X.`98C__________-~~ ~ COOOT~ 9 ~ ROI .. •_ __ 1~ 4~~LE_____-_____ - t F[RMIT NUMIER OIECNARO[ NUMB[a ; _ ~A _.:L i(,,~ p(r~y " v ~£~~ ,.';:~9;~1:/?2~~_'_ • . __ ._ .____;-_ . '' ~ - I *•N0: DISC8~1RCaS --- r MONITORING PERIOD ~ "- . L :r lAGLLlS7_~~` I ~• I ______________ + rewa 1!o Dwr T[ww Mp DAY ~ ~ °, . .. _"ti'. ..~'!,`~~ t~~ T . ~ Ir~- FROM qA 0'7 QI *o 'NY U9 3~ '. -'- J.•s,. (r•; '~(~.' rraa utaq a.al1 al-tn rtLtN llf!u NOTE: Rs[d Instruetloiu bflonl ~r ml App/DVed No. 20g4G1D15 kw xi'v .: :D tllh~lonn. ' ' I ' (! Cmd ON)) QUANTITY OR LOADING (1 Card Onlr) QUALITY OR CONCENTRATION _ '. ." )' ~r '- -ARAMR[R I (~6-!J) '(llfil) NO.~ (Jd~!) (16JJ) (Jldl) -! ;1,' it Ia[OOU; NCr ,BAMPL! • (,ji7) I ' , .r. !.[!', ~ 'ANALrf if TYP[ ' ~ 1 ' AVERAGE MA7(IM UM UNIT[ MINIMUM AV[RAO! MA[IMUM' , UNITB- r - ~ 61 '~(fI-0B) (6870) • I. I '. a ' M BA PL[ _ ~T ~ .-r.. •'+ .:~ ' - j 'I' F~fll'1 {FFT II1 MT1 MlABVR[MlNT " • r • '* r e # s • . ~ •~ * ~ ~ ~ , `r v r Za• ' .. : . , . li , . r I . •: I'~ °. ... <::: .P[RMIT:''., °. e... .. °. ':I'., a. . <<T , a'+~ w~% ~.°v, ^ ~° ••9 ~: Ae( .'~~ a. ' ':,BLS 'n•.".' Vy.• •+C}>t ::'-~L ~Y,. - T ~' '~..:~•.''y%'N :1" sll[QYIROI¢fT:. ~ e s : . _ . . a. +. . .i ` ( .; BAMPL[ ' I - •, sye, .1,. 1. ~'~N ' 'ifir~ii.f. susP' sn~]ns:(t ..: .. * r .. • ~:;:~'~,;:. ;~,b. ~` . • . (FF FI OF NT ).. ~~sPioeiin;:• ks'° ..Y•s:' . ,. ~ ~'( : z ".I~j . 1 ~ . ~DSt - IIfQYiR[M[NT . fq a9 ~M ~ ~. ~ ~p, ~ %S ~ ~ .. k r'a .. ~ .~ Y ' ~ e 'P'%'d~e s "1Y° h°~ ~ ~.I . .. . y •A.. ..YR : . :* ^ ~• * . • * y . - 0 X . TnTAI• iRl)N MEA[UR[MlNT 4 1 4 4 ~ r # : ••~ •t"~ .: ` .: I . • . • ~ (' •T[RMIT+'. . % ' -'!sw . . f,B/OA •'. ~'~ ~ <r's :• e.~S ' q µG~/L:'' ._'.'`= ~e ~i~nj°, ' k,•','°.'' ': U ~]1)r15~ ~ RtOV)ROAt1R. . «a ~, : ifs .f • ~. .c'.x p a `.~~&R`~ '"~op .d'}' ae.i-~.~' ! ". y~: . . x~ t . * r•{ ~ .. +.r '4: ^ -f+~'x ,-' S~a~r .. - MlABU REM ENT i . . . _ ' ~ .o-'PR'RMIT F... n t'd ` x i m : g•. ^'° .: ~:. . a ... ': .•. °..%> a ~ s :Y~f' ~ ~ ") $.ff?~' fF `' slg . ;,,. .~.. ' r ' ;11[OYIRW[NT ~ ~ ~r.. & + x , ~ 9 +.~ ' BAMPL! - C. ' ':.?.t :S ~'~w}. '•i" ~ •~~ ''~ `7 ` :. 4 -. fl]I, g. GbE ASF.' M TABU REM ENT I • • R . • r r t _ - ~ • C. ~:. ..wa 9.iyii. vI311e4 1 'nPtneiiirw ` xi, ;s~ .. ; . ~, ~~ ' °r~• ;~. ~ ;~: ~ ' - ~* '~ '~ .'F- ';~...,.' ., ~ ~ ` Mr~C^ -.s%~:.~ ,.:: -fir: • ~ ,. 40007 I .R[OU111M[NT'x . , .. . f°a `M '# .°... L! : ° '•~~ ' > . _. ; ~ x J~;' '~ e ~ ~ ~ '''~ ~ =~ 3< ; 5 ~ a '~ '~ ~'~ ~' ~' ~' .a. ~ ~~," . .*. a % " ~a a* R , #:. r.ir #, + .f Tt °k.:. 's ' a~. . 1 BAMPL[ ~ ~ ~ [l. -~ *: ~~~ ~~i+~"Y ' ' d~ ~~~ ~' ,! TTVITY Il/f)N CU^IUUf MEABUREMENT f ! R B •~ t i • aL N F -T I~•y :, • 1-! , , : • if)S fL•Fr~U4.NT)' ,... . ,.. ' :..'P[IIYir ,.. ,~ ., ;.:~: ° ... ;xt::- ~ ' ~ ~ ~' ° ~ ~ ~ si';»- ~ '''r: r A.li~?:~ ~ fOrlOQ . :t-.y r'''N :r"Ai Bo 'R-' r . 7: a ` =•% °'.y'L ~ ~ .i ~"fi _ " . .. . . * L R -( ' MEABU REM EMT •rt.~' /..rJ' + ~ n '~:'i~ : ~ .~ ~ . r _ o ;II ..r- r _ . ' ~'• PLIIMIT' . ~... " ;.~, A »., •• n ' <'t .. . _ ° ° K px' ~ ~ : A ~'%" . ' ~w.a £ ~~^`' meeq ~,r • . _ ~R[pVIR[M[NT :.<' ~ m`~' ~`' , s. •. te~. .. ~ a ga _ Vii. q p S .x , ° s ~ • NAMERITLE PRINCIPAL EZECUTIV[ OFFICER I CERTIFY UNDpI PENALTY OF uw THAT I HAVE RRSONALLY EXAMINED ._ ~ •~ j' TELEPNONE••~r' ~ D A T E a AND AM FAMILIM wITH THE INFORMATION SURMRTED NEREIN: ANO BASED ~ , - ' ' L~ J• L • Reynolds ON MY INOIIIRY OF THOSE INDVIDUALS IMMEdAT[LY RESPONSIBLE Fp1" DBTAININD THE INFORMATIOIr. I BELIEVE TH[ BUBMRTED INFORMATON - ,c/^/~ / ~ ' - M;~,_5,~ - -, . ~ . _ General I. 2'isnager IS TRUE. ACNRATE AND' COMPLETE. I AM AWARE THAT TH[R[ ARE 51G. NIFICANT PENALTI[5 FOR SUa1lrTING FALSE INFORMATON. MQUdIr(/ / _ / ~ l• ~/ ~ ' !! //I"", . ~-1 •.: ':(~ ~ , •_ t ' - (•' .THE POS.SI&LT' OF FME~ AND IMPRRONM[NT. SEE IB U.S.C. 1 1001 MID' 10 USC f 1019 /)bMlrvr aMrF Nrr rufwn nM inrrWr lmrr m if0 0P0 _ SIGN ATUR % PRINCIPAL EXECUTIVE • I • • ~ ;. TYPED OR PRINTED .. , r VP rM/o. ma~i:nAn impnrwmrnl wrrrR.rn 6monNr Fndl yearn OFFICER OR AUTHORIZED AGENT ~~ NVMBER ~' YCAR MO DAY cuM ncnr Anp CArLwnwTlpn Vf wnT rlp Lw nvns Inr/rrrn[r aH anllfnmrm! noq tF NU,'g19t!~q~'C.E~='.nCr,III+HED nt1aTNG TNis KFPnkT1n,(; Pf.alnn KFi'UNT P"q OISCF+eHr..C" ~ ,. - :"`~t"F~ f"UR .CON.f511CT~]Y:ITy, R%(~R TIiS + ~= ~'• • ]NI)ICAiI: IIN]TS OF MEASIIRI;Mf!`iTf :~EE•.PFH~' ]T FOy ttr'411iRF.MFNT,,, -`~° I (RfY• IO.19) PREVIOUS EDITION UNTIL BUPPLY IB 1 ~: ' WNICH MAY NOT BE USED.1 PAGE '