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PERMITTEE NAME/ADDRESS pndude Facihn~Namr/Location JDaffercnU <br />NAME 5EMECA COAL l'CIrkANY <br />ADDRESSDkAi•Ek D ~ .~ <br />HAYDBN CO 81639 <br />FACILITY <br />LOCATIONdAYDE21 CO 81E3'J <br />FROM <br />ATTR: G. dUU bROYH, CfaEHAL lIAHAGF.H <br />IAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR; <br />(T-16) (1]- 9) <br />loaac77 ;.,,~,: DL7 r <br />PERMIT NUMBER '~ „ ~", DISCHARGE NUMBER <br />no-zo <br />(16~Y]1 (28~Y9~ <br />Form Approved. <br />fsIliCH oMBNo.zoao-oooa "' <br />Approval expires OS-3t-98 <br />~snef~ .ewe ~- <br />F - PI!/L RQtfTT <br />ACUTE DL'f TESTIIG FCF C17- <br />9~A NG II__°CHA66! 1__1 amp ' <br />NOTE: Read Instructions before completing this loan. <br /> (3 Card Ony) QUANTITY OR LOADING`'. T (4 Certl Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46.53) (54-61) (3a-45) (4653) (5461) EX OF TYPE <br />(32-~~) AVERAGE .MAXIMUM. UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />j6I-6J) ANALYSIS <br />(64-69) <br />s9-7U <br />LCSU STATHE 4Ctftl ACU <br />CEHIODAPHNIA gAMPLE <br />MEASUREMENT LL'>F7a~ - •r0O4~~0 <br />~-,~VO OA9YO37 9CLa01G ( 7~~ <br />~ ,1 <br />~~~(„J <br />~~.~ <br />T Al13 H 1 U U .PERMIT: 1F'! '~P ~ 4 9fir .R C A ~ i ,~ >f! T <br />;i p E li - ~~~ i v~~] ~ ~`. <br />EFFLUENT i;ROSS 9ALUk REQUIREMENT t;~ tSO; e <br />1 t ~ _ <br />le~ <br />~ <br />~::; ~ <br />~ <br />~ Ceh7 ~ - <br />~" 'i": <br /> _ _ <br />. ,- <br />~,. , ; <br /> SAMPLE ~,. ' <br /> MEASUREMENT ~ <br /> <br />.- Ir,« <br />~~`y''. <br />-~' <br />a~: <br />~ <br />~N r <br />- '~~': <br /> ~REOUIREMENT - <br />~ t <br />v,., <br />~~~'e <br />i, M ~ r <br /> SAMPLE <br /> MEASUREMEN7 ~ ~~ <br /> .PERMIT -_ <br />~ ~ <br />- ~.~ ~~ 4°~{, <br />~~ <br />~ rfri~ ~.=. `s-` 1' <br />. <br />;: <br />_. :~ <br /> ,REQUIREMENT ~ -7 _), <br />) " <br />5 +~ T <br />' <br /> SAMPLE <br /> MEASUREMENT <br /> `:-PERMIT`- - ~ Nr t r i ~ <br />~` t <br />~ <br />- ~ <br />1 T . `-r5 <br />i <br />`~ <br /> •REQUIREMENT - - „ ;i <br />~ <br />~ y '% ,~ <br />' <br /> SAMPLE - <br /> MEASUREMENT <br /> _'--PERMIT ~. - <br />~ ~ ., <br />~ +•' <br />` ~(4 °' '~-. <br /> REQUIREMENT_ .. :;'"` ki's .. .~ <br />.°e'r I. ~. <br /> SAMPLE <br /> MEASUREMENT <br /> ` ` <br />~ - <br />"~ - ~ ~ <br />' <br /> REQUIREMENT " ~ - - + ~ a <br />* -~ +~~C <br />~. <br /> . <br /> SAMPLE <br /> MEASUREMENT ' <br /> -:PERMIT ., ''% <br />. ~ <br />.. >rn <br />` y ,~ ." ~,,. <br />;: .I,. 'd`~ ~r y,~. <br />~, <br />~ <br />c ,t: <br />. <br />s <br /> REQUIREMENT ~ ~ r; aC - x 1. - j~ <br />-$ ~~ <br />~! <br />$ { <br /> ; <br />, <br />.. <br />NAME/TITLE PRINCIPAL ESECUTR/E OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY EXAMINED ANO <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN <br />AND BASED ON MY '' TELEPHONE ~ DATE <br />' : <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY gESPONSIBLE FOR OBTAINING <br /> THE INFORMATION, ! BELIEVE THE SUBMITTED INFORMATION IS TRUE, ~ <br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FgLSE INFORMATION <br />INC <br />UDING THE ' <br /> , <br />L <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U S.C. § 1001 ANO 33 U.S.C. SIGNATURE OF PRINCI AL EXECUTIVE ' <br /> <br />TYPED OR PRINTED § 131 e. (Penetties under mesa stelNes may inclutle Gnes up ro E10,0o0 entl or <br />mexlmum impnsonmenr of belween6monrhS arMS <br />e~rs <br />) 'OFFICER OR AUTHlY1RIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> y <br />. _ ~ <br />COMMEN r5 AND EXPLANATION OF ANY VIOLATIONS (Ralerence all attachments here) / <br />SE'E pAR7 I.A.4 f'08 It7AIL5 OF TESI PROC£DUflE. FEiCHT LCMI:ST DILOTICA (X EFFLUEAI) ~NICH 75 iHTkAL TC SG:. <br />OF TEST ORGAMISf!S ([C`_C) AND AT?ACN ACUTE TC7[ICIT1 TEST flEPCi'j TC&! TC CtlR. <br />EPA Form 3320-7 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE.USED.) PAGE OF <br />... ..._..,.. ___-_ ,. ._ ." GOI45/99CE77-1.65,~sfjj~i'~':; ,..~~ <br />