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Pl RMITT[E NAMEIADDR[Efi (/nCIYdF <br />Facility Name/LomfbnifdiJJ<rtnr/ r+ <br />ADD R[f[.-IFC-~T~ ~.LF?."~iv3~°_-'_ .~.M-~.~-~~ --- <br />__-~r3- MRI ennDTe D~MTu~t-n ono M__ <br />TAT ^M1fC'~T ,~~Tt7- <br />_-_~,O~Yn~s~Tgo __---~-vL~-2~- <br />rwclurY______________ <br />LOCATION <br />------- - - - - <br />NATIONAL qO LLVTANT DIECM ARGE LLIN IN ATIOM 3Y5TEM lNPDEJI <br />DISCHARGE MONITORING REPORTlDMRI <br />1 /6 17-/9 <br />nnT - <br />PERMIT NUM~CR DncHwncs RoMSLR <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO OAY <br />FRDM 9d J4 0 TO 8 06 3 <br />l10~1/1 l11~1J1 /34131 !Ib-171 !18191 IJ0.Jll <br />M 1 R 0 fi Form Approved. ~. <br />~ s u ry k ~i c ~oMSiriD.2ogo-oooa. <br />f' - F I N A LApproval expires 630-91. <br />POST-MINING R;J50FF SF:DI ?u:ID o <br />NOTE: NRe[d mitruciloni baFfore EdF7lplet ng this form. <br /> (J Card Only) QUANTITY OR LOADING (d Card Only) QUALITY OR CONCENTRATION cq EOUENCV <br /> <br />PARAMETER <br />(16-JJ) (JI.6/) <br />(J8-IJ) (1631) (JI61) NO <br /> <br />E% <br />DF SAMPLE <br /> <br />TYPE <br />(JI-37) ANwt vsls . <br /> AVERAGE MA%IM UM UNIT6 MINIMUM AVERAGE MA%IMUM UNITS 61dA (blfi8) (69-7Iq <br />PH SAMPLE OCtI.eI~>H 160k0~=} rAO#iEtIO / <br />\ 1?J <br /> MEASUREMENT <br /> <br /> <br />U04GG 1 0 0 <br />.a ~~`yERM~IT~°~>~ <br /> <br />< <br />R <br />e <br />'EMj ~:}e~' <br /> <br />8 <br />;° ~ <br />.+t3 "vas, <br /> <br />.z <br />s ,. <br /> <br />xEo>r <br />., .:R:?. ...„p„ <br />R <br />wt1.;~e <br />.. ~ <br />< <br />~ <br />!~ <br />40.x• te.:n.. .. .,. <br />s°(~ 8a Y <br />g~"A =_. <br />.,=6» <br />• ° <br /> <br />;=ae~ ,°.. .. <br /> <br />'N~~/"; <br />° ,.a ."e <br />a <br />~~~~;<'. <br />F . <br />w <br />uf <br />~M <br />~S. ^~..> .pY . <br />:fs° ..t~" ~?4"~sl ~ <br />TF'.. °S`".$°~Mn ~3.. , <br />ieEe` .°y.. ~ >. <br />a ~ <br />„~>~n~ <br />9°.. ' <br />~ „ <br />, <br />. <br />, <br />,~° ° <br /> <br />SOLIDS <br />SETTLEA6LE <br />SAMPLE <br />grit?4#,i <br />t},yr~lylp:x • -• ....r .. -. <br />( ; :) •• . •.~ <br />, MEABUREMENT <br />- <br /> <br />OJ545 1 C G ^x ..4: if z. :: '+iaa <br /> <br />,:weEeM'ir>>'«: <br />AY <br />,^na, <br />.~ ~'~' <br />! '~ <br />' <br />~ <br />' a <br /> <br />~ u' <br />° <br /> <br />?a~a <br /> <br />r <br />~° a <br />° .. k.... <br /> <br /> <br />~ <br />}; <br />y <br />~ <br />~T <br /> <br />~ <br />~" <br />` <br />S <br />~ ` <br /> <br />•~ ;~ <br />` <br /> <br />F <br />- n <br /> <br /> <br />si <br />F~A, <br />' <br />:° <br />c' D P <br />r DIYC 1 RECUIREM,~ENT. <br />'.'~. :',~' -a"r ~ .¢ <br />'b <br />..5: <br />' <br />Y<~`. P ~:~". e n ,r.? <br />~°~ ,bye <br />Y a <br />r <br />; <br />~.7F- ~ <br />p <br />( <br />!. e <br />,`1Mi <br />„~t'0 axh ° <br />a° <br />e%, <br />t <br />+sSC a . ~ Y <br />S; [fye <br />x$Yp ~ <br />} <br />l <br />0 <br />OIL AND GREASE SAMPLE fi1014Atf0 ooavan #L>•a#alrx #16G4VL~ ~ 17) <br /> <br />FRr <br />ON LRTR-GRAY MET MEASUREMENT <br />. <br /> <br />60556 1 G G <br />y(.',`::. 6 <br />~R <br />'a'^ @ is i;. 3. <br />fwII ^~(y <br />x <br />yi¢ e~~ ~' <br />'x< <br />~ <br />~,~~ <br /> <br />0;y;4 <br />9.~y~ <br />°n <br />r <br />«„T <br />`~P,Yr° <br />~ <br />'FF,xi„> <br />°°~Y~'«* <br /> <br />s' <br />~N°~p <br />~x <br />a <br />T <br />° a <br />1~ ~+ <br />, c <br />se~ <br />C>3 <br /> 80UIRENE T; a <br />'~' ~ <br />e, <br />'k <br />;' ~ <br />n <br />°~wy <br />~ s,, ,?,rT 5 ai~:.si s ! <br />t <br />, K <br />f <br />e r nee ~..- ; d:Y3 . s," ap"v.-^ m <br />n" u <br /> <br />fLOY, IN CONDUIT OR SAMPLE ( G3 :a~~#oo or-b~aoN x-a;:,a~ <br />THdU TREATMENT PLAN MEA6UREMENT <br /> <br />S t~GSD 1 D D <br /> <br />PERK LT> <br />I:RECUtREM En r' yyr <br />I',o>x~IP~~~~, <br />,W w~~ii.r vk <br />~s.: ~°~l>~.''oa'/^~4°;. <br />ca. <br />.~~ <br />r <br />~ ~ T~I~® <br />yy,,..~~E< <br />Ypfe~`R <br />~'~~~„A`.°R6 ° <br />Ot tiv t,. <br /> <br />°°e' <br />q.y.a~ Jr, <br />e91~~;,R J",. <br />.p.. „ e.~z m <br />rl~~amAa <br />T r t <br />SOLIDS, TOTAL ~~¢~## 09OA~Ii4 it0#~Rq ~ yy, <br />LISSOLVLU MEABUREMENT <br /> <br />7129 5 1 G 0 <br />iN60u wE <br />1i~NT <br />" <br />t?p~c`~tIQ~ :~ <br />ha~l~ <br />~ .ter.'" <br />"'1+2~~YI <br />x='%~ <br />°'~~~-'~~~~x <br />~ <br />.aa <br />~ <br />a 4 °e~ll~,& <br />a a~=x .., <br />~;L,'~.° <br />-°r <br />~"a m. <br />i4ke~.;#: <br />r r c I 1 <br />< <br />,~, c , <br />a F <br />~. .ti a ~+:., e:.:r ~? <br />*&a ° ® 1? a. s oaf , <br />, <br />," rz a,., <br />OIL ANG GREASE 9AMPLE >}(T lk l(I~t~ / Q(+` fJl ¢lt!}1(r AI •.~00(f {I y`f E/ `-._,t lJ;t.}RQ - <br />SU <br />Y <br />AL MEA6UREM ENT 1 / <br />l <br />c <br />bV 666 1 G G <br />~cr~PERM9T& c <br />'' <br />' ~y .egg <br />ka ~E.111i~~A`llf~,~, ~ <br /> <br />p 9' <br />d eg"~r;~a Gg~ia y( <br />'° <br />` <br />ES <br /> <br />-1 <br /> <br />Y,°d~es <br />a )~~ ,{` <br /> <br />`~ <br />~ IIR <br />~ ~qg <br /> <br />`~gg}.S~~~X"A C <br />y~,~#91~r ° ~~ <br />' <br />;1 Ce t'f F <br />£~ <br /> <br />~ „ <br />'"s ceia ;,a ~. <br />~t~~ <br />~' <br />~ <br />~ " °° <br />~ „ , <br />may, <br />~ <br />~~ <br /> <br />IcL e n REGIIIRCM [NT; <br /> <br />~..m , ,~ a <br />.~. ~. ®' <br /> <br />°. ~ ; , :;r.° ti! <br />as°_ <br />F <br />_rl _ n, I <br /> <br />r%-z° ~P ~ <br />`e^ <br />r <br />;~1' !!n ., 'A° <br />C~ptr• a°..e <br />fn aaui,re°_ ~«S m <br /> <br />r. r = <br />n k~`,b" <br />^° <br />' <br />a <br />• ~m! <br />z <br />< <br />I ;.~., •. <br /> 9AMPLE <br /> MEASUREMENT <br /> 4. ~ .., .. "'. <br />RE ~&~. s>"~ <br />~ fm <br />~ I~<~k"'.°i ,<Fews ~r; e:~~~ <br />-~ <br />~ <br />M <br />' ~ °.n p ,a• <br />c s <br />.a ~ .~,-5~gp <br />• <br />°~ <br />~re' ~.~ _.s°~5~~'c 9xr°y <br />a 8`ts <br />z <br />~ n soa#~`t <br />~ <br />~ '~~'.~i'm3°ax.(ma~e` <br />^p <br />~ <br />" n°,o `~A z'e~ <br />v <br />fe <br />° <br /> =REODI <br />M ENT E <br />~ <br />.z ~ - <br />y <br />19 <br />~ v <br />r <br />~ :.°& <br />~.°~. 6 <br />, ~ <br />ix <br />~ <br />~ <br />"~`~ <br />~ <br />° m, <br />y <br />~ ~~p <br />c~ <br />x <br />1r <br />^ °° <br />x <br />°; <br />. <br /> ' x 6„_ N' a81. TLd~P ~'fkt.X2t <br />,./~k.i..J¢ <br />a is°<' a~Px"2; :a °.A«'pe °v <br />Le <br />Xr8` <br />„> <br />s . ~ c+wra z <br />NAME/TITLE PRINCIPAL EZ[C UTIVE OFFICER I CERT6Y UNDER PENALTr OF LAw THAT I HAV[ <br />P[RSONwur EAAMw[D <br />AND AM FAMILIAq WITH THE INFORMATION SUBMITEO HEREIN <br />AND BASED TELEPHONE DATE <br />J ~ <br />~ ~~ . <br />ON MY INQUIRY OF THOSE INpVIDIIALS IMM[[MATELV gE5FOM51BLE FIXi <br />OBTAINING THE INFORMATIO`! I BELIEVE THE SUBMITTED INFORMATION <br />~ - <br />T IS TRUC ACCURATE AND COMPLETE I AM AWARE TN1T THERE ARE 516 <br /> MFlUNT PCNALTIFS FOR SVBMITTING MLSE MFOPMAnON INCLUDING <br /> <br />Y~C ( ~ <br />J <br />TnF POSSIBIUTr OI ImE ANO IMPPISONMENT SEE IB USC f 1001 AND <br />DuSC f Ij19 IPrnolllrr undo IArr alaluln nm mrludr hnr. u <br />I^ tln lFlr <br />GNATU RE OF PRINCIPAL EIECUTIVE ~J//` <br />Er`~/J-7J~~ <br />O <br /> Y <br />A <br />lA <br />i <br />~ <br />V <br />/h <br />l <br />d EA <br />TYPED OR PRINTED . an <br />•m.. <br />mul ~n mvrmlwl~mp.unrmin <br />O <br />. <br />uvn <br />mnn <br />. OFFICER OR AUTHORIZED AGENT L NUMBER YEAR MO DAY <br />COMMENT AND EAPLANATION OF ANY VIOLATIONS (Rr/errn[r afl uuurhmrn0 hrrr) <br />SETTLEAbLa SOLI GS LIHI'T PILL BE NAIYED FOR ~lll-Yk, ~4-HR FRc.CIP EVf;NT-SEE I.A., PG IY, FCR REQU1kEf;F.NTS. <br />4N2f.LY SAdPLING INSTRUCTIONS-I.C.9, p6 IX. 30 DAY AYG IS HIGHEST 00 MTHLY AYG CURING PERIOD P.EPOGTEC'. <br />EPA FOrm 332(F1 ~R[1I. Q~BB~P/[WOf/9 BNlf%00$l/lay DB U$B(I, (REPLACES [PA FORM T-10 WHICH MAY NOT [[U[EO.) PAGE OF <br />0u12~/94p412-1838 <br />