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PERMITTEE,NAME/ADDRESS (/nclyde Pm-iliry A'umrlnmROrt rJD flercnq <br />NAME, SrrNECA COAL CCkidhY <br />ADDRESSDftAYER U <br />HAYDEN CO 91139 <br />FACIUn <br />LOCATIONd A I D E N ~~'816 30 <br />~' <br />ATTN: G. bUU BROYN, GENEkcAL lFI~~GEk <br />NATIONAL POLLUTAM DI$CHAflGE ELIMINATION SYSTEM (NPDES/ <br />DISCMAR)GE MONITORING REPORT (DMq{91 <br />conCO(77 ,..,,;.., 7 A <br />PERMIT NUMBER ..;.- dlscn'ARCE Nur4eER <br />MONITORING PERIOD <br />YEAB^ MO DAY,. ~ YEAR MO DAY <br />FROM ~ t,_ 4 ~F ~~- TO y b U 5 d b <br />(10~21)tl22: Z3) ~, aa~_2s7 (Y6~2]) (29-29) (]0-91) <br />Form Approved. <br />!', I \4 O F OMB No. 2040-0004'+ <br />Approval expires OS-31-98 <br />(SU9Y ii) <br />r - FISrfL dGUTT <br />GISC6~~61 SC EIGE CEEER <br />i15CNii.i1 1 I 'F0o <br />X <br />'Y'NO'TE:"~ Bead Instructions before completing this form. <br /> (3 Card Onry) QUANTITY OR LOADING t"~ (4 Cartl Only) QUANTITY OR CONCENTRATION <br />~ NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-67) ~ (3845) (46-53) l54-61) EX OF TYPE <br />/323]) AVERAGE MAXIMUM U~P ITS MINIMUM AVERAGE MAXIMUM UNITS (szu~tl 64L68/S 6&70 <br />FM SAMPLE %7C~yiY+ir O0a?Pa+r O'd7LAG ( j:7?. <br /> MEASUREMENT <br />~ <br />00400 1 0 G .PERMIT.. aaR~gavr `.is~waoa ;0.1 ; ~sa~os r. 8. ~ _ ~i- <br />~ S~'><11 <br />EPFLUENT GROSS YALUk REQUIREMENT tOaC 3i~, --, ~-,~~x2~~RU;[.. `-U .; .::u~ <br />SOLIDS, TOTAL SAMPLE X99+:;+^- ~'~'G'"Ra oi>Qaa ( ~~ <br />SUSPEVD6D MEASUREMENT <br />UOS:lO 1 U 0 PERMIT tiiia!ia~ 7iiaalp."i %!+# # .;~ <br />:sp ,, f ~ 1!~=/ 7 iB~p'. <br />EFFLUENT GN035 YALUk REQUIREMENT ~ Z4~9 ;,'~- > <br />~ ~`~ ~~v RIIFl, L'7( rG/I L~~aiY1'. <br />SOLI US, SETTLEABLE SAMPLE ~`a~"~`"^A 'z~v~'`a 99aIIF9i ( i`_) <br /> MEASUREMENT <br />UUSuS 1 0 0 <br />PERMIT >aaamaal !PO ait91 K L9a - <br />`` `:' ~: <br />,R~.~-~~I- <br />- -G <br />1kCF~:. 1 <br />. <br />xlf~ .. <br />EFFLUZNY GROSS VALUk REQUIREMENT .9 s ~,),~; '.~~~L;~::~';. PL/L IIG~1~ <br />LkON, 'UTAL - SAMPLE ~''~•^.'Y9 a;:z?r,:^r. D>pma+IFt.,- .., ( 15) <br />(A] FEJ MEASUREMENT <br />OlU4S 1 0 0 <br />PERMIT <br />.' aaa4>.*a aa>e as >s ta;• 1 ~ <br />~'~ `• <br />. .~ - <br />,xL ? <br />~~~BL iiil <br />- <br />EFFLUENT G90'¢5 YALUI . <br />FiEapIREMENT ~9#'- ~ ~, ~i~ti .~-2` "~ 1[~, rG/L kC1lYA <br />OIL ANU GAL713B SAMPLE ~~~"''~'` ~r+'?x~firt xlt.'\'19a Ot JaL\7 ( IS) <br /> MEASUREMENT <br />G3Stl2 1 0 0 -PERMIT aarf4 a99eaa ~ x9x aaoaaa A4 .~ 14 ~fll~~;>x! 'iit <br />Ef'FLUEhT GROSS VA1UE REQUIREMENT +a+"~O ~ ~~$'~} !~7(~, l,G/L ' ~~It~: ': .' <br />k'LVY, 1N CONDUIT Oi SAMPLE I U ) 94a;rt 1;x9929 as 9q9 <br />THNU TftEATlIE~T PLAll7 MEASUREMENT <br />SUUSU 1 0 0 ". PEFiMIT% NF, FliHT 96FOY aaiaaa sa A$il .:; ,~sasia8 l L~i ~[Iji~, ~'ylf ~A <br />tFFLUENT GROSS 1ALUE REOUw1=MENT .,3QIIj ~TPi I1ijIY 1111 !CC ~' a'F~p !$,~' <br />SOLIDS, TOTAL SAMPLE vLi\99r. 4Lr,~=:O 9949A.~; ( 79) <br />UISSOLYED MEASUREMENT <br />70195 1 U 0 ~ ia' <br />r aiiaai +aa s as C><7IC~~#~ REIICR' j.=' Z~'}3, ill_~,$-:; <br />E:PFLUENY GNOS_ tALUE REQUIREMENT x ~' " +~r~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND /~ <br />~ TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY <br /> INOUIM OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, I BELIEVE THE SUBMIRED INFORMATION IS TRUE, \ <br />~ <br />\ <br /> <br />ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT <br />C ~ <br />~A1 <br />` <br />il <br /> PENALTIES FOR SUBMITTING FALSE INFORMATION. IN <br />LUDING THE - ~j I <br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1a U S C. 4 I(bt AND 33 U S.C. SIGNATURE OF PRINCIPAL E7(ECUTIVE 1 ~ <br />TYPED OR PRINTED mavlmuml~pnsanmerx of henvea re6 maonlhs en Slu~a~as up to Sf(l.ooe entl or OFFICER OR AUTl10RIZED AGENT CR E NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS G IRON LIEITS PILL BF. MAIYEC C SETTLEA9IF. SCL]CS LLNIY APPLIEC FGF <=1QYF,14iiF FEECIk FYEYT: 795 E <br />I!tON LI1SITS YAIYED FCF )lUYH,24Nk PRECIP EYENT SUEJECT TG 6UFCEN CF PFGCF IN I.A.e. CII E CEi15E - SER <br />T p l /\ 7I\C Y!\NTRI'G1H!' T O l G <br />,EPA Form3320-1 (08A5) Previous editions may.not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ ` `PAGE ~ OF <br />oaa~;~~ ~>;:;:~ <br />