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PERMITTEFr NAME/ADDRESS (/nelude Fanhry NamdLomuon I~Dl~erenll NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME j DISCHARGE MONITORING REPORT (DMR1 <br />SAN£fA COAL CCl EINY area na79) <br />ADDRESSDkA~EA U CCOC'CCi21 X10 Y <br />H A Y D E N f0 816 39 ~ PERMIT NUMBER ? DISCHARGE NUMBER <br />FACILITY 1Ct. Q`T~0 ~ MONITORING PERIOD <br />LOCATION F YEAR MO DAY ~ YEAR MO DAY <br />r1AYD..N CO H1630 .)FROM -+r ~-~+ TO S7 ~5 ~G <br />A TTX: G. AUD FfROYN. GENEAII CIANAG EA (2Q1]) (22231 (1d~15) (2621) (2829) (30911 <br />s <br />Form Approved. <br />!! I N C 8 OMB No. 2040-00041' <br />Aoproval expires OS-31-98 <br />(SU6A NL) <br />F - FIDIi RGUTT <br />ACUTE YET IESTI~C 17 CICE <br />:sat' MG CI°_CHIFFE ~__) tao <br />NOTE: Read Instructions before completing this farm. <br /> (3 Cer~Y Ony)-QUANTITY OR LOADING l4 CaN Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-67) (38-45) (46-53J (54-61) EX OF TYPE <br />/3237) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> (626]1 (64-68) 69-70 <br />LI;SU STAT'AB +IUHH 9CC SAMPLE <br />T 4agIF7u ~ g>D i'v+<K <br />~ ~'~~ ~iAyeAa 9L 9J;4 ( ~?,) ~ I <br />/ <br />C:;RIOUAVNISIA MEASUREMEN <br />' yp <br />TA:1J5 L~ o o ~ .tom s tir <br />~ ~ :o;Y . ,~ ~ ~r <br />R EF- + , <br />eFPLUENT GBC+98 YALUE REQUIREMENT '="~ ~'" ~ ~L~~' ~~ ~~U~ i ~ <br />- _ <br />-. CEl'~ - <br /> _ : <br />~ <br />;2 - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT °~"~+r ~..' ~ <br />-> <br />'~ ~ f: , <br /> REQUIREMENT i- <br />- <br />~~ ~ <br />F <br />, r a~ -~. .. <br /> . <br />., <br />,y <br />~rm ~ <br />~r SAMPLE <br />"` MEASUREMENT <br />=~i . <br />' ,PERMIT <br />T ~~ ~ ~x_ .- <br />`~ ~C 5tc.~ '~ ~ e c <br />•" <br />~ <br />{ , <br />~~ <br /> : <br />REOCIIREMEN _ <br />-"~ ~y ~ l ~(; <br />IA/s ~~ly ~(A '~ <br /> SAMPLE <br /> <br />MEASUREMENT ~ <br />,Q V w <br />" <br /> -PERMIT : ;. r. - <br />`ifi ~,fa . M1 ~- <br />.,9 ~ <br />:s r, ., . <br />. <br /> REOUIREMENT~ '* "~•" ~n: ;- .. <br /> SAMPLE ~ ~~~ <br /> MEASUREMENT <br /> PERMIT 3 a,•~' <br />.~'` <br />•_.~~ <br />~ e. ". ,- ~- ~ <br />~ r.; <br /> REQUIREMENT , <br />~ <br />r Y . <br />. <br />ti~ :` <br />~ f ~ ~ ~ -- . j <br /> , <br />r? <br />. - " , <br /> SAMPLE <br /> MEASUREMENT _i" <br /> PERMIT f.~ ~ <br />v ~ ~ , .. .. r .;; ~: . <br /> REQUIREMENT ~`~ ~ - <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br />~ ~' ~ r'"' "~ ct <br /> REOUIREMENTy. x <br />_ <br />d - <br />~ ~~ <br />NAME/TITLE PRINCIPAL IXECUTNE O .F.IEER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMI <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BAySE ED AND <br />DjON MV TELEPHONE DATE <br /> <br />ti ~=„~,[~'"'~ ~'' <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR.OBTAINING <br />THE INFORMATION, I BELIEVE THE BDBMnTED INFORMATION "ISTSTRUE; ~~ <br />~i <br />i <br />'~~ ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT <br />INCLUDING <br />THE ~ <br />NALTIES FOR SUBMITTING <br />ALSE INFORMATION <br /> <br />F <br />, <br />; <br />PE <br />IMPRISONMENT <br />SSIBILITY OF FINE <br />ND <br />S <br />E 16 <br />1 ODI'AND 33 U <br />S <br />C <br />U <br />S <br />C I' <br />I <br />f <br /> . <br />A <br />; <br />E <br />. <br />. <br />.. <br />; <br />. <br />. <br />. 4 <br />PO <br />Th <br />m <br />ntl <br />1 <br />1 <br />l <br />i <br />u <br />f <br />l <br />t <br />lutl <br />lu <br />10 <br />P <br />000 <br />d SIGNATURE OF RINCIPAL EXECUTIVE <br />~ V <br />V <br />TYPED OR PRINTED § <br />t <br />nCer <br />ese s <br />e <br />u <br />es <br />, <br />or <br />3 <br />B. ( <br />ena <br />es: <br />e <br />res up fo 5 <br />a <br />eY~r <br />~ <br />maximum ~mpnsonmem,;al hetween~6 months en05yasrs.J ~ OFFICER OR AUTHORIZED AGENT AR NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments /rare) _ <br />SE£ PAHT I.A.V FCA GP'IAILS OP TfiST QflUCF:DUAE. ~AEfC&T LCYES4 CILU77Gi 1~ EPFLUtdT) YHICE IS LETkAL TC SUIT <br />OF SP.ST ONGAhISRS (LCSU) ANU ATTACH ACUTS' TCIITII TEST F?PCHT FOHA 7C GEH. CGPIE° CF III 1bFCAFA77CA <br />EPA Form 3320.1 (GB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NO7 BE USED.) Q p I1 2 / 99 G E i 7 - L E ; ~ PAGE I OF <br />