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PERMITTEE NAME/ADDRESS (Include Fnedih• Name/Gomrian ilDgerenq <br />NAME SISNtCA COAL CCCf/%T <br />ADDRESSD H A 4 E H D <br />HATDLB <br />CC H1E39 <br />FnauTv <br />LOCATIOI~AYDEN CO 81Elb <br />ATTtl! G. E;UU BhOitN~ CEhEAAL MAliAI,Eh <br />. ;^ NATIONAL POLLUTANT DISCHARGE ELIMINpTIGN SYSTEM (NPOES) <br />_ DISCHARGE MONITORING REPORT (DMR; <br />(2-161 ~: !t]- 91 <br />~GLQ[7 ~~~ CL <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y . ' MO DAY." YEAR MO DAY <br />FROM ~ TO U ~ ~ 1 <br />! {zz z31 ,(2 •zs) fzs-n) (zs z9l (3o-3t) <br />Form Approved. <br />h I ti L' H OMB No. 20x0-0004 <br />Approval expires 05-31-913 <br />(SUHN lid) <br />P - Flrll S+CU`tT <br />ACUI~,99T 7ESTliG ECf CG'f <br />NOTE: Read Instructions befdG'3~~ CAmpleting This form. <br /> (3 Card OnN) QUANTITY OR LO ~ <br />J (4 Card On N) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61) "~'~ (3845) f46-53) f54-67) EX OF TYPE <br />(32-37f AVERAGE MAXIMUM TS MINIMUM AVERAGE MAXIMUM UNITS <br />(6?63) ANALYSIS <br />(64-68) <br />69-7Q <br />~ 5 A U SAMPLE ~V4-' .."""'~ t• i!. 7CCiYy ( i_) rT, 1 <br />~ <br />SAL:NA MEASUREMENT ~ <br />vO `+ <br />'' "° <br />T8A3C 1 U U ~. <br />~ >•a a <br />~` tt;: A I~>« >a 4#101: EF- 2FA1 i - <br />~,' <br />EFFLUE'NT GkOSS 9ALUE SMENT ~.~ a> <br />•`•'~ tno~ r,. fir:; CEIT ~ ' <br /> <br />" SAMPLE ~ <br />~ ~--,)'~ <br /> MEASUREMENT - <br /> <br /> <br /> <br /> SAMPLE I <br /> MEASUREMENT <br /> <br /> ~~i iT <br />E <br />~ <br />c' <br />'. <br />,,~ <br />= e . <br />" n' I ", ; <br />~o-d a: <br />F3 r ~} <br />Mr1 <br />Ems. ,~.. <br />,}r. <br /> Ayllil77 <br />~IA <br />+(T T <br />a <br />' ~, iru , <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~,, - 4 l .. <br /> CyiJ~FiIENT <br /> <br /> SAMPLE <br />~ <br />" MEASUREMENT . <br /> .- <br /> 3~yt~~ <br />~~~~ ,pr <br />~M~4'~~ <br />~ n o- - - <br /> ~ <br />~ <br />g <br /> SAMPLE <br /> MEASUREMENT <br /> , <br /> ` <br />~ n <br />~ <br /> RPY1~N# <br />, <br />4 'p <br />, <br />z , <br />t^ ~ ' <br /> SAMPLE <br /> MEASUREMENT <br />*~~i ~ Y' try ' <br /> <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW jt1AT 1 HAVE PERSONALLY EXAMINED AND TELEPHONE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY DATE <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICAM <br />INCLUDING THE <br />FOR <br />ON <br />E <br />MATI <br />, <br />PENALTIES FOR SUBMITTING FALSE IN <br />// <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF PR NCIPAL EXECUTIVE 0 <br /> (Ponenies untler these statutes may inclutle lines uP ro St0.08o entl or <br />g t319 A HORIZED AGENT MO DAY <br /> . <br />5 OFFICER OR O NUMBER YEAR <br />TYPED OR PRINTED years.) <br />mexlmum Imphsonmem of belv~een 6 months entl <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Helerence all arracnmenrs nere/ <br />Sf,E PART I. A.4 FOh CETAILS CF TE:,T P90CEDOAt. AEFCAT L04F.5T DILUIIGN (y EYF1UbNT) hNICE ]~ 1f78A1 7C <br />yUX OF Tf;ST 08GANISR°_ (LCSU) AN- ATYACH ACUTE TCY,3CLTT TEST BEfCh'i ECnr TG UHF. CCPIES Ci All <br />C Y TT nGT < T Tel <br />EPA Form i920-1 r09-95) Previous editions may not b8 usetl. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ p ~ S S J Q C f1 ~ 7 4+4 f ~R 1 PAGE ~ OF <br />