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PERMITTEE NAME/ADDRESS pnrlude Facdiry Name/Gocanon iJDiperenrJ <br />NAME <br />l:V)F N~~UNTAIN ENERGY, IhJC <br />ADDRESSOE6ERF,~.U M;FJF_ <br />3S'J7 COUNTY ROAL'' b5 <br />FACILITY F,r„JCLY =J ?i1648 <br />LOCATION <br />A~r~ ~ I'J JEFF Dl IRRFRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDFS) <br />DISCHARGE MONITORING REPORT (OMR) <br />rn n~nr, ~, <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 00 OB G1 TO 00 06 71 <br />Form Approvetl. <br />OM8 No. 2040-0004 <br />MINOR <br />(~UliF. NW ) <br />~ - FINAL <br />RF' 4 Si-IJI °UFdD TG' F:LC` WASH <br />.._ r-, , <br />a~ k Nl' LI~C Hr+RGi. I ~; ##•1F <br />NOTE: Read Instructions betord completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNa'rsls <br />N, SAMPLE #K###~ ##a•### Ana#t i 1~.) <br /> MEASUREMENT <br />1l'a >U ) G 1 P MITE <br />~ ;'"IMk. ~M` <br />` -i^iliNF~ !f## - - k~- <br />' IJEf~T Gfif)SS VltLUE MENT <br />REQUI ~ •' +a' - - -~ >f### ~FlINi AXI a"' ` <br />;ULIb~, TuTAL SAMPLE ###### +i-##### ~ #it###u ( Iq) <br />U'a"EN;:Eb MEASUREMENT <br />t'S30 1 fi O - - #.: +:. - i~N . c': ~`h ~ `~~ .. <br />$ CE/ RAD- <br /> <br />_FFLUEi'dT vR0S5 VALUE <br />REQUIREMENT <br />- ~ ,~„ .. <br />a4# <br />~ <br />`~"~ °A1~Q <br />AI <br />Y' MX <br />G!L_ <br />TH <br />IL >• ORI=AaE SAMPLE ####~tt# ###a## ###~a## ###### i=') <br /> MEASUREMENT <br />V ;'~6 1 C O ~ RE~IMIT.:~. ;'~MV~AF' A ## ,:.' iFikiNC*# Q . ..' , C - p, .. <br />Fi-; Uch;T GR']SS VALUE ~RE~UIREMENI` ### t.•:.. I I T. ~~;,'I ~•.` ' <br />IRUhI, IOTAL SAMPLE #;~##~rt# at####'+} #•~t#### i 1~1 <br />(Ag FE) MEASUREMENT <br />-r i •J=F 5 : <br />0 0 -,- ~~RMA1 '•-. ~ ~*'Ik~}3kk,9F, <br />: -:. .'tMl.~41F:~.~ # -rr ~F1['lNf it# 9 . O E~"' A~ <br />. <br />'~ Fi.'JkIdT GROSS 'JALUE <br />REQUIREMENT . <br />~ t; ~ <br />QDA AVG <br />AI Y MX <br />^~ 'L „ <br />t.OIJ, IN CONDUIT OR SAMPLE r, 0.11 ;t#it### aR±re ' a x~ n ne <br />lik'J l'REATMENT PLANT MEASUREMENT <br />,OU`i0 1 (? O .'. PERMIT' ~, E~EPE~R'f- ~ itSPQRT" ;~-;liF.~}fFaF#• illhwitilif #•IF•iiiFwit * #,c .'+.. - L~Y NSTAN <br />-F-PI.UEF;T OR055 VALUE REQUIREMENT 3Q V6 DAI Y ~~M GD ~ ### ' <br />-~JL f,Nb 6RF:ASE SAMPLE #####;r 94) ###### it+t#### ##IF##* <br />•) ~'_iAL MEASUREMENT <br />~J,S6 t O A - hh13'- -- iWHFM+taf~ . e,~~ S=1 **'~k*+i! ~ ~' M 4iMar iir' - '#VFNsIFY#~ +r# L.`V ISUAL <br />~FFI VENT GROSS VALUE R~€SUJREMENT ~X 0=0 ~ ~ ~ "~ #,r~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT"..:, _ ...: ..;=., -_.::_ ..: '.. ,.. ~ .. ,~ <br /> . <br />flEQUIREMENT - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cediry under pe,Wry of law that this document antl all anachments ware <br />i <br />M <br />i <br />tl <br />M <br />i <br />d <br />' TELEPHONE DATE <br /> prepared under my tlirect <br />on or supe <br />S <br />on in azcor <br />ance w <br />a system des <br />gne <br />S d~ ~ / f <br />/ / •Q ' r ~ to assure that qualified personnel properly gather and evaluate me information <br />i <br />Rh <br />h <br />t <br />d <br />e <br />tl <br />' <br />/ <br />' <br /> ngmry o <br />e person or persons w <br />o manage <br />,e sys <br />em, <br />submme <br />. <br />ased on my _ <br />~ G ~ <br /> Ne Information <br />or those pesons tlireclry responsible for gathering the iMOrmetion ~ <br />" <br /> <br />• L , <br />true <br />accurate <br />lete <br />bmitted is <br />Ne best of <br />knowled <br />e and belief <br />and mm <br />t <br />~ <br />~ ~ <br />~- C' <br />~ <br />eqA , , <br />g <br />, <br />, <br />, <br />p <br />. <br />su <br />o <br />my SIGNATURE OF PRINCIPAL EXECUTIVE ~ / <br />7.~ 4~ 2L ~J <br /> <br />TYPE60R PRINTED I em aware that mere are sign cant penalties br submining false information, <br />includin the ossibili of fine entl ~m risonmem br knowin isolations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a!l attachments here) <br />GIL .'-: rREA5E REPORTING-SEE I H. 1. F, PG VII. r3R'fRL" 9APIPl_IiJG INSTRUCTIiJN'=erl.C.+=~~ F'(_ T:I <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. 00224 / 0002 ~2HI9 I~ i 64-PART FORM PAGE 1 OF <br />