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FERMTREE NAMElADDRESS piis.YryMr'(.erl.. yDlAi.wy <br />NAME TNBNT[RIte COAL CORD-AItI <br />ADDRESSFOIDEL ceeeK MI NH <br />29515 ROUTT COUNTY ROAD. •27 <br />OAK cseeK co 80467 <br />FACam '... i w <br />L~TKK+OAK CRBEK CO b'DAG <br />ATTN2 RICHARD KILLS, ENY. NANA68t <br />NATIOIIAL70LLV>ANT CISCNMOE F4MMATION SYSYFM /INPDESI <br />.. DISCHARGE MONITORING REPORT~/OMR1 <br />~ p04 1 <br />-.~PERMI ~ MSER ~dse a4NUM`lEII <br />"'< ~,, <br />°" ONITOR NG PER , <br />' YE O DAY YE MO D Y <br />fRtlM TR <br />PARAMETER gUANTI;Ir OR LOE <br />AVERAGE MAXIMUM <br />avaa..aa[, <br />?IHEPHALES CHRONIC <br />61428 S p 0 <br />SEE CDtlHENTS BELON <br />SAMPLE <br />s <br />> <br />QUALITY OR <br />AVERAGE <br />Farm Approved. <br />OMB No. 2040•-0004 <br />HINGE <br />(SUBR JC) <br />F - FINAL ROUTT <br />CHRONIC NET SESTING FOfl OO1 A <br />*CO NO DISCtlARGE ~__~ o4P <br />NOTE: Rttd b.ttruetlorr b.la. eompNtbrp Ihit Iam <br />(RATION NO. RIFOUFNCY SAMPLE <br />OF <br />MAXIMUM UNITS EX AN1uYyt TYPE <br />tlR0 <br />TOY <br />~ ~ yti~ rorn~ <br /> <br />NAME/TTTLE PRINCIPAL EXECL <br />rch~rd Mr !s <br />En v. ro n rnen~a ~ <br />TYPED OR PRWTE <br />OFFICER 1 vn11f .11.n pn.11> N 1.. u.l u. amlrr .m a nurnllanu.m <br />,n,.1.a .Ma r> m1Rlw1.. r,:nYfr a .awa.lan.NY ..>Naw aer[re <br />I. art IYN....n.a prrnM F1•FeN> [.IYn.na eeW.le IM InIr.l.lb. <br />w.llall.a. [ream>IngNr>Mtlr,IrF r,erwr.M .Y11.[e IYe .Tle11. <br />..Illy. M•wr M1.rtl, lvf+^NYY far,.111.N11[ ur 1.f.rm.IM1. uN Inf.mrtlnn <br />r . rY1N11M b. b 111! Yrl N T> Yn..Ma[r.M MI[ IrYr..[fYnll. .Ila (n111N•If. <br />1.r.~.n O.I lllrrt .n a[Nn0111,r.ItlN for rlrNltln[ ftr Inferlrtlell, <br />IntlWln[ IMe,.rNU>.r nr .11a 1wpNr.rwnl rr Yr.m[ e1N.tl"a <br />DA <br />' //GG~UJ 97b Q70 Z71 ~~ ro 3d <br />tIONATURE OF /IIINCIFAL EXECUTIVE <br />OFFICER OR AUTHORIZED AOEMT cnnF NUMBER YEAR MO DAY <br />SEE I.A.9. F'OR DETAILS OF TEST PROCEDURE. EPT RESULTS OP LETHALITY DERIYS AS •% EFFECT", GROYTH E REPkOD <br />UENIYS AS "TOXICITY'. RPT 40YEST A BFFL AT YYICY STATISTIC-LLY SIGNIF DIFI BTYY TEST E CONTROL YAS <br />nRCVR9 ran [[erNr rLYR= raj: ~R1R ups V17ZNS r,OnE ~R,w ~r^tnnt~ ,A~jtru Tn^ RFRFI.R~Tj.:~ R~Nn~.,Re~I~Ie ~•4a1n.a~ DRR <br />EPA Form 3320.1 (Rev. 3/99) Previous edkans may be used. ~~ ._ -90~~1.~(T0Sp7, PAOE~ (i' f <br />