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PERMITTEE NAME)ADDRESS (include Facitip• Name/Loralion ifDrjlerenr) <br />NAME SNNL2CA COAL C01lQANI <br />NATIONAL POLLUTANT DISCyqARGE ELIMINATION Sl(STEM (NPDES) <br />DISCHAR GE MONITORING REPOR'fil,(gMRJ9j tl I N C R <br />Form Approved. y~ <br />OMB No. 2040-0004 no ^ <br />___ <br />ADDRESSDx1MEh D .' '' O 6"~ ;. ~ (S08$.,~$~, ^F'p~..~a~~.r„~~......~-.,,.~ <br />tlA1DEN C0 81b3~:' F IT NUMBER 'i ~, HARGENUMBER p _ ~~~~` - ACG <br />T"- <br />' ~ MONITORING ~ <br />10b <br />•~;~~~ CllaG NE3 lE.S,1NG FGb 06411 <br />. <br />_ <br />FACILITY <br />~ <br />I <br />~ <br />~~ ~ <br />O DAY <br />AR' ..'O DAY <br />~~ ^ <br />LOCATIOt~AYDBN CO H163D <br />~ <br />FROM'. TO y ] AA4 ~ a ~ ~~ ~~~ ~ <br />~'~ 1>rC <br />NO ZI_CBAiC!'.;}" ~' <br />f, <br />A24N: G• BUD dR09li, CjlfANAL AAKAGI<H 231 R+-25) aez2) f.- (3pq+) NOTE: ReadlDSiruClioDebef3r4~rDj3letingthisform. <br />~: :. <br /> (3 Cem Onlyl QUANTITY OR LOA : ~ _ <br />(a Cab Only) OUA b ~ COP CONCENTRATION REODENC SAMPLE <br />PARAMETER (46-59) (5461) _ (38-45) r4E5J) (54-61) <br />~ OF TYPE <br />(32-3T) AVERAGE MAXIMUM UNI; MI IMUM <br />~ AVERAGE MAXIMUM UNITS" ~ <br />x" :' <br />'t§2-W1 ANALYSIS <br />(64-68) <br />(69-70 <br />~E .CT 1A 0A DAI SAMPLE "''D COLt'9A >;Yt4#r4 4wLtit+ ( i?~ <br />~ '( / <br />Nit CERIOOAPBNZA MEASUREMENT D IyC~ 67rk <br /> ` <br />SEE COdFlENZ3 BBLOM t~F,~ v~.~ °~ ~ ~~~+ CAYr ~ `u." ~ ~t+:^~ ~` CEi7 ~ '~ <br />..E EC S D Z SAMPLE -0I CO ~ '.~:,. •J•O ?~ <br />' /~ <br />~ ID <br />' DiE0t0 CA!>DO+G ( ~?I <br />D <br />~ <br />R8 PINEPRALLS MEASUREMENT ~! <br />. _- t <br />V' ~•~. <br />CPbC :i 3 0 'e~{5 ` iA~ i8 ~ °:'w Yt~ ;;:' f A- ~ <br />~~ • <br />SEE C01!lCMSS 2BLO,fr ~:,, - _ <br />'.^y",~ Aq+R '~M ~dL ~"'~,*f'' CEl7 'y ' c-`~ <br /> SAMPLE - <br /> MEASUREMENT. <br /> r <br />a <br />a ~ <br />2 <br />' <br />;. <br />; ~ , <br />_ 4 ~ 3 <br />~ <br /> <br />- k". ~, ~ <br /> <br />a" F <br /> <br />e~~.~. <br />"' <br /> M t +~-. t...'rr E <br />I.. ~Hf tk;' -. f ~ Y <br />~.~f'~. <br /> SAMPLE <br />MEASUREMENT ~ -~e•:-' <br />.I <br /> <br />I: <br /> <br /> 4~ <br />' - SAMPLE ~ ~~ <br />- MEASUREMENT ~ ~' - <br /> n , - <br /> ^lG Y•C ~..~ _ ..... I. T <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> `Y e <br /> SAMPLE <br /> MEASUREMENT ~ ' <br />~.~ <br />'Y s'~ { b ,4 <br />~' <br />r <br />'A <br />'1 ..t~, s "~'F <br />~ <br />' <br />ep' <br />' <br />C <br />~ ~ 'a~4~r~. <br />'~~ <br />,d <br />* <br />~ <br />3~ <br />~. <br />. <br />i <br />ti4 <br />~ <br />r <br />!l. . <br />~"~:. <br />'fi`t` ,-" k <br />4 <br />z <br />t <br />. <br />~ <br />~ <br />NAME/tRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDERPENALTY OF I'AW HqT I HAVE PERSONALLY ENAMINED AND <br />TELEPHONE DATE <br />AM FAMIIJAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY <br />INQUIRY OF THOSE INDIVIDUALS IMt,~EDIA7ELY RESPONSIBLE FOR OBTAINING <br />RMATIO <br />IS TRUE <br />O <br />N <br />V <br />H <br />SU <br />ED INF <br />THE INF <br />RMATIO <br />, I BELIE <br />E T <br />BMITT <br />N <br />, <br />E <br />O <br />ACCURATE AND COMPLETE; 1'AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBA~ITTING FALSE INFORMATION, INCLUDING THE <br /> <br />D O I I <br />POSSIBILITY OF FINE ANp{MPRISONMENT. SEE t8 U.S.C. $ 1001 AND 33 U.S C. SIGNATURE OF PFQINCIPAL EXECUTIVE <br />4 1318. (Penel4es tinder Ursa st5tures may include lines up ro E10,000 entl or <br />TYPED OR PRINTED maximum impnsonm@nt'p/bsnyaen 6mdnlhs entl5years.) OFFICER OR AOTNORIZEp AGENT A A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a//attachments here) <br />:7 <br />EPA Form 332D0.Y .(0 - ) R(evi ditiDRS ~ yno(jfe used, •.- ~~ `'(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED. a6II1a 1A43Af i,R~.t,ef.9. ~~~ - '!:~. -.....PAGE ~ OF <br />