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'~ FERMITTEE NAME/ADDRESS (lndrb F.rdq Nwr/foranm UDlp..ad NATIONK POLLUTANT OISCHMOE ELIMINATON SYSTEM (NPOESI Form:APpfpved. ~' - NAME • ENEr;oY FUELS WALe INL. ~ DISCHARGE MONITORING REPORT lDINRI rs-lef nl-lsl L POND 3-MINE b7ti ONIRr~o• 2040-0004 Tl~ r,lirif ... ..K. ADDRESSSUUiHFItLL' MINE CGU036595 CG5 A SUbk Sc pprovel expires 05-31-98 LG~Y1 155 S. UNII.N DLY'u.I SUITE VG~+ PERMIT NUMBER DISCNMGENUMBER F - FlT+AL LAntN~Uu LU Uii12:s-Ohtl9 MONITORING PERIOD MIM1uk FACILITY tNL-n~Y FULLS CUALI 1Nt.• YEAR MO DAY YEAR MO DAY LOCATIONFLUnt(rGE l.U aUGlb FROM '>f0 U! UL TO Yti .BSI ~U ;•"'+ fvL JI~CHAh Ut X d4• Af lf\ JAML-J 1. L. iIJ F''t rnr ~Y-UYChAI lvfY .r !74171 IZZ-73/ 174751 !!Ol// Ile4Yl r:f0-;fu ••"•~• •••~"••••••°_"°"_-'•°•_"-'•••r•"°•••••••_•°••••• PARAMETER !3 Grd On/yl QUANTITY OR LOADING !~ Grd OnlYl QUANTITY OR CONCENTRATION NU. FREQUENCY SAMPLE !46531 154611 138-451 !4653/ 154611 EX OF r37-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS le7~ea1 ANALYSIS (54-fiBl TYPE (6¢701 ;IL Aft;; vnLASt SAMPLE 4+i4~iAM `f4 N4r64ir +k •T +A;rir4 ;'4;14 v,k /1~irAL MEASUREMENT 34J4G 1 ~ Ci ; :PERMIT:::.-: : ,!9rt~YrO!Aii~:.: :.:~GE~~~T :X: :S 1 #~.-.kti>k+k:::: .. ±N~i~ae<~i .: vrf.w~r4 « .~~;~ ~i c:~:h£,'Y:`. :15>,~.tt -FN Lr•~i :.k ICS JAI +if- EQUIRMN..~ . .•: ~. .1.f15'# R~1 Y~~~ i~ L ~.~:: . ..~>a~ ~ . .. .. SAMPLE '.MENT ~ ~ ~ .. .. ::~:,:: PERM/.:. .: •~ ~ .. ..... ... :... :.. .. . ,. .. . ~ ~ ~ ~ ~: .. za REQUIREMENT . .....:...: ~ ~ : ~ : ;. ... .. ~> y ~ . * :~ . . . , ::;rr pl , ~ . SAMPLE , ~ ~ i„7 MEASUREMENT ~r }' PERMIT<,.:.:~ :~ ~ ;. ' ... . .. . . .REQUIREMENT: ~ ~. .. ..... .. ....: .... ;;;: e:.. .... :..:. jA r:..... . .. SAMPLE ~ ~ 1+~'1s•,'-- ~ MEASUREMENT ~~'::'.PERMIT~:: :. . , ..... .:. ::. ... .... . ... ~ ~ ~ ~ .. :: :REQUIFIEMENT~ .~. ~. ~. :: :.~.. ~ ~ .. . .. SAMPLE MEASUREMENT jr:"'" 'A...O~ ' `7"::- °, :: PERMIT.... .REQUIREMENT• ..' i::: ..,~.: :~:.:[:~:::::::>: -.::. ;:: .~.~ . ... ::~::. .:•.:':':~~ ~~ :. ~.:..::;: ~!;1~;~,:'t 'aitix is ~~4~':c zH:,nFta;:::Y yes,:cd.'. , . :PERMIT::.:: .: ..: ~:: ~ ..... ,. ..,: ~. ~...... ;.. ~.::. . . IREMENT~ 'REQU ~ ~~~ NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF AM FAMILIAR WITH THE INFO LAW THAT I HAVE PERS RMATION SUBMITTED H ONALLY EXAMI EREIN; AND B NED AND ASED ON - TELEPHONE DATE MY INQUIRY OF THOSE INDINDUALB IMMEDIATELY RESPONSIBLE FOR ,~,~ ~, r.'._~,11 ~ _ ~ MCA ` "' OBTNNIND THE INFORMATION, I BFLEVE THE SUBMITTED INFORMATION IB I - t F TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ME INCLUDING TIE4 FOR SUBMITTING FALBE INFORMATION FIC NT PENA ,.n ~ - ,- ~.~ ~ ~ ~~ • x/ 7!, i - ` / " , SIGNI A L ' ~ ~-~.~_,,,. ' / '( ~ ~ ~ ' r j. ~ ~ I _ .. ~ ~ POSSIBILITY OF RNE NID IMPRISONMENT. SEE to U.S.C. 1 t0pt AND 33 TNE 6RlNATURE OF PRINCIPAL EXEOUTPJE , ~ / . - 0.5.C. f t31P. fPVWri. MNr IMw moron mry ic-JuO. Aw. w ro JrO,OgD AREA NUM TYPED OR PRINTED wle>muhtun inydaNPrrulr of blVwnemmrh. rM6ywn! OFFICER OR AUTHORIZED AOENT CODE BER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/arence e!! e(Techments here/ T5~ G TUTAL I<L.If. L1M1T~ i+1Ll DE NAIYEUI ANA SLiTLcALSLL SULItJS Lli1tT AFPLL~U Fun 1GYr.E~4r+b t'r.,_,:jP LYENT- StL tiU~UciY OF PniiUF i:FrU1REr1tNTS UraOcR 1.A.3E i'. o. UIL L L,xtpSE - itE [.H.1.C. i0 Li:rY ~.Vu:Au~ IS 1T_CT ATYI V Arr:' 11.L TUT' 1YLL ti 1, :J-[~Ilp T-n lG_= I /' LI EPA Form 3320.1 108-951 Previous ediilons mey be used.- - (REPLACES EPA FORM7.40 WHICH MAY NOT BE USED.1 PAGE OF - OL1G9~/~oUylU-L)y" 1 FT j