PERMITTEE NAME/ADDRESSRtli4 FsWryNwWfaalm dDlptrrwp
<br />NAME E4r'B.:Y PUELS hINI:EG COMPANY
<br />ADDRESS ~JUIi1 FI P.LD "IVF COAL L'JADOUT
<br />350 LYDIA'!~ iTF:EET, iUITE 900
<br />LUL'vL~'1 CJ 904)1
<br />FACILITY
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<br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT (OMRI
<br />11-761 l7-191
<br />CD;A50006 1101 A
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
<br />FROM y `F 111 J 1 TO `J y J.1 ~
<br />116171 711-131 !14151 /1617/ 718-191 (30-37!
<br />Form Approvedf'1'_ '
<br />P')KC ~ DSCNRC TO OMB Noa 20.40 RU04
<br />(S li Fl H 5 F.) Approval ~ ;ly a ~OS-31-98
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<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING l4 Grd Onty/ QUANTITY OR CONCENTRATION NO, FREQUENCY SAMPLE
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<br />/31-371 EX M/ILY515 TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /a1-a]1 /56581 I5&701
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<br /> MEASUREMENT
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<br />NAME/TVTLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF
<br />AM FAMILIM N'ITN THE INFO LAW THAT I NAVE PERSONALLY EXAMINED MD
<br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE ~ DATE
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<br />I ' MY INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />1 TRUE, ACCUMTE MD COMPLETE. I I1M AWME TNAT TNERE ME
<br />S1pNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />SIGNATURE OF P111NCIPAL EXECUTNE / / ~ -y ~ -
<br /> V.S.C.
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<br />TYPED OR PRINTED .IK er+.vd+run:mF+im+wnr of Nn...+t e+rpTdu W 5 yrral OFFICER OR AUTHORRED AGENT CODE NUMBER fyYE'gR MO DAY
<br />CDMMtNIS ANU CAYLAIYAIIVN Vr AMT VIULA 1IUrvD lrterereDCe a//eRGCn/rlenrJ natal
<br />SSTTLCA~LL S]LIDS LItlIT 'dAIVF.D FDH LD-YE, 24-.`iR PRFCIP RYEbi ~~cJ:-l,i :(~ :fUui f.~ :E' ~R7:I~ F.. 'IIP. CNTS It
<br />PART I. s. 1. D, P;,. 6. ~TORHYATEH '",A:lA:,G'1ENT PLA:1 DUF 1-7-30.
<br />Epp Fwm 3320-1 108.95) Previous aditione may be used. (REPLACES EPA FORM T-40 WHICH MAY~NOT BE USED.) 0 ~ ~ ~ / 9 ~ ,~ 51 `I - 1 ~ ,-'1 PAGE OF
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