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PERMITTEE NAME/ADDRESS Qnclude Facility Nnme/Gorarian f D1/~erenu
<br />NAME
<br />CYpi?OS YAMPA VALLEY COAL COHP.
<br />ADDRESS,tl tl c::; 1, ZL3 SOU'1 ri, G £CRryAN Pn
<br />91 u!` PAST '!iYFi1AL CIFCLE
<br />FACILITYcj1"Lr.'d DOD CO HU15S
<br />LOCATION
<br />A'fT9: :: N:trti u_ za. r. t.sr_ reN~4at- Al NY
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMR;
<br />R~16) p]- 91
<br />r~nn~~ic nn
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
<br />FROM (t O O S 0 1 TO O U U 5 31
<br />(1P21) (2223) (2d"251 f26~2]! (2829) PO-31)
<br />q~JG°
<br />(5U :.t 9w)
<br />- C I ~ % h h
<br />N;. 1, ELI .r iJ
<br />Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires OS-31-9H
<br />r;ou:
<br />iC ci~IL~EL CABEK
<br />~c''0 NC CISCHFHGE cj##
<br />NOTE: Read Instructions befoie ompleting this form.
<br /> (3 card Onry) QUANTITY OR LOADING I4 Card Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />~
<br />PARAMETER (4s-s3) (54-et) (se~4s) f4s~ss) (s4-st/ EX ~ of ~ TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(a2-uJ) ANALYSIS
<br />(64-68)
<br />(69-70
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<br /> MEASUREMENT
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<br />:(:LIUS, SF:TTLEdNl:: SAMPLE '. ;:>:~:cr°~ ~~ ##'c'.::=# " qut# ( 25)
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<br /> MEASUREMENT
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<br /> MEASUREMENT -
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<br />iFFLUENT GHO55 YALUc REQUIREMENT a
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<br />CHON, TUTAL SAMPLE "+c#>rr#tX O##Ur#~ e:##### ( 19)
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<br />"PERMIT
<br />C>R
<br />`; ..#P'AOyA>71
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UNDER PENALTY OF
<br />R WRH THE INFORM LAW THAT I HAVE PERS
<br />ATION SUBMITTED HER ONALLY ExAMINED AND
<br />EIN'
<br />AND B/SED ON MY TELEPHONE DATE
<br /> AM FAMILIA
<br />INQUIRY OF THOSE INDIVIDUAL ,
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />Richard Mills THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~
<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />THE
<br />'~
<br />97D-870-2712
<br />Environmental Mana er
<br />9 PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING ~ ~ ~
<br /> POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S C. SIGNATURE OF PRINCIPAL EXECUTIVE ~i
<br />
<br />TYPED OR PRINTED § 131 e. (Penelees under mesa statutes may include fines up to E10,000 end or
<br />maximum imprisonment of sehxsen6montfu entl5 years.) OFFICER OR AUTHORIZED AGENT
<br />App
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here)
<br />AL'f"'.HNA'L'E LIMITS hOH TSS, I90N E SSTTLA$L8 SOLIDS (LOC 'O') APPLY GNLY IF <= 10-Y K, 7~1-RD PHF.CIP E9ENT.
<br />IS CL9i;7••I•, SLE I.Ael, PG 19, FCR 3UADEF OF PHGOF F.Fr~UIPEtlENTS. UIL E GREASE-:9E: FCCINCTE F/, PG Z.
<br />~EF%1 Form 3320.1 ~(OB-95) ~ Previous editions may not be`used~ "' ` ~ ' `~ (REPL'ACEScEPA FORM'T-LO WHICH MAY NOT BE USED.) ~O O O9 3 / OO O 4 G 5- I ~% 1 PAGE I OF
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