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RMITTEE NAME/ADDRESS pndude Fanlirv Name/Location if Di$erenrl
<br />tME COL04Y0 COAL COPPANY, L. F'.
<br />)DRESSC C.LGk YO MIKE
<br />' 5131 STATE HIGHYAT L3
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ
<br />DISCHAR/GE MONITORING REPORT (OMR;91 n
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<br />.>.r~j.';;,.~~'PERMIT NUMBER rDISCHARGE NUMBER F _ FINAL
<br />:t r.r.n:,n GV 711641
<br />ACILI7Y ~ ~ '- MONI
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<br />" MINING",p~'ti' TO NE
<br />TORING PERIOD ,
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<br />~" `YE`AR"
<br />_OCATION ~~v^~:-~~-<r - ~
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<br />1~~[~ YEAR' MO DAY {,~ '-4'x5`
<br />FROM '¢~[.~ ~YO UU 12 31 ~~al tNlRG.$ ( ~'~~'
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<br /> (3 Card OntyJ QUANTITY OR LOADING l4 Cartl Only) QUANTITY OR CONCENTRATION ~ .~` ;r NO;= FREOUENC SAMPLE
<br />PARAMETER (46-53J (54-81) ,.
<br />(38-45) (46~59J (54-61) ~EX. OF TYPE
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<br />(32-37)
<br />AVERAGE
<br />MAXIMUM
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<br />.MINIMUM
<br />AVERAGE
<br />MAXIMUM +s
<br />UNITS,
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<br />ANALYSIS
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<br />70
<br />69
<br /> -a.-.e , fs2-Gil (6a-6B) -
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<br />SCLICS, TOTAL SAMPLE 'sK'RcrtdT r-.;~~t';-: Jp~l#t## ~
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<br />SUSPEVU£C MEASUREMENT
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<br />U 0130 '1 0 U ,'.PERMIT,.' ##;rtA#'#- .-iTgt7p'AIC#. 0 -:''.af• ~ ~ r.p`
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<br />NAME/TITLE PRINCIPAL D(ECUTNE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH
<br />HE INFORM LAW THAT I HAVE PERSO
<br />ATION SUBMITTED HERE NALLY EVgMINED AND
<br />IN
<br />A
<br />D BASED O ~ TELEPHONE'.. DATE
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<br />INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPON ;
<br />N
<br />N MY
<br />SIBLE FOR OBTAINING ~F`
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<br /> THE INFORMATION, I BELIEV E THE SUBMITTED IN FORMATION IS TRUE, 1~
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<br />ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTIN
<br />I AM AWARE THAT TH
<br />G FALSE INFORMATIO
<br />ERE ARE SIGNIFICANT
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<br />INCLUDING THE / 1 -
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<br />POSBIBIUTY OF FINE AND IMPRISONMEM. SEE tB U BC. 4 ~Det AND a3 U.S.C.
<br />SIGJIATURE OFPHINCIPAL EXECUTIVE -7
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<br />TYPED OR PRINTED §me1'imumlm~rnm~ol6etwean 6 mantrtc entl Soda lines uA ro Efe,00e entl or
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<br />NUMBER
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<br />2^O;IITONIM'; HEQi7IRP.C£NTS S8E I.L.l.b, ^r?. S. RU R9F.N OF PROOF RE:)UI9FEKTS - SEE I./)t~~: PG. 4.
<br />Form Approved. ~ '
<br />OMB No. 2040-0004 ~
<br />Approval expires 05-31-98
<br />KOAAY _~~
<br />ST pIT POND
<br />I
<br />EPA,F.orm 3320x1 (OB-95) Previous editions may not be used. ~ (REP.LAQES,EP,A FORM T-40 WHICH MAY.NOT BE,UBED.) - , ~ ;PAGE ~ OF
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