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/rERMITiE'E NAME/ADDRESS pwrrv FsWryNw/Eonn« IJOIab«q <br />N ~~YeRANO VALLEY ::I)A!. ~:'i"IPAhY <br />ADDRE~s.hUNL'.°.R CAMTO!i ~Itr:: <br />F.U. BOY 70 <br />L05A CO 8152!1-OOi <br />FAal.rrv G3AND YALLCY COAL COtlPINT <br />LOCATION <br />x T7Ne .I IINL M_ MaF SV V~C R•«aJkle <br />Form Approved. <br />OMg7 p40-0004 <br />seD QonD DscN~ Tond~rb~pNe>~~~s <br />(SOBR YC) 12345 <br />P - FINAL <br />„INON pp~~ H X <br />T ~O 1 ..d iFwt uctl~. or~ IbFR~l.tlnp t~IM }orm. <br />PARAMETER 1 dBnN/ QUANTITY OR IOADI ONr/ aVAN~ Y OR C ~ CENTRATION NO. FREQUENCY SAMPLE <br />l3Z-371 ~, <br />:q I 531 151-61 "38.157 ~~ 11653I~ 15•-61 EX GF <br />V5 <br />5 TYPE <br /> RAGE MAXIMUM '~ MINIMUM AVERAGE MAXIMUM UNITS l,p.em ANAL <br />1 <br />(64681 16&701 <br />OIL AND CREASE SAMPLE" ##«300 ( q4) ¢4#d!'30 34##'JI# #*~#;:## <br />Y ISO-L MEASUREMENT <br /> <br />tf40bb 1 0 0 PERMIT ..~~ ....... .. <br />#IlLO: "?.:: .:.. :.. .......: <br />:: <br />RitMl <br />f <br />* <br />ES=1 .......:.... <br /> <br /><. <br />'~~ <br />': <br />~~ <br />~; :. .. ... ~.~ ~ <br />~i??aR9i0 ~ . <br />iSA.#3#~ <br />#:+IC <br />°ERLT <br />I5r)AI <br /> REQUIREMENT .:...'. <br />..:a;; ..... . <br />. <br />. ,: . <br />. <br />, <br />;.L~~,.:; <br />~ %.. ~ .... :.. <br />_ <br /> SAMPLE <br /> MEASUREMENT <br />.. <br />-_ <br />-- <br />' PERMIT ~ : , ..:..~~:.:.: ~.;~ ..:: ~ ...~ ..::. .: ~ .. .. <br /> REQUIREMENT. .. <br /> SAMPLE <br /> MEASUREMENT t~ <br /> PERMIT::. <br />~~ a , ... . .... ,.::.. <br /> ~~~AEQUIREMENT~ ~ <br />~~ 3ar) ~ .. <br />~~ <br /> SAMPLE q. ;;. <br />"E <br /> MEASUREMENT ? <br />~ <br /> PERMIT ~ ~ ~ ~~~ ~ ~ ~ ~ ~ ~~ <br /> REQUIREMENT ' "a s. R;';' <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT ~ ~ ~ ~ ~~ ~ ~ ~ ~~~ <br /> .REQUIREMENT . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~ PERMIT ~~~ <br /> "REQUIREMENT: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> 'REQUIREMENT <br />~ .. <br />NAME/TITIE PRINCIPAL EXECVTNE OFFICER I <br />cERnFY uNOER PENMTr GF <br />AM FAMILIAR WITH THE INFO uw TNAT I NAVE PERSONALLY E><AMI <br />RMATION 6UBMITTED NEREIN <br />AND BA NED AND <br />SED ON TELEPHONE DATE <br /> MY INQUIRY OF TNOSE IN ; <br />DIVIOUMS IMMEDIATELY RESPONSIB LE FOR <br /> <br />OBTAINING THE INFORMATION <br />. 1 BELIEVE THE SUBMITTED INFORM <br />ATON IS I <br /> TRUE, ACCUMTE AND COM <br />S <br />GNIFICA <br />T PEN <br />TIES FOR RETE. 1 AM AWARE TNAT THE <br />SUBMITTING FkSE INFORMATION <br />IN RE NlE <br />DLWING <br />' <br />' <br /> , <br />I <br />N <br />K <br />~ <br />~ / <br />1 ~ THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 18 U.B.C. 1 1001 MID ]3 IE OF P111NCMAL EXECUTrvE <br />610NATU - <br /> U.S.C. ~ t31Y. lR,WAir I..er m.« mlura my NICA.d. A«. w ro SIO,OOD ( <br />TYPED OR DRINTED .ns ar n.,.:n~m nw+'s+vrl.+Fwe.rw«nsmonnawey«.al OFFlCEh OR AUTHORRED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXYLANA IIVN Oh ANY VIOLAIIVNJ IHItIrenCl en IReCnmenlS nlre/ <br />fS3 E TOTd4 IRpN LIMITS vILL HE 4A IVF,D, AND SETTLEARLR SOLIDS LET SPPLiED PON <=l0YA~24AR PRECIP P.Y~NT; <br />SEITLEAOLE SOLIDS I,INI7 rAT BE +iAIYD POR >10Y8,24HR EYERT-SEE I. A. 1, PP 3-4, AND I.A.3, P. 7. QATRLT <br />Op2¢2I167~t12o6 2 <br />~ ~ 1 - ~ r <br />