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PERMITTEE NAME/ADDRESS (InrLrL FanOryNan/fxoum rfDi$rrm0 NATIONAL POLLVrµT DISLHAROE ELIMINATON SYSTEM (NPOE$1 Form Approved. <br />' NAME <br />A,v <br />.i,h <br />~ JALLLY CURL , p, ~ ~ <br />E., rti,Y DISCHARGE MONITORING REPORT (DMR) <br />r1-r5i rn-ISl - r , , <br />~ra~~~h'~il, v'~ M[ ~.= OMB No sgq~opoa- <br />I' <br />_ <br />_ ,. <br />. ~ '--. <br />• 7 + APProval Pxpi~4~,05•~1-98 <br />ADDRESS MLi:L ~„7~ LAi7Y..;M o+,I ':L . ~ I <br />~ ~U I,f 1(. <br />N . li • ,1:1 X 7l, PERMIT NUMBER DISCHARGE NUMBER F - ~ [ V A L <br />LLriA LU 'j: `•7 <br />'.'C? ~~ . <br />'~: %~JK <br /> _ MONITORING PERIOD `~_ <br />~ <br /> <br />FACILITY <br />YEAR <br />MO DAV <br />YEAR <br />MO DAV ` <br /> <br />\ <br />LOCATION - FROM U TO Lj' J. .4 ~ -v!. '1 ~~i.HA•<l, t. ~'•'w <br />A T T al J; -, -ia w _ -, :1 7 : 4 : _ aG K M ! v'r ~.:1? V nazis vz-131 rzszsl rzs-1n 118-191 !36311 NOTE: Rud Inrrtruetionrr bdors comgJstlnp thin form. <br />r <br />PARAMETER !3 Grd Onryl QUANTITY OR LOADING la Grd onryl QUANTITY OR CONCE TRATION----~- NO• FREQUENCY SAMPLE <br /> 1a6-531 /5b611 r3B-451 r46-531 (5a'6I EX TYPE <br />131-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs1-ssi µAyYSIS <br />161-681 163701 <br />F'N ~~ SAMPLE ni#•t;<{• 4#b4#* <br />N c a~y'7i {••., ;• <br />~ i2 <br /> MEASUREMENT G ISCL~/ iC <br />~/Z <br />LU~Ji, l 0 i) PERMIT: : W'!YiliiFl? *fl.ilr#. ,xe<# g,.5 +itil,k#M# r.l) •:~~i{E,; SNSIT7 <br />L1=FLLi_teT +,R1J5~ VALU :REQUIREMENT #V## N Y•4 K S9AXIHUN S~' <br />f <br />fAL <br />SIJLIL': SAMPLE 49Na4# #$#~#i• ##4#4''A l 7 <br />.. <br />• <br />>.'1:F.i,:_il <br />SUS' MEASUREMENT <br />, <br />uJ5'.iC 1 0 ] ;:-<PE ,; Ir.-.. 4.A {M~!I~; ':::.: lW:i <br />.?MiY:!M ##t fY4#•4i 35 7U 1MC:4;~: '~A:; <br />tFFLUr..'77 ..21i~5 VE-UJ "REQUf~EMENT ,..; :.':.:'"' . <br />", :: '. r ' 44## 3Jt~A fiY'v JA ICY :HJt MI;/l Nl'}Al 1 <br />1~1)NE T+.,i,.L SAMPLE 64#t<## a+IF#P+P JI$##*r - L J <br />.Y :~ rE MEASUREMENT <br />!iLU4~ L U V ::i.PERMIT ;: >;::?IY~1~!!~alllr::. . ..lk;~:?Y~~11 #{.4 ';"I-a~/!#44 3.'~ ..::~}'~': <br />:s .:3~~~i.~. <br />~,.:. ~~C.r LaEZA.3 <br />c. F~F LLci~T v'Z~i ~S 4ALtJ '9EQUIREMENT~ ~ ~, ~ .~ yq.F,K , <br />JSL dtvU ~nC4i~ SAMPLE 6P6#~f+P ##4#A•# #t#~•W+~ IM##Vi< I9 <br /> MEASUREMENT i.'. <br />+s5n~ 1 U J <br />~:.: PERMITS .'' <br />~ ~: +d'i'd#'??k~ ~ <br />`:: IMrMik~W*W <br />:~{<# <br />~ +.#a+t S•4 <br />~~' #tF4 Wfr4 <br />~! J ~ .. ::: ~:' <br />~ <br />.'.1~T~t`: <br />{;kA9 <br />:,hFLU'NT un:;S~ 'JAL'J 'fiEDUIREMEN~ y :.: 4•ib# ji5 -~ MG/L ;,L~HI. <br />r LL;wx tN t:ONUUI i ..)n SAMPLE U1 Vtil##f# #$##~:• •} 4+1# <br />1nhU j(t~AJ MEtI.T PL>4N MEASUREMENT <br />:r''1 r.'Q~ 0 <br />"7UL~ SI~~~PERMIT.':~~. <br />.: '!}~. ~~~~.: <br />:14 :'. ::~Tr~E~: ~:. < <br />.~ ?1.114#IIF ~ W#4#t.# fA «~:'•~~~ #;. (< ,fF:K r <br />. <br />L s t ' ' T GRQ~iS VALU ,,. <br />:B, nuIREMeN?;:: ; <br />;F ,k.A~fG' . <br />: fad t: ': '-~'4,>i <br />HGh <br />, .. <br />#:.a.. <br />~_L r T Al. .SAMPLE ~/•~4## i!M4 44 iM#4a~1~ j9 <br />, <br />u L :; V E 0~ -~ - MEASt~REMKNT <br />TL tl 0 <br />!v? <br />9"3 ':;+~`'PE <br />FSL=''i:: .';'k <br />~': <br />; <br />~ ~ <br />.....: <br />:. <br />: <br />' :: <br />: #WW ,fi?MinF?i# ..: -ZEP: .~.:: r,.:<~ <br />."F' .. 7r?lY: G!iA <br />. <br />. <br />tYFL,UfNT (;ROS$ VALU , <br />. <br />p6nU1g~1hENT:: .. <br />::.;. <br />, : <br />:,.:,=:{rfi~:'w:'.•'::: ; <br />. <br />. <br />. <br />: <br />;r::;:.:'::;~~::;, #4## C~iit.':'AYEa .. <br />:..DA$CY' H7( MV/L <br />,~1L, A %~lk L sA P #.,o # •>f4 #4###k ay.;•a*;• $ae;.?•{. <br />V I ~~ AL MEASUREMEN <br />. ~ <br />ai4 it {~6 L J- U ...,. <br />....: .PE, MIT :'.%J:~ <br />'~: ,.. ;:. .;~: ..::~:~: :'p.' :.:;:.'.~~~ <br />:~~ <br />~<~.' <br />:: <br />~ c 1 ::. ~ ~ #R..x ~4 i .#'a. ;. .:;'4;,... +"~ b :: '.< J JUAS <br /> <br /> <br />• ~ VALU . <br /> <br />;~3~¢uI,IiEM ..' . <br /> <br />i:.:: " : <br />, <br />...: <br />: <br />+ <br />' .: :~ :.... <br /> <br />.. <br /> <br />„,,r v. ql <br />- ICER I CERTI FY UNDER PENALTY OF UW THAT I NAVE PD150NALLY E%AMINED AND <br />~ <br />7EL P O <br />TE <br />D <br />N AM FA MILIAR WITH THE INFO RMATION SUSMITTEO HEAEIM; AND BASED ON , „ ,~ ~~ <br />, <br />' MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / <br />- <br />r <br />.IaHN M VvAI TERS OSTNNING THE INFORMATION, 1 SEUEVE THE SUBMITTED INFORMATION IS <br />TRUE. ACCURATE 'AND COMPLETE. I AM AWARE THAT THERE ARE <br />INCLUDING <br />CANT PENALTIES fOR SUpMITTINO FALSE INFORMATION <br />F <br />-~ r i <br />/Ey <br />(i,faN10,VER Of MINE SERVICES , <br />SIGrII <br />I <br />SEE 18 U <br />S <br />C <br />1 1001 AND 73 <br />E POSSIBILITY OF FlNE AND IMPWSONMENi <br />T qfL ~~ . ~~~„y 98 ~ •/., <br />v <br /> . <br />. <br />. <br />. <br />H g10NATURE OF PRINCIPAL EXECUTNE <br /> <br />'TjYPED OR PRINTED ~ U.S.C. f 1310. IPnrIW,ner N•w WNN• nMY I/ICkd• n,.. w ro S 10,000 <br />•M Ormuinvn NrrA+rta•MINn eINew•.n 6,nenNa rN 6Y••rAl ~ <br />OFFICER OR AUTHORIZED AOENY <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />Et~TS ~D EXPLANATION OF ANY VIOLATIONS (Re/ersncP e// sffechmsnts here/ ~ <br />~ Vt.{.~Gc 13 HIGH:~f ~+.~ALihLY A.Y6. ?U'T";+: P~;tI1', r.LP_, i''~• Tli~ ;!L"Jif--~:i>.', - !. .. _. -> -T ACUTE n_! <br />fG ~•--SULTS JN U~fa•; MAkKLu ~CZ •+. <br />by! P{pyl(~8 RO)DOJfa mp~. De 4SeOr '! :. + ~ILtfRLAGE:S 1 <br />MAY HOT BE USED.I J J y, r 1 1 Y- J <br />