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<br />PERMITTEE NAME/ADDRESSp~rii4FufGryNwWLxulw lfDl))Fuu} .~_.~,.-,~:.. <br />NAME POMUERliDRN COAL CORPANL <br />ADDRESSROAUSIDE tRINe, N L' S PORTALS <br />P.O. HOX 14SU <br />PALI:iAD~' i:0 81526 <br />FACILITY <br />LocnnoN <br />d':1'.r: JOHN A. 'lCA91i, PNiSIL'P.NT <br />~ PERMIT NUMBER ~ I DISCMMGE NUMBER ~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM TO <br />/1617/ /11-131 /II-15l /16171 /7H-191 /36371 <br />serer-'-.~+r_-T-~-=.r <br />',1L'~!E iZ? ' Z!3 <br />(BURR NC) <br />F - FINAL <br />*IINOR <br />~q <br />'4n-T <br />a;t:~ RO GISCHARG$ ~=~ <br />NOTE: Reed Inetruetlone be}orI completlnp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !4 Grd Onlvl QUANTITY OR CONCENTRATION ND FliEOUENCY SAMPLE <br /> y6531 !54671 138-151 14659 15a-611 EX DF <br />l31-371 <br />MALrss TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lel-eJ! lfi468/ !63701 <br />CCU ST ATdE 4Ul7C AC SAMPLE r+r#v'+# ####YFv_ (q~ll '~:`t~#^• #ICfi; #~11 <br />(~~~) <br />- <br />is ::.~LOUAPNNIA MEASUREMENT ~Ob/O ~90 .~ <br />i Ah.iB 1 0 0 ~ ~~~PERMIT .~ ~..~fi>#AI'4## ##Ot#~IF~# #%IS= OO~:~b~D0,1 ICI YA a'III Q>(<.~ ~ 4tL Q:.tr##: SRS ... TRL~ iHAB <br />dFP'LUEVT GROSS YALU REnU~fiEMENT, .: <br /> <br />~ - #;.F# n~}; tA131E. - <br />,: , :.. ., : <br />E p <br />,.CCU 5'iATRE 96Hk AC SAMPLE at#### #00### <br />~ <br />OQ~ #fi##sa #L%`A#» ( 23) / <br />~ <br />11:1 t:Pd ALBS MEASUREMENT 71 ~. D <br />fAROC 0 0 ~~ PERMIT :~~~~ ~ :#il#d41G>Di...': ;~.7p~sl~LlQlgltll~~ <br />~ OtlO ~~00:r~6~40~~.. ~~~0~#~a~~~~~~ ~ _:~Y+#~i~iC~!#': ER- ~ T~RL~ .R~AB <br /> <br />.:'P'LO ENP 6ROS5 YALU <br />:REQUIREMENT <br />.. :.. '~ <br />.:',:: ~~: <br />~~~: ". ~ ~. <br />##.:6 <br />'N~.~~1'ALI1 <br />'n <br />~ <br />~ tl <br />. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~~ <br /> REQUIREMENT ~ ~ ~ ~ ~ - -" <br /> SAMPLE <br />ii MEASUREMENT <br /> <br />~ - ~ <br /> PERMIT ~ - <br />' REQUIREMENT ~ ~ ~ ~ ~ ~ ~ ~ .~ <br /> SAMPLE <br />- MEASUREMENT <br /> PERMIT ~~ <br />.._ < <br />~ ~ - ~~ ~ ~~ - ~ ~ ~ ~~ <br />- ~HEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ~ ~ - - ~ - <br /> PERMIT ~ ~ ~ ~ ~ ~~ ~ ~ ~~ <br /> REQUIREMENT ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~~ <br /> REQUIREMENT <br />NAMEli1TLE PRINCIPAL EXECUTNE OFFICER I cERnFr uBDER PENALTr of <br />AM FAMILIM WITH THE INFO uw rNAr I NAVE PERSOF1uLV E%AMINED MD <br />RMATON SUBMITTED HEREIN: MD BASED ON TELEPHONE DATE <br />I ~ j <br />l <br />~/~ <br />1 E MY INQUIRY OF THOSE INDINDUN.S IMMEDIATELY RESPON9BLE FOR <br />OBTNNINO THE INFORMATON, I eEL1EVE THE SUBMITTED INFORMATION IS <br />l/ <br />t../ <br />F ACCURATE MD COMPLETE <br />1 AM AWME THAT THERE ME <br />TRUE <br /> , <br />. <br />SIONIRCANi PENALTIES FOR SUBMITTING FALSE WFORMATION <br />INCLUDING ' <br /> , Q ~ <br /> THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.B.C. f 1001 MD ]] <br />BIONATURE OF PRINGPAL E%EGFTNE 7/ Q <br /> u.B.t. f 1]le. IFrru• also sN~ mam• m.r YIFA.O• Aw+ w ro S ID,000 AREA <br />TYPED OR PRINTED ulewmuNx•rl NrM'onwrtWblwwlemenUaW fr Yrral OFFlCER OR AUTHORIZED AOEM CODE NUMBER YEAR MO Dq1' <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rel'arence e// ettechments here! <br />:;E~ PART I.S.4 POR DETAILS OF ThST PROCEDURE. RPT LOWEST DILUTIO!t (':EFFLUENT) 4HICH IS LETHAL TG SCb OP <br />'C:.':i'1' ORGAdISlIS (LC50) ~ ATTACH ACU'C6' TJ%ICITY TEST REPORT FOH*t TC Ddfl. COPIES CP ALL INFO nus'r 8E ,ENT <br />~rn :D ^DMT^^CG cN It rnT ^rr r rr ^r^mr ..Iw n n ens •en <br />EPA Form 3320.1 (08.961 Previous editions mey bs use 1 P C P O ^ 4 H MA BE BED.) 0 0 2 9 5! 9 B L 2 2 3' 12 5 6 m PA^ 1 TF <br />