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PERMITTEE NAME/ADDRESS (include FaciliryName/Location ifDifferenrJ NATIONAL POLLIfTANi DISCHARGE ELIMINATION SYSTEM (NFDES) Form ApprOVed. - <br />NAME ~ DISCNARGE MONITORING REPORT (OMRJ OMB Np. 2040-0004 <br />PIYTSBU$Ca E NIDIIAY COAL HIKING 17INOR l' <br />ADDRESSED YA eINE rn a~F N nn ($U9R NW) r <br />P.~. BOY. 6SIH PERMIT NUMBER DISCHARGE NUMBER F - FINAL - <br />FACILITYENGLE4Oa7D ~ CD 8U1SS^tiSIB MONITORING PERIOD ACUTE NET TESTIXG AT OD4d <br />LOCATION ~ YEAR MO DAY ~ YEAR MO DAY <br />~ <br />- FROM 00 07 O1 TO 00 09 30 '~#~ NO DI $CNA9C F. <br />'~#~ <br />n <br />~ <br />e'b6r <br />pleting this form. <br />A Y Y N : D A Y I U L . LONG . !!IRE SUPT . NOTE: Read Instructions bet <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC .SAMPLE -• <br /> EX of TYPE <br /> PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> CbU SYATRE 4UHR ACU SAMPLE #~°1x#P7 #GI##ROt tit#r-:#a ###;t;t~ ( 2;) <br />~ <br />I <br /> :: <br />ENIUD <br />APNNId MEASUREMENT v U ~ ~ <br /> r <br />I <br />YAC13U 4 D U +~Y r <br />Nj <br />~R 55 <br />b: #'f Rlgrk .~ 4L{ t ~. <br /> FFLUENT GROSS YALUE .' ~ ;;~~.. <br />45` Y <br />;r ~ <br />~ ~ ~ <br />"~~.,~'"- ~ ##R 3 <br />.I ~ <br />F -~k µ <br />' <br />• ~s` ~ "~'7 <br /> <br />•~ L <br />+ <br />~~ ~ <br />~>'~5d- <br /> ::1U STATRE ybHR ACU S,4MPLE c:naao# t~#ROR #'~#'rz #:t?:-,::: ( ~ +.) <br />I <br /> P I'1 EPtIALES MEASkJREfvgENT ~ p /) ~ <br /> OKc ..a,- ~ ER- . <br /> :F-FLUENY GROSS V1(LU~ _ ~,; ~'~'~` O#? s~t-»s : .. P.9 ' <br /> ~~ SAMPL.E - - ~ - ~~ ~ .. <br /> .. MEASUREMENT ~ ~ '. <br /> rµ ~+ A f~ i~ Q ~ ~ ~ 1 <br /> <br /> .. SAMPLE d: • . f ~ r <br /> MEASUREMENT <br /> ~ ~;. rtii ~ %r 'k. <br /> <br /> e, t4. .'SAMIPLE <br /> _ MEASUREMENT ~ <br /> <br />a <br />~'„. ,r <br />" <br /> ~, <br /> <br />~. r' <br />~ .`" SAMPLE yy' <br />M6ASUREMENIf <br />~ °' - <br />~ .. ~. - - - ~~~ - . <br /> <br /> . rv k ~ ~~` I ri - <br /> .- SAMPLE <br /> NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry under penalry of law that this document antl all anecnments were <br />i <br />di <br />i <br />i <br />i <br />ith <br />T <br />tl <br />d <br />d <br />d <br />i <br />d TELEPHONE DATE <br /> - <br />~~rp r.~ ~. ~70r'c'eA4.Ctl pne <br />rect <br />n accor <br />ance w <br />a sys <br />em <br />es <br />prepare <br />un <br />er my <br />on or superv <br />s <br />on <br />to assure Nat qualified personnel properly gather and evaluate the lnlortnetion <br /> cubmided. Based on my Inquiry of Ne person or persons who menage the system, \^ <br /> <br />the inlonnetion <br />onsible br <br />atherin <br />the irtlorniation <br />or Nose persons direN <br />res C <br />•' <br /> • L.n t nw. ~~~ 2 , <br />g <br />y <br />p <br />g <br />eunmittetl is, to the beat o1 my knowledge antl bel+elrlnle•eccurate, end complete. <br />t SIGNATU OF PRINCIPAL EXECUTIVE 303 `~ 3~ -`{O?~ Qp ~ <br /> <br />TYPED OR PRINTED onnetion, <br />~8 Thing /arse in <br />I am aware lost Thera are signdiwnt penalties for OFFICER OR AUTHORIZED AGENT AR <br />NUMBER <br />E <br />R <br />MO <br />DAY ' <br /> ~ <br />includin the ssibili of fine antl im risonman r n violations. p Y <br />A <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here , ~~ <br />SEr I.8.3, PP IY~YI~ FOR DETAILS OF TEST P9 ~DURB. RP.PORT LCSO - STATI"TI~aL uO LKT F',;TIHAT.i WHICH IS <br />LETHAL t0 ~Ux OP'-TEST DRSSNISNS~ AND ATTACK ACUTE TORICITY TEST HEPURT FO t'" TO L'", ". CO?IES OF ALL INFOR- <br />~A Ofm 332a ~(b 49) rewtt~,g q_ q~'~B1f? it ~~._ <br />?~+ <br />+ <br />{ .yf,~ OO, <br />i~ <br />00V7 PART FORM PAGE <br />OF i <br />7H <br />' v } <br />f <br />- <br />~_'.. t <br />I 1 <br />1233 1 <br /> <br />