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<br />ON E
<br />M ATION AL RO LLUTANT OIICNAR6L LLIM (NATION LYfT[M (NPDESI
<br />D 18CMARGE MONITORING REPORT lDMRI
<br />1 /6 - !~
<br />PERMIT NUMKR RncHAwcF nur,Fw
<br />MONITORING PERIOD
<br />YEAR MO pAY YLAR MO OAY
<br />FROM TO u
<br />l20~1 1 ((1.131 /2i~1J/ /16- / l18~1 / ( 1
<br />M I t. 0 ii form Approved.
<br />(5 U F3 R N 4 QMB R19{Rf140-0004.
<br />M- i h T E A~riOVal expires 6-30-91.
<br />:iPOIL:i SPfiING riTR TROUT CfiK
<br />### NG DISCHARGE ~__1 #4<#
<br />NOTE: Rsed inftruetionf W}ora comp etinp thif form.
<br /> (J Card Only) QUANTITY OR LOADING (1 Card ONy) OU ALITY OR CONCEHTRAT ION FR[OU FNC•
<br />BAMPLE
<br />PARAM LT[R (!b-.TJ) (J!6)) (JE~J) (16.13) (JI61) NO. DF TYPE
<br />(32.17) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITB ~
<br />6263) ANwLTI I$
<br />(6(68)
<br />(69-70)
<br />.'H BAMPLE
<br />MEASUREMENT 444404 04440 ~ 4*+O:x Jf ~ ( iz) ~ ,~ CRA$
<br /> 1. ~
<br />
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<br />OuUO 1 0 0 `°~P£RMIT=
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<br />;OLIDS, TOTAL BAI6PLE 0###40 4444# 44404
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<br />:JSPENDED MEASUREMENT 1Q Q ~ ~i
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<br />1053D I Q G " ~ P£RMITq se r as ~~~~~~ ~ u~ffi °~~`~"
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<br />IOLIDS, SETT LEABLE BAMPLE
<br />MEASUREMENT 404444 44444 44444
<br />3
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<br />+I L,:A((D G$EASE BAMPLE
<br />MEASUREMENT 444404 40444,1 4+x4#4' 4400{(- ( 15) ~ alA NI
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<br />BON, TOTAL R BAMPLE
<br />M 444444 #44444 00##4' 1 ( 19) )/ G
<br />
<br />(AS FE)
<br />MEASURE
<br />ENT
<br />0.~1
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<br />OIQ ( 03) #4444r 4Yf4x14; 44#Ik4 ZQ (~~ ItaST4N)
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<br />OLIUS, TOTAL BAMPLE
<br />MEABUREM ENT C044tr4 400440 00040
<br />1905
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<br />uNDER RNALTY D< LAw THAT I NAV[ PERSONALLY [xAMINED
<br />.MERITLE PRINCIPAL [X[C:UTIVL OFFICER ' OERnFY
<br />AND AM iAMILIAR MTM TN[ IMFORMATON SUBMITTED NCRCIN
<br />AND BA$CD T[LEPMONE DATE
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<br />r ON MY INQUIRY OF TMO$[ InpVIDU1L5 IMMEOIAT[LY Rf$PORSIBLE FOR _
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<br />I$ TPUC ACCURATE AND CON0.CTC 1 AM AMARf THAT TNCRE ARE SIG C¢ j -
<br />E SUPT. NIFIUNT PEnALTIF$ FOR $UMITTING fAL$C INFORMATIDn INCLUDING
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<br />OFFICER OR AUTHORIZED AGENT
<br />TYPED OR PRINTED md•.rm.nmll NUMBER YEAR MO DAY
<br />IMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnrr ull unuahmrnN hrrr)
<br />NE-TICIL ANALYSIS iiEQUIP.EC AT FI85T UISCHARGe CONTAINItIG MINE DRAINd:;i/SPUiLS SPhiNG ii7E-SEi: G0~;1• T55 E
<br />OTAL II,Oii LItSITS 4iILL BE 4AIVED, AND SI;TTLEABLd SOLIDS LIt1IT AFPLIk:D FOR <=iOYn,[44ii PRECiP :;YEI:T-SEE
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