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<br />eClrr NaMl/m ' ~ UJwn[/ NATIOR wL Fo LLUTA tNARp[ FLIMINATIeN sYfTFM (NPDES!
<br />DISCNAR NITORINO REPORT /OMRI ~~
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<br />~_ Q~QAL COIIPANY____ ___ 1.16 ! MINON -
<br />Form Approve F
<br />DeR[~,fp~}u-Q--MINE _______ ___ ~ (SUER NY) h®filll TRo. 2040-0004
<br />-_,;~ry]71 STl1Tir HT[HY~(~~,_-__ ___ PERMrTNUMBER - onrN.nc[noM.FR F - FINAL E%plre6 9.30.91 +
<br />
<br />__ RPF%FM ~---_----C~HlhY1..._ STORefl COAL. LOAUAUT/1'AiLOfl Cii.
<br />MONITORING PERIOD _
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<br />YCAR MO DAY YEAR MO DAY
<br />DeATroN FRDM ~ ro aaa NO DISCHARGE ~ ~ YFttr '
<br />A T T N: RICHARD G. A T K I N 5 0 N Isa ill lazlll u~1s1 l fib- 1 (Ia.79~ ( 1 NOTE: Rad in[truedom bBfor pletiap this form.
<br /> (3 Card ORIy) QUANTITY OR LOADING (~ Card Only) QUALITY OR CONCENTRATION - NO FRFOUFNCT EAM PLE
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<br />MA%IMUM
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<br />FREON E%T R-CRAY,, f1ET MEABUREMENr 1,
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<br />TNRU TR EA TMEMT PLAN MEABUREM ENT -
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<br />SOLIDS. TOTAL ;, L BAMPLE ' '•aaa~lae ~ . ##aaaa ( • ; ~ #aaa## 'ala#aaa ( 19~
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<br />I NAV[ r[RSONALV CAAMM[0
<br />NAMERITL[ -RINCIPAL RKUTIVE OFPICBR 10[RTFY unoD+ pEruLTY Of
<br />AND AM FAMILWI IIITN TN[ IIFp1MATgN SUBMrtT[D N[q[M AND BARD
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<br />II_ ON MY 111DUIM 'OF TNOS[ MOVIWLLS IMMEdAT[LY RESP01151BLE FOR
<br />+' '~ I .
<br />~ ~ _
<br />R.G. ATKINSON DBTAINWL TI[ WrdIMATR):1 I B[LKVE THE SIIBYITTED INFOIMATION
<br />1 ~ 'l, I$ TRUE. KCURATE I1MD COMRLETC I AM AWAR[ TIYT TNER[ ARC s~
<br />,r. MFIC.NT Y[NALTIES Fdt SUBMrt,IND F,LSE INFDRMATFW MCLI1dNG
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<br />:970.824-4451
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<br />~ THE nYvSIBILrtr OF FINE~AND IA1PR¢.pNM[NT SE[ IB USC E 1001 AND
<br />HSE~ & LFIND MANACE?
<br />]]USC [ 1]19 rFIMRRr undn Mo Nnnlr. ,n[
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<br />B16NATURE OF PRINCIPAL E%ECUTIYE i
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<br />TYPED OR PRINTED wrd,.rnR+,wWn nnlnnnwrnl.V A+luwn 6w..nlh. wnd.i.rRr..1 OFFICER OR AUTNORI2ED AGENT NUMBER YlAR MO DAY
<br />cvwnenT wnv ur~wnw nvn yr wnT vlvu npnW lwgornrs au mrurnmrnu over
<br />SETTLEABLE SOLIDS LIlIIT APPLIES ONLY IF C= 10-[R, 24-NR PRF.CIP EVENT IS CLAIMED. IF CLAIf1 RPPROYED DY
<br />YQCG, !SS L IROM LI11IT5 YLLL ROT BE APPLIED TO REPORTED MEASURP,HF.NT5--SEE I.9.lA, PG 4 AND I.D.1D, PG 6.
<br />Y p • IREFLACCB BFA FORM T-BO RINICN YAY MOT BC YBCO.I FAGC OF
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