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<br />:ATION ___ __ _____
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<br />NATION AL FOLLUT ,• CN PRGC CLIM IN/1 TION IVST[M lNPDESI
<br />DISCNAR `~NITORINO REPORT /DMRI
<br />116 - l l~
<br />CuG•.15J~i1 7 , ~
<br />-ERMIT NUMR[R Rn<NAwcF NVMPCw
<br />MONITORING PERIOD
<br />YEAR MO DAY MEAN MO DAY
<br />FROM 7 .1 J i TO I j.
<br />/10~1I1 l11~131 /11131 /16- 7l /18~1`I l 0. 11
<br />N I r! U ii Form Approved
<br />(:T rJ V (? N i:) ;1 CDMBT No. 2040-0004
<br />F - FI Y A I. EXplres 9-30.91
<br />S.OKL:R COAL LOADOOT/Z AYLOR ('?
<br />NOTE: Reed inttruetioro before w Iplatinp thiE form.
<br /> (J Card Only) QUANTITY OR LOADING (I Card Only) OU ALITY OR CONCENTRATION FR EOUENCr BAMPLE
<br />PARAMETER (1613) (1141) (38aJ) (I6.fJ) (Jlfil) NO
<br />EX DF TYPE
<br />
<br />(3717)
<br />AVERAGE
<br />MAXIMUM
<br />UNITE
<br />MINIMUM
<br />AVERAGE
<br />MA%IMUM
<br />UNITE
<br />
<br />616A •NALVns
<br />
<br />(61481
<br />
<br />(69.70)
<br /> BAMPLE vii(-'.I:t is .'F;Y ,i'v`.'[i: / ,
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<br /> MEASUREMENT
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<br />\MlRITLE PRINCIPAL rOIECUTIVE OFFICER I C[RTIFr
<br />uNOEw PEMALTV
<br />OF
<br />LAw inxT I NAVE PERSONALL• F%AMINED
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<br />H THE INF011MA
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<br />M
<br />ED NE
<br />IN. AHO
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<br />ON MY INQUIRY OF TIWrE INDIVId1AL5 IMMCdxT[LY RESPONSIBLE Fp1 j
<br />~
<br /> OBTAINING THE INidIMATIO`Y I BCLI[VE THE SUBMITT[D INFONMATION
<br /> I$ TRUC ACCURATE xN0 CCMRETC I AM xWIRC TNxT iNf RC xwC SIG
<br />NIFICANT PCNALTIES FOR $UBAITTING FALSE INFORMITION INCLUDING
<br />_~~' n
<br /> THE POSSIBILITY OF FINE AND 1MpR60NNENT SEE IB USC r 1001 ANO
<br />11]19
<br />I
<br />F
<br />M
<br />h
<br />ld
<br />/ SIGNATURE OF PRINCIPAL EXECUTIVE
<br />
<br />
<br />TYPED OR -RINTED f~ rnmNr nu er
<br />II
<br />33 USC
<br />IRnaBY. u
<br />rr I
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<br />mr. ue lu
<br />IIV
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<br />r•d... maum.uw mrP.un•mmn.d A.n.vn6m•mlAUnd .i.n..r
<br />
<br />OFFICER OR AUTHORIZED AGENT
<br />
<br />AR A
<br />
<br />NUMBER
<br />
<br />YEAR MO DAY
<br />MM[NT AND E1rPLANATION OF ANY VIOLATIONS (Rrloenrr all uuurhmrne here)
<br />::TLF.ABLE: 30LIDS LI"IT +l1'PLi1?,; ONLY IF <= 1G-YRx 24-Hii ?%i?L.:CiF i;V~";iY ]5 CL~(I!"5C•. ~c CLAM"• G~oR'!V~L ~'.Y
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<br />1 Orm 1 (Rev. W!)'P/SYIDlli idif/on8 may ba sdd. ' ~ IREFLACES EPA FORM r-we WNICN MAY NOT e[ Uf[D.) FwcE of
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