REP31405

• Permit No: C1981019
• IBM Index Class Name: Report
• Doc Date: 3/3/1997
• Doc Name: 1996 ARR & AHR EXHIBIT 2 NPDES 1996 QUARTERLY REPORTS
• Permit Index Doc Type: ANNUAL RECLAMATION REPORT
• Media Type: D
• Archive: No

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FACILITY
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PERMIT NUMBER ouc+Aacs HuMese
MONITORING PERIOD
YEAR MO DAT YEAR MO DAY
FROM TO ,
rman mall naa91 /)6a91 nxa41 /m-m
MINOR ( ; ~
(5 it P R N N) Fora~alpProved. ~/
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NOTE: Read instructions before completing this form.
' (3 Card Orl/yl QUANTITY OR LOADING (4 Cab Only) nUALITY OR CONCENTRATION
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PARAMETER ~

~ (46-JI) (54-61
(18-45) (46-53) (54~U NO

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of
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TYPE
(71-17)
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS t6IfiJ1 (6468) f69-]0)
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MEASUREMENT
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??FLOY.NT CROSS YAL'.f REQUIREMENT GQkY '7ZNZND% RIt1U"! ;IJ
SOLIDS, r7T9L SAMPLE <$Sr.Qr ~`d$GQk' ~+$`-rk ( 19)
S J S P? N D a p MEASUREMENT
DtSI? L ) rJ PERMIT $``-CQC[,^- L"YR.`l`rfSF ``-: NnG`QCv:S ~' ]iT N~P,/ RA9
SPFLUE4T :P_O55 YALU, REQUIREMENT Q4k.
3D DA AYE
DAI Y MY
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S1LID5e SFTTLEREL° SAMPLE Q$$Q$'~" ^tQ¢Q~= aaaa$x ~~'~=c ( 25)
' MEASUREMENT
D)545 1 D D PERMIT ~ QQ$tLax SL4ryt~ $aa Q?91td~t samatt+.• D.5 Rf'E/ . RA9
~PeL)err ;R7SS YALU6 REQUIREMENT tiYY~ D I ~,~ 7r/T, ~ sfT
O[~L A4D :P.F,A3F, SAMPLE ,r~r•Y. #fi$,•CS G#$tSk .#$$$~ ( Lq)
FRFON F. ~i°R-CRAY 19 ETA MEASUREMENT
0)555 1 O' O PERMIT axf:f=a~ Q#anaQ $$k 6fx$4QC, i~$##m 10 ONTIN RAR
'r:?FL7E9r SR.155 YALOF REQUIREMENT ~ ~ ,TT.`.:k

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(AS ~6) MEASUREMENT
UL''1, 1~ 1 U D 'PERMIT $$Q$C'v $}k itvQt+ aak GQ#0$x 3eS" 7eD .. . NCE/ RAt}
ccrLIJE9r ;.ROSS YALN[: REQUIREMENT ,~.$h;p 3DDp AYE DAILY ;1Y 'IG L lfDN H -'
FL~Ve i!! _7YDUIY OTl SAMPLE ( a3) ,`.~Q$G`, rL`!p$'Sv $#$$fi:
T I R'I r R E A T M„N T? L A N T MEASUREMENT
5)OSD 1 D O PERMIT 7PTiaMAf. R°P~JP,T Q¢x;x~¢ S`i4Y;r4 GG*.vC$ EPiCk.Y NS^411
?FLilE9d ;ROSS YA~..UF REQUIREMENT' AI,DA Ao6 DAILY- !IR M7D ".'=
F
S)LIDS, T:1TAL SAMPLE QC?<`~R", $.".C«,kC ,". L[C:C:=' SkQ4`4G k' ~
1Q)
O[ i S :1 L Y E D MEASUREMENT
7)295 L D D PERMIT S$C$QO:. tQit;+Q¢ Ik$k: a$t+$aa:. zuc$a;~ RP.PORT ' TRLY •. RAs~
SPFL!IF,9T ;RDS: VALU^ REQUmEMENr $~ti,x
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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERnFY UNDER PENALTY of LAw THAT 1 HAVE PERSONquY ExAMINED TELEPHONE DAT E
AND AM FAMILIAq WITH THE INFORMATION SUBMITTED HEREIN AND BASED
ON MT INQUIRY OF THOSE WpVIDUALS IMMEpATELY RE9PON91eLE FOR
OBTAWING tHE INFgyMgT1ON. I FfEUEVE THE SUBMITTED INFORMATION IS
TRUE. ACCURATE AND COMPLETE 1 AM AWARE TENT THERE ARE
SIGNIFICANT PENALTIES FOR SUBMTfING FALSE INFORMATO
INCLUD
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N
IN
THE POSSIBILnr OF FINE AND IMPRISONMErvT SEE 18 u5C 1 1001 AND
33
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~ SIGNATURE OF PRINCIPAL E%ECUTIVE

TTPED OR PRINTED USC
1319 l
nallies under T
ese shfU(ef may
n[lude (inu up lp
SlOnnn aM ur rtusimum imprisonment of bnreen 6 mpmha and S years)
OFFICER OR AUTMORI2ED AGENT
AREA
NUMBER
YEAR
MO
DAY
..vmmenl nnir eAr~nnn uaan ur nnr vlv~n nonce Irtaerenw au auacnmenrs rlerr)
5'.PTLP.AOLE SOLIDS LI!1[N APPLIES DNLC rr <_ 1?-Y3a 2U-HR PR.:CTp gYg;4r IS CL}.ThSD. I° "LAIw APPRn`r4~ '~[
N]~D, TSS ° IR)N LI`+ITS BILL NDT PE AP^LI40 T!t RFPORT!?D •1PASUR°.'IENTS--S4E I. 9elA, P. !1 AND T.Pelne ~: (.
EPA Form 3320-1 (Rev. 9-88) A'evious editions may be used (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 PAGE OF
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