REP43321

• Permit No: C1981019
• IBM Index Class Name: Report
• Doc Date: 2/23/1995
• Doc Name: 1994 ARR EXHIBIT 2 PART 2
• Permit Index Doc Type: ANNUAL RECLAMATION REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS (/nLlUde NATIONAL POLLUTANT DISCHAgGE ELIMINATION SY6TEM (NPDES )
l arilirl' Numc/LOrxlion i! di!lereml DISCHARGE MONITORING REPORT (DMR1
NAME-~i~}rt-~. ~_+-:rL-~:-r.---r'r=i--------- !-'-Ibl (I7-/91 !llrv ll
ADDRESS- ~~ r• ' (S I/ L F. N N
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- ~ ~ r~ ~ ~ y ~ ~ ~ PERMIT NUMBER orscwr.woc Nw.ecq
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Fpr~,gpproved.
OMD No. 2040-0004
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MONITORING PERIOD
-AGILITY
- -------------------- YEAR MO DAY TEAR MO DAY
__OGATION-------------------- FROM ,I i_t 1 TO `J Il 1.'. .;1 #%"~' it (~ L'I''C tIAR(;E ~ ~ ',i YS K~
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(J CaN Onlyl QUANTITY OR LOADING N CnN Onlp) QUALITY OR CONCENTRATION
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OF SAMPLE
(.7!-.171 EX ANALr515 TYPE
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 67
J 9
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MEASUREMENT
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.JUGS, TOTAL SAMPLE 14464:: +: ;}i,t L<rt L: ti0>rOt3;: ;:O it SC:{: ( 19) )

I~soLY~`D MEASUREMENT ~ ~~
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NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERnFV urvDER PENALrr of LAw rIiAT I HAVE PERSONALLY E%AMINED TELEPHONE D A T E
AND AM FAMILIAR WITH THE INFORMATON SUBMITTED HEREIN AND 6gSED
R.G. ATKINSON ON MY INOURY OF TFgSE INpVIDUALS IMMEpFTELY RE :PONSIBLE FOR
OHrPINING THE INFORMATION 1 RELIEVE THE SUBMITTED INFORMATION IS
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VP IAND/ENVIRONMENTALAFFAIRS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE L- ~
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aIGNIFIGANT PENALTIES FOR $VBMITTING FALSE INKCRMATION INCLUPNL
THE PosslHlurr of FINE ANO IIMRISONMENT. SEE Is use t IWI AND
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TYPED OR PRINTED tIOMNI AnJ w rnnimum unpn.unmrm w bnxnn b munrbv anJ f Iun1 OFFICER OR AUTHORIZED AGENT COD NUMBER YEAR MO DAY
COMMENT AND EIIPLANATION OY ANT VIOLATIOrvS (NCI[![n[L dll JIIJCnIII[nlS n[lLl
L7"i LcAUL~ SOLIDS LIt1IT API•L7E5 CtiLY IF <= 1.-Yd, 34-l1 F. ?f: CIP EV°_UT IS CL.4I MFG. IF CLAI" APPflOY ED RY
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EPA FOLm 932O-t (ReV. 9•B8) PrevlOUS EdIIl0r15 may bB USE((. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED( PAGE OF