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.fin flUn .l, POLLUTANT IyC NARGE ELIMIhhTION SYSTEM .'. )'L r.~. <br />. __f... ....... /L rrn / rlr /TTTnII <br />NAME d[y Coal Company <br />ADDRESS- SOULII YGIe _______ <br />____Fiaastafr, drizona_6u~u1 _,_____ <br />LOCATION ~~__~____________ <br />DISCHARG NITORING REPORT IUIIRI <br />I IIl l9r <br /> oZ OD <br /> <br />PERMIT NUMBER N <br />DIfCNAaDE u.rR[R <br /> MONITORING PERIOD <br /> YEAR MO OAY ~ ~ YEAR I MO DAY <br />FROM TO I D <br />I <br />I`e~.ll IlI~SJI IlJ-1J1 (16 'f I:+-:YI IJDJII <br />-laarD/fa. <br />N0. 3040-.:00< <br />Rv[I •+nlrf+9-JO~75 <br />NOTE: Re[a in[Iruelione before completing lhia lorm. <br /> (J Cprd Only) OUw NTITY OR LOADING IJ Card Only) pU Al1TY OR CONCENTRATION I <br />PARAM[T!R (16•SJl ISJdII (J8~1I (Id-Sll (3461) I <br />NO. <br />EX igcOOU`NCT SAMPLE <br />TYPE <br /> aN.Lrsls <br />(JI-JT) AVERAGE MAXIMUM UNITi MINIMUM AVERAGE MAXIMUM YNIT[ <br />b'6)J <br />I IbJJ.81 <br />(OY-)el <br />`/'r1n <br />v _~ V~SC,t ~ ~ MlAS REM ENT /{ <br /> No Dischar e <br /> PHRMIT Q~ti.O .H '~ ~ G(, ~ .fy •1 <br /> <br />R[OYIREM[NT <br />ti <br />(J <br />L <br />//1 ~ 1 <br />/~. <br />) b <br /> SAMPLE <br /> MEASURHMENT ' <br /> PEAMrT <br /> R[DVIR[MERT <br /> [AMPL[ <br /> MEASUREM[NT <br />' P[RMIT " <br />~ <br />~ <br />' R[OUIRW[NT ~ .. <br /> [AMPLE <br />f7 MEASUREM[NT <br />1 <br />N <br />~ <br />. <br />V <br />. PERMIT <br /> R[OYIRW [NT. .. ' <br /> lAMPL[ <br /> MEASUREMENT <br /> PERMIT ... ~ ~ ' <br /> REOUTAEY[Nt ~ ., <br /> 9AMPL[ <br /> MEASUREMENT <br /> PERMIT ' <br /> RSOUIR[MENT ~ - <br /> EAMPLE <br /> MEASUREMHNT <br /> PERMIT ' <br /> R[O W RfiMHNT <br />NAM[/TITLE PRINCIPAL EXECUTIVE OFPICER I CEwTriY unD[P PFnALTY Oi LAw TNAi r N.v( P(pSONALLT [(JMIM1ED <br />•ND W iwMNww w1Tw LN( MFOgMaIDq SUlMr1TED F[wOw wD wAi[D j <br />^ TfiLEPNONE OAT E <br /> !)ti MT rNOUlwr OF TNOSf rNOV10U.L5 mME6A1RT w(SPOn50LF iOq <br />iN <br />(ORM.IIOM <br />TTE _LfN <br />/('~/ ~ <br />Lunan <br />James S D M <br />OBTwrNIND TMf INFOgMw TION I B(LIEV[ <br />E SUIW <br />T[ A <br />D COw0.R( ' AM wwwwF *NwT TN[wE •P( SrG <br />p <br />T <br />. A <br />N <br />IS <br />wUE ACCU <br />N61C.NT KN.LT45 i011 SVBMrT'TING X0.5( 'NiOpu.TIOM1 'NCLUdNG <br />Permits <br />t4anager •.., oOSSreruTV Oi rm[ .ND'uPw150NN[Nr 54 IB u5C 1 1001 ANO 602 1774 <br />5253 87 10 21 <br />, )] VSC 1 I]r9 .Y.waler. uwer rn.'.. .rum•. nre. uvrW Im.• •P r^ Lu.. SIGNATURE OF PRINCIPAL EXECUTIVE - <br />TYPED OR PRINTED 'r•N~••rw+rrnun rwrp•r..+rwr.r.r..r w.ru~n ++r.•nrn. unJ:r.ar.. OiFICEq OR AUTNORI2ED AGENT J'R A NUMBER YEAR MO DAY <br />COMMENT ANO EXPLANATION OF ANY VIOLATIONS I/fr////na'/ rill ulluallm/nll II/rrl <br />°A Form 33ZO•I (RIY. IO~19) rn EVIOUS EDITION TO BE USED IAEPLACE9 EPA FORM T-40 WHICH. MAY NOT BE USED.I ' PAGE OF <br />UNTIL SUPPLY IS EXNAUSTEO . <br />