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PERMITTEE NAMElADDRESS(7ndr4i~e+Yry/v~.~'Ler.tlewUD(Qfw+~/J <br />NAME <br />ADDRESS <br />$UX 187 <br />.G CO <br />FACILITY >"PER MINE <br />LocATIDN I G C 0 <br />.~tuene.tn n rt t rir"1TC PACC2 <br />NATIONAL ptXLUTANT dSCHAAOE ELIMINATION SY9TE)d IIVPOf$) <br />DISCHARGE MONITORING REPORT /O RI <br />PERMIT NUMBER gSCHAROE Nl1ME7 E71 <br />" MONITORING PERIOD <br />YEAR MO DAY YEAR MO D Y <br />81r _' ` FROM TO <br />rfii <br />Form Approv/:d- <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR JC) <br />fi - ~ INAL <br />RUi~iOF~'!P''iINE WTR 1'O OAir~ <br />NOTE: Reed In~trucNor» Deiwe compl~Un9 thle form. <br /> j <br /> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO. <br /> <br />EX FnEOUENCr <br />or <br />ANAlr~fs SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />,. .. SAMPLE .. <br /> MEASUREMENT <br />,j~ # -_ _ <br />Y ~ <br />': C? PERMIT ~~####: _ =; il3F#~lF~:i ~~ -tr####~ : <br />#~ .. _ . <br />• : 1 ~ REQUIREMENT i ' i' MAX ' ~ . <br /> SAMPLE - -- <br /> MEASUREMENT <br /> <br /> PERMIT <br />~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ~- <br /> <br /> PERMIT ~ <br /> REQUIREMENT ~ "- <br /> SAMPLE ; I ~~ <br /> MEASUREMENT V•• J <br /> <br /> PERMIT <br /> REQUIREMENT ~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br />NAME/'RTLE PRINCIPAL EXECUTIVE OFFICER ' "^'tr ° r yens 1) o bw IAH lAN derumenl .td .n .n.cnmrnb were TELEPHONE <br />prep.red coder mi dlrertlon or fuyenhlow In .ccord.nee with . e~fletn dd~ned <br />i le tt~nrt IAN ~e.lt fled personnel yroperlr ~.tber .nd erdu.te the Infaneytlon <br />~ DATE <br />enon M yenar whe m.n.Re IM f)'1lem <br />~ <br />, <br />; <br />'L <br />/~f~: ~ <br />_~'t ~ <br />Ir <br />ulr <br />of Ux <br />m <br />" <br />b <br />tl <br />d <br />! <br />d <br />, <br />. <br />, / <br />~ <br />/ <br />p <br />~ <br />y <br />/ _ <br />Ice <br />on <br />f <br />/ _ . l / <br />wt <br />ml <br />e <br />. <br />ar tlww persero dlreetl~ reepoedbM roc p16er1rK tAe Infont+.Ut>w. tAt Inforetrlbe V <br />.~ <br />/ <br />~ <br />/ _ <br /> <br />~. <br />~"- <br />/ _ <br />` <br />~~ <br />_ <br />t <br />/ <br />~ ~ / - <br />- <br />e. <br />-~ eobmined Is, to the beet or m7 LnewYd~e .nd teller, !roe, tlccvrstr, .nd tomyk <br />t ~ <br />~ ' ?/` I .m .wan tA.t lher:.rr >rEnlne.M peneNfo for wtbmlltln~ hhe Inrornrtfoe, EN3NATllRE OF MIINCNAI EXEC <br />lTTVE A A <br />Y <br /> d l <br />m r <br />t <br />.l <br />.Id.U <br />n <br />n <br />A OFFICER OR AllTNORIZED AGENT CODE NUMBER YEAR MO DA <br />TYPED ~ ~~~ ne.n <br />my <br />tontne <br />no <br />nE <br />w <br />a <br />InehedlM lbe pmrblatr or <br />I,T i <br />- liJfVJ 1!'Iplrlrnc• sn mnee.rrewnea nv wr <br />COMMENTS AND EX <br />_'T~-.A?3LF SOLIDS LIMIT <br />?_ " ITORING <br /> <br />APPLIED FOR ~=lOYR,24HR <br />r, ~ ~'I v, ,~- - rr <br />t". <br /> <br />PRECIP <br />- ~ <br /> <br />EVENT- <br />r,) <br />.._ . . , ` . <br />EPA Form 3320-i (Rev 3199? Previous ediLans may be used Th+SiF.a 4-part.COrm. <br />~ ~_ - PAGE Of <br />