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PERMITTCE E/ADD RESS (Include NATIONAL POLLU DISCHARGE ELIMINATION SYSTEM (. POE.1) ormApproved.Facility Nam `ion iJ diljrrrnr) DISCHAFWMONITORING REPORT (I)AIR) MB No.20d0-0004 <br /> NAME_ M_'—CUNTINLN1 COAL_C_ CUKE_CU_--- (.-lnr (17-19) F — FINAL ApProve/expires 9-30-85 <br /> ADORESS_bUX_158 __________ C00000396 0.2.�Ei SrCT 10 <OR=10YR24HR <br /> CARBONDALE _------ CO 81623— _ PERMIT NUMBER <br /> ---_ DISCHARGE NUMBER <br /> -_- <br /> ---------------- MONITORING PERIOD <br /> EAQ�J—LM------------ YEAR I MO DAY YE�—A�R MO DAY <br /> LOCATION FROM TO 6 i V MINOR <br /> A-TIN: D UU G LA S ti GW MAN ENV L GURU (20-21) (22-23) (24-2s) (z6 z7) (zx-19) (+n-3r) NOTE: Read instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (1845) (46-53) (5461) NO FREOUENCY SAMPLE <br /> >< OF <br /> (32-37) EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (6263) (64-68) (69-70) <br /> PH SAMPLE <br /> MEASUREMENT <br /> OU400 1 0 PERMIT * * *** * 6.5 ***#** 9.0 WEEKL GRAB <br /> —EFFLUENT CROSSEQUIREMENT #** <br /> SOLIDS, StTTLEAbLE SAMPLE <br /> MEASUREMENT <br /> 00545 1 0 PERMIT REPORT 0*5 ONCE/ GRAB <br /> EFFLUENT ,�' A REQUIREMENT * <br /> OIL AND GREASE SAMPLEx� * <br /> FREON EXTR—GRAV MLT MEASUREMENT <br /> 00556 1 O -RPERMIT <br /> EQUIREMENT * * *** ** ** REPORT 10 WEEKL GRAB <br /> EFFLUENT GROSS 1�1 1 ** <br /> FLOW, IN LGNUUIT UR SAMPLE <br /> THRU TREATMENT PLAN <br /> MEASUREMENT <br /> 50050 1 O EFFLUENT CROSS, VA4 REQPERMIT UIREMENT REPORT PORT ###*** ****** *#>ovk *##* WEEKLY INSTA <br /> SOLIUSv TUTAL SAMPLE <br /> DISSOLVED (M(;/L ) MEASUREMENT <br /> 70295 1 0 PERMIT * w ally * **** # #*Iz*** REPORT REPORT QTRLY GRAB <br /> PF -NT -S EQUI REM ENT <br /> 900A AV <br /> OIL AND GREASE SAMPLE <br /> VISUAL MEASUREMENT <br /> 840L6161 1 0 PERMIT R►`PORT ****** ES=1 <br /> EQUIREMENT *** ** **s#*# ###** **# WEEKL VISUA <br /> EFFLUENT T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED <br /> /�-� AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED TELEPHONE D A T E <br /> //////JJJ <br /> r _ , I / ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> V �,•n(//IIr/ i OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION ^. I <br /> IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br /> NH(CANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING <br /> THE POSSIBILI7Y OF FINE AND IMPRISONMENT SEE 1B USC 4 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 33 uSC S 1319 rp.•nalfu•. —d.•r fhr..• ..ran.n•. ma. nu lud.•/au•. up n. Aln nnn -! <br /> TYPED..OR..PRINTED - - __ _ —1 n.. --,—P1I. ',-- r„/h,urr,•n 6 m rifh,and i.Ear.r _ _ OFFICER OR AUTHORIZED AGENT-- AREA <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (RrJrrrncr alf urha bnrrnn lrrrr) NUMBER YEAR MO DAY <br /> IF NIj DISCHARGE UCLURS REPORT "NU UISCHARGEN.SALI1411Y SHALL ESE MEAS.AS TDS=70295, MG/Le <br /> OSG NOW 2 PRAM.NU SHtEN:b4U66=0j556=0.A SHELN:84066=11556=GRAt3 SAMPLE , <br /> EPA Form 3320.1 (Rev. 10-79)PREVIOUS EDITION <br /> IS EXHAUSTED D (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) U Ub ES 4}/1O U6 f'S6—I646 PAGE 1 OF <br />