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NM I IUNML r L,U t MN 1 rlMrl4C CLIMII':h I IUN J451 t,A <br /> QISCHARG�' JORING REPORT -:?rnl Approved <br /> r fI -CT COAL (PREP PLANT <br /> DO 8nx 158 <br /> CARdr);d,)AI_E INSTRUCTIONS <br /> I , <br /> LCO 8?623 1. Provide dates for period covered by this report In spaces marked"REPORTING PERIOD". <br /> J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> I2•g 1,4-1ei uT-Io) In the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is overage computed over actual time discharge in operating. "MAXDAUM" <br /> Ih l _i 0000396 and "MINIMUM"are extreme values observed during the reporting period. <br /> (i V[ 1 21 1 3. Specify the number of analysed samples that exceed the maximum(and/or minimum as appropriate) <br /> ST PERMIT NUMBER OIS SIC LATITUDE LONGITUDE permit conditions In the columns labeled"No. Ex." If none, enter"O". <br /> 4. Specify frequency of analysis for each parameter as No_ analyses/No. days. (e.g., "3/7"Is equiva- <br /> Im-iU 122-=31 124-2ei Its-xY) I2e•¢sl las-sU lent to 3 analyses performed every 7 days.) It continuous enter"CONT." <br /> 5. Specify sample type("grab"or"_-hr. composite")as applicable. If frequency was continuous, <br /> 1 ("g P ) �P q Y <br /> w enter NA". <br /> REPORTING PERIOD; FROM IC 4 1 TO O 7 1 6. Appropriate signature is required on bottom of this form. <br /> YEAR MO DAY YEAR MO I DAY 7. Remove carbon and retain copy for your records. <br /> 8. Fold along dolled lines, staple and mail Original to office specified in permit. <br /> u:•aT) <br /> lee•nel lea•,ol <br /> (1 card only) QUANTITY (�card only) CONCENTRATION FREQUENCY <br /> PARAMETER 138-461 (4e•e3) 1e401t let-sal lee-sm 1ee-031 ten-au (e2-e3 OF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS EX' MINIMUM AVERAGE MAXIMUM UNITS NO EX ANALYSIS TYPE <br /> _ <br /> FLOW IN CnNDUIT REPORTED C? 1/7 IN <br /> PERMIT MGD ;i;. ; MC.,D 54L50 CONDITION q # # # # # # # # q it # 1/7 <br /> IN <br /> ;.)LI )St TOTAL DISS REPORTED <br /> t�ISS''LVED) PERMIT KG/DAY - <br /> 7 3 3)I/ CONDITION 'K # # # # # # # ♦ p #' # # # # # `tF' # # p ♦f' IS <br /> 1/90 GR <br /> COLID51 TOTAL SUSP REPORTED # # # # # u # # # # # # # p !f # # # # # O I/lo CO <br /> (SUSPENDED) PERMIT KG/DAY -- 'AG/L -- _ <br /> CONDITION # a p # s► # # p #.# to # # # # p # # 30 _ 1/90 CO <br /> :NO1J9TOTAt (AS FF) REPORTED a a p rt # # # # a a # # IS # ti•O$ n.6$ f/9di C.O <br /> PERMIT KG/DAY MG/L ---- <br /> )1u45 CONDITION #' # # # 3a5 7*a 1/9n CO <br /> P H 9 F 1 E L 0 REPORTED # k # # # Y # # a # # 7r 7 # a' # 8.1 O I/�Q___ G9 <br /> l <br /> PERMIT SU SU <br /> U i <br /> - rl J CONDITION ♦F # # /i # # {► # # <br /> 60 9ai1 1/yn GR <br /> OIL G.4E`,SE*VISUAL REPORTED # # Y q # # 'Il # {} # # # <br /> PERMIT <br /> A`�JJZ CONDITION # tt # # # # fl # # # # # # # # #' ff # # <br /> _ 10 1/tU VI <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> COt4 DITION <br /> NAME Of PRINCIPAL EXECUTIVE OFFICER` _— TITLE OF THE OFFICER DATE ` <br /> ' [cartl[y f[let!am (emitter with the information contained in th/e <br /> (WatlC-5 _JoI44 A VW—sl or="r $ 7 1 report and that to the best of my knowledge and belle(such Wor, <br /> _ mal/on Is#me, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST _ FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Form 3320.1(10.7Z PAGE OF <br /> 1 1 <br /> 004 IS SETTLED MINF WATER FROM DUTC H CREEK ANY SINGLE GRAB CANNOT EXC ORIGINAL <br /> E ED 45 MG/L FOR TSS <br />