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NAI"ION AL HOLLUI AN I UIbI HAHUt CLI/nlNA I IUN by I tM '�rrm Approved <br /> DISCHARGE I ORING REPORT fit rvo. 158•R0073 <br /> WfD—CT COOL (PREP PL01T <br /> PO BOX 158 <br /> CARBI)NI1,ALE INSTRUCTIONS <br /> 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> i L CO 81623 J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> in the unite specified for each parameter as appropriate. Do not enter values in boxes containing <br /> tz•a 14-161 117-1al asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM' <br /> and"MINIMUM"are extreme values observed during the reporting period. <br /> PIT <br /> QG,139 I f• 1 11 3 Specify the number of analysed samples that exceed themaximum(and/or minimlml as appropriate) <br /> fpermit conditions in lha columns labeled"Nu. Ex." 1[none, enter"O". <br /> PERMIT NUMBER DIS SIC LATITUDE LONGITUDE q• Specify frequency of analysis for each parameter as NO. analyses/No. days. (e.g., "3/7" Is equiva- <br /> lent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> 120-811 123•23I 124•261 426.211 t2e.391 130-311 S. Specify sample type("grab"Or"-hr. cOmposita")e9 applicable. If frequency well Continuous, <br /> enter NA". <br /> REPORTING PERIOD: FROM 9 110 . 1 TO 0 1 1 6. Appropriate signature is required on bottom of this form- <br /> REPORTING Remove carbon and retain copy for your records. <br /> YEAR MO DAY YEAR MO DAY S. Fold along dotted lines, staple and mail Original to office specified in permit <br /> • 164-601 16a•701 <br /> ua•n1 <br /> (3—Manly) QUANTITY (4`a`donly) CONCENTRATION FREQUENCY SAMPLE <br /> 18tl•t61 1tl6.6]I (6M611 16 i-6l11]6.661 Itl6•a91 166.611 16]O. Df <br /> PARAMETER NO. TYPE <br /> I ! MINIMUM AVERAGE MAXIMUM UNITE EX MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br /> FLO'•i IN CONDUIT REPORTED # # # q # # <br /> iiGD MGD <br /> f P E RMI T .O q G it # tt ii M # # ii # # t} # # it ti 1/7 IN <br /> S.` 50J50 CONOI TION <br /> SOLIDS• TOTAL DISS REPORTED (} ♦} p it # >% .# O Sl # # *+ it <br /> :LVED) G/DAY MG/L <br /> (DI55- <br /> PERMIT # {} # # # tl {f ♦E {�' {: { ;} M 1Y {} jf # # Q 1/90 GR <br /> 7 3rw CONDITION <br /> SOLIG5+ TOT�+L SUSP REPORTED p g s # q it u w ++ r x # # l # <br /> ` KG/ AY MG/L <br /> (Sr�USPEtJOcD) PERMIT 3Q' 1/90 CO <br /> ;•1j53il CONDITION - <br /> l; 1nONrTOTAL(A$ Fr) REPORTED q yr n O # # +l # # „+ + '� <br /> KG/0AY MG/L <br /> PERMIT # 3.5 7. . 1/90 CO <br /> 01045 <br /> G 0 A JYCONDITION <br /> PFirFIELD REPORTED {t it tl # +► * it q i/ )) _` 1 It#; SU SU <br /> 77-7 <br /> 10470 <br /> CONDITION N O O # #- +► # # # # q iF 6a0 p et 900 1/90 GR <br /> OIL6 GR E.ASEIVISUA REPORTED fit <br /> PERMIT <br /> 10 1/90 VI <br /> •" CONDITION <br /> q It k '� # <br /> AOC:,? <br /> REPORTED <br /> t . <br /> PERMIT <br /> CONDITION <br /> ' REPORTED <br /> PERMIT <br /> CONDITION ' <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE ), <br /> (certify that f am tam/liar with the Information contained in this W <br /> ^ /C�" 7 report and that to the beat of my knowledge and belief such infor- 6 <br /> ��cYES �p�,U P�'c,S��1�T O • mallon fie true, complete, and accurate, SIGN TUBE OF PRINCIPAL EXECUTIVE <br /> I� TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> LAST FIRST MI <br /> PAGE OF <br /> EPA Farm 3220.100.72) ORIGINAL 1 1 <br /> 00?. IS SETTLED MINE WATER FROM BEAR CREEK MINE ANY SINGLE GRAB CANNOT <br /> EXCEED 45 MG/L FOR TSS <br />