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NATIONAL POLL UTA' ELIMINATION SYSTEMDISC11AR4,0HAR.l <br /> 1'TOP.ING REPORT ;)proved <br /> !Se-ROO73 <br /> p•!°.;:,�r,T CO,%L (PREP PLANT <br /> '10 hOK 158 I <br /> INSTRUCTIONS <br /> t: <br /> I. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". f <br /> 4. Enter reported minimum,average mid maximum values under"QUANTITY"and"CONCENTRATION'. <br /> } I2•y l+-le) uT•ml in We units specified for each parameter as appropriate. Du not enter values In boxes containing <br /> esteri Gks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> q21 ed"MINIMUM"are extreme values observed durh;g Uie reperUrtgpericci <br /> 3 Specify tho number of anal zed samples that exceed the maximum(end/or minimrml as appropriate) <br /> PERMIT NUNEER DIS LATITUDE LONGITUDE permit conditions in the columns labeled"Nu. Ex:" If none,enter"O". <br /> 0• Specify freyuericy of analysis for each parameter as No. analyoes/No. days. (e g., "3/7"fee /va- f <br /> i 120.211 122.2e) 12+•2N 120•271 120•2.1 (30-a0 tali to 3 al.aiyeea performed every 7 da)'G.) If continuous enter"CONT." <br /> 0ecifY sample type("grab"or"_hr. compoatte")as applicable. If frequency was continuous, <br /> ' REPORTING PERIOD: FROM A 1^ 1 <br /> enter NA". i <br /> TO �9 all .I form. <br /> 6. Appropriate signature is required on bottom of this fo . <br /> �` YEnR MO DAY YEAR MO DAY 7• Remove carbon and retain copy for your records. <br /> 8. Fold along dotted lines, staple and mail Original to office specified in permiL <br /> t 18Y•L:1 U+•081__ (aa-Tot(3 cud aniy) QUANTITY (4 told only) CONCENTRATION —_l ae•+m "A-s» _ �eae li rot•u ue-+u 1N•N �eaeu FREQUENCY °.J PARAMETER -- — —, -_ le:•ea OF SAMPLE <br /> MINIM1IM AVERAGE MAXIMUM UHiYS EX MINIMUM AVERAGE MAXIMUM UNITAO. ' NO' TYPE <br /> �_�— �..._ �_. - - _ _ EX ANALYSIS= ..-_ Sff.. <br /> CO!kl-)UI I REPORTED * M # # # # # # # # p IS �— <br /> I F PERMIT ��GIJ jl <br /> 5r' CONDITION � # # # # � # # fl # � # Al #-# # # # p # # O R MG ).// IN R <br /> "`l Ti)S• T( T;L OISS REPO RT HO # # # # * # it AIL1.1 # IS <br /> U , ,S%LVF )) <br /> y. PaRM,T GlUAY "� --'— -- MG/L <br /> 7 (1 CONDITION I/90 GR <br /> [ i C RCPORTHD <br /> I-[��;• Tr;TaL i,.1UP # # is # # # a tc u # # # a ;► +► <br /> PERMIT KG/VA Mf,/L , <br /> CONDITION # +f # O +► # # # p # is q #' # # 30 i/90 CO <br /> ' } 0''9 I OTAI_ (p,1 f�..) REPORTED <br /> PERMIT KG/ Y HG/L { <br /> T C•r. CONDITION # '1 # k # # 1.• # # s1 # # # p SI ♦f # 7•O ::9� CO 'E <br /> E <br /> Y — <br /> I'FI,FI;_L!) REPORTED R It <br /> P ERMI r U <br /> C y SU <br /> ONDITION 9.06 `.. <br /> _ I/90 GR ' <br /> IL 6 G!E,`+ E t V I SU) L REPORTED # # # # # +► # # # # # p # # * tr p # # <br /> f` .PERMIT --- (� <br /> A:' <br /> 'r i'V� CONDITION # is td IO ff I/9q Y't <br /> I d <br /> L - REPORTED <br /> PERMIT <br /> I CONDITION <br /> REPORTED -'--_ ---• L� <br /> PERMIT <br /> CONDITION LL <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE Cr THE Oi FIC:R OATH <br /> I codify that I am familiar with the infom:ation Contained in this <br /> lA" VA E-S,)bG NT � G�� � ��p report and that to the beat of my knowledge and f2ofle(such lnMr- _ f, <br /> LAST FIRST <br /> motion to true,complete,and accurate SIGNATURE OF PRINCIPAL EXECUTIVE !'_ MI TITLE YEAR MO DAY motion <br /> OR AUTNORIZEO AGENT Y <br /> EPA For.3740•I(10.72) PAGE OF <br /> 003 IS SETTLFD (411grr WATER FROM COAL BASIN•MINE ANY SINGLE GRAB CANNOT oatclNAL 1 1 ; <br /> cXCEF-.) 45 _MG/L Fitt-TS� <br />