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NATIONAL POLLUTANT MARGE ELIMINATION SYSTEM / <br /> f OISCHARGEWTORING REPORT ` 010. <br /> rrt <br /> COAL (PRI-P PL,NT n� <br /> 00 <br /> !r' <br /> ? CAF.Bii IfsALE � " INSTRUCTIONS <br /> r/ <br /> { L' CO -k:623 1. Provide dates for period covered by this report in spaLaa ma.$ed"F.EPORTIUG PERIOD". <br /> 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> jtz•al IA-Ie) 117-I91 in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> eaten sk s. "AVERAGE" Is overage cumputed over actual time discharge is operating, "MAXIMUM" <br /> ' and"MINIMUM"are extreme vd.ur.s observed during the reporting period. <br /> C..395 <br /> (F I I 11 1Spec.fy the number of analyzed samples that exceed the Maximum(and/or minimum appropriate) I <br /> LL- 1 <br /> qSTERMIT NUMBER D1S sic LATITUDE LONGITUDEpermitconditions in the columns labeled"No. Ex." If cone,enter"0". <br /> 4. Specify frequcnry of analysis for each parameter as No. analysis/No. days. (e.g., 113171,to uquit-a- <br /> 1]a.2r1 422-231 124-2e1 120-II71 128-291 (30.3U . lent to 3 analyses performed every 7 days.) If Continuous enter"CONT." <br /> I S. Specify sample type("grab"or"_hr. composite")as applicable. If frequency was continuous, <br /> a REPORTING PERIOD: FROM 3 '.'4 1 f• enter NA". <br /> _ TO G 7 1 6. Appropriate signature la require)On Ixlitom of IF.ia fora. <br /> YEAR MO DAY YEAR MO. DAY 7. Remova carbon and retain copy for yuur records. <br /> 8. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> i132.37) <br /> (3—donly) QI.IANTI TY �(a card only) F-'---` m.1-eel Iea•7oI <br /> 13e-.LI 4ee-33I 1es-e lI In Z,e, CONCENTRATION FREQUENCY <br /> PARAMETER .113e-aL1 14e-SM _ (s•-em 163-e3I OF SAMPLE <br /> MINIMUM AVERAGE—' MAXIMUM UNITS EX. MINIMUM AVERAGE MAY.ItRUiA UNI YS NO. TYPE <br /> ANALYSIS i <br /> FLO'i IN C(N00Ij REPORTED (� I • 3 1 CYJ SV if G # Yr {f 1f If IF If 4f 1} 1/7 r IV <br /> ' PERMIT :MVO MGD _-- <br /> 5'•1 iOJ CONDITION St # It 7/7 IN <br /> �;`LTDS3 TOT4.L DISS REPORTED <br /> 15,73 672 72 2 o <br /> MISS:.'LVED) --.— ---- — -- K3/Dry — w+G/L —PERMIT <br /> 7.,.l:I ij CONCI TIO!1 # # * # # # # # # +i # # # # Y # it # # # G ► # # <br /> j 1/7 GR <br /> SCI.T:JS► TorAL SIJSP REPORTED CO <br /> t�t15PFiVCEO) PERMIT KG/DAY MG/L --- <br /> - }}� .. '�L•.�t.' GONDI TION # # # # It # N it # 1} A it # It # # # G I? 'il' 30 1/7 CO <br /> l.4J:y,lOT4L(PS FF) REPORTED It R # # # # # # # G It Qr 7J 117 CO <br /> PERMIT KG/DAY — FtG/L _ <br /> 4; CONDITION # a # # n # u # t # +f It a G q 3e5 7e, 1/7 CO <br /> P`ir%I%LC1 REPORTED a # # # q # # # # D # # B.O # u # — 8 C� i -- <br /> "� 17 <br /> F ERMIT SU — "---— — SU - <br /> 1i 4)V CONDITION R G # tr # I # # # # # # <br /> OIL 6REASE9VISUAL REPORTED ,� ;� # # # b CD B ►17 V/ <br /> I PERMIT ---"----'— <br /> i CONDITION # # Q C' # G # it iV {} # # it # 1I C {} if II' G 1() 1/7 VI I <br /> REPORTED <br /> \I <br /> PERMIT } <br /> CONDITION <br /> REPORTED <br /> { CONDITION { <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICE.: DATE <br /> �"`-' -- —" I certify that I am familiar with the information contained In this <br /> c <br /> frII.rSC+JTI(/a' wt'_Z} P?:, If>wru/ report and that to the has[of my knowledge and 6aflof such lnfor- <br /> 63 <br /> 7 �__ <br /> t - / .._A.-.- mation is true, completa,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY -__ OFFICER OR AUTHORIZED AGENT i <br /> EPA Form 3320.100-721 . PAGE OF <br /> i ORIGINAL 1 1 <br /> 001 IS TRCA.TFO Y,.,'?O 6 DISTRIBUTED A RFA PUNOFF FPom COAL PREPARATION PL <br /> ANT ANY SINGL-_ GkAb Ca+ NOT EXCEED 45 MG/L FOR TSS <br />