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v OL 1.1 ELIMINATION SYSTEM <br /> NATIONAL P CHARGE R G 9 <br /> 01SCNARI NITORING REPORT Approved <br /> QMB NO. ISS-ROO73 <br /> M' —CT COAL (PREP PLANT <br /> Dt. <br /> PO Box 158 <br /> CARBOHLDALK NA <br /> INSTRUCTIONS <br /> L CO 81623 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD,,. <br /> 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> In the units specified for each parameter as approptiala. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXLMUM- <br /> C� <br /> 1211 <br /> permit conditions in the columns labeled"Ho.E.." It non.,enter 110". <br /> C end,XINIMUM'ace extierric values observed during the reporting period. <br /> Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> PER <br /> .ST MIT NUMBER DIS sic LONGITUDE 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7"Is equi v4- <br /> LATITUDE -ruDIE <br /> 120-ZI) 122.231 i24-25) 120-271 128-29) 430-111 lent to 3 analyses perforated every 7 days.) If continuous enter"CONT.- <br /> S. Specify sample typo("grab-or"—hr. composite")as applicable. If frequency was Conti daous, <br /> enter "NA". <br /> REPORTING PERIOD; 711 this form. z 6. Appropriate signature Is required art bottom of <br /> FROM TO <br /> YEAR MO DAY Y DAY YEAR MO 7. Remove carbon and retain copy for your records. <br /> S. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> 112-1171 <br /> t64-cuu 164-701 I. <br /> (3—d only) - .--- I <br /> 0 ANTITY (4::rd only) CONCENTRATION FREO <br /> I I i o".1 UbNCY <br /> PARAMETER (as-451 (46-53) 13 bi ("-53) 161-1 1.2-03; OF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS NO, MINIMUM AVERAGE MAXIMUM UNITS ND. <br /> EX ANALYSIS" TYPE <br /> X <br /> FLOW IN CONDUIT REPORTED <br /> t -t, PERMIT MGD mGD <br /> L"d Sir It 5 0 CONDITION 1/7 IN <br /> REPORTED <br /> L SO IIDS9 TOTAL DI SS <br /> -ri (D I SSILVED) :4�c — - HG/L� <br /> G D A-V <br /> GR <br /> PERMIT <br /> 7�'3!K 0 it V It <br /> REPORTED <br /> SOLIDS9 TnTAL SUSP <br /> (SUSPENDED) <br /> PERMIT K G y M6/1- <br /> -SD-", <br /> C,- <br /> It 0 /* 1/90 CO <br /> CO"DITION <br /> TPO Fr) <br /> IN 9 TOT At..(AS REPORTED <br /> r <br /> PER-T KG/DAY MG/L <br /> I-CONDITION <br /> o..IT 1 014 a 1/90 CO <br /> PH IF 1!:LD REPORTED <br /> SUP, <br /> SO <br /> 9.0 1/90 GR <br /> OIL & GREASE9VISUAL REPORTED <br /> PER..T <br /> A30)2 C0.06"ON <br /> V1 3. <br /> kIa; <br /> REPORTED <br /> PERMIT � <br /> C.O.01 TION <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> I rer"Ify that I am familiar with the information contained in this <br /> ExECU I Iva VICE P9jE5iOEN1- report and that to the best at my knowledge and belief each Info, <br /> -7 1`8 station is true, complete and accurate. P RINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY F.FFT.C.R OR AUTHORIZED AGENT f. <br /> lia, EPA Form 3320.100-72) <br /> ORIGINAL PAGE OF <br /> 003 IS SETTLED MINE WATER FROM COAL BASIN MINE ANY SINGLE GRAB CANNOT <br /> EXCEED 45 MG/L FOR TSS <br />