Laserfiche WebLink
NATIONAL POLLUTAU-1. DISCHARGE IFLIMINATION. SYSTEM <br /> • DISOIARC 4ITORING REPORT <br /> W!"';IJ PL!,Ajr <br /> INSI'RUCTIONS <br /> A 1 fir 3 1. Provide dates for period covered by this report in spnc,s -I-i:!Poj,'i INC: <br /> 2. Enter reported minimum, overage and maximum values wmd,, i,I!A ,,i I'C"i-A <br /> in the units specified for each puramelet as 1), 0!., val,•s I., ;!,if", <br /> asterisks. AVERAGE" Is average computed over wtual w. <br /> 3 3. Specify the number of analyzed samples that exceed the Co, ;,iw—=o. <br /> ad"MINIMUM" are extreme values observed during the <br /> permit conditions in the columns Labeled"No, Ex." if <br /> S T NUMBER <br /> DIS sic LATITUDE - 4. Specify freqtioncy of analy at a for each parainete, as No. Io-i d-,s. (,g., -3/7 .,iva- <br /> I ZD-111 122.231 424-25) 426-27) I20-200 130.310 lent to 3 analyses performed every 7 days.) if continuous rw,2, "C-f ,.1 <br /> S. Specify sample type("grab"or 1�—hr. composite") 1. al,;Ai;:-1- 11'frequency wu,.-viinuous, <br /> :.17 f.1 enter "NA". <br /> REPORTING PERIOD: FROM TO Appropriate signature is required on bottom of this form. <br /> TE7. Remove carbon and retain copy for your records. <br /> .R MO DAY I <br /> 432-571 8. Fold along dotted lines, staple and mail Original to office!,j-, ii-I I,,permit. <br /> (3 card only) QUANTITY (4 card only) ........ <br /> CONCENTRATION FRLQUE.14 <br /> PARAMETER 458-451 446.53) ------- OF Cy SA11PL.E <br /> MINIMUM AVERAGE MAXIMUM UNITS NO. MINIMUM AVERAGE MAXIMUM UNI TsII 1 y, <br /> EX A14AL ijS T111 <br /> REPORTED it I� <br /> PERMIT C If III, <br /> ONDITION A it it 6 'k 4 <br /> J <br /> ----------- <br /> REPORTED R ItIII it U <br /> PERMIT KG/GAYC It III <br /> ONIA TION 0 it # it it I, tt <br /> SIJSI:- REPORTED It 4 0 a # # a # # # It <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> U) fir 10 it <br /> KG AY <br /> PERMIT ;1L <br /> CONDITION <br /> 7. <br /> it <br /> L I REPORTED <br /> PERMIT <br /> I <br /> C <br /> O.D.TION it it 14 )k a It It IF 9 <br /> T L. 9 V I I REPORTED It it 41 re,,.r- <br /> PERMIT <br /> CONDITION It It 14 it it It <br /> PERMIT <br /> REPORTED <br /> COMOI 11ORI <br /> REPORTED <br /> PERMIT ------ <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> I.w — I certify that I am familiar HIM the Intomaiion contained in this <br /> G w tv i r 810; /10 report and that to the beat of my knowledge and belief such infor- <br /> mation is true, complete,and accurate, SIGN A to 1'L OF PRIUCIPAL <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AU rk-10RIZE11 AG <br /> EPA Fa,.3320.100-72) <br /> PAGE OF- <br /> ORIGINAL <br /> ','f7-r TLE0 I-,f1.4F l ATER FROM 8FAR CREEK MINE NE ANY SfNGLE GRAN CANNOT <br /> -XCEFO 45 -10/L. F,"�! TSS <br />