1987-12-01_PERMIT FILE - C1981017 ‎(180)‎

• Permit No: C1981017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/1/1987
• Doc Name: Mine Discharge Monitoring Reports
• Section_Exhibit Name: Chapter III Appendix III-E-4
• Media Type: D
• Archive: No

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• { NATIONAL POLLOTANO'HARGE ELIMINATION SYSTEM Approved
DISCHARGE moNITORIHG REPORT
OMB NO. 155-M073
r m10 — r-T coAi- (/ uMH CWWAIE) r�i
(Po [3c�yC 158
� C/ER�ouPAL�
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INSTRUCTIONS
1. Provide deter for period covered by this report In spaces marked"REPORTING PERIOD".
J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION"
Ix•Ir _ I4-1m 147.141 In the units specified for eseh parameter as appropriate. Do not enter values In boxes containing
asterisks. "AVERAGE" Is average computed over actual Lime discharge is operatin& "MAXIMUM"
and"MINIMUM''are extreme values s during the reporting period
� d O C I I2I I & Specl fy the number of analyzed samplele that s that exceed the maximum(and/or minimum as appropriate)
ST PERMIT NUMBER OIS M LATITUDE « LONGITUDE Penntt conditions in the columns lab.lcd"No. Ex." If none, enter"O".
4. Specify frequency of analysis for each purantetet as No. analyses/No. days. (e.g., "3/7"to equlva-
.� Ito-2u 422-24l 12+-26) 12e-27) 1ze•ze) fw•au tent to 3 analyses performed every 7 days.) If continunus enter"CANT."
S. Specify sample type("grab"or"--hr. composite")as applicable. If frequency was continuous,
I enter "NA".
';- REPORTING PERIOD: FROM d ? TO 7 n t7 ! 6. Appropriate signature is required on bottom of title loon.
`3 7. Remove r:arbon and retain copy for your records.
_# YEAR MO DAY YEAR MO UAY 8. Fold along dotted lines, staple and mail Original to office specified in permit.
Y 132.37) 144-eel tea-70l
(3 card only) gUANTITY (s card only) CONCENTRA'f10N FREQUENCY
198-+91 14e-431 1a"11 IeLe.7 14e•4a) 140•a4) 1a4`e 11 1o2•e1'
PARAMETER --
SAMPLE
— --- - CF
MINIMUM AVERAGE MAXIMUM- UNITS= NO- MINIMUM AVERAGE MAXIMUM UNITS 11 ' l'YPE--
EX ANALYSIS -
FZ-oW 41171; Renon7aD -- --- ---- — —
C 0 Al CTA;4 5 ADa y - -- -- --
PERMIT
�1ca CON OI 710N
REPORTED
PERMIT
.',� QQLfpd CONDITION
REPORTED
PERMIT -.--- �lJ L •--�
—_- CONDITION
I ��N S TaT�I e`FE REPORTED 7
I I
PERMIT
✓�1'".T� CONDITION
WL-GR.RSIE ---ro T"14L REPORTED /
C/ PERMIT
6 0 SV c- CONOI TION 1
1
7'L)4043I01 r y REPORTED !
PERMIT _
CONDITION 4
-1 REPORTED
1
- PERMIT 1
CONDITIONI
t
REPORTED {{
i77
PERMIT
1 CON OI TION l'
NAME Of PRINCIPAL E%ECUTIVE OFFICER TITLE OF THE OFFICER DATE
----
---' —' f certify that f am familiar with the Information contained in this
A retlart and that to the beat of ray knowledge and ballaf such infor-
���VE5 Jo t{Il) 14 gx xX6710E VICE Pr1-CSjP-NT mation is into, complete,and Accurate. SIGNATURE OF PRINCIPAL EXECUTIVE
LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT �.
EPA Form 3330A(10.77) PAGE
OF !
fl
ORIGINAL