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v <br /> { •� NATIONAL POLL UT GM' CHARGE ELIMINATION SYSTEM <br /> RISCHARG' iITORIHG REPORT rm Approval <br /> • .xa NO. 1SS-ROO73 <br /> [ATFj-CT COAL (PRF.P PLANT <br /> 3 w► <br /> PO PDX 158 <br /> a <br /> CARBONDALE INSTRUCTIONS <br /> y <br /> L CO 81 b23 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 appropriate. Do not enter •values in boxes containing <br /> tz u tw i.l In lol <br /> j" asterisks. "AVERAGE" is average computed over actual time discharge Is operating. "MAXIMUM" <br /> and"MINIMUM" are extreme values observed during the reporting period <br /> `I C00039b 0) 121 3. Specify the number of analyzed samples that exceed the maximum(end/or minimum as appropriate) <br /> — permit conditions in the columns labeled"No. Ex." It none,enter"O". <br /> ST PERMIT NUMBER DIS SIC LATITUDE LONGITUDE y frequency y P y ( �., "3/7" is equiva- <br /> 'J 4. Specify tre uenc of analysis for each parameter as analyses/No. days. e. <br /> I I2t1•au Iaa•aal la+•ael 126•271 126•201 (50•31) lent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> S. Specify sample type("grab"or'_hr. composite")as applicable. If frequency was continuous, <br /> !pp enter NA". <br /> Y REPORTING PERIOD: FROM 9 r 1 1 TO 79 4 1 6. Appropriate signature is required on bottom of this form. <br /> YEAR MO DAY YEAR MO DAY 7. Remove carbon and retain copy for your records. <br />'s 8. Fold olong'dotted lines, staple and mail Originid to office specified in permit. <br /> 1 a a•9n <br /> (9 card only) f4 card only) IaUEN AMP of <br /> _ri ' QUANTITY CONCENTRATION FREQUENCY <br /> '3 PARAMETER 1aa•+m 14e•e31 ia+-au mz�a9�19e•+m Ice•aaI i9+•au Ie2•an OF SAMPLE <br /> NO. <br /> ii MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> FLOW IN COMMIT REPORTED # It # # # u # +► +s # it # <br /> t r MGp MGD <br /> t PERMIT it # #,. a, {t # fI # # . # it it ;l- # It # n it it {} {}' # 1/7 IN <br /> m)t7 t' CONDITION r . <br /> SGLIi)59 TOTAL DTSS REPORTEDHG <br /> PERMIT <br /> It It I it <br /> CONDITION 1/71/90 GR <br /> TOTAL SL1Sr REPORTED # !► IS # t # lY' # 1�}' # tS' fI' ;l' <br /> (SUSPENDED) PERMIT 6/DAY MG/L <br /> t153, CONDITION % # # # # ;} A- # 30 1/90 CO <br /> 1�Vf!ITOTAL(ASFic) REPORTED # # # i} �(• ;f {� q # it <br /> tk KG/Da MG/L <br /> PERMIT .5 7.0 1/90 CO <br /> :!1 V 45 CONDITION <br /> rJH9FIELF) REPORTED —# # # 1t it # A +► # # it it - <br /> SU Su <br /> 04 L CONo IT #. # # # # @ b.. # # t 9.i) 1/90 GR <br /> OIL 6 GREASE9VISUAL REPORTED <br /> :.r <br /> u PERMIT' # N # # # it it fi iI It # tt' to # # # it �' # <br /> N , AJi'l2 CONDITION 10 1/9() VI <br /> k <br /> •� REPORTED <br /> ,l PERMIT <br /> 7 CONDITION <br /> yyy4yyy <br /> REPORTED <br /> ry PERMIT <br /> CONDITION <br /> G <br /> ` NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> 1 certify that 1 am familiar with the information contained in(hisuJ <br /> I b P i F_VAS 10 rt tj t] �Q C— tnj�(�,?-- .�••� b G� ^Y sport and that to the best of my knowledge and belief such infor- <br /> (l 1 " L v mation is flue, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE IYEAR MO DAY <br /> OFFICER OR AUTHORIZED AGENT <br /> EPA Form 3320.1 00.72) - <br /> PAGE OF. <br /> ORIGINAL 1 1 <br /> 005 IS SETTLED M114E WATER FROM L.S. WOOD MINE 43 ANY SINGLE GRAB CANNO <br /> $ T EXCFFD 4�; i9G& FOR TSS <br /> ,t„s <br />