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NATIONAL POLLUTANT-- HARGE ELIMINATION SYSTEM //+t <br /> DISCHARGE ITORING REPORT �al Approve) <br /> • . *a NO. 158-R0073 <br /> CARa4'fFIALE INSTRUCTIONS <br /> r-`•� j,6?3 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 /> Ia•m 16 Im n7-Isl in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" Is average computed over actual time discharge in operating "MAXIMUM" <br /> p and"MINIMUM"are extreme values observed during the reporting period. <br /> P( !J }0 f7 3 3Ei ) I I Z 11 1 Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> I.T PERMIT NUMBER DIS SIC LATITUDE LONGITUDE permit conditions in the columns labeled"No. Ex." If none, enter"O". <br /> 4. Specify frequency of analysis for each purameter as No. analyses/No. days. (e.g., "3/7' is equiva- <br /> 1aD-2u f22•231 lama fad-271 tas-sal (ao-sn lent to 3 analyses performed every 7 daya.) If continuous enter"CONT." <br /> 5- Specify sample type("drab"or"_hr. composite")as applicable. If frequency was continuous, <br /> enter "NA". <br /> REPORTING PERIOD: FROM B 110 i�1 TO 79 t%1 91 6. Appropriate signature is required on bottom of We fond. <br /> VEAR MO DAY YEAR MO DAY 7. Remove carbon and retain copy for your records. <br /> B. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> 142-071 166•e61 lea-7a1 <br /> (3 catd only) QUANTITY (4 card only) CONCENTRATION FREQUENCY <br /> lee-661 166.6a1 lee•611 fe2-03 166-4N I66-sal Ia1.61i _162•631 SAMPLE <br /> PARAMETER NO. !- NO. OF <br /> MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> F I.a,; j i 1 C(I l)t!IT REPORTED <br /> MF. MGD MGD <br /> PERMIT # # w # # # # # # w Y 1• # # A # ♦y # # # ft <br /> 1. F 7/7 IN <br /> . CONDITION <br /> L[!•�f T^T"L GISS REPORTED <br /> PERMIT DAY MG/L <br /> _ <br /> - 3 CONDI TION Y tf �} w ff w IF # # # iF' ♦♦' # # # # # 1/7 GR <br /> i _ <br /> T0T�-L SUSN REPORTED # k w II ittt- <br /> ",i1>�Fn;;IE!i) &DAY MG/L <br /> f` <br /> PERMIT 30 1/7 CO <br /> CONDITION # # ti' ♦f # tf w w li # w # <br /> it' ;I'Ohle l'OTAL CAS F=I REPORTEDW,- KG/DAY <br /> —PERMIT c t MG/Ll(4 CONDITION # 5 " Tall 1/7 CD <br /> REPORTED1,PERMIT4;.,, CONDITION w w # # # 0 # # 6 () O' * # # 9a11 1/7 GR <br /> REPORTEDPERMIT? CONDITION # # w # # # # w p fF p #' # 10 1/7 VI <br /> REPORTED <br /> I A PERMIT 777 <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> .� CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICGq OATS -� <br /> : - f certify that f em familiar with the information contained In this <br /> t,rcVES JC i+/V R R% or=Atr 7 a f , report and that to the beat of my knowledge and belie(ouch Infor- <br /> _ mation to true, complete,and occur&#& SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Farm 3320-1110.72) PAGE OF <br /> ORIGINAL 1 I <br /> 001 IS TREATED YARD & UISTRIRUTED A RFA QUNOFF FROM COAL PREPARATION PL' <br /> ANT ANY SINGLE GRAB CANNOT EXCEED 45 MG/L FOR TSS. <br />