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+` NATIAL POLLUTAr HARGE ELIMINATION SYSTEM <br /> ON9ISCHARG�iITORING REPORT epP'n.ed <br /> ~a NO. 150-M073 <br /> j P-CT CC'%:(. (PREP PLANT <br /> ik'r''BiI�I F. <br /> INSTRUCTIONS <br /> CO A 1 6?3 -, 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> j! 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> a•a la•lal ur•Ial in the unIla specified for ouch pnrameter as appropriate. Da ❑ot enter valuew to boseo containing <br /> -.— asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> j and"MINIMUM"are extreme values observed during the reporting period - <br /> :'1 t 0 396 121 1 ; 3• Specify the number of anslyzud samples that exceed the maximum(and/or minlmuto as appropriate) <br /> >T •PERMIT NUMBER DIS SIC LAT{TUDE LONGITUDE permit conditions in the columns labalcd"No. Ex." If none,enter"011. <br /> q. Specify frequency of anslysie for each parameter as No. analyses/No. days. (e.g., 1131711 Is equive- <br /> tan-:u Ia:-:r» laa-aa Ia•an ua-:al lao-au lent to 3 analyses performod every 7 days.) It continuous enter"CONT." <br /> S. Specify sample type("grab"or"_hr, coropoclte")as applicable. If frequency was continuous, <br /> enter"NA". <br /> REPORTING PERIOD: FROM I� 1 TO 79 1 J 1 6. Appropriate signature in required on bottom of this form. <br /> MO DAY YEAR NO DAY 7. Remove carbon and slain copy for your records. <br /> 8. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> 5 <br /> _laws» _ _ le..an (0s:ra) <br /> T (9 urd only) QUANTITY (4 card antr.) CONCENTRATION FALQUENCY <br /> PARAMETER oa'. I IM.ny SAMPLE <br /> iss•su lea•es�laa•eaI r./a•Mal _ ._ie.�a u.- -- Iabaa Of <br /> MINIMUM AVURAG! MAXIMUM UNITE— EX• MINIMUM AVERAGE MAXIMUM UNITS E%• ANALYSIS TYPE <br /> (�� Cr):'•Illl) T REPORTED - •-- i0 Zen M l� Y -# tl i}`Ii tl lF _� __, ��, W-• Iu - <br /> I I r <br /> i',f PERMIT MOD 11GD <br /> •'-�'• CONDITION # # N # # # # ii R N Y 11 ii # # # # Y _ 1/7 IN <br /> - - - -- p` - <br /> LIbS, T0T`)L DIES R«PORTED p p Y # # N R # p p # # # # q (t �y/'J�� # II tF # O 1ho G-p- <br /> (''1�;S-.LV�A;) KG/DAY - MS/L <br /> CJND.TION -- —r-p--- <br /> PERMIT Y h # W • F 11 # # # U # # # # M # # # # # # li iG 1i9.0 GR <br /> -. TI <br /> ?LIi!Sa TPTaL SUSP REPORTED' ♦` * Is it # It 0 * A ii +: # if # a p # # +► R 4 ( O I:hO G0 <br /> KG/DAY -- MG/L ----- --- <br /> i PER/.IT ' <br /> i •rI..II CONDITION * # w tk # to If # # # # # # M #' M tl # # q 30 1/90 CO - <br /> -- .' Y,,TOTAI_IAS Fi ) RXPORTKO R * # ii # # 1! A # # # - # # « #- naZZ n.ZZ. 0 1! co <br /> `f PERMIT - . KG/DAY MG/L' <br /> 1 ,a cDNolnoN +► # # w # # # # q # # • +� 3s5 7a^ 1/90 CO <br /> 3r'r f'I L(, REPORTED # a # x # # 4 # # o # a7 8e 1 # # # # @•3 U iIQG CsR <br /> PERMIT SU SU <br /> il CONDITION R' # M ♦< tl N # A * ii # * Etas M # # # 9eC. ` 1/90 OR <br /> f�i?�..•'1 eVISUCi RePORTEo Y• W O ii 11 q it # Y p Y # it R # i} Y # p d ilgV^ a <br /> I~ I 1 PERMIT <br /> GO NDI110N <br /> It 10 1/90 VI <br /> !. REPORTED <br /> ,I PERMIT <br /> CONDITION <br /> R4FOR'rao <br /> PERMIT _ — ---_--- <br /> - CONDITION - <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICi.R DATE <br /> 7 e (�y`_c '-'-'- I certify that f am familiar with the Information contained In this ' <br /> �• Cbl%�7 .l ot1 Al tT g U•.c„Ar•��K T Q report and that fo the beat of my knowledge and belief such Infor1711 malion is true, complete,and accurate. SIG ATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE NO DAY OFFICER OR AUTHORIZED AGENT <br /> t EPA Farm 3370.1110.A - <br /> PAGE Of <br /> 4r ORIGINAL 1 1 <br /> 6U5 IS SETTLED NTI'1F WATER FROM LoSa WOOD MINE 93 ANY SINGLE GRAB CANNO <br /> t T cxCeED 45 MG/L FOR TSS <br />