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rw NATIONAL POLL UTAN HARGE ELIMINATION SYSTEM •/ <br /> { •'; Di SCHARGlW,li•O RING REPORT G� Approved <br /> M:.D-CT C0,4L (PREP PLANT <br /> PO 8nx 158 <br /> CAPF3(',NDALE INSTRUCTIONS <br /> 1. Provide dates for period covereJ by this report in spaces marked"REPORTING PERIOD". <br /> C CO)52.3 J 2. Enter reported minimum, average and maximwn values under"QUANTITY"and"CON CENTRATION" <br /> u m u to Irr lam in tho units specified for eaph parameter as appropriate. Do not enter values in boxes containing <br /> • w .-- — as erlsks. "AVERAGE" is average computed uver actual time discharge is operating. "h1A%INIUM" <br /> I and"MINIMUM"are extreme values observed during the reporting period <br /> t ( ),)O0395 ;e'= 121 i 3 Specify the cumber of analyzed samples that exceed the maximum(end/or minimum as appropriate) <br /> $T PERMIT NUMBER OI$ SIC LATITUDE LONGITUDE Penult conditions in the colurnnc Labeled"No. Ez:" 1(none, enter"O". <br /> M,. .— 4. eSpecify frequency of analysis for each paromeler as No. analyses/Na. days. (e.g., "3/7"in equiva- <br /> Ixo-n) 1:x•9]1 Iz4•zm I2c•27l (s•x91 t]o•su lent to 3 analyss performed every 7 days.) It continuous enter"CONT." <br /> 5. Specify sample type("grab"or"—hr. composite")as applicable. If frequency was continuous, I <br /> 1 enter "NA". - <br /> f r} c7 6. Appropriate signature is required on bottom of this form. <br /> 1� REPORTING PERIOD: FROM _- -. TO <br /> ,j YEAR MO DAV YEAR MO DAY 7• Rcmove carbon and retain copy for ya:r records. <br /> 8. Fold along dotted lines, staple and mail Original to office specified In permit. <br /> j132-371 -- 10 4•e67 16 D-0a 1 <br /> ,� (3 card only) QUANTITY (4 card only) -- CONCENTRATION FREQUENCY <br /> 136-461 (46.63) 1646i/ _- 162.6E 19 •dal -._-_1b-631 154-611 — �_ OF SAMPLE <br /> PARAMETER '- NO. <br /> 1 MINIMUM AVERAGE MAXIMUM UNITS Ex MINIMUM AVERAGE MAXIMUM UNITS ANP-LYSIE TYPE <br /> EX <br /> ` 1 FI_W11 114 CONDUIT REPORTED � ,7'S 56 7 1/7 fit-- ( ' <br /> — MGO <br /> PERMIT PiuD <br /> S J x 1 N <br /> CONDITION # # # sr # iF ]/( `-— '-- <br /> v :-1_I�)St TI)Ta.L DISS REPORTED --- <br /> (`II�'s?LVFi ) KG/DAY MG/L — - <br /> �� 7.1?'Ir PERMIT # # # # # # # # a IF # # #' # IF # # # # # {:' # 1/'f <br /> CONDITION <br /> S',LJ0S• VJAL SIJSP REPORTnD-- # u # # �F +l u # # n # # tf +: ar # f► # # �.D Ci �J90` C� <br /> ," (cJSr-ENDED) PERMIT KG/DAY !-IG/L --__—_ <br /> t ...:t`)3i` CON D1710N # 3,; ^^ /(){ <br /> +W .."V")910TAi_(Ati rF.) REPORTED # # # # # # # # M # # _----- _. # # # SF 0-00 �6/S V Zfq(} CIO - <br /> - — KG/DAY '� — - MG/L - —_----- - --- <br /> : .'I`_J 41 It, CO <br /> TION -34r5 70 )/t�n CO <br /> REPORTED # # # # # i/ # # # # # >k - �a4' <br /> PERMIT —.. SU Su <br /> -- --- -----.-.__ <br /> V 9 <br /> �i4'(1 CONDITION # # # if # # X• # # # # # be.\) # # # # ali 1/'�l] GR <br /> 3fL. & GPEASF.VISUAL REPORTED # # # if # # # 1F # i it tl --- —# # a # # # # — ,G - -- zI%D-- - Vl <br /> ` - PERMIT <br /> n i)r',2 CONDITION VI--- <br /> ;d REPORTED <br /> PERM,T — _ <br /> I CONDITION <br /> I - <br /> REPORTED <br /> PERMIT <br /> j CONDITION I - <br /> NAME OF PRINCIPAL EXECUTVE OFFICER TITLE OF THE OFFI: eR -�-_ OATS <br /> I p I certify that I Am famtllar with the information contained in this O <br /> jLEit�l$S JocfN IQ �X EG�1�E 1/ft� p�pS/Ur?NT report and that to the best of my knowled3n And bollef such Infnr- <br /> a -7 , 0 / motion is(ore, Compteta,and Accurate. I SIGNATURE OF PRINCIPAL EXECUTIVE <br /> j- LAST FIRST MI TITLE YEAR NO DAY I OFFICER OR AUTHORIZED AGENT <br /> EPA Farm 3320-100.77) 11^^ PAGE OF <br /> Iv ORIGINAL . 1 1 <br /> I <br /> ?n? IS SETTLED MINE WATER FROM BEAR CPEEK MINE ANY SINGLE GRAB CANNOT <br /> EXCEED 45 MG/L FOR TS3 <br />