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NATIONAL POLLUTANT ARGE ELIMINATION SYSTEM ppmvsd <br /> DISCHARGE,00RING REPORT o o. (sg-xou73 ! <br /> gg �; <br /> J � <br /> 14fD—CT COAL (PREP PLANT <br /> PO Bnx 158 t� <br /> i CARBi;NDALE INSTRUCTIONS <br /> L I.� 91 hi3 1 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 /> I2•al lalm IIT•ral asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> rl end"AUNIMUM"ere extreme values observed during the reporting period. <br /> (%Q 39n C:f I 1 I 1 3. Specify the number of analyzed samples that exceed the maximum(end/or minimum as appropriate) 1 b <br /> 1 ST PERMIT NUMBER DIS SIC LATITUDE LONGI`NUE peril conditions in the columns labeled"No. Ex-" If none,enter"O". <br /> 4. Specify frequency of analysis for each parameter es No. analyses/No. days. (e.g., "3/7" is aquiva- <br /> (2a-2U 122.23) 122.26) 126.1r1 IPe 291 (W-311 Ieni to 3 analyses performed every 7 days.) If euntinuoue enter"CONT." <br /> j -- — 5. Specify sample type("grab"or"_ht. composite")as applicable. It frequency was continuous, <br /> y $ f 7 1 7d Ill (1 enter "NA". <br /> REPORTING PERIOD: FROM TO _ b. Appropriate signature is required r y bottom of this form. <br /> YEAR MO DAY YEAR MO DAY 7. Remove carbon and retain copy far your records. , <br /> 8. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> j 132.371 ___ le 4•etll lea-]ul <br /> ;1 (9 csrJ only,) r (I card only) <br /> QUANTITY CONCENTRATION — FREQUENCY <br /> Ue•531 164611 162-631136•eel (46.53) is.-6n 16.6 21E SAMPLE <br /> PARAMETER _— •— NO. .—_ NO. OF <br /> MINIMUM AVERAGE MAXIMUM — UNITS EX MINIMUM AVERAGE MAXIMUM Unl is Ev TYPE <br /> ANALYSIS <br /> t FL..G4d IN COMMIT REPORTED <br /> PERMIT <br /> MGD — — I1+G0 7/7 IN 1I <br /> �?V5L CONDITION It 111 ` <br /> SnLIGS„ TOTAL DISS REPORTED µ p * * <br /> (015SGLVEO) KG/DAY MG/L --- - <br /> /� PERMIT <br /> 7 �^" CONDITION * # M * *114 # G # # # y # #' # # SF it # # {! {}' # 1/1 GR <br /> ' —ti VL II)S• TnT AL. SUSP REPORTED # # a {r # a a # t► b <br /> ` (SUSPFNDED) KG/VAY MG/L' <br /> PERMIT fT # *, # # # # <br /> i ..-u33V GONOt TION Ii # 4 * * * A # # it # 30 1/^r/ Co <br /> iQ0W#TOTAL(AS FE) REPORTED # <br /> y� -- -- MG/L ---- <br /> _ PERMIT it k # #. 6 # # # G I p fi It # <br /> 01045 CONDITION 3.5 7.i1 1/7 CO <br /> PHff IELD REPORTED SF {} # N tf 'tf If <br /> ' PERMIT <br /> SU — <br /> 03410 CONDITION 96i) 1/7 GR <br /> OIL & GREASFvVISUA REPORTED Is {} <br /> ` PERMIT <br /> A"ia? corlDlrloN � � � � # # vT !i {t i4n� # is hf�If it4 +' a 1C 1/7 VT <br /> � — REPORTED <br /> I PERMIT <br /> I I CONDITION <br /> REPORTED <br /> PERMIT <br /> \ <br /> i LON DI TION <br /> j NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF OF THE OFFICEh - DATE <br /> --- I corti(y t f am familiar with the information conralned in this <br /> vie--- 1,1AtRg1AD,6ryT Ile) <br /> /O report and that to the best of my knowledge and belief such Infer U \ <br /> mation is true, complete,and accurate. SIGNA RE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Form 3320.1(10.72) PAGE OF \ <br /> 3 ORIGINAL 1 I <br /> 001 IS TREATED YARC; 6 DISTRIBUTED A RFA RUNOFF FROM COAL PREPARATION PL <br /> ANT ANY SINGLE-. GRAB CANNOT EXCEED 49 MG/L FOR TSS <br />