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i v -- <br /> ` .{ NATIONAL POLLOTAN*'HARGE ELIMINATION SYSTEM l_ <br /> DISCHARGE m..INITORIHG REPORT i Approved <br /> OMB NO. 138-R0079 <br /> r m10 - c r COAL, ([3VMH c/2'rA AlE, ; <br /> Po C3oK t58 <br /> cN-RI$euPALIS <br /> INSTRUCTIONS <br /> ..,. 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> 4. Enter reported minimum,average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> 1:a _ u Im IIT-1.1 - in the units specified for each parameter es appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" In average computed over actual time discharge is operating. "MAXIMUM" <br /> + --1 and"MINIMUM"are extreme values nbabrved during the reporting period. <br /> !3 p C,I ' (�(I 3. SkL <br /> pecify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> _.-1. 1-1 - -- -- permit conditions in the columns labaled"No. Ex." If none,enter"O". <br /> ST PERMIT NUMBER DIS 31C LATITUDE LONGITUDE <br /> 4. Specify frequency of analysis for each parameter as No. en alyses/No. days. (e.g., "3/7"is aqulve- <br /> I20•21) 4e2-2A) Ida-red Itavn Irs-sal 430.311 lent to 3 analyses performed evory 7 days.) If continuous enter"CONT." <br /> S. specify e""'ple type("grab"or"_hr. composite")as applicable. If frequency was continuous, <br /> y enter "NA". <br /> +' REPORTING PERIOD: FROM tYY2EA:R�M0!j <br /> b TO ! n QI I - 6. Appropriate signature is requi—I on Cotten of this form. <br /> nAY YEAR MO UAY 7. Remove.carbon and retain copy for your records. <br /> _ S. Fold along dotted lines, staple and mail Original to office specified in permit. <br />' Isx•an ,_�M laa-ea las•ror <br /> (3 o°rd only) QUANTITY (4 card..Iy) CO N C EN TR A'fiON FREQUENCY <br /> PARAMETER lac-aar 44a•53l __isHen tNOa.lae•aaI I�e•aal ta�_en _ —_mz•ea OR SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUM UNITS EX -- TYPE E% AHA LVSIS <br /> I FLOff� .QI�'7�. REPORTED <br /> G n�6TG4 5 -- <br /> ,� P E RMI T <br /> lea Q CONDITION _- <br /> ' REPORTED <br /> S <br /> j PERMIT ------ <br /> _I. OQ(�aa CONDITION <br /> n �1` SOLADS , IOTl4(. REPORTED — <br /> ;I PERMIT <br /> CONDITION <br /> Al` •7'Q" l (F6 REPORTED .teaie <br /> PERMIT <br /> / '� CONDITION <br /> ••'re) <br /> `••L_ REPORTED <br /> CONbI T10N •', <br /> �Vu�6310 irY REPORTED . <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> '1 PERMIY+_ '- <br /> Ajj' CONDITION <br /> f• <br /> REPORTED <br /> PERMIT <br /> I rc <br /> N OI TION M1N <br /> •,� NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE / <br /> -pp- I cert/fy that I am famillar with the Information contained in this <br /> IC.VE'S JQHAI) !'1 6>f A!X67101E vice Pr'r$slQ:>t�('�' 1� - report snd that to die beat of my knowledge and brlief ouch infor — <br /> motion Is Inn, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE IYEAR NO DAY OFFICER OR AUTHORIZED AGENT <br /> PAGE OF <br /> EPA Form3370.1i10•)Z) - -^•. <br /> { ORIGINAL <br />