Laserfiche WebLink
NATIONAL POLLUTANT' FI!5r:kjAHGE ELIMINATION SYSTEM <br /> 011"ARG -11TORING REPORT <br /> P0 <br /> 1 A I F INSTRUCTIONS <br /> 1. Provide dates for period covered by this report in nr,, rid'' I"r.11,01CH N G 1,r.-PIC)I),!. <br /> j -316�3 <br /> 2. Enter reported minimum, average and maximum v;llm-t-+r t <br /> in die units a)ecified for each parameter aci gipf J)" 1-1 !.t, <br /> asterisks. "AVERAGE" is average computed nvvr ortu.Il ii- .1i,, iti Iq,-fing. IA1 turd" <br /> 'f r 1 and"MINIMUM"are extreme values observed during;;hc cj-rlknj;1-6-1. <br /> nrlr-3 9 3. Specify the number of analyzed samples Ilia( t,xc-d Ilse nw)-,;,:t or minimum as <br /> PEAMI L, ;- <br /> Permit conditions in the columns labeled"No. . - 11 none, tij, "(I". <br /> T NUMBER 4. Specify ftequencyof analysis for each paraa-t,. g.!;H, day::. (,,p_ -317- is <br /> (28-29) 430-3ti lout to 3 analysodpeti-nned every 7day-.) It "C'UNT." <br /> S. Specify sample type("grab"or"—hr. composite") w; appli(;AAe. If frequency was Continunus, <br /> enter "NA". <br /> REPORTING PERIOD: FROM tj 7 i 91 TO 10 1 6. Appropitute siviature is required on bottom of 110!;foini. <br /> MO I DAY P • Remove carbon and retain copy for your records. <br /> 1 14 8 Fold along dotted lines, staple and mail Original to office sp-ified in porj,,il. <br /> J YEAR MO DAY <br /> 5.YEAR 7 <br /> (3—d only) (4 cart QUANTITY CONCENTRATION r nz:Q. 11 c <br /> (62�631 1 30 148-53) (54-611 <br /> NO <br /> UNITS . <br /> I EX Jy- <br /> PARAMETERGF <br /> MINIMUM AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNI I'S <br /> A TrPE <br /> INC(—T'1J'lJ!T REPORTED 4),.Z Z it It I <br /> MGD -1, <br /> P E RMI T 1,/7 <br /> CONDITION <br /> REPORTED <br /> TOTAL UF 597. <br /> I LW710 KG/DAY L <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> F KG/DAY <br /> PERMIT 30 <br /> CONDITION <br /> 19TOTAI ( F- ) REPORTED D <br /> KG/DAY <br /> PERMIT <br /> 14 ION 7 C') <br /> CONDO <br /> 7r. REPORTED <br /> su <br /> C ONOIPERMITTION # M IF * * 4 * * * <br /> 6. # N # G 9*,, <br /> IL fy Gf:F nC;7jVj:�jj.'j REPORTED 3 <br /> PERMIT <br /> CONDO TION 16 V1 <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> —CO... <br /> TION <br /> NAME OF PRINCIPAL OFFICER TITLE OF THE OFFICER DATE <br /> ortify that I am familiar with the information contained in This ] <br /> L/ jorw Piz 1;;-,1 DaN r such sport and that to the beat of my knowledge and belief su infor. <br /> A�t r"naction is true, complete,and accurate. SIGNATURE OF Pl'iiNCIPAL EXECUTIV.0 <br /> LAST FIRST Y MI TITLE YEAR MO DAV OFFICER ON AUIIiORIZED AGENT <br /> EPA F—3320-100.72) PAGE OF <br /> ORIGINAL I <br /> 13 ')FJ TILED 1-11NE WATER FROM COAL BASIN MINE ANY SINGLE GRAB CANNOT <br /> 45 IA6/L F(jR TSS <br />