1987-12-01_PERMIT FILE - C1981017 ‎(262)‎

• Permit No: C1981017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/1/1987
• Doc Name: Mine Discharge Monitoring Reports
• Section_Exhibit Name: Chapter III Appendix III-E-4
• Media Type: D
• Archive: No

r NATIONAL POLi..UTAh """ E ELIMINATION SYSTEM
aj DISC�iARG WING REPORT Ova
4_
V
INSTRUCTIONS
} 1. Provide dales for period covered by title report in spaces marked"REPORTING PERIOD".
J2. Enter reported mbdmum, overage and mnximurn values under"QUANTITY"and"CONCENTRATION" �.
Ix L u ul In tile antis upecl0ed for each yunnnct Or an appropriate. Do not enter values In boxes containing
m mat _
asterisks. "AVERAGE" la average computed over actual time discharge Ia operating. "MAXIMUM" 1,
and"MINIMUM"are extreme Values Observed during the reporting period r
0-075-OYR--2-0002 5 1_07�171 38" 39o11'S2" 3 9pecl(y the number of analyeeJ camptoo that exceed the maximum(and/or ao aPPropria#a) "f
a — prnnil randillona in Ibc columns labl•IcA"No. Ex." it Wont,Dolor"O" I
ST PERMIT NUMGEn DIS SIC �LATITU DE LONGITUDE s, 3pecNy frequency of analysis for ebch parameter as No. analyses/No. days.(e.g., "3/7"Is equl va- t �-
' Icmt to 3 analyses perfnmled every 7 days.) If continuous enter"CONT... ' d
/3e-]1) 132.231 I]]•261 It0•]TI 1]e.]41 M-311 - applicable.
S. Specify sample typo("drab"or"--hr. cosgroslle")as I(frequency was continuous,
cater NA". ' .
REPORTING PERIOD: igON TO O 6. Appropriate signature Is required on bottom of this form. 1
7. Remove carbon and retain copy for your records. _t
.f YEAR MO DAY YEAR MO DAY - S. Fold along dolled lines, staple and mail Original to office specified in permit.
f 1]]-aTl _--,.—.• la4eel tea-TOI t '
(.l cord only) QUANTITY (a card y) CONCENTRATION FREQUENCY �..
�:. ..IMI•a SAMPLE
yyyy�R PARAMETER lar••el _ ]I •a•a
loran m:O. Ise-•m Ial_ Ise•s ll la]O.
MINIMUM AVERAGE MAXIMUM UNITS "O• 011"IMUM AVERAGE MAXIMUM UNITS OF RR,•
NO. TYPE
[X gX ANALYSIS I E.
AaPOnTaD r ....... _ .. ... ...,.....I
1
"�' PERMIT �•' i I � .
CONDITION r'
't REPORTED
PHRMI7 '
CONDITION
'I REPORTED
h, CONDITION NO RE ORTEQ OI.CIIARGF DIJ ING REPO TINE; PFR f)CI j - REPORTED
�_• �. k'y I pC
P E RMI T
�i. CONDITION
I F
' + REPOR TEO (
I , PERMIT {,,
CONDITION _
RHPORTRO ........ {
tll�lir PERMIT pip`
F CONDITION
.r REPORTED
' F
i I"
PER..T t
1 CONDITION
r REPORTED
PERMIT w
CONDITION
3. '
NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE f certify that f am familiar with the Information contained in this '+ (
report end the#to the beat of my knowledge and belief such Infor
Reeves, J.A. Executive Vice President 7 6 7 SIGNATURE OF PRINCIPAL EXECUTIVa
I motion(a true,complete,and accurate.
LAST FIRST NI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT N
EPA Form 3320-100-72) 1 PAGE OF
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