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..
<br />PARAMETER •
<br />(32 - 37)
<br />t ,
<br />j
<br />(3 Cord bnly) ;, QUANTITY OR LOADING
<br />p46 -53) 2 , (54 -61) -
<br />(4 Card Only) . ‘ QUALITY OR CONCENTRATION
<br />_. 1
<br />n (38 -45) I- (46 -33) (54 -61) 's
<br />10,
<br />EX
<br />(62.63)
<br />FREQUENCY
<br />OF
<br />ANALYSIS
<br />(64 - 68)
<br />SAMPLE
<br />TYPE
<br />(69 - 70)
<br />AVERAGE- '
<br />'- MAXIMUM
<br />UNITS
<br />; MINIMUM
<br />AVERAGE
<br />- MAXIMUM
<br />UNITS
<br />•
<br />'OttOI0 1 0 :0
<br />'' F F L U t: 'i r (: R d S S Y a T, ti P
<br />SAMPLE'
<br />MEASUREMENT r
<br />�41 44: *+5
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<br />_ PERMIt «Gl
<br />REQUIREMI N?`'
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<br />SAMPLE' 4.
<br />it
<br />MEASUREMENT
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<br />PERMIT; '•'i
<br />RE Q UIREMNT E
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<br />SAMPLE .
<br />MEASUREMENT (,
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<br />SAMPLE
<br />MEASUREMENT L.
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<br />i• PERMIT.
<br />REQUIREMENT
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<br />,QLI DS. TOTAL ",
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<br />fFLIIEhT GROSS V 'IL
<br />VALUE
<br />» SAMPLE 1
<br />MEASUREMENT :
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<br />F�'LUFhI' C NJ S r i VALi)t
<br />SAMPLE t
<br />MEASUREMENT -.
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<br />MEASUREMENT t,
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />LI IAR O
<br />AND AM F AM IL WITH THE INFORMATION SUBMITTED HEREIN; BASED
<br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION
<br />IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SI(3-
<br />NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING
<br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 4 1001 AND
<br />33 U.S.C. 1. 13'19. (Penalties under than statutes may include fines up to $/0,000
<br />and or maimusbnprfs onmentof between 6 months and 5Years.)
<br />t
<br />. L'
<br />G6 1.4 _." 0
<br />TELEPHONE
<br />DATE
<br />. .
<br />'77 x.'
<br />• <
<br />"
<br />`�Q
<br />p
<br />Brian P. Dunfee -
<br />Manac r - - -
<br />NATURE OF PRINCI L EXEC t
<br />OFFICER OR AUTHORIZED AGENT
<br />��
<br />CODE
<br />rI5gS
<br />R
<br />D O
<br />DAY
<br />pD•- •p tf
<br />i PERMITTEENAMEIA SS (Include
<br />f ciluy Neme /L rl, rnt)
<br />NAME P t. t t. . A .. COAL CO
<br />ADDRESS C C U tt i Y ROAD A A
<br />EPA Form 3320 (Rev. 9 Previous editions may be used.
<br />NtICLA §34�t4�:
<br />a OMEN/ FACILITY
<br />LOCATION • - %% u
<br />Ar,t.: DENNIS SiVENS1N, PtiESXD£N'�
<br />NATIONAL POLLUTA
<br />DISCHAI
<br />(2-A
<br />000000213
<br />FROM YEAR
<br />PERMIT NUMBER
<br />HARGE ELIMINATION SYSTEM (NPDES)
<br />NITORING REPORT (DMR)
<br />(17 -19)
<br />MONITORING PERIOD
<br />003 A
<br />DISCHARGE NUMBER
<br />MO DAY t YEAR MO DAY
<br />TO u
<br />(20 -21) (22 -23) (24 -25) t (26 -27) (28 -29)
<br />(REPLACES EPA FORM T WHICH MAY NOT BE USED.)
<br />(30 -31)
<br />pproved.
<br />F — FINAL o. 2040 -0004
<br />STORt1WATER DISCII!'.RO "''' ovalexpire�B3091
<br />1 '
<br />MINOR (5U NTRS '
<br />NOTE: Read Instructions completing this form.
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reftrence all attachments here)
<br />IF NO OCC)ii:, HtPORT "NO DISCHARGE".. OIL AND GREASE; SEE FOOTNOTE F/.
<br />00071/900810—f402
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