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�,...,.• ,cc .,. ,..uunc» I, 11,01 NATIONAL POLLUTAi CHARGE ELIMINATION SYSTEM (.%PUI:S) Approved <br /> t a.�:w. � ••^/ n q u19 rrrnr) DISCHARG NITORING REPORT (U4IR) BNo.2040.0C.4 <br /> N/•ME-- od—y }coal Comeany ————————— 12- (t7-191 Approval expires 9-30-56 <br /> ADDRESS— i,�,QL�OUth Yale <br /> /yam p .1/ pp <br /> ----_E�g�taff Arizona V U 1 PERMIT NUMBER DISCHARGE NUMBER <br /> —————————— MONITORING PERIOD <br /> FACILITY Nuc 1 a Mine ------------- YEAR MO DAY YEAR MO DAY <br /> LOCATION ---- FROM O7 07 01 TO 8 <br /> 7 On 30 <br /> (20-21) (22-23) (24-25) (2627) (2.s-291 (30-31) NOTE: Read instructions before completing this form. <br /> (3 Card Onl)) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-33) (54-61) I NO. I <br /> FREOOUFENCY SAMPLE <br /> (3237) EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS><I 62-63)I (64-68) (69-70) <br /> O[!V V ISO/9 SAMPLE <br /> �w �( MEASUREMENT No Dischar ePERMIT <br /> a EfA <br /> O' �C. CM REQUIREMENT V 1 S 1 <br /> LILY K� t= <br /> SAMPLE <br /> MEASUREMENT <br /> PERM IT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT <br /> •- REQUIREMENT „ <br /> SAMPLE <br /> MEASUREMENT - <br /> C) <br /> _ I <br /> PERMIT _ <br /> REQUIREMENT- - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMBNT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED <br /> ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / <br /> James S. Lunan OBTAINING THE INFORMATION I BELIEVE THE SUBMITED INFORMATION <br /> IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG ✓ `. <br /> 1 NIFICANT PENALTIES FOR SUBMITING FALSE INFORMATION INCLUDING <br /> Manager, Permits THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USE 1 1001 AND 602 774-5253 87 10 21 <br /> 33 US: 5 1319 •V•nalur. um.•. Ihr.r rmluLI ma. mNad, I-- aP L, fW owl SIGNATURE OF PRINCIPAL EXECUTIVE <br /> TYPED OR PRINTED u,ld ,,.mailnlam_p...nnn„o.I„I h,gmw n nu,n lh.end OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br /> OMMENT AND EXPLANATION OF ANY VIOLATIONS (Rrlrrrnrr all atlalllnlrnrs here) <br /> A Form 3320.1 (Rev. 10-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE OF <br /> UNTIL SUPPLY IS EXHAUSTED <br />