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�raMll It< N.�m c.Au urac» ••. NAIIUNr L I- ­UJANi L)1 I.NA—i, LI-IMINAilutl 5t ILM \!'Ur.�) rorm.lpprovea <br /> f..-rbl ,e/Lucanon !1 dojerent) DISCHARG ONITORING REPORT 10A/R) No.2040-0004 <br /> ME Id Coal Company (17-19) ve/expires 9-30-e5 <br /> ADORESS_ South Ya7leo (��__________ C00000 .. <br /> -- Flagstaff,r AL 86661--------__ PERMIT NUMBER DISCHARGE NUMBER <br /> — F <br /> FACILITY Nucla MONITORING PERIOD <br /> --.--_ YEAR 1 MO DAY Y , MO DAY <br /> LOCATION _-------------.—_--_—_ FROM 87 04 01 TO 87 1 06 3O <br /> (20-21) 1 12-23) (24-25) (26 27) 12h'-29) (30-31) NOTE: Read instructions before completing this form. <br /> (3 Cord Only) QUANTITY OR LOADING (4 Cord Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-61) (38.45) (46-53) (54-61) NO. FREQDUF NCY SAMPLE <br /> (31-37) EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> >< 62L3)1 164-68) (69-iJ) <br /> SAMPLE <br /> 0 & G VISUAL MEASUREMENT Tt <br /> 8 PERMIT O=NC Seen <br /> 4066 1 O <br /> REQUIREMENT 1=Visible <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br /> REQUIREMENT 1 <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT 4 <br /> REQUIREMENT i <br /> SAMPLE <br /> C7 MEASUREMENT <br /> 1- <br /> V PERMIT <br /> REQUIREMENT <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE D A T E <br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED n <br /> ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> James S. Lunan OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED I R <br /> IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THEREE AREE SIG <br /> SIG <br /> Manager - Permits NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING <br /> THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC 1 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE 1 602 774-5253 87 07 27_] <br /> 33 USC 11319 ,Puna I,— under rh— ualule. ma. uvllulr (Inv up r.• flu 1pXl <br /> TYPED OR PRINTED n,ul„r.na.Inlu^"nl Pn.,„Inl,•,Ir„t h.I—'.n nl,.nrA.and;".", OFFICER OR AUTHORIZED AGENT AREDO' NUMBER YEAR MO or.Y <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS 1Re/erence ill iii—imsents here) <br /> _PA Form 3320-1 (Rev. 10-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE O1= <br /> UNTIL SUPPLY IS EXHAUSTED <br />