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1— 111 NATION tiL POLLUTANT DISCHARGE ELIMINATION SYSTEM , V'U1.j1 h rn Appravea <br /> facdtn Aa,,-1Lr.cauun ) drryrrrnr) DISCHARG NITORING REPORT tDAIR) No.2040-.:004 <br /> NAME__ dy Coal Company__ (2- (17-191 Val expires9-a0-35 <br /> ADDRESS— SouthYF-11 e --o ------_ oZ Qt� <br /> -- C—(-- <br /> riaostaff, Arizona U V UI PERMIT NUMBER DISCHARGE NU.BER <br /> �A1 —————————————— MONITORING PERIOD <br /> FACILITY—II�UC),a ('ll ne--._------------ YEAR , MO DAY YEAR ! MO DAY <br /> LOCATION FROM I TO 0 0 <br /> (20-21) (22-23) (24-25) (26 z ) (28-2v1 (30.31) NOTE: Read instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION I <br /> PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) NO. IFREOOUFNCY SAMPLE <br /> (3137) EX ANALYSIS TYPE <br /> (�,y AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 6'-63)I (6LY (TYPE <br /> v 0C V tJU Pr L SAMPLE J I` L{�. <br /> MEASUREMENT No Discharge `r `•r <br /> PERMIT L/�'n•� ZH <br /> ELA <br /> REQUIREMENT tC '� ��� /� I /A/ <br /> SAMPLE (•� <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> - PBRMiT <br /> REQUIREMENT FT <br /> SAMPLE <br /> n MEASUREMENT <br /> N <br /> ' V PERMIT , <br /> REQUIREMENT_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERM IT <br /> REQUIREMENT <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 BASEO .—{fL.s�/ <br /> ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION I ✓." � <br /> James S. Lunan IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG <br /> Manager Permits NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING <br /> THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE 18 USC 5 100I AND SIGNATURE OF PRINCIPAL EXECUTIVE 602 774-5253 87 10 21 <br /> 33 USC IN 1319 �prnab.r. am rr 'A.— .rolut«• ma. uvlW/« 1u.r. uP r.. flu.r <br /> TYPED OR PRINTED a.d �..maA.mum.mpn..o.o.......r A«rn wn n m..ntn.and .«a r., OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re)erence all attar/Irnents here) <br /> °A Form 3320-1 (Rev. I0-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br /> UNTIL SUPPLY IS EXHAUSTED �, <br />