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PERMITTEE NAME/A (InCtude 1 NATIONAL POLLUTANT DISI E ELIMINATION SYSTEM (NI'DL.5) Form <br /> Facl::l) ,`amelLULaitun 1) DISCHARGE MO LING REPORT I01fR) OMB -WO4 <br /> NAME--PeabodLLoal__Conaa y-- !6) (17-I9) F Approv res9-50-35 <br /> ADDRESS--1300 South Yale ----------_ 019040aoZ <br /> -----Flagstaff, Arizona Y-3 QQJ-- PERMIT N dMaFR I DISCHARGE NUMBER <br /> — ——————————————— MONITORING PERIOD, <br /> FACILITY— Nucla Mine _ _--- YEAR ! MO DAY YEAR MO DAY <br /> C LOATION O <br /> -------------------- FROM 87 07 01 TO 7 I 09 30 <br /> (20--21) (22-23) 124-25) (26 27 1 (28-2Y1 (30-3I) NOTE: Read instructions before completing this iorm. <br /> (3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br /> PARAMETER (46-53) (54-6I) (38�15) (46-53) (J4-6J) NO FREQUENCY SAMPLE <br /> OF <br /> (32 37) EX ANALYSIS TYPE <br /> >< AVERAGE MAXIMUM I UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-63)I (64-68) (69-70) <br /> -I— SAMPLE <br /> MEASUREMENT 0 <br /> 0 U1/07 VI <br /> PERMIT 0-tao REQUIREMENT t=v/tsi L� /'/ <br /> ]_ <br /> (1 SAMPLE l r� <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> •� - I PERMIT ' <br /> REQUIREMENT <br /> SAMPLE CV <br /> MEASUREMENT <br /> U <br /> PERMIT <br /> RfiOU[REMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <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 /> .NO 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 SUBMITTEC INFORMATION .��F-/ <br /> 1$ TRUE ACCURATE AND COMPL FTE AM AWARE 'HAT THERE ARE SIG r <br /> Manager - Permits NIFICANT PENALTIES FOR SUBMITING FALSE INFORMATION INCLUDING i'HE POSSIBILITY OF FINE AND IMPRISONMENT SEE 10 US.- q IOOI AND <br /> 33 u3. 41319 V.n M- —1- Inl.. em,l.n. ^, . I„,u., I,u,. uu "',full, SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 6U2 i74-5253 87 10 28 <br /> a <br /> TYPED OR PRINTED aIw ,•.^anmunr,mnrn,,am.nr„I n,m..nnm„nrn.^nn ,..^.. OFFICER OR AUTHORIZED AGENT I ARDA ; NUMBER YEAR MO DA, <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (RelerrnCe III u It1ILh11WnIT 'Iere) <br /> PA Form 3320-1 (Rev. 10-79)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br /> UNTIL SUPPLY IS EXHAUSTED <br />