Laserfiche WebLink
NATIONAL- POLLUTAN HARtrE ELIMINATION$YS1 EM <br /> DISCHARG' ITORING REPORT r,n Approved <br /> J MR N0. 159-It0073 <br /> r iA"n-CT COAL (PREP Nt_aNT <br /> PO 13OX 150 <br /> CARtI ItjDALE INSTRUCTIONS <br /> L CO 81623 1. Provide dates for period covered by this report III spaces marked"REPORTING PERIOD". <br /> 2. Enter reported minimum. average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> (2-31 14-16) Ili,Ia) in the units specified for each parameter am appropriate. Do not enter values in boxes containing <br /> -- -- asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXAtUM'r <br /> r and"MINIMUM" are extreme values observed during the reporting period <br /> 1_1 3. Specify the number of analyzed samples that exceed the maximum(and/or minimran as appropriate) <br /> C r1000396 1�1 <br /> � <br /> ST —PERMIY NUMBER SIC LATITUDE LONfrITUDE Permit Con diNons in the columns labeled"No. Ex." If none, enter"O". <br /> --- ___._-- __- 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (a.g., "J/7" ra equiva- <br /> 1zD-z1) 1z2 za1 1z4.261 I26-27) (26-29) (30-31) lent to 3 analyses performed every 7 days.) It continuous enter"CONT." <br /> S. Specify sample type("grab"or"—/it. composila")as applicable. If frequency was continuous, <br /> enter NA". <br /> REPORTING PERIOD. FROM TO -19 I (I. Appropriate signature to required ou bottom of this form. <br /> YEAR Mo DAY YEAR MO DAY <br /> 17. Remove carbon and retain copy for your reco rdn. <br /> -__ 8. Fuld along dotted lines, staple and mail Original to office specified in permit. <br /> 1az-37) <br /> _ I64-6el ter-761_ <br /> (3 rard linty) QUANTITY (4 card only) CONCENTRATION FREQUENCY _.._ <br /> PARAMETER -136-411 146.6a1 164.61) - -_-WA-69 116.461 _14e-631 164-011 OF <br /> SAMPLE <br /> MINIMUM AVERAGE •MAXIMUM UNITS NO. MINIMUM - AVERAOC MAXIMUM UNITS EX ANALYSIS <br /> TYPE <br /> FLOW IN COPMUIT PtPORTED Q -- 6.08 0000 o � # # # # #-{f1/7 tAJ <br /> - —— --- - -- ----- MG D - --.— <br /> PENMI T NG D <br /> 7 <br /> CONDITION 1/7 IN <br /> ,)OLIDS9 -T ITAL DISS REPORTED <br /> (0ISS(LVEC)) ---------_ -- -- KG/DAY ------ --- ---- mG/L - — --- ----- <br /> r •� PERMIT 1/9p G� <br /> 7-'`� I') CONDITION # rt {I # # # # # # # # # # # <br /> `;CLIDSs TOTAL SUSP REPORTED # # # # # # # tf # (} # # # rt G # # # # # y4Z 1 t�yp GO <br /> (SUSf;E,idnEn) PEFM T — - KG/DAY ---- - -- MG/L -- ------- <br /> 'Q1i3U CONDITION 30 1/90 CO <br /> r ?O` #TOTAL(AS FF) REPORTED # # # >t R # # # # rt +t # # # # u 061�f /.i0 p If 9U— Ccy-- <br /> r KG/DAY ------ -- - --- MG/L --------- ---- <br /> 1•)45 CONDITION # # # '' # # # # # # # +''# w 3.5 790 1/90 CO <br /> p <br /> PHsFIFLO REPORTED <br /> r --VlR1AiT - -_--- .-- -- SII _-_�--_—_ --_- SU <br /> 04nd GONDITIOFI # # rt # # # # R # # # # V f�s� # # # sf 9.n I/`)0 GH <br />' OIL b-GPEA5E9VI50P, REPORTED <br /> PERMIT r� <br /> A {tl? CONDI rioN # # # A # # # 4} # {} # # lI # # Y 10 1/90 VI <br />' REPORTED <br /> PERIII T <br /> coNoi r1(jN <br /> REPORTED <br /> PEAWT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE 1 - <br /> ---- i cortlly that I am familiar with the Information contained in this <br /> P-F- C S JL�ettk) /} P9C-V�p F4/! 719Tj pL�? report and that to die beat of my knowledge and belief much infor --�------------- <br /> Inal/on is true, complete,and acCuratav -i- SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST — FIgST �- MI TITLE — JI Y--EAR MO DAY OFFICER OR AU TNORIZEU AGENT <br /> EPA For.3320.1(10.71) PAGE OF <br /> ORIGINAL 1 1 <br /> 00? Tb SEY I ED MINF WATER FRO,a FEAR CHEEK +SINE WY SINGLE 69AB CANNOT <br /> r XCEFf) 45 ',O/L Ft,R T55 <br /> s <br />