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NATIONAL POLLUT4N" :HARGE Ft IMINATION SYSTEM <br /> I\ DISCHARG, ITORING REPORT rm Approved <br /> �MB NO. 158-ROO73 <br /> r I-+,:frCT COAL (PRcP PLANT31N� <br /> PO FOX 198 <br /> CA1?8p1IDALE INSTRUCTIONS <br /> r <br /> Co 816P3 f 1. Provide dates for period covered by this report to spaces marked"REPORTING PERIOD". <br /> J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br />., 12-aI tw-lal uT•Ivl in the units specified for each parameter as appropriate. Do not enter yalues in boxer-containing <br /> ssterlsks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> l and"MINIMUM" are extreme values observed during the reporting period. <br /> r r'- 0 C0003 )6 t, 1211 3. Specify the number of analyzed samples that exceed the maximum(end/or minimum as appropriate) <br /> � - <br /> ST PERMIT NUMBER DIS SIC LATITUDE LONGITUDE permit conditions in the columns labeled"No. Ex." If none, enter"O". <br /> 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7" Is equiva- <br /> Izo-xu 1u-231 I2+-za) 1ze•2n l26.2fl1 19m-311 lent to 3 analysis performed every 7 days.) If continuous enter- <br /> CONT.-S. Specify sample type("grab"or'-_hr. composite")as applicable. If frequency was continuous, <br /> enter "on d <br /> REPORTING PERIOD. FROM I _J119_ 1 1 TO 79 4 1 6. Appropriate signature is required on Lottom of this form. <br /> tf-YEAR MO DAY YEAR MO DAY 7• Remove carbon and retain copy for your records. <br /> 8• Fold along dotted lines, staples and matt Original to office specified u7 permit. <br /> 1a2-3T) _ /a4-68) lauool <br /> (3 catd oafy) QUANTITY (4 COf1f°^iy) CONCENTRATION FREQUENCY <br /> w 135-4.1 (46•a3) 144-eN 162-dL 13a•451 1.a•e31 (e4-all la2_arl SAMPLE <br /> PARAMETER `— NO. ----�-- --� _ --- NO. OF <br /> MINIMUM - AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUTA UNITS EX ANALYSIS TYPE <br />`r FLC)1V IN CONIDUIT REPORTED <br /> MIGJ —___ — —_—_ MGD <br /> CONDITION ll 1/7 1N <br /> r• �_—1 .—.jLIJS• TOTAL DTSS REPORTED <br /> HG <br /> PERMIT # # # # # # a a +t # a a' 1/90 -- Gk <br /> O CONDITIN <br /> "LI^irS♦ TOTAL SUSP REPORTED— <br /> (;()'.71 GNDE0) — PERMIT \1 �WDA <br /> V5:3., CONDITION it >f 30 1/90 CO <br />`r ( ;PO•'19TOTAL(AS FE) REPORTED AA --- --A`Y <br /> HG/L <br /> # # a # w +► # # # a # # # # # +t <br /> - a # # # # a• # _—# # # —-- //_- __ {-f 5#- µ <br /> 1_/90 _-- ---_C000NDITION <br /> aH1F`LLD REPORTED a <br /> PEHM T SU — SI) <br /> CONDITION a h.r if9.0 190 GR. r -_- <br /> __ <br /> _--- <br /> GIL 6 GPEASEvVISOAL REPORTED # # # Y # a a # a # a # # # # # It # a <br /> Mr -- -- <br /> -T PERMI r r. <br /> 0k,52 CONDITION # # at # # # a # # # # # # �(' * I} # 10 V1 <br /> REPORTED <br /> PERMIT <br /> 1✓ _.—�__---.__---.---_ CONDITION <br /> REPORTED <br /> y PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICLR DATE <br /> -- ---- --- --- l cedl[y that I am [anuliar with the information contained in this <br /> �Z-tF Vc5 J tf m A _- (y.7- -- f���f report and that to the best of m knowledge and belief such Infor- ----- ---- - <br /> matton Is true, complete, and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> V EPA form 3320.1(10.72) PAGE OF <br /> ORIGINAL 1 1 <br /> (109 IS SETTLED I-IJ(Jr WATER FROM L.S. WOOD MINE #3 ANY SINGLC GRAB CANNO <br /> tAV T EXCrFD 4; i1G/L F,,)P TSS <br />