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NATIONAL POLLUTANT 'HARGE ELIMINATION SYSTEM <br /> DISCHARGE ORING REPORT n Approved <br /> i IVO. 158-R0073 <br /> r A:D-CT COAL (PREP PLANT { Lf Wsl/v <br /> a0 BOX 158 <br /> CAR31N')ALE INSTRUCTIONS <br /> C) " C 1 623 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD".2. Enter reported minimum, average and maximum values under "QUANTI rY"and"CONCENTRATION <br /> I2-31 14-Iel ttt•I0I in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> L I n000396 and"MINIMUM"are extreme values observed during the reporting period <br /> 12 1 1 3. Specify the number of analyzed samples that exceed the maximum(and/or minimum as approprlata) <br /> iT PERMIT NUM9ER OIS SIC LATITUDE LONGITUbE Permit conditions in the columns labeled"No. Ex." If none, enter"O". <br /> 0. Specify frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7" is equivs- <br /> (20-211 I72.23) Ia4-21l I23.271 II0-29I (30-31) lent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> 5. Specify sample type("grab"or"--hr. composite")as applicable. If frequency was continuous, <br /> enter "NA". <br /> REPORTING PERIOD. FROM Cj r 1 1 TO 9 t 4 1 6. Appropriate signature Is required on bottom of this forts. <br /> YEAR NO UAY YEAR MO DAY 7. Remove carbon and retain copy for your records. <br /> —_.- ..— 8. Fold along dotted lines, staple and mail Original'to office specified in pernit. <br /> la2•]71 (01•00, 16a-tor <br /> (3 card only) QUA14TITY (I card o^Iy) CONCENTRATION FREQUENCY <br /> PARAMETER lee-451 (43-03) Ie4011 le2-631t38•41`1 _ I46-eel Ise-eq-_ — Ioz•e31 OF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS NO, MINIMUM AVEHAGE MAXIMUM UNITS NU. TYPE <br /> EX EX ANAL VS15 <br /> F LO"I IN CONOU I T REPO NTEO <br /> PERMIT MGD _ _— liGD <br /> "50 CONDITION _ # # # # # # # # # # # # —f` # a t —_"— <br /> � ''LIItS• TOTAL DISS REPORTED �/9 <br /> (;ICS LVED) - — KG/DAY — - MG/L -'----- --�--- <br /> PERMIT # # # # # # # # # # # # # # # # # # # {.• k {} # # Q <br /> � •3• 1 CONDITION 1/ � GR <br /> S:)L.T,)S, TOTAL S1)Cp REPORTED # # # q # tf a # i► # # # —'— # # # # # # # # 7—h C� <br /> (:USPENDED) — -PERMIT KG/DAY — — MO/L - '--- -- <br /> ' <br /> CONDITION # # # # * # # # # '► # # # a # # is # It 30 pp� /� 1/yo CO <br />` 1OGNrTOM_(AS FE) REPORTED # 4 # �. # # a # # # # # # # # # C7PZ�] 0.-Z lj /�TQ GJ -- <br />( 1045 c PEO 5Rl TIT _ #i KG/DAY --`-- ---- - -- 1AG/L ---J-- -- - <br /> n « p # a # # # # # a # # # 3. 7a� <br /> _ 1/9 0 CO <br /> PH,FII:LD REPORTED # # # # a tt it u # # � � z # # ss # „L3 -�-- 0 2/c�� GJ4 — <br /> PERMIT SU -' ____--___ 5�) ___�—_ <br /> )4u') CONDITION �► # # # # S♦ # # # # # 6a0 1/90 GR <br /> OIL $ GREA$EvVISUAL REPORTED # f► # <br /> PcHmir _-_--- ---- - —_--- <br /> A(,-jA2 CONDITION # # # # # # # # # # # # # # # # # # # 10 1/90 VI <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> ,rEPORTED <br /> PERMIT _ <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DA rE <br /> (certify that I am familiar"'Id the Info mletion can/slued In This <br /> treport and that to the best of my knowledge and belief such War- 43- <br /> _ _ _ ! I jj�����• ma don Is true, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE _— YEAR NO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Form 3320.1(10.72) PAGE OF <br /> ORIGINAL 1 1 <br /> 002 IS SETTLED PJTNE WATER FROM REAR C'?EEK MINE ANY SINGLE GRAB CANNOT <br /> F.k CEE G 45 ^16/L FOR TSS <br />