Laserfiche WebLink
NATIONAL POLL•UTAN? -IIARGE ELIMINATION$'(STEM //��V l <br /> DISCNARGI ITORING REPORT !r1/ 111 / �e'Approved <br /> i H NO, IS8-R0073 <br /> r "-"T C)AL. (PP'-P PLAPJT <br /> rf) rilI <br /> I`ANar; ALF: <br /> INSTRUCTIONS <br /> L 1-,-) ri 6?3 1. Provide dates for period covered by this report In spaces marked"REPORTING PERIOD". <br /> 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> u-2+ 14-101 U7.101 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 /> r �� 0 and"MINIMUM" are extreme values observed during the reporting Period <br /> I 1�]1 3• Specify the number of analyzed samplers that exceed the maximum(end/or minimum as appropriate) <br /> permit conditione in the columns labeled"No. Ex." If none, enter.1011. <br /> ST PERMIT NUMBER DIS SIC LATITUDE LONOITU DE <br /> 4. Specify frequency of analysis for each purameter as No. analyses/No. days. (e.g., "3/7"Is equiva- <br /> 1m-2u 122-211 1a6•xN 120-2TI 126aa1 Iao•su tent(o J analyses performed every 7 days.) It 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 1 V ,�1 TO 7 1 6. Appropriate signature is required on bottom of this form. <br /> ["iAR MO DAy !EAR[:�M. DAY 7. Remove carbon and retain copy for your records. <br /> �_ 8. Fold along dotted lines, staple and mail Original to office specified In permit. <br /> 132-3171 104-661 lee-7e1 <br /> -- (3 card only) (I card only) <br /> QUANTITY CONCENTRATION FREQUENCY <br /> PARAMETER Isa-461 I46-521 1a&$1) 162.61 (26.461 Y _140-531 le4-_011— 167-0J OF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS Ex T_MINIMUM AVERAGE MAXIMUM UNITS EX' INALYSIS TYPE <br /> FI ) I j;) Cf) )1x!IT REPORTED M If It • II It * IS <br /> PERM]T MGO - MGD <br /> It <br />` CONDITION # # # III # Q IS IS IS# M 11 * � # {F {i It # It 7/7 IN <br /> iLI! St T')T"L DI`,Si REPORTED # a u It i` IS It IS — — <br /> ( i L-VL!)) PERMIT /DAY MG/L <br /> ( 1 CONDITION * * # # IS, # aF t► It # # IS It * M If IS, fF Y IF 1/7 GR <br /> 4 L I'-CI Tr IT:L. SIISN REPORTED # at It Is # n R # # # <br /> PERMIT V/14,.QY MG/L <br /> CONDITION IS # 4t q ItC It It 01R # Y # 30 1/7 CO <br /> '01'I I'OTAI ( IS F-) REPORTED p # k IF <br /> PERMIT i "_ KG/DAY — - ��-- MG/L ------ <br /> 1( 41� CONDITION # It # # # IS '� # It 4Ii S 7a 1) I// CO <br /> 'i�Ir J LG REPORTED It It It II IS # Y 8 * It Y 11 IF <br /> PERMIT — — — S -- —_ SV _ <br /> 4 .u CONDITION ¢ II It II, « # # # O !♦ It 6 n t3 # It # 9 e 11 1/7 GR <br /> ALL S boti,t,C*VV31J4L REPORTED If 0 # A It It # * ti W if Y i <br /> PERMIT <br /> CONDITION # # w N It Y It # # it IS It # Ill IS II 111 1t 10 1/7 VI <br />` 1 REPORTED <br /> I't PERMIT <br />+ CONDITION <br /> REPORTED <br />` PERMIT — -- —_ -- ---_ <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICf•R DATE W` <br /> '— — I certify that I am famillar with the Information contained in this <br /> KE EVES Jc++N A _ P��foE+ur 7L a , report and that(o the beat of my knowledge and belie(such Infor <br /> matlon is true, Complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Fors 3320-1(10.72) —_ PAGE OF <br /> ORIGINAL I 1 <br /> 001 I`j TREATED Y4RD 6 OISTRIAUTED A RFA 14UNOFF FROM COAL PREPARATION PL' <br /> ANIT DIJY SINGLE i, k< B CANNOT EXCEFO 45 MG/L FOR TSS <br />