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NATI^.HAL POLLUTAr -HARGE ELIMINATION SYSTEM <br /> DISCHARG dTORING REPORT ArgliGved <br /> c.-H NO. JM-WO13 <br /> f`-i T .^,fi.L IP2'-:N PL'INT <br /> ' Ar rlhiW)AI !' INSTRUCTIONS <br /> (.) Q 1 6?3 1. Provida dates for period covered by this report in spaces marked"kEPObcTING PEP.IOD". <br /> L 2. Enter rtported minimum, average t'i.d maximum values under"QUANTITY"unit"CONCENTRATION" <br /> • Iz•» u•Isl ur-Ial in l'uo unity specified for oa,h pnr^nicte; n- apprnnriate. Da not enter value.In bosea containing <br /> -- ---- r611 <br /> sterisk6 "AVERAGE" la average computed over actual Ume discharge 1s operotlug. "YAY(NUN" <br /> nd"MINIMUM" are extreme valuta observed during the reporting periodI211 A 3. Speerly Iha numter of anQyc�d gmplea that asceed the maXlmum(end/or minbmUvi a epproprlste)permit conditions in the columns Libolcd"No. EE." It none,enter"O". <br /> TPERMIT NUMBER S SIC LATITUDE LON4ITUDE <br /> 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7"is equlva- <br /> Im-zu 194-as, lea-an (za-]z) (90•111 lent to 3 analyses porformrJ every 7 days.) If continuous enter"CUNT." <br /> ---'T'� $- Specify sample type("grab"or"_hr. compoclte")as applicable. It frequency was continuous, <br /> enter NA". <br /> REPORTING PERIOD. FROM 1i, ro 7L9 U :J 1 6. Appropriate signature is required on bottom of this form. <br /> YEAR MO DAY YEAR MO DAY 7. Remove carbon and retain copy for your recrnls. <br /> -- _— a. Fuld a nr do tied lines, staple cad marl Original to office specified in permit <br /> 1 al•»I _ _---_ __ _ __ ___ le..sal lea-!4,• 1, <br /> ry u—i4 only)—`----- - --(I ca—re onylCONCENTRATION ----- - - <br /> QUANTITY ►REyUENCY <br /> PARAMETER Iw•.gf_- t�e•ny__---__,en•su- _ ___ Nz-ems Ism-4D`� _Ins ssi _ __n�-s l�___ -_________�c.as OF SAMPLE <br /> MINIMUM AVERA13E MAXIMUM UNITE NO MINIMUM V - AVERAGE - MAXIMUM UNITS NO. TYPE <br /> EX ANAI.YSIS <br /> j 1 �, IN Cr) 0A)IT REPORTLD d:,> iO 'L`,C) A * # * # i♦ # if 11 # #^#� 0 <br /> PERMIT <br /> ,i CONDITION # # # # # * # # # f1 # 1 7 114 <br /> •Lit+'i. Ir)T^L 1)I'JS R«PORTED - # # # # # # If #-_# a _# ^# ---_y-- f`�G--- - �---- <br /> ' LVc 1 1 - KG/DAY MG/L. <br /> PcflMIT_.- _y 4 # M #_fl it # _.11 41 # # # # # # 11 # # It <br /> _r 1/90 _- GR <br /> � 7 <br /> _ , caNunlON <br /> ` I �L 11C• IIJ!iL SUSP RHPOR TED i $ # 0 # I1 >t # /i :i # # -- # # # # # # # As <br /> [- <br /> ( ;1,; >r iOf r,I ----- --- -- -PERMIT KG/DAY -- � �sGJL - -- - -- - <br /> L -_ <br /> CONDITION # # # # # # # # # # 30 _ 1/91) ICU' - <br /> ` <br /> KG/DAY - <br /> -IC4 CONDITION # # # Of # if # 41, # Of # # # # # l► 31,5 7.,,, 1/90 CO <br /> ,It-OFT .LP REPORTED # M # p # # # # u It <br /> PERMIT Sl1 --__ —_-_ --_-.. Su <br /> ! ./ CONDITION a # M # # # # # Is # # # 6.n # # # O 9ef:• y 1/90 GR <br /> II 6,"F't-FtVISIJAL REPORTED # # # M Y p d # # Of, # # p 7t a # fi # Of # Q d i�90 iT I. <br /> PERMIT <br /> L <br /> _,?_` It p It /t # It # # SO # # # • # III # 10 — I/90 VI <br /> CONDITION # # # # <br /> REPORT BD -- - - - -- <br /> PERMIT ----- <br /> ERMIT _ _ <br /> ` CONDITION <br /> RaFOflfED <br /> � PERMITCOMM TION <br /> NAME OF PRINCIPAL EXECUI IVE OFFICER TITLE OF THE OFFICv N GATE - ' <br /> _ f certify that f am familiar with the information contained In this fin♦ <br /> t=-Lt7 JOfllU �. ,U•,�s=rj�n(j' n I1((II , report end that to the beat of my knowledge and belief such lnfor �-(� - ---- - <br /> ______ �_ mation to true, complete,old occurs(& SIG ATURE OF PRINCIPAL EXECUTIVE <br /> LAIT FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AUENT <br /> t. EPA Form 3320.100A ORIGINAL <br /> PAGE 1 OF <br /> i <br /> Gi15 IS SFTTLED MIIIF WATER FROM L.Se 14r)OD MINE U3 ANY SINGLE GRAB CANNO <br /> T FXCE;C P 45 VIG/L Fk,k TSS <br />