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NATIONAL POLLUTAN HAgGE. ELIMINATION SYSTEM °�- <br /> DISCNARGt 1TORING REPORT L ,! r Approved <br /> AU. I M-RCJ73 <br /> r <br /> h" .D-CT C`),L (PRILP PLANT l <br /> PO BnX 15H <br /> CAPW' IC:ALE INSTRUCTIONS <br /> 4 <br /> cF)6?3 1. Provide dates lot period covereJ Ly this report in spaces masked"REPORTING PERIOD". <br /> 2. Enter reported minimum, average and maxim- values under"QUANTITY"and"CONCENTRATION" <br />' W la.y In,el Ili,rat in the units specified for each parameter as appropriate. Do not enter values in Loxes containing <br /> ---- --- --- --- - asterisks. "AVERAGE" is average—paled over actual time discharge is operating. "h1A%IMUbl" <br /> and"MINIh1Uh1"are extreme valuee observed during the reporting period <br /> 3)5 i, I_'I I 3. Spectry the uum ber of analyeed samples that exceed the maximum(and/or minimum as appropria(e) <br /> - - - --- pen it'ondri,ous in the colurnna labeled"No. Ex." It none,enter"O". <br /> ST - PERMIT NUMBER OIS $IL LATITUDE LONGITUDE ��Jf ,(, rct( tier,tear of analysis for each aramrter as No anal•ses,rNn. days Y I Y Y P 1 1 (e.g., I3/7"Is equrva- <br /> (2o-2N (22.231 lib 2e1 42C•27) 1:3-291 (30-31) lent to 3 analysae perforn-d aver('7 aays.) If continuous enter"CONT." <br /> S. Specify sample type("gab-or"-hr. composite")us applicable. If frequency was continuous, <br /> 3 1 7 1 723 1 1j C I enter NA". <br /> y, REPORTING PERIOD: FROM _l �� TO L 1- o. Apprupri ate signature is regvlred on bottom of this form. <br /> YEAR NO DAY YEAR MOO DAY 7. Remove earl-and retain copy for y,I.;,ecords. <br /> 8. Fold along dotted lines• staple and marl Original to office specified In permit. <br /> (22•371 ---"- ---- - ---- -Ian-66: _ _ (e9-701 <br /> (3 card only) (I card only) - <br /> QUANTITY CUNCLNT NATION 7 hREgULNCY <br /> PARAMETER (3e-4m (se•e 3) (6aeu wz-e3,13 •.m IM-6n Isn-en laz-em DF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNi73 NO. MINIMUM AVERAGE MAXIMUM UH115 NO. <br /> EX EX ANAI YSIi TYPE <br /> rr 1 F1C'I iN CNI-l.UII REPORTED � ` J _5-67 _-i -_- -M{F�.#_ _ Yr s7 it-u -�17--_`.-_ -_..�� _ <br /> 1 <br /> PERMIT _ <br /> 5r) CONDITION # # # k x # # # # G # Y t¢ {F !i 1: tt A 1L # # sr 4 it 10/ N <br /> TI)Tt'L W-S REPORTED * p # it +f i to # # >Y # # u # # 86S +t +r 7r it <br /> 1:,IDS LV�i ) -- -- - --- KG/DAY - -- - ------ — - M(;/L - --- - ----- <br /> y PERMIT <br /> CONDITION <br /> ,`1T)Si, TOTAL 5I15P RCPORrEO it n u et u a a a n -- -- - u s: {r ft IF IF <br /> -- <br /> . KG/DAY ----- !SG/L -- -- --- --- <br /> PERMI T <br /> CONCITI ON A tlf # {I :r Ii # A # it tt if 0 IF IF # 1r it tF H 3n q /� I/t:(1 C1) <br /> W - REPORTED ♦} # # # Y•F {r /t {! P # # tk # * 4 0-00 e6/� O z19c, C.CJ-•�NP-IOTAI_(AS FF) ' <br /> ---- <br /> -- --- — KG/DAY -------- --- - h'G/L <br /> PERMIT _ <br /> L.':t� J <br /> a �L n r.' ;} it # # u +1 » fr a tF a IJ'>n C1 y CONDITION a5 7 i � r <br /> tTNt t If Ln --- - REPORTED +t # a iF >♦ ,t +r a a a ++ , S.C) a <br /> PERMIT �( {i ♦♦ 'K {( # # µ a Sll SU <br /> CONDITION F,a;I IF P fi # 9aG )/:)D G4 <br /> LTL, & G�'EASF,VTSUAL REPORTED A # it # 14 n p i 1t O +► # i~ • {r a +: G /`%D V1 <br /> __-PERMIT <br /> ,2 CO NOI TION A {{ p fc Ft it # M # p # # # # # # # # tt {► I� I/�1/ VI <br /> v REPORTED <br /> PERMIT - <br /> �� CONDITION <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFI ?q -r--- D>Te <br /> -""-` `---- ,1 -- I cartity,that I am fwnUlsr with ilia Information conioiriad in thfa <br /> �- fj,Eorvcs `f dciN A �1<L-C.�1(!E 044-= PAC-ci/,9iwNT �� I u Tep-,and that W the best clay knorvledgn and&,hat such Int+7r- ---- --- --------- <br /> __ _ 1 motion is(rua, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR Mo DAY OP FILER 09 AUTM ORIZED AGENT <br /> �.. EPA Farm 3320.1 f10-72) PAGE OF <br /> ORIGINAL I I <br /> 10? IS SETTLED MI-W WATER FROP1 BEAR CPEE:K MINE- ANY SINGLE GRAB CA-NINOT <br /> a. <br /> F X('EcO 45 9G/L FOk 1 S3 <br />