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t <br /> NAl1UNAL POLLUTAIi ;HARGE ELIMINATION SYSTEM <br /> DISCHARGE MONITORING REPORT roan Approved <br /> OMB NO. 154-ROO73 <br /> r /`►11 p --cT COAL- f3E✓�R cR w1(NE <br /> pa 8oK i5g <br /> cAg a oA) !)4 L E <br /> Cb b'(6 rL3 INSTRUCTIONS <br /> 1 ` 1. Provide dotes for period covered by We report in spaces marked"REPORTING PERIOD". <br /> L 9. Enter reported minimum,average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> u-r u�iei ,I lot in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> -- - - - - ■oteriokw "AVERAGE" is average computed over a;'ast time discharge to operating. "MAXIMUM" <br /> p L 3 `tt. C and"MINIMUM"are extreme values oboerted daring tl.e reporting period <br /> Q T f 6 (2,1 3. Specify the number of analyzed samples that exceed the moxi=r.(and/sr minimum as appropriate) <br /> permit conditions in the columns lebelyd"No. Ex." If none,eater"O". <br /> ST PERMIT NUMBER OIS SIC LATITU DF- LONOITUD!F- � k 4• Specify frequency of aoel is for each 1.ramet er en No. anal ses/No. day a. e <br /> Sp Y q Y ?� P Y Y ( d. "3/7" is equlva- <br /> 12 -2t (ra-]R IE4.251 Its-all Ixo-xe) I3"-311 lent to 3 analyses perforated every 7 d.1ys) II continuous enter"CONT." <br /> S. Sp-ify sample type("grab"or"--hr. composite")as applicable. If frequency was continuous, <br /> ` enter NA". <br /> REPORTING PERIOD FROM [7�)�, <br /> 1[)- TO ��7 � l -- I 6. AVrriove utr,alE n ura la rlcop r+i r y�4 rec rd rllib loan. <br /> ARjfjl_-MO DAY YEAR MO OAY Nemova c•+d,on end retrin copy for your records. <br /> 8. Fold along&tied lines, staple drill mail Original to office bpecificd in ptimit. <br /> Isa•071 le.•eel lea-7o1 <br /> (3 a 4unlYl QUANTITY �-! - Hurd only) CONCENTRATION '-� .�-_- FREQUENCY -�-- <br /> 1]B ea IN-NI 15"11 N]-Rl lee-4el i<a-5A Ia4-e II ler•e3 SAMPLE <br /> PARAMETER _ -_ _ -__ __. __ -_—._ _-_- ___ - __ _ __-- -- _ OF <br /> MINIMUM AVERAGE MAXIMUM UNITS EX' NIt11MUM AVEftACF- -MAYIM1Irt Ural IS EX' ANALYSIS TYPE <br /> Lt)&J (zAtE RaPORTeO o 49• 31)1. — ! 60A;r -- <br /> Mh - ------ ll <br /> P l RMI T <br /> L /Q-^ CONDITION <br /> Mrxc1-4 REPORTto S•3 / - O _-' - �`I[i �T'� <br /> 50 <br /> PEHI.IT S� <br /> o ate/ Qr-r©y�^�r� t CONOi T10N 7,�17 <br /> 1L VA A /i/II,L L-E R►POR TEO_- __-�' .--Y- 1�4T' O.ZZ-- U.3 _ `/ C) _-3/al LI--_ G <br /> 0/OIV S CONDITION <br /> SO�L/J,S 7-G T!'4C RFP.HTEO- ,_^ <br /> PERMIT /✓'�i�'�/J� , /� <br /> �d �✓V CONIJI TI.N --•. ��' 'I3l� //yb lYI\ <br /> piG -told Asp To X.PORTEO /{l/� - `y• --n. — — !.Z— <br /> C,)� 6 PERMIT _ fuels/Lre^�/' Ala, <br /> / /L <br /> 7vR 4610/7-Y -- -- - -- '� ---- BTU - ---yn--- - ---- <br /> PGRMIT ( �} <br /> CONDITION �` -^ �'� 3c3 3/9 <br /> v 17K. <br /> REYORIGD <br /> I CON-TI ON <br /> HEPORIEn <br /> PERMIT <br /> CUN.I T,UN <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER- v TITLE OF THE OFFICER DATE /) <br /> _--�-----'---"' -'---"-'---'----- ------' - - f certify that 1 am familiar with (?As information contained in this _ <br /> < r report and that to the best of my Anolvledga and belief auch Infor 'VCR({1. �-- s�s•� = <br /> .�Or`(u !� l=xfrCfJllfi�,(Ljl�_EL'c�fN� 71�-r l-La matron is Inra, wmpteta,and ate orate SIGNATUNE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR NO DAY OFFICER OR AU THOni ZED AGENT <br /> EPA Fenn 3320.100.72) PAGE OF <br /> ORIGINAL <br />