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PERMITTEE NAMEiADDRESS (Include Facility Name /Location if Different)
<br />NAME:
<br />Oxbow Mining LLC
<br />ADDRESS:
<br />PO Box 535
<br />EX
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<br />Somerset, CO 81434 -0535
<br />FACILITY:
<br />SANBORN CRK & ELK CRK MINES
<br />LOCATION:
<br />3737 HIGHWAY 133
<br />SOMERSET, CO 81434
<br />ATTN James T Cooper, EVP
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />000000132 015 -W
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY MM /DD/YYYY
<br />FROM � /84ii0428 TO 9/6/3@12@13
<br />l 161 , 20t�j 09 A4./z01
<br />Form Approved
<br />OMB No. 2040-0004
<br />DMR Mailing ZIP CODE: 81424 -0535
<br />MINOR
<br />GUNIS
<br />ACUTE WET TESTING FOR 015A
<br />External Outfall
<br />No Discharge 1�
<br />MEITITLE PRINCIPAL EXECUTIVE OFFICER
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<br />VALUE
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<br />AREA Cods
<br />NUMBER
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<br />LC50 Statre 96Hr Acute Pimephales
<br />SAMPLE
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<br />PERMIT
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<br />GNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
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<br />AUTHORIZED AGENT
<br />AREA Cods
<br />NUMBER
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<br />GOMMtN IS AND LXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SEE LA 4 A PP 5-6 FOR DETAILS OFTEST PROCEDURE REPORT LC50 - STATISTICAL PINT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR.
<br />EPA Form 3320 -1 (Rev.01 /06( Previous editions may be used. 11109/2011 Page 1
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