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PERMITI'HI_ NA51TE /ADDRESS (includes Facility Namell_ocation if Different) <br />NAME TWENTYMILE COAL COMPANY <br />ADDRESS (MINES 1 & 2 SOUTH, & ECKMAN PK <br />29515 RCR #27 <br />"ACII.IT"' OAK CREEK, CO 80467 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MINOR <br />D;SCHARGE MONITORING REPORT (DMR) (SUBR JC) <br />F - FINAL ROUTT <br />ACUTE WET TESTING FOR 001A <br />000042161 001 W X Check here if No Discharge <br />PERMIT NUMBEP. DISCHARGE NUMBER NOTE: Read Instructions before completing this form <br />I <br />A 7NI: IUIr Jerry Nettleton, Em/. Manage YEAR <br />P / \R.41lNEi "EFi <br />L650 STATRE <T ACU SAMPLE <br />FIR <br />D. MAGNA MEASUREMENT <br />TAM3C 1 0 0 PERMIT <br />EFFLUENT GROSS VALUE REQUIREMENT <br />— 12 <br />QUALITY OP, LOADi'J; <br />AVERAGE ? it.7A:;litr J19 <br />UNITS <br />MONITORING PERIOD <br />DAY YEAR <br />TO 12 <br />^QUALITY OR CONCENTRATION <br />MINIMUM AVERAGE <br />MN VALUE <br />FREQUENCY <br />NO. OF <br />MAXIMUM UNITS EX I ANALYSIS <br />PERCENT <br />OTRLY <br />AMPkJ- <br />TYPC= <br />�' HE /TI t t P" ;NCIPAt ,ECUTII /E OFFICER I Certify under penalty of law that this document and all attachments were prepared under TELEPHONE DATE <br />,I <br />my direction or supervision in accordance vith a system designed to assure that ualifiec <br />2rl1il A. \i1 /Fiie�SUil, P.G. pesonnel properly gather and evaluate the information submitted. Based on my inquiry of 970 870 2750 <br />CiBUIC�;Si the person or persons ,,,ho manage the system, or those persons directly responsible for SIGNATURE OF ?RINWAt_ i !I <br />gathering the information, the information submitted is to the best of my knowledge and belie; OF =ICEF, O!: A t HORIZED AGENT AREA CODE _ NUMBER _ YEAR; MO DA`. <br />true, accurate, and complete. I am aware that there are significant penalties for submitting <br />TYPE OR PRINTED ) false information, including the possibility of fine and imprisonment for knowing violations. <br />CONij l ENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.3, PP 5 -7 FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POh,'T ESTliviATE'AtHICH IS LETHAL r0 500/ OF TEST ORGANISiviS M;50) Ai D ATTACH ACUTE TOXICITY TEST REPORTFORM TO DIVIR. <br />TOXICIT`/ TEST REORT FORM TO DN,R. COPIES OF ALL INFORMATION MUST BE SENT TO EPA. <br />'-arr;ou; . ditions may to !tsed PAGE 'I OF <br />