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PERMITTEE NAMEIADDRESS (Include Facihly Name/Location if Different) <br />NAME: <br />Blue Mountain Energy Inc <br />ADDRESS: <br />3607 CR 65 <br />O <br />Rangely, CO 81648 <br />FACILITY: <br />DESERADO MINE <br />LOCATION: <br />3607 CR 65 <br />VALUE <br />RANGELY, CO 81648 <br />ATTN: ALAN HILLARD, MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038024 I 004-W <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY I MM/DD/YYYY <br />FROM 7/01/2018 1 To 1 930/2018 <br />Form Approved <br />OMB No. 2040.0004 <br />DMR Mailing ZIP CODE: 81648 <br />MINOR <br />(SUBR DW) RBLAN <br />ACUTE WET TESTING FOR 004A <br />External Outfall <br />No Discharge In <br />PARAMETER <br />I caldyudc p,—= law tlm thn,b —.V all mhclunvua wem gry.ml�nde my JneGimw <br />..pemamnh .kh.VWmd..p dm asauematquatdiedpeeomel�lypd- aW <br />lure the mdf n i. auhm' Fledmmy-pmy floe palm apecan.w manW dw <br />*,Ac 4.d—p'.�edy—e—,b `ra°rhe S dk mfb'm.bmdr aim ,ub ° .d <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLEEX <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />�blaroa> <br />AREA Code NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />LC50 Static Renewal 48Hr Acute <br />SAMPLE <br />....aa� <br />Daphnia magna <br />MEASUREMENT <br />TAM3C 10 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />100 <br />MO AV MN <br />'""" <br />"„" <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />SAMPLE] <br />MEASUREMENT <br />TANK 1 0 <br />Effluent Gross <br />PERMIT � <br />REQUIREMENT <br />100 <br />MO AV MN <br />'�"" <br />""" <br />% <br />Quarterly <br />GRAB <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER <br />I caldyudc p,—= law tlm thn,b —.V all mhclunvua wem gry.ml�nde my JneGimw <br />..pemamnh .kh.VWmd..p dm asauematquatdiedpeeomel�lypd- aW <br />lure the mdf n i. auhm' Fledmmy-pmy floe palm apecan.w manW dw <br />*,Ac 4.d—p'.�edy—e—,b `ra°rhe S dk mfb'm.bmdr aim ,ub ° .d <br />TELEPHONE <br />DATE <br />(970) 675-4322 <br />10/22/2018 <br />Scott Wanstedt, Environmental Engineer�«rmr`"�;, <br />Oe,���Pld�ar'rur�ara <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />�blaroa> <br />AREA Code NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <br />t:UMNItN 15 ANU tJtPLANA I ION OF ANY vioLATioN5 (Reference all attachments here) <br />SEE PART I.A.2, PG. 8-10, FOR DETAILS OF TEST PROCEDURE. REPORT LC50- STATISTICAL POINT ESTIMATE WHICHIS LETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />EPA Form 33204 (Rev.01106) Previous editions may be used. <br />0511112011 Page 1 <br />