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PERMITLEE NAME/ADDRESS (include FaciLry NamvlLocadon if Different) NATIOTW_ POLLUTAM DISCHARGE ELIMINATION BYBTEM (NPDES) FDrm Approved.
<br />DISCHARGE MONITORING REPORT (OMR OMB NO. 2040-0004
<br />NA1~iE~ CO'LOYIO CURL COCPANT, L. p. !z-fe) Tn-~e) HINOR Approval expires 05-3f-98
<br />ADDRESSCOLOffTO MINE 000045161 002 8 (SUER Nfl)
<br />5731 STATE HIGHWAY 13 ~ PERMIT NUMBER DISCFIARGENUMBER P - PIINAL HOP AZ
<br />neegES CO 8164~`r~ ~ NASHBAT TC NOAR AREA POND
<br />FACILITY ~ ~ MONITORING PERIOD
<br />LACATION ~ -„ .YA: YEAR MO: ~.OAj'j"+~. ~ YEAR MO DAY
<br />FROM " ~ ~RTO ~ v .rt '~~~ NO DISCHARGE ~^~ ~r#
<br />A 7 T Y: J. D. H A R H O N, GENERAL h A N A G E A lzo-zl) rzz-zs! .,'RazS ~ (z~zrl (ze-zal iso-sl! NOTE: Read Instructions before compleling ttds form.
<br />PARAMETER (3 Card On~y)3 QUANTITY OR LOADING ~f4 Cab Ony) QUANTITY OR CONCENTRATION NO. FAEOUENC SAMPLE
<br />(54-BT) (3845) (4&53) (se-6r) EX of TYPE
<br />~Z~n AVERAGE MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM UNITS !~! ~~ BBIS 6!}70
<br />JV1.1 vim, Lui AL SAMPLE .r,f r,.a +- M 4 s>RSrI>R:F ( 19) 1/
<br />SUSPENDED MEASUREMENT s', 2L` 'L L{ O /~Ix Grab
<br />OOS30 1 0 0 - ~ s y .~a 1r
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<br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I_CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E7(AMINED AND ~ / TELEPHONE DATE
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<br />I \ ~ Af:(:URATE AND DOMPLETE. I AM AWME THAI THERE ARE SIGNIFICANT
<br />PENALTIES FOR SUBMfRING FALSE INFORMATION, INCLUDING THE ~ (,(/(///rr~r
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<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. $ 10D1 AND 33 U.S.C. q ~, g7y_rGoo
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<br />COMMENTS AND l7(PLANATION OF ANY VIOLATIONS (Ae/erence e!I etlechments here)
<br />NDMITORING REQUIBENElIT:i SEE I.G.1.8, PG. 5. BURDEN OP PROOF P.F.QUIREHEN25 - SEE I~.A.2, PG. 4,
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<br />EPA Form 3320.1 (08-95) Previous editions-may not be used. (REPLACES EPA FORM T,40 WHICH MAY NOT BE USED.).,,..,,
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