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PERMITTEE NAME/ADDRESS (Inclyde Farilirv Namr2xunoa gDiBe~enq <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSF_AC+LE MINE COMPLEX <br />P. ^. DOX 68 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />ATTN: AGEORGE E. VAJDA, 'J. F'. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMRJ <br />000034142 022 X <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~'~ L TO " '' <br />` `s>ti. <br />Form Approved. <br />M I NDR OMB No. 2Dao-oooa <br />(SUBR NW) <br />F °- FINAL <br />CHRONIC WET TE5TING AT 022 <br />### NU DISCHARGE I I o~lt~~ <br />NOTE: Read Instructions before completing this form. <br /> <br />I`tOFAT <br /> QUANTITY OR LOADING Yk• QUANTITY OR CONCENTRATION NO. EREOUENC SAMPLE <br />PARAMETER ~' EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />/. h tC ti IK SAMPLE map### it~tr#tr >< <br />~~~~ #a###~r R'IFR F-R ~. _ <br />~ ~ <br />~ <br />~ <br />C~Hrbs <br />CHR CERIODAPHNIA MEASUREMENT /o X11 <br /> <br />TCP3B S O 0 <br />PERMIT ### ##### #~.~ ER-- <br />SEE COMMENTS DELOW REQUIREMENT #~~~tr MN V _"_ i CENT <br /> <br /> <br />CHR PIMEPHALES SAMPLE <br />MEASUREMENT ~/O~ G~ <br />/ ####-lt it tt iF# # l c.~ , O ~ ~~ ~ ~M <br />SC <br /> <br />TCP6C S O O PERMIT ##### ### ## ~n;< ? j ER- <br />SEE COMMENTS DELOW ~REOl11REMENT ~~#+r MN VALUE ;~=~ . <br />~" t ~, CtNT <br /> ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. <br />~ ~ "`"' ~ <br />~ I <br /> REOUIREMENT k ~~ <br />~ 1.. I ~ ~~ <br />i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - " ~t""- <br /> REQUIREMENT - <br />a <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT I <br /> REQUIREMENT ~ rr <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ' <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER Kerby under penalty of law that tnis tlocumenl entl all enachments were TELEPHONE DATE <br /> preparetl untler my tlnaction or supervision .n accortlance wile a system tlesgnetl <br /> <br />%I-.. <br />-ry Illlr to assure that qualdietl personnel properly gather entl evaluate the inlormalion <br />submiaetl <br />easetl on ny inquiry of the parson or persons who manage the system ``// h~ <br />(~j I ~/// <br />~ <br />_~I . <br />, <br />or tnosa persons tlireclly responsiblelor gathenng the information <br />the information / <br />_ [[ /// / q7~-~70 -27I2 <br />7 <br />_ <br />1"/!I"611i~'f <br />'l11 <br />`'il <br />' <br />dn3l•6Y , <br />tl i <br />b <br />m <br />t <br />m <br />b <br />t <br />f <br />k <br />l <br />li <br />s <br />tl <br />tl <br />d ~, <br />:: <br />• <br />, <br />. <br />. su <br />m <br />e <br />s, <br />o <br />e <br />es <br />o <br />my <br />now <br />ge en <br />, true. accurate, an <br />e <br />be <br />e <br />complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED I am aware mat mere are s~gnilicant penalties for submming false mlormabon' <br />mcludn the ossibN of line and im risonmenl for knowin violations. OFFICER OR AUTHORIZED AGENT ARE4 <br />NUMBER <br />YEAR <br />MO <br />DAY <br />V VMMtN I5 ANU tXYLANA I IUN Uh ANY VIULA I IUNS (Hete/enCe all atlaCnmenlS here) <br />SEE I.D "~ FOR DE1"AILS. REPORT LETHALITY DERIVATIONS AS "%EFFECT", GI-'GWTH/RL-PRODUCTION AS "T4XICI7Y" RPT <br />LOWEST % EFFLUENT AT WHICH S1 AT SIGNIF DIFF DETWEEN 1"EST & CONTROL WAS ODSERVEI: USING TE5T CODE "5". IC25 <br />tlc Tnlr` TFCT rnnF "P" TIJr-11 S'/ ATTA(`H rNR(INTr TFQT RPT' FnRM 'TTT nMR 9 ('T7PV AI I TNFf7R MATTfTN Tf1 FPA <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00202/0004r f11S~1S,Sr~41PART FORM PAGE 1 OF <br /> <br />.~ <br />