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FERMRIEE NAMEIADDRE55 QrIr~freYyNrr'I~er,«yDli..v)
<br />NAVE BLUE tlOUNTAIN ENERGY, INC.
<br />ADDRESSDESERADO HIN°
<br />3607 COUNTY ROAD 65
<br />RANGLY CD 816uB
<br />NATIONK IOIIVTANT dlCNMOE [IIMIMA710M l1'lTQ1 //N~ESI
<br />DISCHARGE MONITORING REPORT (DAIRI
<br />coo 39D2u
<br />PERMIT NUMBER edN of NuMeDI
<br />Form Approved.
<br />OM6 No. 2000-0004
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<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENT NO. [REOUENCr SAMPLE
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<br /> SAMPLE
<br />VISUAL MEASUREMENT
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<br /> r.r...rt u.l u.,..rte,wnuw,«.xlr rw..n.+le", nlr l.r .,..u., aIONATURE Of MINCRAl E71ECUTIVE
<br />TYPED PRMITED ___ _ I"'~Iq u.,oredy orm...e lnyrho"rear>Y"e.ln[Nw.u.,a OFFICER OII AVfNORQED AGENT ~nni NUMBER YEAR MO DAV
<br />fS5 E TOTAL IRON LIHITS HILL BE WAIVED, AND SETTLEABLE SOLIDS LIHIT APPLIED FOR C=l0YR,24HR PRECIP EVENT-
<br />SEE i.A.l, PG Y, FOk HE;~UIREHENTS. OIL E GREASE REPORTING-SEE I. B. 1. F, PG VII. QRTRLY SA1lPLING
<br />7 NAT GfLr•4 illYs t r` BE ps Y,i pF
<br />EPA Form 3320.1(Rev. 3RJ9)Previous editions may 6e u.ed. ~, 00089/OTt(37B1~~O~~ PAGE 1
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