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PERMITTEE NAME/ADDRESS (Inclwfe Facility home//aanbn iJDiB~nmq <br />NAME <br />QL'JE MDUNTAT.N ENERGY. INC <br />ADDRES`~EEtRADD MINE <br />360 % CDUNI'Y RDP.D 65 <br />FACIUTYRANGLY CQ H164O <br />LOCATION <br />.:, TTnI~ .l~rc nl lnn va~r <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form AppfOVed. <br />DISCHARGE MONITORING REPORT (OMR) OM8 No. 2040-0004 <br />MINOR <br />r~r noon n^t i SUQH NW ) <br />PERMIT NUMBER DISCHARGE NUMBER F - F:NAL rt L-...~/~~ <br />MONITORING PERIOD RP~-~~+ °EDI POND TD FLED WASH <br />YEAR MO DAY YEAR MO DAY <br />FROM O 04 O1 TO Cl 04 '~(• ,~a~ IdG D].SCHARGE I~I ##it- <br />NOTE: Read Instructions befor mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX of TYPE <br />PARAMETER <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNa-tsls <br />aH SAMPLE #itiF### ##it### ~tt6#~ a+t 12 ) <br /> MEASUREMENT <br />)04r'0 1 U 1 `. PEEiMIT <br />.' ;iF,tFN+ItN.i~ # , it <br />M #ac +} =~. ' MiFif_lkit# . 0 dll ~"KG«!t NS~7U <br />-F'FL.UFNT GROSS VALUE , <br />F7E_QUIREMENT s ~: ##~. ~. tt - .-. , . <br /> <br />30l_ 1 P`;, TO I .4L SAMPLE #al tF#a+t ##tt #+tit #a##+t+s 1 q ) <br />"USF'Ll';DED MEASUREMENT <br />)C R, :O i O O ~ :,AERMIT'`.= .t ~ •'~`` #it ~; RciC;~ik'Ik1{. a3 .: .' O i("-' ~. <br />_FFL.UFNT GROSS VALUE RE©UUaEQIIETJY - ~ , #~# ~ D X G/L. <br />7IL ', GREASE SAMPLE aF#at#ihiF ###### ####tt# #####iF lq) <br /> MEASUREMENT <br />)OS56 1 O 0 "~?& ~ N ~ ~ MW^ *# ' .Miii'[F')F '''ii!-`*~ - O (y` <br />~~~ <br />.F FLUENT GROSS VALUE ~ <br />RE.4dl EN9' +",~ _:~' s:`_ ##~ - ~' V/ <br />RUIN, TDTAL SAMPLE u-~+taat# trait#+t* at###~at lqi <br />< AS FE) MEASUREMENT <br />? 1 G!+:: 1 O O ~?EAIUIit' ' <br />• ~ <br />"~ #~ r #G~+k!ikiEiF : '8'; q ~ ~/~" <br />=F! :.'LENT GROSS VALUE »E~»~EMeNT ~ , a## ' r•/L. - <br />~LCi~lr IN CUNllUIT OR SAMPLE 03) ~#~~++# ##auaa ~~uat~-a~a <br />HRt: -i REAT MENT PLANT MEASUREMENT <br />~on:,o 1 v 0 peiMls ~ ~t ,~~ 't`;; ~~~ °~~r~+~i-*~ ~ *a~t~~t # ><ff ~ <br />:FFI t!ENT GR05S VALUE REQUIREMENT GD x~;, <br />TIL ANll GREASE SAMPLE #a##a# y4) #~#~## ###~+r# au#R~,t <br />S511AL MEASUREMENT <br />40E~:. 1 O O '°'PEHMIT - ~ ~ iFiFiFilyF,~ `~'~~ 5=1 a i~ ~ ~= aFAFN^1F1F# illt#iF#M it tt+r ~ M xSI~AL <br />_F~'-'JEN` GROh"S VALUE RECIULAEMEN'f _ .µ#~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REOUIfl~M~NT: ' ~ .- . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICenity untler penalty of law Nat lMS document antl all atlachmenLe were TELEPHONE DATE <br /> prepared untler my tlveNOn or supeMSion in eaoNance wM a system designed <br />_ <br />~ / <br />5~ lJ~, ~ /!u ' S7~ ~ ~- to assure Ihat qualdled personnel properly gather end evaluate the inlormabon <br />r <br />h <br />m <br />i <br />i <br />f th <br />th <br />t <br />b <br />d <br />B <br />d ~~-±~- <br /> ngmry o <br />e parson or pe <br />sons w <br />o <br />anage <br />e sys <br />em, <br />su <br />m <br />tte <br />. <br />ase <br />on my <br /> or those persons directly responsible for gathering the iMOrmelion <br />the Information <br /> <br />~; r.~ ~F!i , <br />submitted is , to the best o1 my knowledge end belief, true, accurate, and complete. <br />SIGNATURE OF PRINCIPAL•E%ECUTIVE `' <br />7 ~` <br />- <br />dL <br />U~ <br />~ ~ <br />D OR PRINTED I am aware Ihal Ihere are significam penalties for submin~ng false Information, <br />inclutlin Ina ossihili of lne end im risonment for knowln violations. OFFICER OR AUTHORIZED AGENT A <br />p <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference elf attachments here) <br />OIL % GREASE REPORTITVG-SEE I. $. 1. Fr PG VII. ORTRLY SAMPLING INSTRUC"PIONS-I. C.Fi, PG XI. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. 00252 / 000222H11516 PART FORM PAGE 1 OF <br />