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PERMITTEE NAME/ADDRESS (Include Facility Namr/Locarion jDiBerenQ <br />NAME MINPEC, INC. <br />ADDRESSNGnTH THC"PSGk CEEEiS MINES <br />2!b° COMPASS LkIYF, SUITE 101 <br />FACWTYGHANL JU6CTICA CC E1`_U6 <br />LOCATIOt~AF6CNL'ALE CC E]E23 <br />A11[:: J. E. STGYEN, CChSUL7I hG FhC.. <br />NATIONAL POLLIJTANI DISCHARGE ELIMINATION SYSTEM (NPDE3) Form Approved. ~ ' <br />DISCHARGE MONITORING REPORT (OMR~ OMB NO. 2040-0004 <br />(z-tsl ("~ el C 1 N C h. Approval expires OS37-98 ~ ' ; <br />r ~ r~~ ~s ea wc~ ~, <br />PERMIT NUMBER DISCHARGE NUMBER E rI - { I F 17 P ! <br />MONITORING PERIOD PQ ~-E I N I N G F L F C E E ; F C 1 F C N C <br />YEAR . MO DAY YEAR MO DAY _`T/ <br />FROM 9~~• Ip- ~C1 TO SS 1i 31 ~•-c C CIGCEAFCI: JK~ '~'' <br />(zazD^~,DZ-z? - 2a zs) t2s-zr) (za~zel (sash .Read Instructions before-C6m)pleting this form. <br /> (3 Card Ony) QUANTITY OR LOADING f4Cartl Ony) QUANTITY OR CONCE RATION NO. FREOUEN SAMPLE <br />PARAMETER (46-53) (54-61J (36-45) (46-53) (54-6 /) EX OF TYPE <br />(32-3n AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />l6z63) AaA[rsls <br />(64-66f <br />69-70 <br />FH SAMPLE ~.C;Fri#; r: r, ;;: ;~L tfi BY:tY ~ ].) <br /> MEASUREMENT <br />UU4UU 1 U C PERMIT i10Cg1## t7tP'<'3?P? +'C# (y~R, '' t:tfidC •(} w <br />~ ;~` :~' <br />EFFLUENT GNOSS VALLF PEQUIREMENT XKpfi R ~ ~ <br />, <br />SCLIUS, SETTLEABLE SAMPLE •~ - .~#:#A ( ~°) <br /> MEASUREMENT <br />UU745 1 U U PERMIF 4#Or4L 9fifi4'-'!'1'1 y/ .,. g. <br />1` .%- ~~jYZ ~T <br />~°' U.5 . ~~,. '~~~ '~- <br />EFFLUENT GHCSS Yi+LCF REQUIREMENT ~ <br />OIL E; CREASE SAMPLE ~ ~ ~ -~ .. K~000AO tt 9t7~t ( ] z) <br /> MEASUREMENT ' <br />UU5S6 ] U U PERMIT :9C##+k aa,;ocr fi =::; ~ara+a <br />' tltas I~3 CY2IN '!I=!'~`` <br />E F F L U E 21'1 G h 0 S 5 V A L U E REQUIREMENT .. A _ <br />ELCN, IN CONDUIT' CF SAMPLE (_G i°fi~fi00 0>ateo: r;c::: <br />1HhU 1HEATMFNT FlAA7 MEASUREMENT ~ <br />A <br />SGU50 1 U L PERMIT 6 F RT REECFT q! _ +~ 40~5>AAO L =:~:: ( ~(~/ _ ~$'~i~ <br />cFE'LUEhT GROSS YALGf REQUIREMENT A A X P L 'yR t6 :': <br />SCLIJS, 1'CTAL SAMPLE ~4,;<+'~~ .. r.;#-^.• ( ]$) <br />C] :i S O L 4 E B MEASUREMENT <br />/02y`` 1 U U FERMI? ~#fi>~* o>afitrae .':: tYfit~fi R~~t$T O~YI~11a<L ilL~ &/~,~, <br />EFFLUENT GkCSS VAIUE REQUIREMENT r,{;: r, <br />CIL P.ND GSEASE SAMPLE <br />--.. ,. <br />.... „ ( ^y~l) , . , ... .vfir,Cfi vfity~' <br />V' I :i U A L MEASUREMENT <br />E;ul;bb 1 U G PEflMII >onefi#A D Y fE=1 ~QfiOfifi O+ia+afi# IDQ#LKi i :i: 1tFJ 'IS~~[ <br />EFFLUENT UkCSS VALUE REQUIREMENT Iy ~ X =C dA:>; ; ,; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIF ~..~ ~- <br /> REQUIREMENT ~ _`+ <br />NAMElTITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 NAVE PERSO NALLY E%AMINED AND <br />D O <br />MV TELEPHONE DATE <br /> <br />( G <br />~ <br />• AM FAMILIAR WITH THE INFORM <br />INQUIRY OF THOSE INDIVIDUAL <br />THE INFORMATION <br />1 BELIEV ATION SUBMITTED HEREIN: AND BASE <br />N <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE J <br />~ <br /> <br />y <br />y• <br />, <br />ACCURATE AND COMPLETE <br />, <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />/ <br />I~ <br /> . <br />RN <br />INF <br />R <br />N <br />IN <br />L <br />D <br />NG THE ` <br /> <br />I~ ~ MATIO <br />, <br />I <br />PENALTIES FOR SUBMIT <br />G FALSE <br />O <br />C <br />U <br />POSSIBILITY OF FINE AND IMPRISONMEM. SEE IB U.S.C. 4 IDOL AND 33 U S.C. <br />~ SIGNATURE OF PRINCIPAL E7(ECUTIVE 11 <br />9V <br />Z~J ~ ~~/ <br />~ ~ <br />~ <br /> <br />TYPED OR PRINTED § 1319. (Pmrellies antler llresa stelules mey incNtle tines up ro 510,000 en0 or <br />rtrenmum rmpnsonmem otbenveenemonW antlsyeers.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />~eTTLErTELE SCIICS LIE'IT wc11L 6E YAIYf.D FCF %1C-YR, ~~-HF FhECIF EYEF1-SEE l.A.2, EC IY, fCF FE(CIFEPEN7°. <br />'~k1nLY SAI!PLING 1hS7FLCTIL`NS-I.C.S, PG IX. 3G LA1 AVG IS HIGHEST CCNTHLY AYG GEEING FEE7CC FEFC67FL. <br />EPA Form 3320-T (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NO7 BE USED.) PAGE OF <br />OOU58/99471i-11C9 1 <br />