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PERMTTTEE NAME/ADDRESS QneLAlufbryNmn/tsnulan l/DIQFmrd
<br />NAME ULUE f10UfITAI.v ENERGY, ItJC.
<br />ADDRESS DiyfJ$kADO MINE
<br />3.6oT couNTY RoaD bs
<br />~RANGELY CO 91b48
<br />FAaLm OESERADO f;I'JE
<br />LO~ArONRA:IGELY CO 816US
<br />ATTN: ALAN J. FIILLARD, DINE f:9IJAGER
<br />J ""'~ ~ " 1 `' I _ : ~ i Form Approved. ~ t-
<br />NATIONAI pOLLVTANT D19CNAROE FLIMINATON SY9TEM /NPDESI OM6 No. 2040-0004
<br />DISCHARGE MONITORING REPORT (O RI ,']I N 0 R
<br />U u H (su9R D'rJ)
<br />PERMIT NUMBER DISCHMOE NUMlER F - FI.JuL r38Lji iJ
<br />PP2 TO SCULLION GULCH
<br />MONITORING PERIOD
<br />FROM Y MO- D TO Y A MO- D :zl~,e NO DISCHARGE ~~~ •`'+~
<br />NOTE: Reed impuedolr 6dae compMElnp fib form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. TREDUENCV SAMPLE
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<br />EX oP
<br /> AxALVSIy TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />(20 D~Gn C) MEASUREMENT
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<br />00310 1 0 U PERMIT
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<br />EFFLUENT' GTi05S VALU REDUIREMEN7 ° ; ~ «''
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<br />(AS FE) MEASUREMENT
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<br />TH$O TREATPIEiiT LT LA R` MEASVREMENT
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<br />" TYPED OR PRINTED eMU4int lne poolelnry NnnenM lmprbanmenl rorn~nwln{vlNnuxn OFFICER OR AUTHORIZED AGENT COO NUMBER YEAR MO DAV
<br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS fRe/erencE s%AtnchmenN herN
<br />OIL E GREASP, RE?OL'2ING-SE'r: I.b.1.F, PG 5. QRTRLY SAMPLING I&STRUCTIOtiS-Z.C.9, ~C 0.
<br />EPA Form 3320.1 (Rev. 3/99) Previous editions maybe used. O O 2 6 3 / LT'.h1316~~-p~6F1311'frm. PAGE OF
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