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PERMITTEE NAME/ADDRESS (/nclade Frcilip~Namdlocadon ifDifferem) <br />NAME TWENTYMILE~GDAL COMPANY <br />ADDRESSFOIDEL CREEK f1INE <br />29y1a ROUTT Cl)VNTY ROAD 1('27 <br />FACILITY OAK GREEK CO 80467 <br />LOCATIOI~AK. CREEK ~ CD 80467 <br />ATTN: GEORGE VAJDA, VI E PRESIDENT <br />'~ ~ ~ QUI <br />PARFtMETER <br />AVERAGE. <br />.EFFECT . $TATRE 7DAY SAMPLE ###### <br />NR CER LO~APFtNIA .'. MEASUREJvfENi <br />GP3B S ,O Q - <br />PIMEPHALE$: ' <br />C ~ 'O . O . <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br /> MINOR <br /> ' ($UBR NW) <br />MF MBER ofscHARCE ~ F - FINAL ~ ROUTT <br /> CHRONIC WET TESTING FOR 001 A <br /> yu_ wv2r <br />FROM ##+k NO DISCHARGE I I ### <br />! <br /> NOTE: Read Instructions befo co taring this form <br />Y OR IOAGI ~ GANTITY DR CONCENTRATION ~ NO. FREOUENC SAMPLE <br /> EX ~ of TYPE <br />MAXIMUM' ~ UNITS MAIMUM.:. ~.! ~ AVERAGE MAXIMUM UNITS ANALYS/S <br /> <br /> <br />SAMPLE ~ ####i~.#.. ~ ###### <br />/ ~, <br /> <br />" <br />~ SAMPLE <br />~~ ~ MEASUREMENT <br />.. .~ r- _ - .. r <br /> i'F <br /> SAMPLE. <br />~~ ~ MEASUREMENT <br />..t: <br />.ray t <br />~ <br />~ <br />,'1' ,Y-!'.. ~~ r 3.'r:t~~ x <br />~f .R F 1 ~ ` <br />• <br />~~. `S. <br />. SAMPLE ~. <br />'~ ~=~~ ~ <br />. MEAS~IREMENT <br />r <br /> <br />"" t _ <br />'~~ SAMPLE <br />~. MEASUREMEN7 <br />. r ~ k <br />, x <br />~ '}~ 'b ''~ <br /> <br />. <br />t <br />hi yYl F.I <br />: ~- <br />' i -r'{ T <br />Ji~~ - <br />k R,i <br />!y <br /> ~ p f £ <br /> SAMPLE <br /> MEASUREMENT <br /> ~' <br /> <br />NAMERIFLE PRINCIPAL EXECUTIVE OFFICER tCaddyuntlar penalty of law that this docOment and ell'aaachments were ~ i~ TELEPHQN~' DATE <br />_ ~, _ ~ preparetl under mY direction or supervision in accordanoa witb a system tlesignetl r <br />to assure that qualifietl personnel properly paNx and eveWale the inlo!matlon <br />RfChard A't~(t3 submitted. Based onmyinquirydthepersonorpersonswhomarlagethesystem, ~' ! ~ ~. 470 870 27.12 QO 03 07 <br />• or those persons directly responsible Ipr gathering the imormation, Na inlonnetion <br />Environmental falana.ger submitted is,to the best of rtry knowletlge antl bolial, true, accurate, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />1 em awAra that {here are8ign~wnl penalties for submitting lalsa information, OFFICER OR AUTHORIZED AGENT YEAR MO D) <br />TYPED OR PRINTED indutlin the oesibili of Oneandi 'risonmenl. for knowi violaaom. 'NUMBER. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference allattachrd@ntS here) <br />SEL I. B. 3 FOR DETAILS OF TEBT PROCEDURE AND FAILURE CRITERIA. ljEPQRT LOWEST % EFFLVEN'~ :A'~• WHICH <br />STA.7ISTICALLY SIONIF DIFF IN LETHALI~V BETWEEN TEST AND CONTROL`MiAB OBSERVED. ATTACJ~i'C,HRONIC TOXICITY <br />orm. ~ E !~Ptevloos e I Ions may e U e . ~ ~ ~ `r ~ I Af9T FORM PAGE OF <br />~I, <br />c HIOD <br />~ <br />" <br />YEA ' <br />~y I R <br />~ MO DAY <br />. <br />99 7~ ¢ 12 31 <br />