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PERMITTEE NAME/ADDRESS pndudePadnryNmmdfocanon ifDignorq <br />NAME ULUF. !":~UU?AIN 1:NEHl;Y, iNC. <br />ADDRESSDE5ERA00 MINE <br />3b07 COUNTY ROAD 65 <br />FACWTY RANKLY CO 9161R <br />LOCATION <br />ATTN: JBPP DUEI9EF.T <br />PARAMETER <br />LCSU STATHt,4 HHH AC <br />C.k1HLUDAPHNIA <br />i ;"138 I U U <br />;;FFLUENT GROSS VALU <br />LCSU STATRB 96HH AC <br />:L`IEPHALLS <br />fANbC L U U <br />AFFLUENT CROSS VALU <br />SAMPLE <br />~.. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed. <br />DISCHARGE MONITORING REPORT (DMA) OMB No. 2040-0004 <br />" `i 0 i+ <br />(SUER NN) <br />PERMIT NUMBER DISCHARGE NUMBER F - FINAL h b (. A N <br />MON170RIN .P RIOD ACUTC aF.L TESTI5G FJS 0:3 <br />Y ~ .~ MO DAY YEAR MO DAY <br />FROM 4 TO U6 30 +%'tG N~ UI?CH AF.~•;F ,~ rt:y ;t <br />NOTE: Read Instructions before"86m'pleting this form. <br />Y OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />EX OF TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNAL~Is <br />NAME/TITLE PRINCIPAL EXECUTVE OFFICER tCenify under penalty of law Nat thiatlocumant end all enachments were ItLtYMUrv <br />// ~~ // prepared under my direction or sup elon h ecmrdence with a ryslem designetl <br />a L O ~ WC/ YJ S W assure Nat quali6ad pereorarel properly gaNa end evaluate Na IMonnetion <br />eubmated. Beeed an my Inquiry of 1ha perbon or pereoro wlb mange the rystem, <br />pr Noae paeone OlrecUy reeponelpleior geNedng NalMOnnetion, Ne kdomratim 70 ,` /r <br />{~) (f ~{') ~' aubmilled Is , ro Ne best W rrry kaw7edge and beliel, tree, ecwrate, end complale. SIGNATURE OF PRINCIPAL EXECUTIVE / J 7 <br />I ern aware Nat Nae are slgnN~ant pariaRiea ror submitting lalse inrormetlon, OFFICER OR AUTNOR12ED AGENT <br />DATE <br />TYP DOR PRINTED Indud fhe sib" of Pneentl ire rlsonmem ror knowin violatlons. Nl1MBEF. rv.n my <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence e/(BBdGhmenls here) <br /> <br />:i cE PART I. 3. 3, Vu Yi Ll, r <br />FG!: DE'CAILi~ DF TEST PROC EDIiii•:. N::PCRT LC <br />`. O - STATI ~TICA1. POINT ESTIMAT <br />w'fiICH <br />IS LETHAL TU SUX OF TEST JR,ANI58S, AND f.T?ACH ACi1T°. Ti''{iCITY TtST ='E'PJF;: FOiiC TO D'!R. COPZF.S OF ALL <br />orm Prevl use 1 to s ay be sad.' T~II51g 4 PART FORM PAGE 1 OF <br />00~3~3/OOQ717~ 9-,D <br />