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PERMITTEE NAME/ADDRESS (fnclyde FadllyNmnldlaaeon iJIN$oeny <br />NAME <br />ADDRESSBL!IF MOUNTAIN ENERGY INC. <br />DESERADO MINE <br />3b07 COVNTY ROAD 65 <br />FACIUTYRANGLY CO 81648 <br />LOCATION <br />NATgNAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />MINOR <br />li N6ty1kIER DI G UMBER (SUDR NW? <br />F - FINAL RSi ~~,fJ <br />MONITORING PERIOD RA-1 Ll7ADDUT TO RF. L- WA5H <br />YEAR MO DAY YEAR MO DAY n1f1 G( TT ~~ <br />FROM nn -, r , TO n ^ '' ~#NO7~R~arj l~isfru't`t~ions 6etor~c~orriple~ng this form. <br /> ' QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX of TYPE <br />PARAMETER ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />OLIFORM~( FECAL SAMPLE ###### ####,~# ##tt##~ l 1''? <br /> MEASUREMENT <br />.;E N E R A L ' <br />74095 1 O O ce## 4 <br />,(a T / <br />n n u _ x <br />~: n <br />Il_ ANll GREASE SAMPLE #####at ( 94) ###### ~r+tit### ##Ik### <br /> MEASUREMENT <br />i SUAL ~~ <br />4006 i O O S=1 Y. <br />~ ~ r" ~It# <br /> <br />T <br />11 <br /> <br />. k ,`vya. <br /> <br />bx,. g <br /> <br />M. <br /> <br />.~xf .' <br />_ _ _ - ~ SAMPLE .. <br /> MEASUREMENT <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />Y <br /> <br />~~ <br />~~t <br /> <br />X41 v <br />~~, <br />Ll iii. <br /> P .Y'*. 24 <br /> SAMPLE <br /> MEASUREMENT <br /> - <br /> t, <br />' <br />t: sr <br /> <br />r <br />y ~ ) <br />F <br />NAME/TITLE PRINCIPAL EXECUTIVE O FFICER ICeeity unear penalty blew that Cea documen arse au atla chmerM were ~ TELEPHON E DATE <br />prepared unear my directlon a supeMSlon kt accordance with a syrtem tlesigrad <br />~I / ~ b ensure Cat qualisetl personnel property gaNer end evaluate Ne IMOrmellon <br />~ <br />r <br />wbmlCed. Besse on my Inquby of the person or Person who marage Ne syrtam, <br />Sc rl~r V~ ~ ~ / <br />or those persona tllreu7y reaponalble ror gethedng the Inomation, Ne IMOimetlon _ <br />_ submitted la , b the best of my lapwledge ene baliel, tue, eccwete, end complete. SIGNATURE OF PRINCIPAL EXECUTIVE S. • . 7 4. <br />I em aware that Care ere eignNCara peraltlea Is submiding false inbmwion, <br />TYPED~OR PRINTED includin Cie sibil' olfine arse lm riwnmerH ror knowln violaeora. OFFICER OR AUTHORED AGENT ' <br />NUMBER. '~'~ <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lAe/erence all attachments here) ~ , . <br />OIL, & GREASE REPORTING-SEE' I. B. 1. F, PG VII. (3RTRLV SAMPLING INSTHUCTIOfJS-I L. B, F'r X;. <br />EPA FOrm 332x1 (REV 3/99)~~~Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00096/000222-1%ib ? <br />