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PERMITiEE NAME/ADDRESS (include FaciY!v h'ume~[ocarion ifh~•rem) <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAC-LE MINE COMPLEX <br />P. O. DOX 68 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />A~iTN: AGEDRGE E. VAJDAr V.P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (DMA) <br />COD034142 003 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM vv i v v TO vv i s .~ i <br />Form Approved. <br />rl I N(iR OMB No. 20x0-000a <br />(SUDR NW) <br />F - FINAL. MOFAT <br />NO. 6 MINE TO W1Li IAM5 FORM: RV <br />n?r=~ N!J D ; SC;HP.RGE t _ I ++~I # <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUEMC SAMPLE <br />METE <br />P - EX OF TYPE <br />ARA <br />R AVERAGE MAXIMUM UNIT MINIMUM AVERAGE MAXIMUM UNITS aNALrs/s <br />U1L U V t :. t. <br />' $AMPLE #ita-x er# 41 a •i'ihit tr p..a usn-x -c~ <br />~ ) <br />/ <br />~ISI <br />~L <br />v ISUAL MEASUREMENT ~ 7 . <br />84066 1 O O PERMIT * :- E5=1 ##a r 1 r <br />EFFLUENT GROSS VALUE REQUIREMENT INBT /:'- ND=O ~ TMTMTMTM <br /> $AMPLE <br /> MEASUREMENT <br /> PERMIT - "'K- <br /> REQUIREMENT <br />a: - <br /> SAMPLE <br /> MEASUREMENT <br /> .. PERMIT ."-fr~r"._~ <br />°:- <br />. <br /> REOUIREMENT . <br />•-'y" :+~ ~=. - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ' ~ " " ` <br />" <br /> REQUIREMENT •~;.~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ~' <br />" <br /> PERMIT ~ °"~ <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ceddy antler penalty of law mat tnis document antl eil anachments ware - -' ~ . ~ <br />~ TELEPHONE DATE <br /> <br />~~• <br />I <br />~) prepared antler my tlueQion or supervision m acco.tlance with asystem designetl <br />to assure that quaLfatl personnel property gather and evaluate the mlormalion ) / <br />/ -" ~ <br />~ <br />n,R ''?T~-:7I <br />~ <br />': i:.ha r~ <br />I <br />S Basetl on myinquiry of the person or persons wno manage me system <br />submitted .'/i~f C/ ~ ~~ <br /> <br />r <br />~ ' <br />- <br />' <br />' <br />~' <br />) , <br />. <br />me inbrmaaon <br />responsible for galhenng Iha mlprmation <br />or those <br />ersons Ouedl / <br />/ L ...///111 <br />~ ~ / <br />/- <br />lplOn r <br />11 ^! <br />rl <br />• 1' ~ <br />~ ~'/ I 1 <br />. <br />: , <br />y <br />p G i <br /> wbminetl is , to Ne best of my knowletlge antl beheL Vue, accurate, antl complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED I am aware that there are significant penalties for submining false information, OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> inctudin the ossibili pl line antl im risonme.n for knrnvin violations. C E <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />FLOW LIMIT APPLIES TO COMQINEP FLOW FROM 003, 022 '. 024. OIL Y. GREASE GRAD SAMPLE ANALYSIS REQUIRED IF <br />VISIBLE SHEEN IS ODSERVED. DRTRL.Y SAMPLING INSTRUCTIONS-I. C. Br PG X. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. 00016100G42THIS 15'/1;4IPART FORM PAGE 1 OF <br />