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'rERMITTEE NAME/ADDRESS Prtd. frWryNwdLrauw pDrg„e.q ~~ NAME tN[KUY FULLS DUAL, INCe 1~•,~~ADDRE55 SUU TFFIELU MINE a log 5. UNIL,N dIVU., ~uiTE: LAhLrrLii;IL` CU V',I FACILITY ENthvY FUcLS C(iAL• 1NLe 4bU bGt2t{-0439 C LocArlor~LUnti.C[ L.U dU226 ~'' AT1N JArttS T. CUUr'th, YP-uF'cKAT3LN$ NATIONAL POLLUTMT DISLHAIIdE ELIMINATION SYSTEM !A/PDE$l DISCHARGE MONITORING REPORT (DMRI !7-rs1 n ~-rsl C(;0:736595 O(IJ A PERMIT NUMBER DISCHMGE NUMBER MONITORING PERIOD YEAR MO DAY YEAR MO DAV FROM UJ lU U1 TO i1J 12 S1 116111 !17-231 /14751 176-771 l18-191 !30.3/1 Form Approved. FIThU 4-HUNI]FF TO -GM~LN.-t:04Oh°cO04< SUuR St APProvl~J4j0~'"31-98 F - FINAL M1h~K as+• NL U15CHANGE *!*~ NOTE: Read Inetruetlorr belon complatinQlhie form. PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !i Grd OnIYI QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE Id6-531 15d-611 !38<51 larr63) I5b61) EX DF l3Z-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /63-691 MALYSIS I8q-681 TYPE 169-701 ~„ ~ SAMPLE ~ b4{.4Mti' ViF.tP611u vti~411M.} 11 MEASUREMENT JGtiUG 1 J 0 :',::;PERMIT:_;;: .;~f#'.>&:*~I~.. `:~,,.#=4~'!F?-~ M+PI'P 1 +ii~+ka.•4. r..: .~. - -'r°~' ' ' : `~:~ _ ~ , - .- .. FfLUtnT L.nUS~ VALUt REQUIREMENT.: ... ......:......: :.~:-~ :.: ' .... ...........:.. ...:.:,..:: 14x4 : FIIdLT.1St.I:~[<::: :.;:;:.;<;::..:::.::::::::.:` .:Df~k1i !!rt}a1::. 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I~T .:. :: -LUf+e 1N LL;N`JU1T UJl SAMPLE 03 Y4v{rVb y W1~y11TG f411y+4 +- ,• I~nL1 TKLaIhLNT +~LaNT MEASUREMENT ° ~ 1: ~ ;x'., )GJF74+ 1 V O ::5;~.:PERM(T::;r: .:.. ~. n... ~; i1~ei?-i7~'T~ ~: ~:~:7FLP1`.IZ;T:'. ~ .1+!?IT+~;+!~~~"; ~ : :' :: d '"a~.::~,...: ~?F .: :i.: e Et - •ri~~, K3~°°.. '.~~ .y ~ : < I .%~~,~~». . ~~5~ s""`~i ~ : 'M ~~kL~Y~ i~~>TAf1 1 irK . .. A t - ~• -!' Fl L ~L Use v Lu . . . :REQUIREMENT, :. .; :pY"..~ ~AUA u .; ~A~ ~ ~:[::~'a~ ~ ~ i h 1V L . :E < .i: ry.Y, y..').F':::. ,:'~;~a.'.,,,... ~ .: .:.. . :'.: v~:: ,,.... ~ ' ~ : it: :.::i' ;".;.-~'.` ~.... ~ MirM11 y .. , . . . ~...... ... .. . . _....... : /1L AiYU ..nLA~L SAMPLE 64*446 9h ~ 8!b!4! }}}41'4 }4bbi+ IISuAL MEASUREMENT i4l.t.~ 1 U V '.:..::::::PEFMIT:::~.~. ..:MiY4.?-j14~..,<i. ...::~REF~R:T.::~Y': :S 1 ~.':!9e?!:!1:$`i+kiR: :~ :~~:11::4~1r.~~t?F.I::~<; :!,~:#I.4.rF~A[~0::;!i! P46 ~ .ii i_•ER~~;: ~i~~S.FJA:i LitNT unLl]S YALUL :Ff'1 REQUIREMEN T ~'~~!1 ~ ~ ~ ~:' iiJ 0 - ~ ~ „ ~~~ : .._.. -~~~ }iF'F T~ . - . , . .. . - _-- „-,~ y ~,-,,.,, ~..., , NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF AM FAMIDM WITH THE INFO LAW THAT I HAVE PERSONALLY E%AMINED MD MIATION SUBMITTED HEREIN; MO BASED ON TELEPHONE DATE i ~ f L-~ ~~ «~ 1-~r y ~^.1~ ~- ~ L MY INOUIFIY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTNNING THE INFORMATON, I BEDEVE THE SUBMITTED INFORMATION IS TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME /~ :' f+, j[~' ~ f) .~ ~ ~- 1 ?f- ~ 1.1f ! ~ _ Y r<: i! 'c ~_ I ; ~ SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATON, INCLUDING THE PoSSIBILITY OF RNE MD IMPNSONMENT. SEE 18 U.S.L.) 9001 AND O] _ 61GNATURE OF MINCIPAL EXEt:UTNE ~ ~~ ~ L' , f r i Ul ~1Z. C-~ TYPED OR PRINTED U.S.C. E 1910. lfMrln. undo d+.w mtuna ,nor MAd~ rxwa w ro t IO,OLO rq rmuimun inprfaomenr o/MMwn6monrha rd 6Ywn1 OFFlCER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erencs ell ettschmenrs here! - TSS 6 TUTAL IkuN LIY1T~ WILL bE WAIYLU, ANU StTTLLADLL S::LIUS LIMIT AP?Llt:i Fun lU1'r:r24NR PN_L:tr' iYLNf- sl-L bU1+.Lcn OF PRGLIF NEI+UlR611tNT5 UNJcR i.A.j, ~. n. u1L +: i;kEaSt - SLE 1.b.1.L,. .iU ~::Y a~~r:ai;;. 15 yLi' .CT c1ilA:'TYI V Al/i' GIw It.f1 uCtT[:Y f]L"Ot-UTl';Y CCC i f 1. EPA Form 3320-1 108.951 Prevloue edltlons mey be used. (REPLACES 7:FA FORM T-40 WHICH MAV NOT BE USED.1 0 U U 3 y / y b U y i U- 0'i ~ 4 PAGE 1 OF