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PERMR7EE NAMEJADDRESS(Inalyde Pori/lryxmnr/Lornnon jDBomq NATKKJAL POLLUTANT DISCRARGE ELMINATION SYSTEM MPDfS) Fortn Approved. <br />NAME DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />4 a <br />T..APPEX ,.INING, INC. MINOR <br />ADDRESSrriAPpFH PINE ' ~ (5U9R VW) - , <br />P.O. `9OX 1d7 PERMIT NUMBER (OISCHARG~~ENUM9E~R F - FINAL MOFAR <br />FACILITY..HAIG CO H1626 ~ MONITORING PERIOD DISCHARGE °.0 FLUne GULCH <br />-~ LOCATION - YEAR MO DAY YEAR MO DAY <br /> FROM TO > `~``~ Np DISCH ARGE ( ( #aa <br />~ <br />A T T Y; 7• G D X D U 4 P E T E P. 5, P h E S/ G E N R G 8 ~Tnpleting this form. <br />NOTE: Read Instructions betor <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLF~ <br /> EX of TYPE ' <br /> PARAMETER <br />- ~ ~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANAtksrs <br />00+UU 1 ;; U 0 <br />LFF'LDENT GROSS VALU <br />SOLIDS, ~ TAL <br />SUSPENDep' <br />DU~jO I U U <br />EFFLUENT GROSS VALU <br />SOLIDS, 5F:ITLF.A94$ <br />UUbLL7 1 J 0 ~„ <br />EFFLUENT G:tOS~.JiALU <br />I1; N, 'rpTAL <br />(AS. F?.} <br />D 1 ;,.: ~,,::,;;.D 0 <br />CF ~;I~OSS VALO <br />OIL." EASe <br />A.. .. <br />~_ <br />J358'l 1 U '' D <br />EPFLUeNT GROSS F~,D <br />FLON, IM CONDUIT 'OA <br />rHHU rlleATReNT PLAN <br />SUUSU 1 0 0 <br />EFFLUENT GROSS YA.LU <br />SOLIUS, TOIAL <br />DISSOLVED <br />~1U2`J7 1 U 0 <br />EFF'LUEti1' ::ROSS VALU <br />SAMPLE <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />>raaa sasses c::x+<»rh ( 12) <br /><~ <br />aa~ <br />sass <br />.A <br />hh <br />oaaarA I aaaaaa <br />D3) ~agtJ Cr o;e <br />aoaaaa <br />aanf,:>i: <br /> <br />( 19) <br />( 25) <br />( 19) <br />( 19) <br />x# a <br />xaaa <br />( 19) <br /> <br />Peters <br />General Mana~sr <br />PED OR PRINTED <br />rs""; +; <br />s e' :~ <br />- ~1~-~r = <br />e~ ~~ <br />yInITS <br />VP R8p <br />I Cents under penalty d law ttrat this documom and ell attachments were TELEPHONE DATE <br />prepare0 under my direction or aupervislon In accordance with a system tlasigned <br />to aswre that qualified personnel propedy gamer end aveluala Me information ~1~..~' <br />~ <br />submrSed. eased an myingWrydNepersonarpersoruwhomanageNasystam, Q+ <br />/~~^ 70-824-4401 D IO 24 <br />or Nose persons diradly responsible br gemadng me Irsoimatim, me Idomiallon <br />submibed le , m V,a best d my knowledge antl ballet, bus, eonxete, end complete. SIGNATURE OF PRINCIPAL E7(ECUTIVE <br />lam aware thffi there ere sigrYlicare penalties for submeling lalse lMOrmation, OFFICER OR AUTH~IiIZED AGENT <br /> <br />Includino the DossibiliN of fine end ImDdsonment br knowing vgletions. <br />fnnF NUMBER YEAR MO DAY <br />NS (Reference all attachments here) <br />L AE V~AIVep, A11D. SETTLEABLE SOLTDS LI.^LIT APPLI.`':, FOr: <=1GYR,24HA PREC7P EVpt:T- <br />LMSS UIID~.y;~1i~'3.. '~YeRNI?;;g~~ MU-`~R TAY,E ALL H£9SONApLE neesuaes TO REDUCE k'i <br />x/n^+*'~•' ~. ,T.; . }.•r ~ - ~ r ~ ~-r • ' ~I,tw1!n„~. ~;:i Y a ~+~ 4 qv - ~. . r r • .a • TJ11S IS A ,PART FORM PAGE 1 QF <br />il~eu:ra, ~ ~ ,. .. ~rtntlnT_i+InnT2'••19~i~ <br />,' <br />Y <br />,I <br />t <br /> <br />