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Cash Mine and Who-Do Mine <br />Information Submittal to EPA Regional Administrator <br />for Qualified Discharge(s) to Waters of the U.S. <br />In the event of a qualified dischazge or dischazges, this form can be utilized to provide official <br />notification to the EPA Regional Administrator. If a facility has experienced a discharge or <br />discharges that meet one of the following two criteria, then this report must be submitted to <br />the Regional Administrator within 60 days. <br />(Check as appropriate) <br />^ This Facility has experienced a reportable spill as referenced in 40 CFR Part 112.1(b) <br />of 1,000 gallons or more. <br />^ This Facility has experienced two (2) reportable spills (as referenced in 40 CFR Part <br />112.1(b) of greater than 42 gallons each within a 12-month period. <br />Facility Name and Location: <br />Facility Contact Person (Name, address/phone number): <br />Facility Maximum Storage or Handling Capacity: <br />Facility Normal Daily Throughput: <br />Describe the Corrective Actions and Countermeasures Taken (include description of <br />equipment repairs and replacements): <br />Describe the Facility (Attach maps, flow diagrams and topographical maps as necessary) <br />Describe the Cause of the Discharge (as referenced in 40 CFR Part 112.1(b)) Including <br />Failure Analysis of the System: <br />Describe the Preventative Measures Taken or Contemplated to Minimize the Possibility of <br />Recurrence: <br />Appendix 1 dvough 3 <br />