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1'ERMITTEE NAME/ADORESS p~v i.lWry N../[,«rr°w I/DlQwrv) <br />NAME <br />ADDRESS ..,. ._ ;~;L <br />BOX 4f33 <br />IA Cd 81428 <br />FApL1TY ~ NLI. 2 MINE <br />LocATION I A C G 81426 <br />i r ntw ~, nrno IO AYTAIC M!?G <br />NATIONAL f OIIUTANT DISCHMOE ELIMINATION 4Y4TQ1 //NPDESI <br />DISCHARGE MONITORINQ REPORT IOMR) <br />PERMIT NUMBER ascHAnoE NuMeE~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />ri I NUFi <br />tSUBR MHi <br />F - FINAL <br />SR; USER TkL. UTC OR UNMD TR I <br />NOTE: Raad k»trucdorM b~lora compbtinp thh form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCr <br />oc SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT s~ ~ ,~•~•u ~i - . - ; ~ <br /> REQUIREMENT - <br />- !~ Ir <br />Lac SAMPLE <br />.; MEASUREMENT <br /> PERMIT , <br /> REQUIREMENT • . L <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT a.~?f.-a..,...:- ~:-:i.;,-,:., ..~ ,. ,F. -f , <br /> REQUIREMENT ; ;' ~-+•' <br />- SAMPLE ~ ' <br />~~,, MEASUREMENT <br />+ PERMIT •~ -q ~t• Std x- .I.~Fr x ~~ ._ ,, :~ •tt~~r~re , .~ <br />_ REQUIREMENT -- <br />V': 1 <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT ~ , , ,~ .K . ,. '1~!' ' 1 : .- , - <br /> REQUIREMENT • ~ (; ~h; i <br />~ SAMPLE <br />,- ~ MEASUREMENT <br /> PERMIT !~EPO~'-: i?~POP'• .. .: ~; .. ~- ~i , <br />- <br />:~ `. REQUIREMENT •'•! SPA r? . '; .~'A I I_Y +" <br />~n,~, SAMPLE <br /> MEASUREMENT <br />PERMIT _ -~;. ~ ;~-~•r•~a s: •• 7 _,-,F~~. <br />REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER 'r!"'b " ' 1»""r ° I.. th.t ~h doc+trne"""° ''i lllKhmrnlf ~!R <br />TELEPHONE <br />DATE <br />Pnp.nd Yndfr ~f dlrlelbn K fuylrHflon In Keordlnce vllh . f7flem datnld <br />1° ~n tMl Qu.MOed pen°nnel Proplrlf plMr •nd e•.h+ae IM Inbrrtulbn <br />suenrnre. e..ld en mf I+puln d tM Ptnoa °! perswu .Iw tn.n.~! tM fyftrm. <br />er Ihtne plrforts dlnttlf rlspnfllfM fer pMeArt= the InforfruUott, IM Infernullen <br />futtmllled b. M the Heft of m] -nO~hdp utd I+eYer, Irve, Kcu1'fle, and tompkle. <br />lfkiwt <br />.*.Ine /or <br />s10MATlMiE Of PRINCf-Al EXECtJTTVE <br />te <br />rltl <br />I <br />I <br />r <br />r <br />u <br />TYPED OII PRINTED - <br />1 .+n ...+. U.t then !n d~n <br />w <br />n <br />n~ <br />. <br />fe <br />e+,, <br />n <br />°r.n. <br />Inrhrdlnt IM poslDlillf ornne.nd ItnyAfonntlnl fa Yno.in~ rld.tlotn OFFICER 011 AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rdaianca dl •ttachmanfs haral <br />EpA Form 332G-1 (RBV 3'99' Previous editions maybe used This is a d-pan form PAGE Of <br />