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PERMITTEE NAME/ADDRESS(/weirlrirWryN../[.oruranl/DIQi.enr) <br />NAME <br />ADDRESS <br />~,.: .~5, I3C3a 370 <br />=' ER UT s:3 ±52E <br />FACILITY ::Efi CANYON MINE <br />LOCATION ~~ LU <br />iD B. MILLER. SUSINES(~ •tOR <br />NATIONAL VOLLUTANT dSCHAROE ELIMINATION SYSTEM //NPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER ascHMOE NUMEE1l <br />MONITORING PERIOD <br />Y A MO DAY Y AR MO DAY <br />FROM TO <br />MINOR <br />(SUDR DW) <br />F - FINAL <br />!`SINE WTR DSCHG TD I"'IUNG <br />Form Appro~ec <br />OMB No 2G40-0004 <br />1~~ <br />NOTE: R~~d iratruetlorr b~for~ complNlnp thb Corm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX ptEOVENCY <br />of SAMPLE <br /> <br />Y <br />E <br /> ryt,~Y~g P <br />T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ` <br /> MEASUREMENT <br /> - <br /> PERMIT ~'.- _ - <br />. REQUIREMENT MI!~!Ir!~;i', tWXiMUM <br /> SAMPLE <br /> MEASUREMENT <br /> <br />_ PERMIT ... .. „ . ., .... .,. ... <br />-. < " REQUIREMENT ~ ~ ~OTiA ~; `!'1 i ? f•1X <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT .. ., .. <br />~ <br /> REQUIREMENT i- <br />"'a~DFi .~r : i ~ ~•` t~I`, i` <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT .. ., _ <br /> REQUIREMENT '`"~~r ~~~''~ <br /> SAMPLE <br /> MEASUREMENT <br /> > <br />~0 ~ PERMIT - , _. - - <br /> REQUIREMENT ~ ::)A r'~l,'t; -,WILY i~t: <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />O PERMIT - .. <br /> REQUIREMENT ~~ •)a ~. '~ I LY ff >; <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PER MIT ' <br />AEQUIREMENT .:.:' ~)A F '.' : i :_. '~' ~ . . <br />1 RNIY Y er pen. 1~ 0 1.. Ihu lAh docu mrnl srd dl •IlKhmrnb were <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />prepuce coder m~ dlrxUon « super.lslon In sccordsnce wllh a rptern dat~rted <br />GG to ateore Iltsl qusMfled personnel propeAJ Ll1Aet eM eeslusle IAt Infem~lbn <br />~ <br />~ J-S~' <br />,~ <br />, <br />; <br />ltl <br />S <br />d <br />I <br />A <br />d <br />l <br />f <br />% f <br />~ <br />~_ <br />. <br />_ <br />- <br />- <br />t._ so <br />ea rn~ <br />rpu <br />ry o <br />m <br />e <br />. <br />tee <br />tM person or person wM rrrns~e IAr eystem, ~ <br />` <br />: ..~_--.r-_ j =~'7 _5 <br />_ <br />dl <br />il <br />dEk f <br />ll <br />u <br />l <br />~ <br />, ~" <br />or <br />ro.e perstrrv <br />rK <br />~ respen7 <br />or p <br />er <br />nE ue Informstlen, IM Inromrtbn <br />~ <br />, i <br />_.- wbmllted b. Ia the Aat of m~ krowkd~e sod AeBef, true, Kctr nle. sod compkle. <br />~ ~^ ,~ <br />f 1 •.r. •.ere uel mere •re ~ietn<.~r penetrtn ter nrAmlrun <br />r.lw t~r~r,,,.uon <br />bIONATVRE OF MIINCNAI EXECIJTiVE 1 Vv /, ~,, • r6 <br />TYPED OR PRINTED ~ ~ <br />, <br />I:xiudin=tMprs+ibllllr~rnrw.,~;iR„.,r.oomer,itr~<-no.ini.Id.u..ns OFF}CERORAUTHORIZEOAGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION of ANY vlvlA i1vN5 lRdermce Mr •tficAm~ntJ hdirl <br />~. <br />3T MONTN!.Y AVG. DURING PERIOD R~PORI <br /> <br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used. T}1~S IS a 4-p3t1 ('OriTl. PAGE OF <br />