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PERMITTEE NAME/ADDRESS Ilnrludr Farifitr:Cumr/fircu0nn i/UiJfirentl
<br />NAME i-! L:
<br />ADDRESS
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<br />_IvIDHI~ CO 81Cp
<br />FACILITY '=~EPdC: 1 •T'O CANYON MINE
<br />LOCATION '~'("t~i~! G i1 » 1 OS
<br />^~I~ ~aLJIiVVYl7N, MIftiE MAItiAGER
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES)
<br />DISCHARGE MONITORING REPORT (D R)
<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />YEAR MO DAY YEAR MO DAY
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<br />Form Approved.
<br />OMB No. 2040-0004
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<br />TYPED OR PRINTED I am aNarr ,hm there are aiRnifnvnt pa•naltica for aubmiuinR falu informa,Hw,
<br />Ineladin the ,hUih of tint and im n nment for L,r,oNin i laliom.
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