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PERMITTEE NAME/ApDRE55 (/~eri.rWgN../L«.non uDl¢....r) NATIONAL POLLUTANT OISCHAROE ElIMI11AT10N SYSTEM //IIIPOf$l <br />NAME DISCHARGE MONITORING REPORT /OMR1 <br />ADDRESS ..- <br />BOX c., PERMIT NUMBER ascHAAOE NuMeEn <br />'v I A '- MONITORING PERIOD <br />FACILITY t E NO. 2 MINE YEAR MO DAY YEAR MO DAY <br />LOCATION ~~ I A C G ~ I U ~ FROM `) '. TO <br />' ! 1AM A T?FAA .Ifi M7n!F MCF~ <br />Form Approved <br />OM9 No 20.30-0004 <br />F - FINAL DELTAi <br />CHRONIC WET 7FSTIN6 FOR OQbA <br />NOTE: Rasd InetrucHorN bato-a completlnQ thh form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FgEOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> jetl~Ylps <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~`• SAMPLE , <br />h! <br />MEASUREMENT <br /> PERMIT ###ir-. REPQFI f #'IE•##:; ~>rF#4r°< --- <br />L•Ei_~Iw .REQUIREMENT SIN. MP <br />... ~. ~ j ;!, ,~ SAMPLE - -~ <br />._ MEASUREMENT <br /> PERMIT ~###•~.~ •~•-~1..~•~••~- lOU •tr•#al•##1• ~•tf•3'-#•~-~ ~C~t• <br /> REQUIREMENT <br /><. ~N ~ I <br /> SAMPLE ~ <br /> MEASUREMENT <br /> PERMIT ,:- ~•tt;ti~.r. #~~#ittr - REPORT ##### #'rFir#ir# ~ i RLY Ci!`'i; - <br /> REQUIREMENT rte. IIVBSI~IMP <br /> SAMPLE <br />_ MEASUREMENT <br /> PERMIT r=~: K- -:i .... .. 1GQ ##-~••~k~ ###### tTFc:_Y ,L>~iP- <br /> PEQUIREMENT }PI ~!A UE <br /> SAMPLE <br />~J~,Ai :.~ MEASUREMENT <br />- PERMIT - t RI`PGF?T ,. . ~<-~ a 3• r u ..: ~ i-~ i_ 'r ';'I" --- <br />- 3ELC!L, RL~aUIREMENI' 5ING5HMF• ~ ~ <br /> SAMPLE <br />_ r~r?(-!I MEASUREMENT <br /> PERMIT , .; ~ .. ,T . ~: ; 3~~•s; h2Ei~t~?.,T -, #z . _=:> ~ ir.-~!yl` - - <br />! .`ll`~E1`S ~ `- .. ;.( REQUIREMENT ;Ihl~`i~"` _. . <br /> _ <br /> SAMPLE '~' ~ <br />. :.',!-E~ };:-.Ijr.; :: MEASUREMENT <br />PERMIT z _ .. ~.. #~•:~•~ r•, ?:•##'ii~#iE 1._t:`~F•- <br />REQUIREMENT S I N(ySAh~r r <br />NAMEfTITLE PRINCIPAL EXECUTNE OFFICER 1 renrtr u r pen. 1) o •» lhtl Ihb docvmrnl end tlt tll.chmenb were <br />TELEPHONE <br />DATE <br />prep.red .near m~ al,rrllon ot,~vt*-I.lon In .noro.nte »Ilh ..>>ntln edinte <br />to mare IhN ~utefMd penionnel prope*1] ~t111ef end e•dutle the InformtUon <br />tohnr111d. sate on inf InqulrT o! Ute prrnn or person. who m.nt~e the .7tleln. " i <br />ll <br />res <br />orelEk f <br />o <br />Ih <br />dl <br />th <br />lr <br />f <br />th <br />I <br />~ ' <br />th <br />I <br />U <br />f <br />U <br />r <br />ooe ptrsem <br />rec <br />f <br />p <br />or p <br />er <br />K <br />e <br />ontu <br />en, <br />n <br />onm <br />on <br />n <br />e <br />' <br />tuAmlllro b, b the E!!1 of m7 tn0»4d~e end Deeef. Irw..tcunle, end compklt. ; <br />' <br />t10NATVRf OF MINCNAL EXECUTIVE - <br />n _ , <br /> I .m e.ere fAtl lhere.n>a~l <br />canl pen.nfe ro.,.nnrlnni r.be Inrorerdon, <br />TYPED ~ PRINTED Inrludln~ the potdElelT of arse Ind Imprfsonmenl for kno»tn~ .Id.ilorti OffICER OR AUTHORIZED AOENT CODE NUMlIFR YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY vl(JLA I IUNS IRa/aranc~ M •rr~cnm~ncs n.r~l <br />r <br />. ... .-. ~.....- ... ...- .~. .. r. ~~. n ...-~ .. n n r T .-. ^t r t 1 r T n 1 n 1 t rl 1 t <br />RESULTS OF LETHALITY DER I VS AS ""/.EFFECT" ~ •~ROWTH AlV13 <br />WHICH STATISTICALLY SIGNIF RIFF BTWhd TEST ~ CONT'ROL <br />EPA Form 3320.1 (Rev. 3/99) Previous editions maybe used. ;• 1j8 ~ Tllis;is a 4-parL form <br />