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PERMITTEE NAME/ADDRESS (/nevi F.rtbry Nw/Lx~Nen i/D(Qwewtl <br />NAME - <br />AODRESS _.. - <br />O. HOX 187 <br />IG GO 81626 <br />fACILr1Y ~- DER MINE <br />LocATION ~ G CO 81625 <br />rMONK G DU IIOIS, PRES/GM <br />NATIONAL POLLUTANT dSCHMOE ELIMINATION SYSTEM (/NPOESI <br />DISCHARGE MONITORINQ REPORT /OMR/ <br />PERMIT NUMBER dsCHMOE NuMeER <br />MONITORING PERIOD <br />YEAR MO DAY YE R MO DAY <br />FROM TO <br />MINOR <br />tSUBR JC) <br />= <br />F - > <br />I Nay <br />ACUTF 4lET <br />TE5T I Nib FCiR <br />Form Approved. <br />OMB No. 2040-0004 <br />_ ~ ~, <br />NOTE: Reed kwtrucdorn Mior~ compbtinp thb Corm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION rlp, <br /> <br />EX FREOUENCr <br />OF SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANA~rsls <br /> SAMPLE Y; _ , <br />:, MEASUREMENT <br />1 tJ ,.` PERMIT ###;r s:# ##i. '_• 1.. 1 ####dFat ~-r-r. ; r: - ,._ ~ u ~ .' <br />NT CRASS '~ REQUIREMENT MPd VALUE <br />~ ~-.:_~w SAMPLE .. ... <br />-~I-~~LFS MEASUREMENT <br />- :? PERMIT <br />REQUIREMENT ##~##ir #irn##A <br />- :()rJ. U1 <br />I'~~J Ural_Uf= ##,.### :-##~-x# <br />~ I`I ~?,f•ii... - ~-1 <br /> SAMPLE <br /> MEASUREMENT f ' <br /> PERMIT , <br /> REQUIREMENT <br /> SAMPLE ~~ , h <br /> MEASUREMENT 4 \, J j <br /> PERMIT ~ 11 / , <br /> REQUIREMENT <br />/ ~ ~ <br /> SAMPLE ~~ <br /> MEASUREMENT ,\ '~ <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />fiEQUIREMEN7 <br />i~ <br /> <br />W <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t cen~l.. er pen. t7 Lw lhu thN docvmrnl.nd.u ellahmenle were TELEPHONE <br />Prepared under tn7 dl rectlon or wper+lfon In .ccord.rre wilh . r7eletn dt.l~ned DATE <br />. i -.~ Io stare M.t qudlfkd Perwnnel f~N7 plhef \IId e•MYete the Infnrwatlon r-~ '. <br />~ , ~ ~ ~ / ;/- .. fubmltted. ^~d 1111 Rt7 Inqulr7 er 111e Perron tM persa~ wM trrn.~e Ille rystetn. / -~ ~,~~ r. <br />a Iho.e person dlreeli7 tesyetdbk for ~.lhertrq the Inlorrtutlew, IM Infernrtfoa .. .' ~ ~~" ~ ~ { ~ ~ <br />~ wtbmiltr0 bL W the besl of me knewledEe .nd bdK, troe. ttccttnte..nd compkle. l i- .i ~' ~ <br />fIONATURE Of MIIMCMAL EXECUTIVE - <br />~~ <br />~ <br /> <br />~ . <br />~- L. ~' i~ <br />' <br />~ i o~ swsn d.l there sre fIEnIM1cuN penalltes for wtbwtltdn~ hl+e Inforrnstlon, <br />TYPm ~ PRMITEp InefudlrK the poaablat7 of n.e snd ImpAtontrwnl for kno.ItK •felstlwn OFFICER OR AUTHORIZED AoENT COQE NVMEIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~/~rence M ~tt~cnm~nts n~r~/ <br />_ - ~ - REPORT LC50 - STATISTICAL POIt`dT ESTIMATE WHICH TS <br />• ~ .. TOXIC : 1:. ~t: ~,^, . '~I ~. <br />_. _ . .. __ .... ~ PAfiE <br />EPA Form 3320-1 (Rev. 3198) Provious editions may be used ,_ ~, Y - _, TtUSJ$~.8:4-~t'(~pfIT1. ~ <br />