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PERMITTEE NAME/ADDRESSpwrrb F«~iryx../Loc.new~/D(~..vnr) <br />NAME . <br />ADDRESS <br />,_ . SDX 4r33 <br />'-~:~NIA C© 814 <br />FACnm • I E ~dl.i 2 MINE <br />LOCATION ~~IA EO 814 <br />LLZAM A. AFAR JR. ~ MINE MGR <br />MATtONAI HOI.LUTANT dSCMMOE ELIMINATION SYSTEM IIVPOf$) <br />DISCHARGE MONITORING REPORT /O R! <br />~, > <br />PERMIT NUMBER ascHAnaE NI,fMeER <br />MONITORING PERIOD <br />Y DA YEAR MO D Y <br />FROM TO <br />Form Approved. <br />O(IAd No. 2040.0004 <br />MINOR <br />(SUDR MH> <br />F - FINAL DEl <br />nSCHG OF SR 7D GUNNISCIN RIVEK <br />,... _ ;~ <br />NOTE: R~~d kwtructlorn b~Itx• compbtMp thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. ~EOVO+cr <br />of SAMPLE <br /> EX TYPE <br /> ANAirsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - . ; , <br /> MEASUREMENT <br /> PERMIT xir#~.E~dt = ~ s:-.II.#si--tt--ii #9E##~; sf se#it;Eii# ,. -- ~ .i._ <br /> REQUIREMENT I N5T MAX '~ `; i` , <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br />NAMElTIT'LE PRINCIPAL EXECUTIVE OFFlCER I Rftllf Y rr pen. q o Is+ Ihu W <br />d end <br />~n <br />dlre <br />tl <br />r ~ tlon+ment .nd .n ^n.d~m <br />er~lfl <br />w In <br />.ILA <br />rd.n mu .ere <br />. s <br />elem dnl <br />ned TELEPHONE DATE <br /> ) <br />[ <br />prrp.Ie <br />K <br />J <br />r <br />on o <br />wp <br />o <br />etco <br />R <br /> to I~IR IAN qu.Nikd prrsonnet properlf [Nher enE e•duNe the Inforrn•tbn <br /> .ueMaee. s..ee oe mr Inqulr7 of Use penes N persons .ho m.n.[t the r~slrm, _ - - <br />_ <br /> M Ihose persees IflnetN nespmdek for [Nherln[ the Infermstlen, the Infor~.llon ~ ~ <br />- ~ <br /> secvnle <br />snd mm <br />lele <br />d M <br />to the een N nn tne.fed <br />e srd eeMe4 Irw <br />l <br />e <br />llt ~~ •~ <br />~ -~ <br /> , <br />[ <br />, <br />, <br />p <br />. <br />u <br />m <br />e NATURE OF IRINCIrAI EXECUTIVE <br />I <br /> 1 ue s+sre Ihsl IMre sre sl[NfksM prminee ror nemlltln[ hbe Infornetlon, E <br />O A A <br />TYPED ~ PRIPITED Incfodin[ the posdDiNty of Nne snd Ilnprtsonmrnl for kno•rln[ •Io1sUa~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R~/~r~nc~ dt •tfschm~nta h~r~/ <br />:='~HR f'PF~TF EVENT IS C'...aZMEn. IF' CLAIM PPF''R13VE!] BY ~!!?CDr <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. ~ - ' ~ _ ~ ~f11S.1S a 4-~(L fOrlTl. PAGE OF <br />ir; <br />