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rERMITTEE NAME/ADDRESS(lwobf.F.rwryNr![.ca~awt/DtQinwf)
<br />NAME _ ' .-
<br />ADDRESS
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<br />!~?( °ER UT @452b
<br />FACI~m 1~ER CANYON MINF
<br />LOCATION - ` ' ''a C O
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<br />NATIONAL POLLUTANT OtSCNMOE ELIMINATION SYSTEM (INPDESI
<br />DISCHARGE MONITORINQ REPORT IDMRI
<br />PERMIT NUMBER D15CHMOE NUMlE11
<br />MONITORING PERIOD
<br />Y AR D YEAR M DA
<br />FROM TO
<br />MINOR
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<br />F - FINAL
<br />SED POND DSCHG
<br />Fam Approved.
<br />OMB No 2040-0004
<br />GR FE..D
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<br />ECUTIVE OFFICER ' "^"' ° `1 a"' IJ o bw Ih,l Ihh dorumtnl ,nd dI ,u.chnlmu were TELEPHONE DATE
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<br />- This i5 a' 1-part ~fOrm. PAGE OF
<br />EPA Form 3320-t (Rev. 3199) Previous editions may be used-
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