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FERMITTEE NAMElAODRESS p~Ar s.evMryN../L«.rrew 1/D(Qinwy <br />NAME <br />ADDRESS .: , ,~ ., <br />~. BOX 535 <br />:. ,:-IERSET CO @1434 <br />FACIIRY "ADORN CRK & ELK CRK MINES <br />LocAnow '(ERSET CO 81434 <br />MMES T. COOPER, EXEC V. P. <br />NATIONAL VOILUTANT dSCHAROE ELIMINATION 41'STFA1 /IIYPOf$J <br />DISCHARGE MONITORINQ REPORT IOMRJ <br />PERMIT NUMBER ascHAROE NUMaER <br />MONITORING PERIOD <br />YEAR MO. DAY YEA MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0044 <br />MINOR <br />( SUBR f'IFi 3 <br />F - FINAL > -iai~ <br />ACUTE WET TESTING FOR O15fi <br />j <br />NOTE: Reed k»ttucdorw beftxe comp{etiny th{e fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCr SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALY~s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - <br />- MEASUREMENT <br />,.. 1 PERMIT ~' ,.:: ,. ,: <br />r <br />_ <br />_ h: <br />Ir r.JT r~; REQUIREMENT 1"IN VALUE ~ ~ <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 />PER MIT <br />REQUIREMENT <br />NAMEliTTLE PRINCIPAL EXECUTIVE OFFICER 1 tervN Y r pem tr o 1.. uN uN MevmeM •nd JI Nl.chmenU .ere TELEPHONE DATE <br />prrp.red YnMr mr dirtrtlon «wPenlslon In .ccvN.nee with . f)Ntln dd~ned <br />_ ` IO l7rYR IAN qu.hned ptripnnN vf09llir ~Nher uld e•NYNe the Inror>MIItM <br />~ <br />. <br />- <br />' / ^ r-~ ~ ' ~ .Yl~ritted. 6.wd on m~ Inquiry er the Fenoa «yersoro .Ao nunge the ~rtnn <br />-- <br />, <br />. <br />, <br />. <br />~ « th«. <br />.~ a+..ru. res <br />eredbk r« <br />.tbertr <br />u. I~ro <br />,, <br />u <br />u« <br />I <br />r <br />tl <br />-. ~ ( <br />~ - <br />~ <br />y <br />q <br />~ <br />. <br />. <br />~, <br />< <br />n <br />«,n. <br />on <br />.- <br />b tht Aot of m~ kno.kd <br />~ .Ybmltted Is <br />t .nd berd <br />true <br />.ecronte <br />.nd ean <br />lN <br />~ , ~ <br />- ~~' <br />• - ~ <br />% <br />~ <br />~ ~ ` <br />- <br />~ <br />, <br />. <br />. . <br />, <br />. <br />p <br />: <br />:: <br />. <br />e. <br />.. <br />: <br />i` !~.~~ ~' 1 .m...re uN there .re d~~Jflcsnt penNtla for.YWdttln <br />•IONATIJRE OF -RINCI-AL EXECtJTtVE <br />A!~ Inronrulbn <br />- ( <br />~.. ~ '~ <br /> t <br />, <br />TYPED ~ pR~~p Indudlegtsepo~DlBtralnwe.ndlwipAsm~nrntr«kne.In~.IdN1an OFFtCfR OR AUTkORIZED AGENT CODE ~M~R YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rderenc• eN •ttschments hertrJ <br />- L- <br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used. <br />:PORT LG50 - STATISTICAL PINT WSTIMATE WHICH IS <br />CITY TFST REPEiRT FORM TO DMR. <br />1557/G~',~,a4-pan {ol-m. <br />