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FERMITTEE NAME/ADDRESS tyntitb FwdW V---Leaden (/D(p6-) <br />NAME <br />ADDRESS <br />UCJ,, 4+?.... <br />ONIA CO <br />FACILITY ,.J I E NO. 2 MINE <br />LOCATION - ON I A CID <br />:ILLIAM A. BEAR J!E MINE <br />NATIONAL POLLUTANT OISCHAAOE ELIMINATION SYSTPA /rNPDESI <br />DISCHARGE MONITORING REPORT /DMRJ <br />PERMIT NUMBER DISCHMIOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />81 1=4 FROM TO <br />M G, <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTf <br />CHRONIC WET TESTING FOR 006A <br />NOTE: Read kntructions before eompletlnp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> [>< <br />EX OF <br />Y <br /> ANAtysia PE <br />T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t## R#tt,' REPORT ?•?s<> ?tv * t t #:•? : Cll! ,- <br /> REQUIREMENT <br /> S N AI ^f-, I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #ir#itst #IS,ti#;i< ti IUO 3r#s?##i: t??tK>Ef.if FR- FRt- Y ( ^"n_ <br />L CC; REQUIREMENT IMN VALUE <br />F Et^. SAMPLE <br />P r .; MEASUREMENT <br /> PERMIT ##t ### #?#### REPORT ## ### t;##st## ; FL_Y ONF•- <br /> RE <br />U <br /> Q <br />IREMENT 5I tV SAMP <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT IOU # k' .. ;r ic'f [ •i Il1U <br /> REQUIREMENT 1'tIN VALUE <br /> SAMPLE <br />.: fiv 1 ,? ,v?.:IY MEASUREMENT <br />t? (? PERMIT Y r:.. t t r:t<?t t-r REPORT <br />F r. #k:?• i i it rl,?;;_ <br />.r; ri - REQUIREMENT <br />SItVGSAI.IP <br />)f:( t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT <br /> REQUIREMENT -INGSAMP <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT ##ii'k?r s':•# REPDRT r?t.?.?;: ##ir?•r3i <br />REQUIREMENT SINGSAMP <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I " y under penally ° Is. that Ihb document and elI attachments were TELEPHONE DATE <br />prepared under my direction or super.ilon In accordance rllh ¦ system ddEned <br />to Nature that quaMfled personnel property gather and c.ahsate the Informatlcm <br />submitlyd. Wand on my Inquiry of the person or Persons .ho manage the system, - <br />or those pennat directly responsibie for gathering the Information. the Information <br />aubtNltad I% to the best of my kno+ledge and belief, Irwe• accurate. and compkie <br />I am *we" that there ere sigMlkaM Penalties for rtbmttting fNbe Informadoet <br />SIGNATURE OF PRINCIPAL EXECUTIVE -- - <br /> . <br />d <br />TYPED OR PRINTED In <br />adIng the poidbility of line and Imprisonment for knowing .Iolaclors. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference aN affachments hare/ <br />"F F-771-)L7,73 OF LETHALITY DERIVS, AS "/F+ FT="T", ;•,:. <br />STATISTICALLY ;'ES'l <br />i.lp _ y}T 1 ?t'ta u[?Tr, C 1 M ! <br />This is a A form. PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 'DAIS .