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PERMIITEE NAME/ADDRESS (include FacilitY.NamelL cation if Different) <br />NAME <br />ADDRESS <br />BOX 670 <br />DLL CO B1639 <br />FACILITY .ECA MINE COMPLEX <br />LOCATION !'L'EN U-0 E!1639 <br />tY KARn, RF('Ii A?'IATInN MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. J040-0004 <br />MINOR <br />(SUBR JC : <br />F - FI NAL <br />NOTE: Read Instructions beforelcortipleting this form. <br />- PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <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 /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 c:ruf? under penalty of law that ihisdacument and all attachment. were <br />rr <br />un•d under m <br />dirn?Uon or w <br />enision in accordanc <br />with a sv%t <br />m &%i <br />ncsf TELEPHONE DATE <br /> p <br />p <br />? <br />p <br />e <br />e <br />g <br /> to ussurn Iha(yualirwd penonnd properh gather and euluate thr inrormation <br /> submitted. (lased on m? inquire of the peron or persons who manage the system. <br /> or thosr penom dived) responriMr for gathering the information, the informmion -? _ <br /> vtbmitnvl is, to the best of m,, km-Wue and belief, true. a uratr, and complete. <br />1 .. <br />uu <br />.are that there arc si <br />nifkant <br />enalue, for submittin <br />ralse information SIGN TUBE OF PRINCIPAL EXECUTIVE ' <br /> <br />TYPED OR PRINTED . <br />. <br />g <br />p <br />g <br />. <br />1-6nhnp Ilse powihllit% of riot and impristmmrnl for knowing. ciolatbms, <br />OFFICER OR AUTHORIZED AGENT AREA <br /> <br />CODE NUMBER <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />ER <br />-QUEd A REASONABLE POTENTIAL ANALYSIS BE <br />EPA Forth 3320-1 (Rev, 3199) Previous editions may be used. 'Miss, i4 a 4-0art f(lrfll.