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PERMITTEE NAME/ADDRESS ilnrlade F"Uiy.\'amdlocation if Differriv NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />1310X PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY DEN MONITORING PERIOD <br />_CA MINE G'''i'r'_•tEX YEAR MO DAY YEAR MO DAY <br />LOCATION ,?I"N Cp 81` FROM TO <br />Y K.AROr RECLAMATION MANAGr <br />Form Approved. <br />OMB No. 1040-0.004j <br />MINIIF: <br />(SUBR JC) <br />F - FINAL RUIJ <br />D5CHG TO TRIB/FISH CREEK <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE 1 <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT " - <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -. ; . r. <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 />NAMElrITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that thN ducurm,nt and all auachmeno %cre <br />i <br />d <br />d <br />di <br />i <br />i <br />d <br />i <br />h <br />t <br />d <br />i <br />d I TELEPHONE DATE <br /> s <br />a .ra <br />Prepare <br />un <br />er m? <br />e vtuun or wpen <br />on <br />n accor <br />ance u <br />t <br />em <br />es <br />gne t <br /> to a,sure that qualified per onnel prnPrrl-s pathrr and eraluute the information , <br /> submitted. Nasrd on me inquire of the per,on or prrsam. who manage the %i%tem, ; <br /> or those penons directly responmhlt for gathering the infurmallun. the inrormollon <br /> submilted is. to the hest or m% kn-lecige and belier, troy-, necurute. and -mpkte. SIGNATUR OF PRINCIPAL EXECUTIVE -' <br /> <br />TYPED OR PRINTED 1 out a., are that that, a" siguiru ant penalli- bar submitting falsa information. <br />includi.v. the p,nsibJit% ,d row and n <br />iq,ri-roncnt for knowing stolation,_ <br /> <br />OFFICE OR AUTHORIZED AGENT AREA <br /> <br /> <br /> <br />UMBER <br />CODE <br /> <br /> <br /> <br />EAR <br /> <br /> <br /> <br />O <br /> <br /> <br /> <br />AY <br />COMMENTS AND EXPLANATION OF ANY <br />(Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. a44 , (:rPttistis a 4-part=farm.