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PERMITTEE NAME/ADDRESS(/ne64FacdrgN..?LecrranVDt b w) <br />NAME <br />ADDRESS ; - <br />BOX :J.; iI <br />`_RSET CO 81434 <br />FACILITY _:QRN CRK & ELY: CRK MINES <br />LOCATION _RSET CO 81434 <br />T. COOPER, EXEC V. P. <br />NATIONAL POI.LUTANT 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. 2040.0004 <br />IS <br />DISCHARGE i ij CHILL-1i" <br />NOTE: Read k»tructlons before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />1>< <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT i..:-fi.r - ;• lu C <br /> REQUIREMENT f•IA X I MUM <br />` . SAMPLE <br /> MEASUREMENT <br /> PERMIT 'f-4 R -35 <br /> REQUIREMENT " O'AVG AiX 7D ''%j <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # ### #st yt ii ?c3( #dt it <br />F, <br /> REQUIREMENT 30DA ;ivl? DAILY MX 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #' dF?f' .> # v##lt't k ##### ,l"••• 3 .- .. <br /> REQUIREMENT INS f li; t T <br />- SAMPLE <br />;.,.?,j:.•' MEASUREMENT <br />1 (? , PERMIT <br /> REQUIREMENT ' 7L`,o <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br /> <br />1 certrty u pen. ly o sw that L" dxummt and sit altachmenls were <br />TELEPHONE <br />NAME/T)TLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />Prepared under my direction or sv <br />per+ldon In accordance with .system aeslRntd <br />tc Mum that qualified penennel propedy gather and tealuate the Irlforrlsatbn <br />' <br />wnbmltlM. awed on my inquiry d the Pera a Persoee who manage the syatern, - <br />W those Pere directly -,tpo"W for pthering the tnformatlon, the tnronuatlon <br />wl <br />• <br />b <br />itted I <br />th <br />b <br />t <br />f <br />k <br />S <br />d <br />d b <br />f <br />t <br />li <br />su <br />m <br />e <br />es <br />o <br />my <br />no <br />e <br />ge an <br />s. <br />o <br />e <br />e <br />, <br />rue, accurate, and comPMe_ <br />• I am aware that there are slgldfiuM Penslne for submittin <br />tube tnforrvaebn <br />' SIGNATURE Of PRINCIPAL EXECUTIVE <br /> g <br />, <br />I <br />i - <br />TYPED OR PRINTED nc <br />udtnt the possibility d fine and imprisonment ror knowing rtotstleni OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA 1 Ivry yr nn T vwt.n t Evna werarencs an srrscnmsnrs nsrs/ <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 'T1Lq-}6,W,,4-W form. PAGE -OF