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PERMITTEE NAME/ADDRESS (Include Fatilip Namdloration if bi ferenu <br />NAME <br />ADDRESS <br />BOX 62,9 <br />LA CO 81424 <br />FACILITY HOR I ZUN MINE <br />LOCATION LA CO 81424 <br />LANCE WADE. MINE 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 M DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL MNTRS <br />SR5cfl1I iVE DRN6 TO TUi'T=_E DR_?et <br />NOTE: Read Instructions before completing this form. <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />N0. <br />FREQUENCY OF <br />SAMPLE <br /> EX TYPE <br /> >< ANALYSIS <br /> I <br />AVERAGE MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br /> SAMPLE <br /> MEASUREMENT] <br /> PERMIT itii x#;.; [ I L ls' <br /> REQUIREMENT DA I L_Y 1`1 x ! . f'IONTi <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t? < F F1 t R t <br /> REQUIREMENT 30DA AVG i t -''•` ! ! ;t ; 'C!I?t !'. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT >:nA.I! <br /> SAMPLE <br />1 ;;,?;UL MEASUREMENT <br /> PERMIT ..=?°k 'F'F sl ;t of of# R E F, 077- <br /> REQUIREMENT DAILY M .X <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 41 <br /> REQUIREMENT DA A Jh M x (Y ; . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />. MEASUREMENTI <br /> PERMIT ......ti 1, _7 t <br /> REQUIREMENT !.: r /a <br />NAME/TTTLE PRINCIPAL EXECUTIVE OFFICER I .ertir> under penalty ofla» that thk cl ument and an alt dements »rm TELEPHONE DATE <br /> prepared under my dirw1ion or superyi4on in o ordantt »ith o %%slem dt igred <br /> to -lure that qualirn d 1-onnd properly gather and evaluate the information - --- t _ <br />- ?- yuhmhte I. Bayed on my inquiry of the person or per nt who manaW the yytem. <br /> or tho person. dimity rnpm+iMe ror gathering the information, the information <br />_ <br />J (/ <br />' st of <br />owl <br />nd b <br />tru <br />aavrutr <br />and own <br />lete <br />in <br />d 6 <br />to the b <br />k <br />d <br />lie( <br />h <br />I <br />. <br />• , <br />. <br />p <br />. <br />w <br />ru <br />e <br />, <br />e <br />my <br />n <br />e <br />ge a <br />e <br />e. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED I am ..am that them are signintant penalties for zibmilling false information, <br />in»luding the pmJbi)its o! riot and imprianunrm for knowing yirdations. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments nere) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 0022I ' ?'?t1A?? 4 pint' ?otR7.