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PERMITTEE NAME/ADDRESSpwe44FwOiyV..WL atif (/D(I-.r) <br />NAME <br />ADDRESS , <br />BOX 14ju <br />SARI CO 8152 <br />FACILITY SIDE. !r0&TH b SCUTh !MINES <br />LOCATION Y A L i b A L 6 L Q 81 S s <br />:,c I a rrnL tr <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SVSTEIN ((NPOESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER t _ F 1 h A L P 5 A <br />MONITORING PERIOD ,r t ; 7 I c c G LC f I A C C 6 I Y f b <br />YEAR MO DAYT YEAR MO DAY _ _? <br />FROM TO <br />NOTE: Re-d in-tructlon- befwe e0?n IMtinp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> <br />EX OF <br />Y <br /> ANALYSIS PE <br />T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />- PERMIT <br />REQUIREMENT r • 'v . '! ?' <br /> w r <br /> <br />' SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />- <br /> i v v <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT Y.?^: r, ualp a• i' <br />r, t c' G h_ *, <br />C A. 1. <br />:, r? t <br /> <br />' SAMPLE <br /> MEASUREMENT <br /> <br />_.. ,. i PERMIT <br /> <br />f•iarCasIto <br />It <br /> <br /> <br />r; t <br /> <br /> <br />wfgGXti <br /> <br /> <br />. 1:}.L? <br /> REQUIREMENT <br /> <br /> <br />r SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />L Y <br />!1 <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />1 PERMIT f.L? Vi5??. <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMElTiTLE PRINCIPAL EXECUTNE OFFICER t nnny ° r penalty 0 1¦.. that this document and all attachments were TELEPHONE DATE <br />Prepared utder my direction or super•.Idon In accordance with • system dtslgmd <br />to stature that qualified personnel Properly gather and evaluate the Information <br />submitted. Based on my Inquiry of the person or persoru who manage the system. <br />r <br />or than gwrsms directly respomilbla for gathering the Informatlon• the information - - '- <br />l . 1- ,_ L. 4 c .' <br />. <br />. <br />• _ 1 _ <br />_ sobntllted K to the best of me knowledge and beW. We, accsrrate, and complete. <br />1 am ow¦rr that there are dgnlnont <br />-10" for mbmdttin <br />Ww tnrorstton <br />SIGNATURE OF PRINCWAL EXECUTIVE <br />c <br /> P <br />g <br />. <br />TYPED OR PRINTED Including the possibility or nm and mpri,onment for knowing "ittiom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (RI/I/InCI tM lfraCflmintl ngril <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used This iS a 4-part form. PAGE OF