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A,' rMI i 'LE NAME IADI <br />NAME <br />"DRESS <br />i:i?; i -1 <br />PALISADE CO 81526 <br />F !LITY ROADSIDE NORTH & SOUTH MINES <br />L(=ATM PALISADE CO 81526 <br />V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (WDESI <br />DISCHARGE MONITORING REPORT fDMR) <br />PERMIT NUMBER DISCHARGENVMSER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MQ. D Y: <br />FROM TO <br />MINOR <br />CSUHR DW) <br />- FINAL <br />ROADSIDE SOUTH <br />Form Approvea <br />OMB No. 2040-0004 <br />0 COLT] PIVER <br />NOTE: Read ktetmetlom before completing this form <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. ra?EEMcr <br />OF SAMPLE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE / /?- <br />r/ <br /> MEASUREMENT 10 :D ?tJ <br /> <br />z'r?; ?•r-- -. .. PERMIT 1 I ,h: <br />rl h. I MO t i{ <br /> <br />` REQUIREMENT It . <br />' - <br />t-j) <br />SUSP E SAMPLE <br />. MEASUREMENT <br />7 <br />? 5 <br />30 <br />: <br />s <br />I=:c FLUE PERMIT <br />=•VDA :i'J'u <br />LJi??7l._ I''/, <br /> REQUIREMENT <br /> ) <br /> SAMPLE a <br />`J <br />V !: <br />1045 MEASUREMENT <br />.. FLUF.`U? JALU PERMIT ?_- •- ' 0EDA At:"' <br /> REQUIREMENT <br />A <br />i <br />l SAMPLE N N <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br /> <br />r ` U TREATt•'' + F^' <br />"' ° SAMPLE . V <br />? ? <br />J <br />. MEASUREMENT • > f <br />005o 1 <br />o <br />, <br />'-?"LUENT GRL; PERMIT <br /> REQUIREMENT <br /> _b? Al <br /> <br /> <br />It?SUL.V?=it SAMPLE <br /> <br />MEAS <br />REMENT <br />. <br />/F K- <br /> <br />nt' <br />? <br />? <br /> <br />?? <br />?4295 a U r,• <br />_ <br />::.,...,. <br />UF `d I'-ROS. Jf^ i_' <br />EFFL PERMIT <br />. REQUIREMENT <br /> <br /> <br />' I ?, IA- SAMPLE <br />`J <br />y <br />34 C ? MEASUREMENT 7-.. r <br />PERMIT <br />REQUIREMENT <br />1 cemt 1 u tr ptn. 17 1.. th.l thb do[Lmtn1 nd all atl.[hmalb .ere <br />NAME/TITLE PRINlrIPAI EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />ptrp.r.d ond.r my dlrecrlon or WptrHtton In.acord.mr .Ith . q.tem deslffned <br />17 -I '' t? % ... Io .smre Ih.t q-11ited ptrnmi P Vt IY plher and te.Iu.te the Inrormalon i <br />R <br />y snemtlled. sra.d oa m7 Inquiry of the prison « person ho m.wtre flee q•.tn+. - _ _ . (Yr.-I <br />.. <br />•. ./ <br />_t <br />,-, <br />n <br />- <br />. <br />of those prnerrr directly respoMek for p itering the Information, the Inrorm.tloo <br />- ? ' . <br />e <br />ill <br />d I <br />t <br />th <br />b <br />r m <br />k <br />f <br />t <br />d <br />• <br />"- <br />su <br />m <br />es <br />o <br />7 <br />ro. <br />e <br />& <br />o <br />e <br />e <br />(e and belief. Irve. .c<vrstt. and complete. <br />t C } <br />' <br />1 <br />I ...... th.l then .re slENnum P-.Wee for submitting f.tw information <br />SIGNATURE OF PRINCIPAL EXECtlTfVE - <br /> . <br />t <br />I <br />f ARCA <br />TYPED OR PRINTED nr <br />xf ng l?,, po.renlt, o <br />not -d mpnsonnt f- k m.Ing rint.tinrtt OFFICER OR AUTHORIZED AGENT ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReforence ed ettechments hefol TOTAL SUSPENDED <br />EX ANALYSIS TYPE <br />- <br />This is a 4- art form. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used p