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PERMITTEE NAME/AC)DAESSp--lee*FarWiYAfam WLorariong(D(#W%W) <br />NAME <br />ADDRESS <br />J. BOX 187 <br />?AIG co <br />FACILITY 'APPER MINE <br />LOCATION ,3 A I G co <br />-<AYMOND G. DU BOIS, PRES <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION 4Y4TDA /INPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER ascHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />E31 r? `_. FROM TO <br />GM <br />corm Approved. <br />OMB hlo 2040-0004 <br />MINOR <br />(SUBR JC ) <br />F - FINAL <br />ACUTE WET TESTING FOI' <br />MUFAT <br />NOTE: Read Ir>.tructlorw before con pletfnp this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION E FREGUENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS N <br /> SAMPLE K 1 <br /> MEASUREMENT <br /> PERMIT y ###### IOU. 0 C7C . ### <br /> REQUIREMENT <br />A,_ U. <br /> SAMPLE <br /> MEASUREMENT <br />C' PERMIT jt##### x?t## 100. GOO i ## # # ##it > i; __ 1' ;RAB <br />F L(J;i. REQUIREMENT <br />in - <br />MN VA - - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -' - <br /> REQUIREMENT I <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' "^'' " " p`""y ° aw thee IAN document a"d .11 wt-h"xnt, went TELEPHONE <br />Prepared undo, me dln llon or miss on In accordance with • system designed DATE <br />to assn that qu.Ntfed personnel Property ether and tealualt the Inkfrmation <br />l . submitted. sated on my inquiry Of the Person °f perswr who manage the system, cs--- <br />' / <br />or Ilese persa s directly reapoedble for pthtring iht 1wAtematlon, the information <br />" _ '? - <br />knowl <br />b <br />itt <br />d I <br />lif <br />b <br />t <br />f m <br />d <br />tt <br />t <br />t <br />d b <br />r <br />t <br />d -7 i <br />su <br />m <br />e <br />o <br />e <br />o <br />y <br />e <br />rot. aenvn <br />s. <br />t <br />e <br />ge an <br />e <br />, <br />e, an <br />complete. <br />t tri <br />rdncsat <br />SIGNATURE OF PRINCIPAL EXECUTIVE l <br />I <br />m <br />w <br />re th <br />ar <br />d <br />lti <br />br <br />lttl <br />N <br />f <br />f <br />I <br />f <br />ti <br />TYPED OR PRINTED - a <br />a <br />a <br />er: <br />e <br />g <br />or su <br />f <br />ag <br />a <br />e <br />a <br />pena <br />es <br />n <br />orma <br />on, <br />Inct"ng the possibility of nm and Imprtooeement for knowing relations, OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMEiER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference iN attachments horel <br />1 rr?I - 7TATISTICAL POINT FSTIMATF WHTC1 <br />• kr) Isai 1 ? ? -- ?: t i i?-? •r.6 ?fl h i _ _ ; n:, •i t i t.: <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 76j?J4-paii.j?0ftt1. PAGE jDF